A randomized, controlled assessment of the canalith repositioning maneuver

Blakley, Brian W.

doi:10.1177/019459989411000407

Cited by 107 publications

(98 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The short-term ( ∼ 1 week after treatment) remission rates in the control group in previous studies ranged from 0 to 25%, which is considerably lower than that of our present study (71-77%) [Amor-Dorado et al, 2012;Chen et al, 2012;Mandala et al, 2012;Soto Varela et al, 2001;von Brevern et al, 2006]. The resolution rate of positional vertigo in untreated patients with posterior canal BPPV could be up to 48% at 1 week and up to 86.4% in 1 month [Blakley, 1994;Sekine et al, 2006]. It is unclear whether these differences are due to differences in patient populations in terms of the spontaneous remission rates and the performance, types, or numbers of sham maneuvers performed.…”

Section: Discussioncontrasting

confidence: 68%

A Multicenter Randomized Double-Blind Study: Comparison of the Epley, Semont, and Sham Maneuvers for the Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo

et al. 2014

View full text Add to dashboard Cite

We evaluated the short-term efficacy of Epley, Semont, and sham maneuvers for resolving posterior canal benign paroxysmal positional vertigo (BPPV) in a prospective multicenter randomized double-blind controlled study. Subjects were randomly divided into three groups: Epley (36 patients), Semont (32 patients), and sham (Epley maneuver for the unaffected side, 31 patients). Out of 14 institutes which participated in this study, 5 institutes had previous experience of the Epley but not the Semont maneuver and the other 9 had previous experience of both maneuvers. Each maneuver was repeated twice if there was still positional vertigo or nystagmus on day 0, and the presence of nystagmus and vertigo on positional testing were evaluated immediately, 1 day, and 1 week after treatment. After the first maneuver, the Epley group showed a significantly higher resolution rate of positional nystagmus than the Semont or sham groups (63.9, 37.5, and 38.7%, respectively). After the second maneuver, the resolution rate (83.3%) of the Epley group was significantly higher than that (51.6%) of the sham group. At 1 day and 1 week after treatment, the resolution rate of the Epley group was significantly higher than those of the other groups. Similar results were seen for the resolution of positional vertigo. The Epley maneuver showed persistent resolution rates of positional vertigo and nystagmus without a fatigue phenomenon. The Epley maneuver was significantly more effective per maneuver than Semont or sham maneuvers for the short-term treatment of posterior canal BPPV. The Semont maneuver showed a higher success rate than the sham maneuver, but it was not significantly different.

show abstract

Section: Discussioncontrasting

confidence: 68%

A Multicenter Randomized Double-Blind Study: Comparison of the Epley, Semont, and Sham Maneuvers for the Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo

et al. 2014

View full text Add to dashboard Cite

show abstract

“…These proposals varies from no treatment at all 34 , all the way up to a combination of the numerous existing maneuvers and exercises 32,35,36 . In the elderly population, these maneuvers might have to be modified to gentler and slower movements with neck rotation limitation.…”

Section: Discussionmentioning

confidence: 99%

Manobras para o tratamento da vertigem posicional paroxística benigna: revisão sistemática da literatura

Teixeira

Machado

2006

Rev. Bras. Otorrinolaringol.

View full text Add to dashboard Cite

Beni gn 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]

show abstract

“…Therefore, the judgement that repositioning techniques produce a beneficial effect separate from the spontaneous resolution of BPPV is difficult to substantiate [14][15][16][17][18][19]. Controlled clinical studies [20,21] have indicated no significant difference between patients treated with repositioning maneuvers and those untreated by these maneuvers. Nevertheless, such maneuvers are without risk, and may be offered as initial treatment of BPPV.…”

Section: Discussionmentioning

confidence: 99%

Results of Singular Neurectomy in the Posterior Ampullary Recess

Gacek

2002

ORL

View full text Add to dashboard Cite

Objective: To determine the effect on hearing and balance symptoms following singular neurectomy (SN) for benign paroxysmal positional vertigo (BPPV) in the ampullary recess of the posterior semicircular canal. Research Design: The charts of 242 patients with chronic disabling BPPV who were treated with SN over a 29-year period (1972–2001) were reviewed. The results on relief of BPPV and hearing function were recorded. A subset of 16 patients where the posterior ampullary recess was entered to expose the SN is described in detail with regard to an effect on hearing and balance. Results: A total of 252 SN were performed in 242 patients. Ten patients underwent bilateral SN sequentially; the remaining 232 patients had unilateral SN. The ages of the patients ranged from 21 to 86 years, with a mean at 57 years. The female:male ratio was 174:68. Complete relief of BPPV was achieved in 244 patients (96.8%), incomplete relief in 3 (1%), and no relief in 5 (2%). Sensorineural hearing loss (SNHL) occurred in 9 patients (3.7%). A subset of 16 patients in whom the ampullary recess was opened during SN ranged in age from 21 to 79 years, with a mean at 56 years. The female:male ratio was 12:4, with right and left sides divided almost equally. Relief of BPPV was achieved in all 16 patients with no loss of hearing function. Five patients complained of a fistula response postoperatively (31%). The fistula response resolved by 6 months postoperatively in all 5 patients. Conclusions: SN is effective in relief of BPPV with little risk of SNHL (3.7%). The risk of SNHL is not increased when the posterior ampullary recess must be entered in order to transect the singular nerve. A positive fistula response may be present temporarily in almost one third of these patients.

show abstract

A randomized, controlled assessment of the canalith repositioning maneuver

Cited by 107 publications

References 14 publications

A Multicenter Randomized Double-Blind Study: Comparison of the Epley, Semont, and Sham Maneuvers for the Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo

A Multicenter Randomized Double-Blind Study: Comparison of the Epley, Semont, and Sham Maneuvers for the Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo

Manobras para o tratamento da vertigem posicional paroxística benigna: revisão sistemática da literatura

Results of Singular Neurectomy in the Posterior Ampullary Recess

Contact Info

Product

Resources

About