New repositioning techniques for benign paroxysmal positional vertigo: the Li repositioning manoeuvres

Benign paroxysmal positional vertigo can be treated by repositioning manoeuvres. Current manoeuvres can be cumbersome to perform and require determination of the canal affected, usually by assessing nystagmus direction on provocation. We developed a new series of manoeuvres to manage benign paroxysmal positional vertigo of each semicircular canal. The canal affected, and thus the manoeuvre used in each case, was determined by the patient's subjective report of vertigo on provocative head positioning. The reported manoeuvres were utilised in 216 patients, with an excellent rate of symptom resolution (96.7 per cent). The Li particle repositioning manoeuvres are effective, reliable and simply performed alternatives for the management of benign paroxysmal positional vertigo.