Rapid Systematic Review of the Epley Maneuver for Treating Posterior Canal Benign Paroxysmal Positional Vertigo.
Identifieur interne : 000181 ( Main/Exploration ); précédent : 000180; suivant : 000182Rapid Systematic Review of the Epley Maneuver for Treating Posterior Canal Benign Paroxysmal Positional Vertigo.
Auteurs : Jeroen G. Van Duijn [Pays-Bas] ; Liz M. Isfordink [Pays-Bas] ; Jenny A. Nij Bijvank [Pays-Bas] ; Carlijne W. Stapper [Pays-Bas] ; Annelies J. Van Vuren [Pays-Bas] ; Inge Wegner [Pays-Bas] ; Marlous F. Kortekaas [Pays-Bas] ; Wilko Grolman [Pays-Bas]Source :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [ 1097-6817 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
OBJECTIVE
The aim of this study was to compare watchful waiting to the Epley maneuver as a management option for patients with posterior canal benign paroxysmal positional vertigo (p-BPPV) regarding symptom relief.
DATA SOURCES
PubMed, Embase, and The Cochrane Library.
METHODS
A systematic search was conducted. Studies reporting original study data were included. Relevance and risk of bias (RoB) of the selected articles were assessed. Studies with low relevance, high RoB, or both were excluded. Absolute risk differences and their 95% confidence intervals (CIs) were extracted for the included studies.
RESULTS
A total of 1448 unique studies were retrieved. Eight of these satisfied the eligibility criteria. At 1-week follow-up, all included studies reported a clinically relevant effect in favor of the Epley maneuver regarding symptom relief (absolute risk differences ranging from 20% [95% CI, 5%-37%] to 59% [95% CI, 32%-76%]) or conversion to a negative Dix-Hallpike (absolute risk differences ranging from 17% [95% CI, -5%-37%] to 64% [95% CI, 29%-79%]). At 1-month follow-up, the results of the included studies diverged further. Absolute risk differences ranged from 6% (95% CI, -24%-35%) more symptom relief in favor of watchful waiting to 79% (95% CI, 56%-88%) in favor of the Epley maneuver.
CONCLUSION AND RECOMMENDATIONS
All data of the selected studies show a benefit in favor of the Epley maneuver at 1-week follow-up in the management of p-BPPV. The Epley maneuver should be considered in all patients with p-BPPV.
DOI: 10.1177/0194599814527732
PubMed: 24687942
Affiliations:
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Le document en format XML
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Van Duijn</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Isfordink, Liz M" sort="Isfordink, Liz M" uniqKey="Isfordink L" first="Liz M" last="Isfordink">Liz M. Isfordink</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Nij Bijvank, Jenny A" sort="Nij Bijvank, Jenny A" uniqKey="Nij Bijvank J" first="Jenny A" last="Nij Bijvank">Jenny A. 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Stapper</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Van Vuren, Annelies J" sort="Van Vuren, Annelies J" uniqKey="Van Vuren A" first="Annelies J" last="Van Vuren">Annelies J. Van Vuren</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Wegner, Inge" sort="Wegner, Inge" uniqKey="Wegner I" first="Inge" last="Wegner">Inge Wegner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands ENT-research@umcutrecht.nl.</nlm:affiliation><country wicri:rule="url">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Kortekaas, Marlous F" sort="Kortekaas, Marlous F" uniqKey="Kortekaas M" first="Marlous F" last="Kortekaas">Marlous F. Kortekaas</name><affiliation wicri:level="3"><nlm:affiliation>Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Julius Center for Health Sciences and Primary Care, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author></analytic><series><title level="j">Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</title><idno type="eISSN">1097-6817</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (therapy)</term><term>Humans (MeSH)</term><term>Musculoskeletal Manipulations (MeSH)</term><term>Watchful Waiting (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains (MeSH)</term><term>Manipulations de l'appareil locomoteur (MeSH)</term><term>Observation (surveillance clinique) (MeSH)</term><term>Vertige positionnel paroxystique bénin (thérapie)</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Musculoskeletal Manipulations</term><term>Watchful Waiting</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Manipulations de l'appareil locomoteur</term><term>Observation (surveillance clinique)</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The aim of this study was to compare watchful waiting to the Epley maneuver as a management option for patients with posterior canal benign paroxysmal positional vertigo (p-BPPV) regarding symptom relief.</p></div><div type="abstract" xml:lang="en"><p><b>DATA SOURCES</b></p><p>PubMed, Embase, and The Cochrane Library.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic search was conducted. Studies reporting original study data were included. Relevance and risk of bias (RoB) of the selected articles were assessed. Studies with low relevance, high RoB, or both were excluded. Absolute risk differences and their 95% confidence intervals (CIs) were extracted for the included studies.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 1448 unique studies were retrieved. Eight of these satisfied the eligibility criteria. At 1-week follow-up, all included studies reported a clinically relevant effect in favor of the Epley maneuver regarding symptom relief (absolute risk differences ranging from 20% [95% CI, 5%-37%] to 59% [95% CI, 32%-76%]) or conversion to a negative Dix-Hallpike (absolute risk differences ranging from 17% [95% CI, -5%-37%] to 64% [95% CI, 29%-79%]). At 1-month follow-up, the results of the included studies diverged further. Absolute risk differences ranged from 6% (95% CI, -24%-35%) more symptom relief in favor of watchful waiting to 79% (95% CI, 56%-88%) in favor of the Epley maneuver.