Maneuvers for the Treatment of Benign Positional Paroxysmal Vertigo: a Systematic Review

Overview

Journal Braz J Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2006 Aug 19

PMID 16917565

Citations 17

Authors

Lazaro Juliano Teixeira

Joao Natel Pollonio Machado

Affiliations

Soon will be listed here.

Abstract

Unlabelled: Benign Paroxysmal Positional Vertigo (BPPV) is one of the most frequent diseases of the vestibular system and it is characterized by episodes of recurrent vertigo triggered by head movements or position changes. There are several approaches for treatment, but efficacy is still being discussed.

Aim: To asses the effectiveness of the specific maneuvers available to the treatment of BPPV.

Methodology: An electronic search at the main databases, including MEDLINE, LILACS, PEDro, Cochrane Collaborations Database was performed, and we selected only randomized clinical trials studying adults with diagnosis of BPPV confirmed by the Dix-Hallpike test. The trials should have included physical maneuvers such as Epley and Semont. The main outcome was Dix-Hallpike negative test and the changes to subjective complaints. The trials were assessed using Jadad's scale and only studies with quality scores equal or above 3 were pooled on a meta-analyses to assess their effectiveness.

Results: We found five controlled clinical trials phase I comparing the Epley's maneuver with controls or placebo. The meta-analysis showed positive evidence of Epley's maneuver to the posterior semicircular canal (effect size = 0.11 [CI 95% 0.05, 0.26] of objective improvement [Dix-Halpike] within one week, 0.24 [CI 95% 0.13, 0.45] within one month and 0.16 [CI 95% 0.08, 0.33] of improvement reported by the patients within one week. There are no studies about the efficacy of Semont's maneuver.

Conclusion: There is scientific evidence showing good efficacy of Epley's maneuver in the treatment.

Citing Articles

Residual dizziness after BPPV management: exploring pathophysiology and treatment beyond canalith repositioning maneuvers.

Ozgirgin O, Kingma H, Manzari L, Lacour M Front Neurol. 2024; 15:1382196.

PMID: 38854956 PMC: 11157684. DOI: 10.3389/fneur.2024.1382196.

Treatment efficacy of repositioning maneuvers in multiple canal benign paroxysmal positional vertigo: a systematic review and meta-analysis.

Alfarghal M, Singh N, Algarni M, Jagadish N, Raveendran R Front Neurol. 2023; 14:1288150.

PMID: 38020643 PMC: 10658715. DOI: 10.3389/fneur.2023.1288150.

Global research trends in benign paroxysmal positional vertigo: a bibliometric analysis.

Hu Y, Lu Y, Wang S, Quan X, Ren Y, Rong K Front Neurol. 2023; 14:1204038.

PMID: 37333008 PMC: 10272773. DOI: 10.3389/fneur.2023.1204038.

Assessment of Saudi Physicians and Physical Therapists' Adherence to the Updated Clinical Practice Guideline for Benign Paroxysmal Positional Vertigo: A Cross-Sectional Study.

Alhakami B, Almarwani M Int Arch Otorhinolaryngol. 2023; 27(1):e67-e76.

PMID: 36714907 PMC: 9879653. DOI: 10.1055/s-0042-1742775.

An Effective Home-Based Particle Repositioning Procedure for Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV).

Ranju R, Lepcha A, Mammen M, Vasanthan L, Augustine A, Philip A Indian J Otolaryngol Head Neck Surg. 2022; 74(4):516-523.

PMID: 36514424 PMC: 9741680. DOI: 10.1007/s12070-021-03021-w.

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