He also suggested audience members review the JAMA Neurology 2023 paper that includes a video of the maneuver.Īdditionally, Strupp’s daughter created the Positional Vertigo App to assist patients in learning the SM+ maneuver.Įditor’s note: This article was updated April 25, 2023, to include information on the Positional Vertigo App. Strupp recommends patients perform the SM+ maneuver on their bed, keep each position for 60 seconds, keep the canal at 45 degrees - “otherwise the crystals will not move” -and support their body with their arm. “The SemontPlus is evidently more effective than the regular Semont and the Epley maneuver,” Strupp said. the SM+ group (mean, 1.96 days median, 1 day P =. Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, accounting for over half of all cases. Strupp noted the EM group took far longer (mean, 3.34 days median, 2 days) vs. The primary endpoint was how long it took to recover. This type of dizziness comes on suddenly when you move in certain ways. It isnt serious and goes away on its own, but it may be uncomfortable. Patients were then instructed on how to do self-maneuvers, which they performed three times in the morning, noon and night for a total of nine times per day. Benign paroxysmal positional vertigo is a kind of dizziness where you feel like youre spinning around. In a prospective, multinational randomized trial, 195 patients with pc-BPPV canalithiasis were randomized to receive three physician-administered SM+ (n = 98) or EM (n = 97). Strupp noted that the Epley maneuver is the most commonly used in the U.S., which made the next study a logical path. They hypothesized that SM+ - which is characterized by an overextension of the head/body by at least 60 degrees during the second step - would also be more effective than the Epley maneuver (EM) for treatment of posterior canal benign paroxysmal positional vertigo (pc-BPPV). Michael Strupp, MD, DO, FAAN, from the department of neurology at the University of Munich, and colleagues have previously studied and demonstrated that the SemontPlus maneuver (SM+) is superior to regular Semont. If youre living with vertigo, particularly Benign Paroxysmal Positional Vertigo (BPPV), you can actually treat it at home with no doctors, no expensive equi. SemontPlus maneuver more effective than Epley maneuver for vertigo. 1.96 in the SM+ group.īOSTON - The SemontPlus maneuver led to quicker recovery than the Epley maneuver in patients with posterior canal benign paroxysmal positional vertigo, according to research presented at the American Academy of Neurology annual meeting. The EM group had a mean recovery of 3.34 days vs.Participants received three physician-administered SemontPlus or Epley maneuvers, then performed a series of self-maneuvers at home. Use this video to guide you through the epley maneuver at home This is a great technique to use for benign paroxysmal positional vertigo.If you continue to have this issue please contact to Healio
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