Modifications of the Epley (canalith repositioning) manoeuvre for posterior canal benign paroxysmal positional vertigo (BPPV)

Hunt, William; Zimmermann, Eleanor; Hilton, Malcolm P

doi:10.1002/14651858.cd008675.pub2

Cited by 53 publications

(31 citation statements)

References 37 publications

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“…This finding contrasts with that from a more recent systematic review by Hunt et al, which identified 9 studies for further analysis of the effects of postural restrictions on BPPV treatment efficacy. 209 They included data from 528 patients from the 9 trials. Their results indicated benefit from use of postural restrictions, which provided a statistically significant improvement in outcome when the pooled data were considered.…”

mentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

535

776

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Objective. This update of a 2008 guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update group; new evidence from 2 clinical practice guidelines, 20 systematic reviews, and 27 randomized controlled trials; enhanced emphasis on patient education and shared decision making; a new algorithm to clarify action statement relationships; and new and expanded recommendations for the diagnosis and management of BPPV.Purpose. The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV. Secondary outcomes considered include an increased rate of accurate diagnoses of BPPV, a more efficient return to regular activities and work, decreased use of inappropriate medications and unnecessary diagnostic tests, reduction in recurrence of BPPV, and reduction in adverse events associated with undiagnosed or untreated BPPV. Other outcomes considered include minimizing costs in the diagnosis and treatment of BPPV, minimizing potentially unnecessary return physician visits, and maximizing the health-related quality of life of individuals afflicted with BPPV.Action Statements. The update group made strong recommendations that clinicians should (1) diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver, performed by bringing the patient from an upright to supine position with the head turned 45° to one side and neck extended 20° with the affected ear down, and (2) treat, or refer to a clinician who can treat, patients with posterior canal BPPV with a canalith repositioning procedure. The update group made a strong recommendation against postprocedural postural restrictions after canalith repositioning procedure for posterior canal BPPV. The update group made recommendations that the clinician should (1) perform, or refer to a clinician who can perform, a supine roll test to assess for lateral semicircular canal BPPV if the patient has a history compatible with BPPV and the Dix-Hallpike test exhibits horizontal or no nystagmus; (2) differentiate...

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mentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

535

776

View full text Add to dashboard Cite

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“…Conventional studies (18,(23)(24)(25)(26)(27)(28)(29) , meta-analyses (30)(31)(32)(33)(34) , casecontrol studies (15) and cohort studies (35) have reported that treatment with SM, QLR, and EM are very effective in curing Posterior Canal BPPV with no significant side effects.…”

Section: Discussionmentioning

confidence: 99%

Double-blind Randomized Trial On The Efficacy In A Short-time Follow-up Of The “Quick Liberatory Rotation” Maneuver In Treating Posterior Canal BPPV

Califano

Salafia

Mazzone

et al. 2014

JOA

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“…Macias et al [6] found no evidence of the benefit of mastoid oscillation applied during the Epley maneuver, and a Cochrane review has supported this statement [7] . For this reason, we did not employ a mastoid oscillator.…”

Section: Authors' Replymentioning

confidence: 99%

A Comprehensive Insight into the Rehabilitative Treatment of Persistent Benign Paroxysmal Positional Vertigo

Micarelli

Viziano²,

Alessandrini³

2017

Int Adv Otol

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Modifications of the Epley (canalith repositioning) manoeuvre for posterior canal benign paroxysmal positional vertigo (BPPV)

Abstract: Modifications of the Epley (canalith repositioning) manoeuvre for posterior canal benign paroxysmal positional vertigo (BPPV) (Review)

Cited by 53 publications

References 37 publications

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Double-blind Randomized Trial On The Efficacy In A Short-time Follow-up Of The “Quick Liberatory Rotation” Maneuver In Treating Posterior Canal BPPV

A Comprehensive Insight into the Rehabilitative Treatment of Persistent Benign Paroxysmal Positional Vertigo

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