In this way, the otoconia move 60°+ further in the direction of the utricle, which should theoretically increase the effectivity. Based on these findings, the Semont-Plus (SM+) was developed: the patient’s body is moved towards the affected side 60°+ below earth horizontal. A biophysical model and computer simulations showed that during the rotation of the labyrinth the crystals move about 25° less than the rotation of the canal.

However, a meta-analysis concluded that many patients suffer longer and are more impaired than previously assumed. For its treatment, there is Level 1 evidence that the Semont maneuver (SM) and the Epley maneuver (EM) are effective. Most often the posterior canal is affected: pcBPPV.

EAN Advocacy Training for Neurology and Brain Healthīenign paroxysmal positioning vertigo (BPPV) is the most frequent peripheral vestibular disorder.Statement on EU Pharma Legislation Revision.Brain Health Event at the European Parliament.Brain Health & Neurological Conditions MEP Interest Group - May 23.Tournament for neurologists in training.EBN - European Board of Neurology Examination.CME/CPD Programmes from other Organisations.Economic Burden of Neurological diseases in Europe.European National Neurological Societies.

Epley and semont maneuvers for vertigo