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION AND RECOMMENDATIONS</b></p><p>All data of the selected studies show a benefit in favor of the Epley maneuver at 1-week follow-up in the management of p-BPPV. The Epley maneuver should be considered in all patients with p-BPPV.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24687942</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>15</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6817</ISSN><JournalIssue CitedMedium="Internet"><Volume>150</Volume><Issue>6</Issue><PubDate><Year>2014</Year><Month>06</Month></PubDate></JournalIssue><Title>Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</Title><ISOAbbreviation>Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Rapid Systematic Review of the Epley Maneuver for Treating Posterior Canal Benign Paroxysmal Positional Vertigo.</ArticleTitle><Pagination><MedlinePgn>925-32</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0194599814527732</ELocationID><Abstract><AbstractText Label="OBJECTIVE">The aim of this study was to compare watchful waiting to the Epley maneuver as a management option for patients with posterior canal benign paroxysmal positional vertigo (p-BPPV) regarding symptom relief.</AbstractText><AbstractText Label="DATA SOURCES">PubMed, Embase, and The Cochrane Library.</AbstractText><AbstractText Label="METHODS">A systematic search was conducted. Studies reporting original study data were included. Relevance and risk of bias (RoB) of the selected articles were assessed. Studies with low relevance, high RoB, or both were excluded. Absolute risk differences and their 95% confidence intervals (CIs) were extracted for the included studies.</AbstractText><AbstractText Label="RESULTS">A total of 1448 unique studies were retrieved. Eight of these satisfied the eligibility criteria. At 1-week follow-up, all included studies reported a clinically relevant effect in favor of the Epley maneuver regarding symptom relief (absolute risk differences ranging from 20% [95% CI, 5%-37%] to 59% [95% CI, 32%-76%]) or conversion to a negative Dix-Hallpike (absolute risk differences ranging from 17% [95% CI, -5%-37%] to 64% [95% CI, 29%-79%]). At 1-month follow-up, the results of the included studies diverged further. Absolute risk differences ranged from 6% (95% CI, -24%-35%) more symptom relief in favor of watchful waiting to 79% (95% CI, 56%-88%) in favor of the Epley maneuver.</AbstractText><AbstractText Label="CONCLUSION AND RECOMMENDATIONS">All data of the selected studies show a benefit in favor of the Epley maneuver at 1-week follow-up in the management of p-BPPV. The Epley maneuver should be considered in all patients with p-BPPV.</AbstractText><CopyrightInformation>© American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Duijn</LastName><ForeName>Jeroen G</ForeName><Initials>JG</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Isfordink</LastName><ForeName>Liz M</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nij Bijvank</LastName><ForeName>Jenny A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stapper</LastName><ForeName>Carlijne W</ForeName><Initials>CW</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Vuren</LastName><ForeName>Annelies J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wegner</LastName><ForeName>Inge</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands ENT-research@umcutrecht.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kortekaas</LastName><ForeName>Marlous F</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grolman</LastName><ForeName>Wilko</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, The Netherlands Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Otolaryngol Head Neck Surg</MedlineTA><NlmUniqueID>8508176</NlmUniqueID><ISSNLinking>0194-5998</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026201" MajorTopicYN="Y">Musculoskeletal Manipulations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057832" MajorTopicYN="N">Watchful Waiting</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">BPPV</Keyword><Keyword MajorTopicYN="Y">Epley</Keyword><Keyword MajorTopicYN="Y">systematic review</Keyword><Keyword MajorTopicYN="Y">vertigo</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>01</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>02</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24687942</ArticleId><ArticleId IdType="pii">0194599814527732</ArticleId><ArticleId IdType="doi">10.1177/0194599814527732</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Utrecht (province)</li></region><settlement><li>Utrecht</li></settlement></list><tree><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Van Duijn, Jeroen G" sort="Van Duijn, Jeroen G" uniqKey="Van Duijn J" first="Jeroen G" last="Van Duijn">Jeroen G. Van Duijn</name></region><name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name><name sortKey="Isfordink, Liz M" sort="Isfordink, Liz M" uniqKey="Isfordink L" first="Liz M" last="Isfordink">Liz M. Isfordink</name><name sortKey="Kortekaas, Marlous F" sort="Kortekaas, Marlous F" uniqKey="Kortekaas M" first="Marlous F" last="Kortekaas">Marlous F. Kortekaas</name><name sortKey="Nij Bijvank, Jenny A" sort="Nij Bijvank, Jenny A" uniqKey="Nij Bijvank J" first="Jenny A" last="Nij Bijvank">Jenny A. Nij Bijvank</name><name sortKey="Stapper, Carlijne W" sort="Stapper, Carlijne W" uniqKey="Stapper C" first="Carlijne W" last="Stapper">Carlijne W. Stapper</name><name sortKey="Van Vuren, Annelies J" sort="Van Vuren, Annelies J" uniqKey="Van Vuren A" first="Annelies J" last="Van Vuren">Annelies J. Van Vuren</name><name sortKey="Wegner, Inge" sort="Wegner, Inge" uniqKey="Wegner I" first="Inge" last="Wegner">Inge Wegner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Rapid Systematic Review of the Epley Maneuver for Treating Posterior Canal Benign Paroxysmal Positional Vertigo.
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