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Abstract
The study aimed to determine the effect of Epley maneuver on unilateral posterior canal benign paroxysmal positional vertigo in postmenopausal women. This is a controlled randomized study. This is a therapeutic intervention. Thirty female patients, aged between 50-60 years old, were diagnosed as having unilateral benign paroxysmal positional vertigo of posterior canal based on the modified Dix-Hall pike test and videonystagmography. The patients were randomly allocated to one of two equal groups on the basis of the date of the first visit. group (A) was a control group that did not receive any treatment maneuvers or medications and observed for the progression of vertigo for four successive weeks. group (B) was the study group that treated by Epley maneuver by one maneuver per one session per week for four successive weeks. There were no significant differences between the two groups in terms of: age, weight, height, body mass index, affected ear, duration of nystagmus (measured by videonystagmography) and vertigo intensity (measured by modified Dix-Hall pike test and provoked vertigo scale). There was a significant decrease in the median values of nystagmus duration post treatment of study group compared with control group (0 and 18 seconds respectively). There was a significant decrease in the median values of vertigo intensity post treatment of study group compared to control group (0 and 4 respectively). Results of the current study revealed that Epley maneuver is a very effective treatment approach for postmenopausal women with unilateral posterior canal benign paroxysmal positional vertigo