Which statement best describes the Epley maneuver?

Which statement best describes the Epley maneuver?

• A. It is performed with no changes in neck position
• B. It involves a sequence of head-and-body movements designed to move debris toward the utricle
• C. It uses caloric irrigation
• D. It requires surgical intervention

Answer: (B)

The main idea is that the Epley maneuver is a canalith repositioning technique that uses a precise sequence of head and body movements to move debris (otoconia) out of the semicircular canal and back into the utricle, where they no longer trigger vertigo. This gravity-assisted relocation is what relieves positional vertigo in posterior-canal BPPV. That’s why the description stating a sequence of head-and-body movements designed to move debris toward the utricle best fits. It’s not performed with no neck movement, since specific head tilts are essential to align the canal and gravity. It doesn’t involve caloric irrigation, which is a provocative test or treatment using temperature differences rather than repositioning debris. It also isn’t surgical, as the maneuver is noninvasive and done at the bedside.

The main idea is that the Epley maneuver is a canalith repositioning technique that uses a precise sequence of head and body movements to move debris (otoconia) out of the semicircular canal and back into the utricle, where they no longer trigger vertigo. This gravity-assisted relocation is what relieves positional vertigo in posterior-canal BPPV. That’s why the description stating a sequence of head-and-body movements designed to move debris toward the utricle best fits. It’s not performed with no neck movement, since specific head tilts are essential to align the canal and gravity. It doesn’t involve caloric irrigation, which is a provocative test or treatment using temperature differences rather than repositioning debris. It also isn’t surgical, as the maneuver is noninvasive and done at the bedside.