{"id":3987,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/hallpiketest\/"},"modified":"2025-07-01T12:44:08","modified_gmt":"2025-07-01T11:44:08","slug":"hallpiketest","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/audiology\/bppvbenignparoxysmalpositionalvertigo\/hallpiketest\/","title":{"rendered":"Hallpike Test"},"content":{"rendered":"\n<p>\u200b<span>The Hallpike test looks for torsional nystagmus (the eyeball twisting). Where seen, , this confirms BPPV. Often, no nystagmus is seen, and the patient may simply report being dizzy in the Hallpike position: if this dizziness lasts an appropriate amount of time (30-40 seconds) it can be considered a subjectively positive Hallpike<\/span>.<span> In more frail patients, or if both sides of the examination couch are not accessible, the <\/span><strong>Sidelying test<\/strong><span> is an alternative.<\/span><\/p>\n\n\n\n<p>A Hallpike is designed to provoke vertigo \u2013 so the patient should be pre-warned and reassured. If the Hallpike test is positive a treatment (Epley manoeuvre) can be performed immediately to resolve the problem in the majority.<\/p>\n\n\n\n<p><strong> Please see the <\/strong><a href=\"https:\/\/vimeo.com\/562702667\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian videos on Hallpike testing<\/a><strong>.<\/strong><\/p>\n\n\n\n<p><strong>C.M. &amp; R.R. 01-07-25<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;The Hallpike test looks for torsional nystagmus (the eyeball twisting). Where seen, , this confirms BPPV. Often, no nystagmus is seen, and the patient may simply report being dizzy in the Hallpike position: if this dizziness lasts an appropriate amount of time (30-40 seconds) it can be considered a subjectively positive Hallpike. In more frail<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3721,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[43],"class_list":["post-3987","page","type-page","status-publish","hentry","category-hallpike-test"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/audiology\/bppv-benign-paroxysmal-positional-vertigo\/hallpike-test\/\" rel=\"tag\">Hallpike Test<\/a>","rttpg_excerpt":"&#8203;The Hallpike test looks for torsional nystagmus (the eyeball twisting). Where seen, , this confirms BPPV. Often, no nystagmus is seen, and the patient may simply report being dizzy in the Hallpike position: if this dizziness lasts an appropriate amount of time (30-40 seconds) it can be considered a subjectively positive Hallpike. In more frail","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3987","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3987"}],"version-history":[{"count":7,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3987\/revisions"}],"predecessor-version":[{"id":24483,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3987\/revisions\/24483"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3721"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}