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start the maneuver by turning the head to 45 degrees and the body laid back such the head is extended about 20 to 30 degrees the initial head turn is typically towards the side that more severely triggers the dizziness after 30 to 60 seconds the head is turned to opposite side and held for another 30 to 60 Seconds the head is then further rotated another 90 degrees accomplished by having the patient turn onto their side which is then held for another 30 to 60 Seconds when performing this maneuver another individual can help with these position changes the Maneuvers are then completed by having the patient sit back up the Eppley maneuver is a simple non-invasive approach to treating benign paroxysmal positional vertigo bpv a specific type of vertigo thank you