Double-blind randomized trial on short-term efficacy of the Semont maneuver for the treatment of posterior canal benign paroxysmal positional vertigo.
Identifieur interne : 000232 ( Main/Exploration ); précédent : 000231; suivant : 000233Double-blind randomized trial on short-term efficacy of the Semont maneuver for the treatment of posterior canal benign paroxysmal positional vertigo.
Auteurs : Marco Mandalà [Italie] ; Giovanni Paolo Santoro ; Giacinto Asprella Libonati ; Augusto Pietro Casani ; Mario Faralli ; Beatrice Giannoni ; Mauro Gufoni ; Vincenzo Marcelli ; Pierpaolo Marchetti ; Emanuela Pepponi ; Paolo Vannucchi ; Daniele NutiSource :
- Journal of neurology [ 1432-1459 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Méthode en double aveugle (MeSH), Nystagmus pathologique (rééducation et réadaptation), Nystagmus pathologique (étiologie), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Techniques de physiothérapie (MeSH), Vertige (complications), Vertige (rééducation et réadaptation), Vertige positionnel paroxystique bénin (MeSH).
- MESH :
- rééducation et réadaptation : Nystagmus pathologique, Vertige.
- étiologie : Nystagmus pathologique.
- complications : Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Méthode en double aveugle, Résultat thérapeutique, Sujet âgé, Techniques de physiothérapie, Vertige, Vertige positionnel paroxystique bénin.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Benign Paroxysmal Positional Vertigo (MeSH), Double-Blind Method (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (etiology), Nystagmus, Pathologic (rehabilitation), Physical Therapy Modalities (MeSH), Treatment Outcome (MeSH), Vertigo (complications), Vertigo (rehabilitation).
- MESH :
- complications : Vertigo.
- etiology : Nystagmus, Pathologic.
- rehabilitation : Nystagmus, Pathologic, Vertigo.
- Adult, Aged, Benign Paroxysmal Positional Vertigo, Double-Blind Method, Female, Humans, Male, Middle Aged, Physical Therapy Modalities, Treatment Outcome.
Abstract
The need for Class I and II studies on the efficacy of Semont's liberatory maneuver (SLM) in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) motivated the present double-blind randomized trial on the short-term efficacy of SLM. A total of 342 patients with unilateral PC-BPPV were recruited for a multicenter study. Patients were randomly assigned to treatment by SLM (n = 174) or sham treatment (n = 168). Subjects were followed up twice (1 and 24 h) with the Dix-Hallpike maneuver by blinded examiners. At the 1 and 24 h follow-up, 79.3 and 86.8%, respectively, of patients undergoing SLM had recovered from vertigo, compared to none of the patients undergoing the sham maneuver (p < 0.0001). Patients who manifested liberatory nystagmus at the end of SLM showed a significantly higher percentage of recovery (87.1 vs. 55.7%; p < 0.0001). To the best of our knowledge, this is the first Class I study on the efficacy of SLM. SLM proved highly effective with respect to the sham maneuver (p < 0.0001). Liberatory nystagmus was demonstrated to be a useful prognostic factor for the efficacy of treatment. The present Class I study of efficacy of SLM changes the level of recommendation of the maneuver for treating PC-BPPV from level C to level B.
DOI: 10.1007/s00415-011-6272-x
PubMed: 22008871
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sort="Santoro, Giovanni Paolo" uniqKey="Santoro G" first="Giovanni Paolo" last="Santoro">Giovanni Paolo Santoro</name></author><author><name sortKey="Asprella Libonati, Giacinto" sort="Asprella Libonati, Giacinto" uniqKey="Asprella Libonati G" first="Giacinto" last="Asprella Libonati">Giacinto Asprella Libonati</name></author><author><name sortKey="Casani, Augusto Pietro" sort="Casani, Augusto Pietro" uniqKey="Casani A" first="Augusto Pietro" last="Casani">Augusto Pietro Casani</name></author><author><name sortKey="Faralli, Mario" sort="Faralli, Mario" uniqKey="Faralli M" first="Mario" last="Faralli">Mario Faralli</name></author><author><name sortKey="Giannoni, Beatrice" sort="Giannoni, Beatrice" uniqKey="Giannoni B" first="Beatrice" last="Giannoni">Beatrice Giannoni</name></author><author><name sortKey="Gufoni, Mauro" sort="Gufoni, Mauro" uniqKey="Gufoni M" first="Mauro" last="Gufoni">Mauro Gufoni</name></author><author><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" 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(MeSH)</term><term>Benign Paroxysmal Positional Vertigo (MeSH)</term><term>Double-Blind Method (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Pathologic (etiology)</term><term>Nystagmus, Pathologic (rehabilitation)</term><term>Physical Therapy Modalities (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (complications)</term><term>Vertigo (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Méthode en double aveugle (MeSH)</term><term>Nystagmus pathologique (rééducation et réadaptation)</term><term>Nystagmus pathologique (étiologie)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Techniques de physiothérapie (MeSH)</term><term>Vertige (complications)</term><term>Vertige (rééducation 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scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Méthode en double aveugle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Techniques de physiothérapie</term><term>Vertige</term><term>Vertige positionnel paroxystique bénin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The need for Class I and II studies on the efficacy of Semont's liberatory maneuver (SLM) in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) motivated the present double-blind randomized trial on the short-term efficacy of SLM. A total of 342 patients with unilateral PC-BPPV were recruited for a multicenter study. Patients were randomly assigned to treatment by SLM (n = 174) or sham treatment (n = 168). Subjects were followed up twice (1 and 24 h) with the Dix-Hallpike maneuver by blinded examiners. At the 1 and 24 h follow-up, 79.3 and 86.8%, respectively, of patients undergoing SLM had recovered from vertigo, compared to none of the patients undergoing the sham maneuver (p < 0.0001). Patients who manifested liberatory nystagmus at the end of SLM showed a significantly higher percentage of recovery (87.1 vs. 55.7%; p < 0.0001). To the best of our knowledge, this is the first Class I study on the efficacy of SLM. SLM proved highly effective with respect to the sham maneuver (p < 0.0001). Liberatory nystagmus was demonstrated to be a useful prognostic factor for the efficacy of treatment. The present Class I study of efficacy of SLM changes the level of recommendation of the maneuver for treating PC-BPPV from level C to level B.