# Self-treatment of BPPV: modified Epley procedure (MEP)

**URL:** <https://mvertigo.org/t/self-treatment-of-bppv-modified-epley-procedure-mep/1013>\
**Category:** Audio, Video & Presentations\
**Created:** [April 11, 2009, 11:19am UTC](https://mvertigo.org/t/self-treatment-of-bppv-modified-epley-procedure-mep/1013 "2009-04-11T11:19:00Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![scott](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/3e96dc/32.png) [@scott](https://mvertigo.org/u/scott)\
**Post date:** [April 11, 2009, 11:19am UTC](https://mvertigo.org/t/self-treatment-of-bppv-modified-epley-procedure-mep/1013/1 "2009-04-11T11:19:00Z")

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The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was **[size=130]95% in the MEP group[/size]** (n = 37) vs 58% in the MSM group (n = 33; p \< 0.001). Treatment failure was related to incorrect performance of the maneuver in the MSM group, whereas treatment-related side effects did not differ significantly between the groups.

> **[mvertigo.org vestibular disorders support forum](http://www.mvertigo.org/video/mep.mpg)**
>
> This is a support forum primarily for sufferers of Vestibular Migraine (VM), Migraine Associated Vertigo (MAV), Persistent Postural Perceptual Dizziness (PPPD) & Secondary Hydrops (SEH) - essentially anyone who is suffering chronic dizziness...

Note: this video shows the MEP being performed for the right ear.

Article here (PDF):

[http://www.neurology.org/content/63/1/150.full.pdf+html](http://www.neurology.org/content/63/1/150.full.pdf+html)

Scott 8)