Double‐blind randomized trial on the efficacy of the Gufoni maneuver for treatment of lateral canal <scp>BPPV</scp>

Mandalà, Marco; Pepponi, Emanuela; Santoro, G; Cambi, Jacopo; Casani, Augusto Pietro; Faralli, Mario; Giannoni, Beatrice; Gufoni, Mauro; Marcelli, Vincenzo; Trabalzini, Franco; Vannucchi, Paola; Nuti, Daniele

doi:10.1002/lary.23918

Cited by 58 publications

(63 citation statements)

References 13 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An increasing interest in LSCC BPPV is seen considering that 4 of the relevant RCTs [17,[21][22][23] were published over the past 2 years. This systematic review and meta-analysis is based on results of 6 RCTs [17,[20][21][22][23][24], 5 of which were those retrieved by electronic searching of MedLine database and one [24] was through back references of 2 of the 5 RCTs [21,22].…”

Section: Discussionmentioning

confidence: 99%

“…Ten articles [17,[20][21][22][23][26][27][28][29][30] were retrieved by the electronic search. An additional article [24] was given from back references of the articles by Kim and colleagues [21,22].…”

Section: Study Selectionmentioning

confidence: 99%

“…Seventy-two patients with both geotropic (53) and apogeotropic (19) LSCC BPPV were randomly assigned to GM or sham maneuver [23]. Only 3/35 patients in the sham maneuver group had no nystagmus 1 hour following the maneuver and only 4/35 1 day following the maneuver.…”

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

“…Further results regarding the effectiveness of GM in comparison to sham procedures for treatment of geotropic/apogeotropic LSCC BPPV are given by applying meta-analysis to 3 of the included RCTs [21][22][23]. Results from 2 arms of each of the triple armed RCTs [21,22] were used along with results of the RCT by Mandalà and colleagues [23].…”

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

“…Results from 2 arms of each of the triple armed RCTs [21,22] were used along with results of the RCT by Mandalà and colleagues [23]. The proportions of geotropic and apogeotropic forms in the RCTs [21][22][23] …”

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

See 4 more Smart Citations

Benign Paroxysmal Positional Vertigo of Lateral Semicircular Canal: A Systematic Review and Meta-Analysis

El-Makhzangy

2015

Advances in Otolaryngology

View full text Add to dashboard Cite

Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo of peripheral origin. The lateral semicircular canal (LSCC) follows the posterior semicircular canal (PSCC) as the site of pathology in the majority of patients. Therapy, aiming at relocating particles causing aberrant LSCC stimulation has been applied by forced prolonged positioning, barbecue, and particle repositioning maneuvers. Results of the different techniques are variable. This systematic review/meta-analysis aimed to find out which therapy technique yields higher cure rates. MedLine database provided at National Library of Medicine was searched for randomized controlled trials comparing results of different therapeutic techniques for patients with LSCC BPPV. For studies included in qualitative analysis/synthesis, the following were collected independently by the author: number of participants, count of patients with geotropic and apogeotropic LSCC in each treatment group, and resolution of vertigo/nystagmus assessed by symptomatic improvement and negative supine roll test 1-24 hours following intervention considering the type of LSCC BPPV (geotropic/apogeotropic). Level Ia evidence (systematic review of RCTs) shows superiority of Gufoni maneuver over sham for both geotropic and apogeotropic LSCC BPPV. Comparisons between different therapeutic maneuvers for LSCC BPPV based on results of published RCTs could not be set.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

Section: Studies Considered For Meta-analysesmentioning

confidence: 99%

See 3 more Smart Citations

Benign Paroxysmal Positional Vertigo of Lateral Semicircular Canal: A Systematic Review and Meta-Analysis

El-Makhzangy

2015

Advances in Otolaryngology

View full text Add to dashboard Cite

show abstract

Treatment of horizontal canal BPPV: Pathophysiology, available maneuvers, and recommended treatment

et al. 2015

View full text Add to dashboard Cite

A variety of maneuvers is available related to the pathophysiology underlying the disease. The treatment chosen should be appropriate to the patients' ages, general conditions, and other diseases they may have. No treatment was found to be superior over the others regarding the success rate. In the case of geotropic nystagmus, the Gufoni maneuver is superior in its ease of performance. When it comes to apogeotropic nystagmus, the Barbecue and Gufoni maneuvers have comparable success rates.

show abstract

Double‐Blind Randomized Trial on the Efficacy of the Forced Prolonged Position for Treatment of Lateral Canal Benign Paroxysmal Positional Vertigo

et al. 2020

Self Cite

View full text Add to dashboard Cite

Objectives/Hypothesis: The need for class I and II studies on the efficacy of liberatory maneuvers in the treatment of lateral canal benign paroxysmal positional vertigo (LC-BPPV) motivated the present double-blind randomized trial on the short-term efficacy of the forced prolonged position (FPP). Study Design: Double-blind, randomized controlled trial. Methods: Two hundred twenty-one patients with unilateral LC-BPPV met the inclusion criteria for a multicentric study. Patients were randomly assigned to treatment by FPP (116 subjects) or sham treatment (105 subjects). Subjects were followed up at 24 hours with the supine roll test by blinded examiners. Results: Among the sample, 67.4% and 32.6% of the patients showed respectively geotropic and apogeotropic variant of LC-BPPV. At the 24-hour follow-up, the effectiveness of FFP compared to the sham maneuver was, respectively, 57.8% versus 12.4% (P < .0001) in the total sample, 76.9% versus 11.3% (P < .0001) in the geotropic variant group, and 60.5% versus 17.6% (P = .0003) in the apogeotropic variant group, including resolution or transformation to geotropic variant. Conclusions: FPP proved highly effective compared to the sham maneuver. The present class 2 study of the efficacy of the FPP changes the level of recommendation of the method for treating LC-BPPV into a strong one.

show abstract

Double‐blind randomized trial on the efficacy of the Gufoni maneuver for treatment of lateral canal BPPV

Cited by 58 publications

References 13 publications

Benign Paroxysmal Positional Vertigo of Lateral Semicircular Canal: A Systematic Review and Meta-Analysis

Benign Paroxysmal Positional Vertigo of Lateral Semicircular Canal: A Systematic Review and Meta-Analysis

Treatment of horizontal canal BPPV: Pathophysiology, available maneuvers, and recommended treatment

Double‐Blind Randomized Trial on the Efficacy of the Forced Prolonged Position for Treatment of Lateral Canal Benign Paroxysmal Positional Vertigo

Contact Info

Product

Resources

About