Vestibular rehabilitation in patients with benign paroxysmal positional vertigo

Intervention implemented by undergraduate students of physiotherapy trained and supervised by a physiotherapist teacher applied in two sessions of 40 minutes with a one week break in between the two sessions: manual therapy that were applied in the cervical region consisted of manual traction of the neck , extending the bilateral upper trapezius, scalene, sternocleidomastoid and levator scapula and massage in the region of the upper trapezius and neck applied only to the Epley maneuver, which was performed according to the affected semicircular canal and is composed of a series of head movements to direct the particles into the utricle, and then recommendations were passed as sleeping or sitting with the trunk elevated 45 degrees, recliner, wedges, or use two pillows for 48 hours after the maneuver for seven days and avoid sudden movements and those that do not cause dizziness, no sleep on the affected ear, and looking up or down. It was based also required that patients had their daily activities, with great variability in head movement remain neck collar to prevent head movements.