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Maniobra de Epley (cambio de posición canalicular) para el vértigo posicional paroxístico benigno

Appendices

Appendix 1. Search strategies

CENTRAL

PubMed

EMBASE (Ovid)

#1 VERTIGO single term (MeSH)
#2 DIZZINESS single term (MeSH)
#3 vertig* OR dizziness OR paroxysmal OR BPPV
#4 #1 OR #2 OR #3
#5 PHYSICAL THERAPY MODALITIES explode all trees (MeSH)
#6 HEAD MOVEMENTS single term (MeSH)
#7 epley* OR semont* OR canalith* OR otolith* OR particle OR position* OR reposition* OR maneuver* OR manoeuvr*
#8 #5 OR #6 OR #7
#9 #4 AND #8

#1 "Vertigo" [Mesh] OR "dizziness" [Mesh] OR vertig* [tiab] OR dizziness [tiab] OR paroxysmal [tiab] OR BPPV [tiab]
#2 "PHYSICAL THERAPY MODALITIES" [Mesh] OR "head Movements" [Mesh] OR epley* [tiab] OR semont* [tiab] OR canalith* [tiab] OR otolith* [tiab] OR particle [tiab] OR position* [tiab] OR reposition* [tiab] OR maneuver* [tiab] OR manoeuvr* [tiab]
#3 #1 AND #2

1 exp vertigo/
2 Dizziness/
3 (vertig* or dizziness or paroxysmal or BPPV).tw.
4 1 or 3 or 2
5 HEAD POSITION/
6 exp HEAD MOVEMENT/
7 VESTIBULAR STIMULATION/
8 (epley* or semont* or canalith* or otolith* or particle or position* or reposition* or maneuver* or manoeuvr*).tw.
9 8 or 6 or 7 or 5
10 4 and 9

Web of Science

CAB Abstracts (Ovid)

mRCT

#1 TS=(epley* OR semont* OR canalith* OR otolith* OR particle OR position* OR reposition* OR maneuver* OR manoeuvr*)
#2 TS=(vertig* OR dizziness OR paroxysmal OR BPPV)
#3 #2 AND #1

1 (vertig* or dizziness or paroxysmal or BPPV).tw.
2 (epley* or semont* or canalith* or otolith* or particle or position* or reposition* or maneuver* or manoeuvr*).tw.
3 1 AND 2

((vertig% OR dizziness OR paroxysmal OR BPPV) AND (epley% OR semont% OR canalith% OR otolith% OR particle OR position% OR reposition% OR maneuver% OR manoeuvr%))

Study flow diagram.
Figures and Tables -
Figure 1

Study flow diagram.

'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
Figures and Tables -
Figure 2

'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Epley versus control or placebo manoeuvre, Outcome 1 Complete resolution of vertigo symptoms (subjective report).
Figures and Tables -
Analysis 1.1

Comparison 1 Epley versus control or placebo manoeuvre, Outcome 1 Complete resolution of vertigo symptoms (subjective report).

Comparison 1 Epley versus control or placebo manoeuvre, Outcome 2 Conversion of a positive to a negative Dix‐Hallpike test.
Figures and Tables -
Analysis 1.2

Comparison 1 Epley versus control or placebo manoeuvre, Outcome 2 Conversion of a positive to a negative Dix‐Hallpike test.

Comparison 2 Epley versus Brandt‐Daroff exercises, Outcome 1 Resolution of symptoms and nystagmus on Dix‐Hallpike test.
Figures and Tables -
Analysis 2.1

Comparison 2 Epley versus Brandt‐Daroff exercises, Outcome 1 Resolution of symptoms and nystagmus on Dix‐Hallpike test.

Comparison 3 Epley versus Semont manoeuvre, Outcome 1 Resolution of nystagmus on provocation testing, at 7 days.
Figures and Tables -
Analysis 3.1

Comparison 3 Epley versus Semont manoeuvre, Outcome 1 Resolution of nystagmus on provocation testing, at 7 days.

Comparison 4 Epley versus hybrid (Gans) manoeuvre, Outcome 1 Resolution of nystagmus on provocation testing, at 7 days.
Figures and Tables -
Analysis 4.1

Comparison 4 Epley versus hybrid (Gans) manoeuvre, Outcome 1 Resolution of nystagmus on provocation testing, at 7 days.

Comparison 1. Epley versus control or placebo manoeuvre

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Complete resolution of vertigo symptoms (subjective report) Show forest plot

5

273

Odds Ratio (M‐H, Fixed, 95% CI)

4.42 [2.62, 7.44]

2 Conversion of a positive to a negative Dix‐Hallpike test Show forest plot

8

507

Odds Ratio (M‐H, Fixed, 95% CI)

9.62 [6.00, 15.42]

Figures and Tables -
Comparison 1. Epley versus control or placebo manoeuvre
Comparison 2. Epley versus Brandt‐Daroff exercises

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of symptoms and nystagmus on Dix‐Hallpike test Show forest plot

1

81

Odds Ratio (M‐H, Fixed, 95% CI)

12.38 [4.32, 35.47]

Figures and Tables -
Comparison 2. Epley versus Brandt‐Daroff exercises
Comparison 3. Epley versus Semont manoeuvre

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of nystagmus on provocation testing, at 7 days Show forest plot

2

117

Odds Ratio (M‐H, Fixed, 95% CI)

0.78 [0.32, 1.88]

Figures and Tables -
Comparison 3. Epley versus Semont manoeuvre
Comparison 4. Epley versus hybrid (Gans) manoeuvre

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Resolution of nystagmus on provocation testing, at 7 days Show forest plot

1

58

Odds Ratio (M‐H, Fixed, 95% CI)

0.67 [0.18, 2.52]

Figures and Tables -
Comparison 4. Epley versus hybrid (Gans) manoeuvre