Effectiveness of Brandt Daroff, Semont and Epley maneuvers in the treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial

Celis‐Aguilar, Erika; Mayoral-Flores, Homero Oswaldo; Torrontegui-Zazueta, Luis Alejandro; Medina-Cabrera, Cindy Anahí; León-Leyva, Ivonne Carolina; Dehesa-López, Edgar

doi:10.1007/s12070-021-02516-w

Cited by 10 publications

(7 citation statements)

References 30 publications

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“…The outcome of a CRM is dependent on the type of manoever and on the precision of the execution of the manoever. This encompasses a variety of factors including the angle and velocity of the head and timing during each step (38,39), fluid dynamics, as well as the amount, size, and location of otoconia in the canal. Reports of BPPV recurrence or residual dizziness (RD) after resolution of the initial nystagmus have become more frequent than when CRMs were first introduced (40-42), possibly due to the CRM variant used, the application of the CRM (43), and/or the pathophysiology underlying BPPV itself.…”

Section: Management Of Bppvmentioning

confidence: 99%

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

Özgirgin,

Kingma,

Manzari

et al. 2024

Front. Neurol.

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Despite the high success rate of canalith repositioning maneuvers (CRMs) in the treatment of benign paroxysmal positional vertigo (BPPV), a growing number of patients report residual dizziness symptoms that may last for a significant time. Although the majority of BPPV cases can be explained by canalolithiasis, the etiology is complex. Consideration of the individual patient’s history and underlying pathophysiology of BPPV may offer the potential for treatment approaches supplementary to CRMs, as well as a promising alternative for patients in whom CRMs are contraindicated. This article provides a summary of the possible underlying causes of BPPV and residual dizziness, along with suggestions for potential management options that may be considered to relieve the burden of residual symptoms.

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Section: Management Of Bppvmentioning

confidence: 99%

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

Özgirgin,

Kingma,

Manzari

et al. 2024

Front. Neurol.

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“…In total, 4 studies were performed in the primary-care setting [ 8 – 11 ], 15 in the otolaryngology setting [ 21 – 35 ], 4 in the neurology setting [ 36 – 39 ], and 4 in the emergency room setting [ 40 – 43 ]. The duration of the intervention (if measurements were taken at multiple time points, we integrated them using the shortest period) ranged from the first visit to 1 month.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…We searched for ongoing studies but could not find them. Of the 27 trials analysis, 19 evaluated the outcome of the disappearance of subjective symptoms [ 8 , 10 , 11 , 22 – 26 , 28 , 29 , 32 , 34 , 36 – 39 , 41 – 43 ], 16 evaluated the outcome of negative findings [ 8 , 10 , 22 , 24 , 26 – 28 , 30 , 31 , 33 , 35 – 38 , 41 , 42 ], 2 evaluated the outcome of the disappearance of objective symptoms [ 8 , 23 ], 1 evaluated the outcome of all adverse events [ 42 ], 6 evaluated the outcome of DHI-S (the screening version of DHI) [ 9 , 25 , 30 , 31 , 33 , 40 ], and 1 evaluated the outcome of DHI [ 35 ]. For three of the studies that evaluated DHI-S [ 25 , 30 , 31 ], we were unable to retrieve outcome data because no reply was received from the authors.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…For three of the studies that evaluated DHI-S [ 25 , 30 , 31 ], we were unable to retrieve outcome data because no reply was received from the authors. In addition, for one study that evaluated DHI [ 35 ] results, we were unable to retrieve outcome data. For studies excluded using the full-text screening, bibliographic information was presented in Additional file 6 .…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Two studies of negative findings in the otolaryngology or subspecialty settings [ 24 , 36 ] had a low ROB, and six studies [ 8 , 10 , 35 , 37 , 41 , 42 ] had some concern ROB. The other studies demonstrated a high ROB.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Epley manoeuvre’s efficacy for benign paroxysmal positional vertigo (BPPV) in primary-care and subspecialty settings: a systematic review and meta-analysis

Saishoji,

Yamamoto,

Fujiwara

et al. 2023

BMC Prim. Care

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Background Although previous studies have reported general inexperience with the Epley manoeuvre (EM) among general physicians, no report has evaluated the effect of EM on benign paroxysmal positional vertigo (BPPV) in primary care by using point estimates or certainty of evidence. We conducted this systematic review and meta-analysis and clarified the efficacy of EM for BPPV, regardless of primary-care and subspecialty settings. Methods Systematic review and meta-analysis of randomised sham-controlled trials of EM for the treatment of posterior canal BPPV in primary-care and subspecialty settings. A primary-care setting was defined as a practice setting by general practitioners, primary-care doctors, or family doctors. A systematic search was conducted in January 2022 across databases, including Cochrane Central Resister of Controlled Trial, MEDLINE, Embase, Cumulative Index of Nursing and Allied Health Literature, World Health Organization International Clinical Trials Registry Platform, and ClinicalTrials.gov. Primary outcomes were the disappearance of subjective symptoms (vertigo), negative findings (Dix–Hallpike test), and all adverse events. We evaluated the certainty of evidence using the Grading of Recommendations, Assessment, Development and Evaluation approach. Results Twenty-seven randomised controlled trials were identified. In primary-care settings, EM reduced the subjective symptoms [risk ratio (RR), 3.14; 95% confidence interval (CI), 1.96–5.02]; however, there was no applicable article for all adverse events. In the subspeciality setting, EM reduced the subjective symptoms (RR, 2.42; 95% CI, 1.64–3.56), resulting in an increase in negative findings (RR, 1.81; 95% CI, 1.40–2.34). The evidence exhibited uncertainty about the effect of EM on negative findings in primary-care settings and all adverse events in subspecialty settings. Conclusions Regardless of primary-care and subspecialty settings, EM for BPPV was effective. This study has shown the significance of performing EM for BPPV in primary-care settings. EM for BPPV in a primary-care setting may aid in preventing referrals to higher tertiary care facilities and hospitalisation for follow-up. Trial registration The study was registered in protocols.io (PROTOCOL INTEGER ID: 51,464) on July 11, 2021.

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Effectiveness of brandt-daroff exercises in the treatment of benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

Alashram

2024

Eur Arch Otorhinolaryngol

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Effectiveness of Brandt Daroff, Semont and Epley maneuvers in the treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial

Cited by 10 publications

References 30 publications

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

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

Epley manoeuvre’s efficacy for benign paroxysmal positional vertigo (BPPV) in primary-care and subspecialty settings: a systematic review and meta-analysis

Effectiveness of brandt-daroff exercises in the treatment of benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

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