Physical therapy management of Anterior Canal Benign Paroxysmal Positional Vertigo by the Deep Head Hanging Maneuver

One important factor that can cause of dizziness is benign paroxysmal positional vertigo (BPPV); this increases in prevalence with age. The aim of this clinical study was to determine whether the Deep Head Hanging maneuver is an efficacious treatment maneuver for anterior canalithiasis. Twenty-eight adult participants were recruited. Their ages ranged from 41–63 years. Thrteen participants were male, and fifteen were female. Participants were judged to be “clear” of the anterior canalithiasis when there was no nystagmus or subjective vertigo elicited by diagnostic positioning at the follow-up appointment. Results indicate that 82.1 % of the twenty-eight participants were clear of anterior canalithiasis after one treatment session, with another 14.2 % clear after a second treatment session. The remaining 3.5 % required a third treatment session. In Conclusion, the Deep Head Hanging maneuver was demonstrated to be a useful treatment in patients presenting with possible anterior canalithiasis sessions.