Do canalith repositioning exercises at home improve symptoms of benign paroxysmal positional vertigo?

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EVIDENCE-BASED ANSWERAfter a 1-time physician-administered Epley maneuver, adding a week of self-administered Epley maneuvers at home increases the likelihood of a negative Dix-Hallpike test by 30%, but does not lead to more patients with complete resolution of vertigo symptoms. Self-treatment with a modified Epley maneuver at home is 60% more likely than a modified Semont maneuver, and nearly 3 times more likely than Brandt-Daroff exercises to abolish symptoms of benign paroxysmal positional vertigo (BPPV) (SOR: B, RCTs and cohort study).

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