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Related Experiment Video

Updated: Apr 16, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Benign paroxysmal positional vertigo: opportunities squandered.

Kevin A Kerber1

  • 1Department of Neurology, University of Michigan Health System, Ann Arbor, Michigan.

Annals of the New York Academy of Sciences
|March 12, 2015
PubMed
Summary

Benign paroxysmal positional vertigo (BPPV) can be effectively treated with the canalith repositioning maneuver (CRM). Despite high cure rates, less than 10% of patients receive this bedside treatment.

Keywords:
Dix-Hallpike testbenign paroxysmal positional vertigocanalith repositioning maneuverdizzinessvertigo

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder.
  • Current management of BPPV is suboptimal, with low treatment rates.

Purpose of the Study:

  • To highlight the effectiveness of the Dix-Hallpike test (DHT) and canalith repositioning maneuver (CRM) for BPPV.
  • To emphasize the need for improved implementation of evidence-based BPPV treatments.

Main Methods:

  • The study references evidence-based guidelines from the American Academy of Otolaryngology--Head and Neck Surgery and the American Academy of Neurology.
  • It discusses the bedside application of the DHT for diagnosis and CRM for treatment.

Main Results:

  • The canalith repositioning maneuver (CRM) demonstrates an 80% cure rate for BPPV within 24 hours.
  • Compared to controls (10% cure rate), CRM shows a significant improvement in treatment efficacy.

Conclusions:

  • The DHT and CRM offer an effective and efficient bedside approach to managing BPPV.
  • Further research is needed to implement these evidence-based practices into routine clinical care.