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The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature.

Publication ,  Journal Article
Cromwell, C; Tyler, J; Nobbs, R; Hockaday, A; Donnelly, S; Clendaniel, R
Published in: Otol Neurotol
July 2018

OBJECTIVE: Many studies have published conflicting results regarding the necessity of post-maneuver postural restrictions following treatment of benign paroxysmal positional vertigo (BPPV). The purpose of this meta-analysis is to complete an updated, comprehensive review to determine best practice following a repositioning maneuver (RM). DATA SOURCES: PubMed, CINAHL, and Embase were searched through July 2016. The reference lists of the selected studies were searched for studies that were not identified in the electronic database searches. STUDY SELECTION: Studies investigating the effect of post-maneuver postural restrictions on RM treatment efficacy were included. DATA EXTRACTION: The methodology, number of participants, type of RM administered, post-maneuver restrictions implemented, outcome measures, and results for each study were recorded. DATA SYNTHESIS: Following data extraction, heterogeneity and homogeneity values of included studies were determined. Risk ratios and random effects values were obtained to determine effect size. RESULTS: Eleven studies were included in the meta-analysis. The results of 739 total subjects were analyzed, 362 of which received post-maneuver postural restrictions and 377 of which did not. Meta-analysis revealed that there was not a statistically significant difference in treatment success rates between patients who received post-maneuver postural restrictions (90.3%) and those who did not (81.7%) (p = 0.095). CONCLUSIONS: There was no statistically significant difference found in treatment efficacy between subjects who received post-maneuver postural restrictions and those who did not. Based on the results of this meta-analysis, if there is any benefit from prescribing the postural restrictions, it is likely to be a small marginal improvement in outcomes.

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Published In

Otol Neurotol

DOI

EISSN

1537-4505

Publication Date

July 2018

Volume

39

Issue

6

Start / End Page

671 / 679

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Posture
  • Patient Positioning
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Female
  • Benign Paroxysmal Positional Vertigo
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
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MLA
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Cromwell, C., Tyler, J., Nobbs, R., Hockaday, A., Donnelly, S., & Clendaniel, R. (2018). The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature. Otol Neurotol, 39(6), 671–679. https://doi.org/10.1097/MAO.0000000000001798
Cromwell, Christina, Jordan Tyler, Rachael Nobbs, Adam Hockaday, Sean Donnelly, and Richard Clendaniel. “The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature.Otol Neurotol 39, no. 6 (July 2018): 671–79. https://doi.org/10.1097/MAO.0000000000001798.
Cromwell C, Tyler J, Nobbs R, Hockaday A, Donnelly S, Clendaniel R. The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature. Otol Neurotol. 2018 Jul;39(6):671–9.
Cromwell, Christina, et al. “The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature.Otol Neurotol, vol. 39, no. 6, July 2018, pp. 671–79. Pubmed, doi:10.1097/MAO.0000000000001798.
Cromwell C, Tyler J, Nobbs R, Hockaday A, Donnelly S, Clendaniel R. The Necessity for Post-Maneuver Restrictions in the Treatment of Benign Paroxysmal Positional Vertigo: An Updated Meta-Analysis of the Literature. Otol Neurotol. 2018 Jul;39(6):671–679.

Published In

Otol Neurotol

DOI

EISSN

1537-4505

Publication Date

July 2018

Volume

39

Issue

6

Start / End Page

671 / 679

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Posture
  • Patient Positioning
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Humans
  • Female
  • Benign Paroxysmal Positional Vertigo
  • 1117 Public Health and Health Services