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22008871</PMID><DateCompleted><Year>2012</Year><Month>10</Month><Day>17</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1459</ISSN><JournalIssue CitedMedium="Internet"><Volume>259</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of neurology</Title><ISOAbbreviation>J Neurol</ISOAbbreviation></Journal><ArticleTitle>Double-blind randomized trial on short-term efficacy of the Semont maneuver for the treatment of posterior canal benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>882-5</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00415-011-6272-x</ELocationID><Abstract><AbstractText>The need for Class I and II studies on the efficacy of Semont's liberatory maneuver (SLM) in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) motivated the present double-blind randomized trial on the short-term efficacy of SLM. A total of 342 patients with unilateral PC-BPPV were recruited for a multicenter study. Patients were randomly assigned to treatment by SLM (n = 174) or sham treatment (n = 168). Subjects were followed up twice (1 and 24 h) with the Dix-Hallpike maneuver by blinded examiners. At the 1 and 24 h follow-up, 79.3 and 86.8%, respectively, of patients undergoing SLM had recovered from vertigo, compared to none of the patients undergoing the sham maneuver (p < 0.0001). Patients who manifested liberatory nystagmus at the end of SLM showed a significantly higher percentage of recovery (87.1 vs. 55.7%; p < 0.0001). To the best of our knowledge, this is the first Class I study on the efficacy of SLM. SLM proved highly effective with respect to the sham maneuver (p < 0.0001). Liberatory nystagmus was demonstrated to be a useful prognostic factor for the efficacy of treatment. The present Class I study of efficacy of SLM changes the level of recommendation of the maneuver for treating PC-BPPV from level C to level B.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mandalà</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Dipartimento di Scienze Neurologiche e Sensoriali, Università di Siena, Siena Viale Bracci, 11, 53100, Siena, Italy. marcomand@hotmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Santoro</LastName><ForeName>Giovanni Paolo</ForeName><Initials>GP</Initials></Author><Author ValidYN="Y"><LastName>Asprella Libonati</LastName><ForeName>Giacinto</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Casani</LastName><ForeName>Augusto Pietro</ForeName><Initials>AP</Initials></Author><Author ValidYN="Y"><LastName>Faralli</LastName><ForeName>Mario</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Giannoni</LastName><ForeName>Beatrice</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Gufoni</LastName><ForeName>Mauro</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Marcelli</LastName><ForeName>Vincenzo</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Marchetti</LastName><ForeName>Pierpaolo</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Pepponi</LastName><ForeName>Emanuela</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Vannucchi</LastName><ForeName>Paolo</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Nuti</LastName><ForeName>Daniele</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>10</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>J Neurol</MedlineTA><NlmUniqueID>0423161</NlmUniqueID><ISSNLinking>0340-5354</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>09</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>10</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>10</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>10</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22008871</ArticleId><ArticleId IdType="doi">10.1007/s00415-011-6272-x</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Audiol Neurootol. 2008;13(6):345-56</Citation><ArticleIdList><ArticleId IdType="pubmed">18525198</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neurol Neurosurg Psychiatry. 2006 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Faralli</name><name sortKey="Giannoni, Beatrice" sort="Giannoni, Beatrice" uniqKey="Giannoni B" first="Beatrice" last="Giannoni">Beatrice Giannoni</name><name sortKey="Gufoni, Mauro" sort="Gufoni, Mauro" uniqKey="Gufoni M" first="Mauro" last="Gufoni">Mauro Gufoni</name><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" uniqKey="Marcelli V" first="Vincenzo" last="Marcelli">Vincenzo Marcelli</name><name sortKey="Marchetti, Pierpaolo" sort="Marchetti, Pierpaolo" uniqKey="Marchetti P" first="Pierpaolo" last="Marchetti">Pierpaolo Marchetti</name><name sortKey="Nuti, Daniele" sort="Nuti, Daniele" uniqKey="Nuti D" first="Daniele" last="Nuti">Daniele Nuti</name><name sortKey="Pepponi, Emanuela" sort="Pepponi, Emanuela" uniqKey="Pepponi E" first="Emanuela" last="Pepponi">Emanuela Pepponi</name><name sortKey="Santoro, Giovanni Paolo" sort="Santoro, Giovanni Paolo" uniqKey="Santoro G" first="Giovanni Paolo" last="Santoro">Giovanni Paolo Santoro</name><name sortKey="Vannucchi, Paolo" sort="Vannucchi, Paolo" uniqKey="Vannucchi P" first="Paolo" last="Vannucchi">Paolo Vannucchi</name></noCountry><country name="Italie"><noRegion><name sortKey="Mandala, Marco" sort="Mandala, Marco" uniqKey="Mandala M" first="Marco" last="Mandalà">Marco Mandalà</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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