Mechanisms and clinical significance of Tumarkin-like phenomenon during the final step of the Epley and Semont maneuver: insights from virtual simulation and literature review

The findings provide a detailed understanding of otolith movement dynamics during the final steps of the Epley and Semont maneuvers. The results challenge existing views on the correlation between dizziness and successful repositioning, emphasizing the need for personalized treatment approaches and accurate maneuver execution. This study contributes to refining repositioning protocols, optimizing outcomes, and advancing our comprehension of BPPV dynamics. Future clinical studies are needed to verify these simulation results and develop more precise and personalized BPPV diagnosis and treatment methods.