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Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review

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:...

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Autores principales: Teixeira, Lázaro Juliano, Machado, João Natel Pollonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445677/
https://www.ncbi.nlm.nih.gov/pubmed/16917565
http://dx.doi.org/10.1016/S1808-8694(15)30046-X
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author Teixeira, Lázaro Juliano
Machado, João Natel Pollonio
author_facet Teixeira, Lázaro Juliano
Machado, João Natel Pollonio
author_sort Teixeira, Lázaro Juliano
collection PubMed
description 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 metaanalysis 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.
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spelling pubmed-94456772022-09-09 Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review Teixeira, Lázaro Juliano Machado, João Natel Pollonio Braz J Otorhinolaryngol Review Article 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 metaanalysis 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. Elsevier 2015-10-19 /pmc/articles/PMC9445677/ /pubmed/16917565 http://dx.doi.org/10.1016/S1808-8694(15)30046-X Text en . https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review Article
Teixeira, Lázaro Juliano
Machado, João Natel Pollonio
Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title_full Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title_fullStr Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title_full_unstemmed Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title_short Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
title_sort maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9445677/
https://www.ncbi.nlm.nih.gov/pubmed/16917565
http://dx.doi.org/10.1016/S1808-8694(15)30046-X
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