Maniobra de Epley (cambio de posición canalicular) para el vértigo posicional paroxístico benigno
Información
- DOI:
- https://doi.org/10.1002/14651858.CD003162.pub3Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 08 diciembre 2014see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Enfermedades de oído, nariz y garganta
- Copyright:
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- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
The two authors contributed equally to searching, selection of trials, 'Risk of bias' assessment and data extraction.
Sources of support
Internal sources
-
None, Other.
External sources
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None, Other.
Declarations of interest
Malcolm Hilton: none known.
Darren Pinder: none known.
Version history
| Published | Title | Stage | Authors | Version |
| 2014 Dec 08 | The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo | Review | Malcolm P Hilton, Darren K Pinder | |
| 2004 Apr 19 | The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo | Review | Malcolm P Hilton, Darren K Pinder | |
| 2001 Oct 25 | The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo | Review | Malcolm P Hilton, Darren K Pinder | |
Differences between protocol and review
The original protocol included the Epley manoeuvre (either as classically described or with mastoid oscillation). Mastoid oscillation and other adjunctive treatments are now the subject of a separate review (Hunt 2012). The change in protocol does not alter the inclusion of any trials up to and including the 2014 update.
No trials reported change in vertigo on the basis of frequency and/or severity as specified as original outcome measures. Vertigo was presented as a symptom that was either 'present' or 'absent'. We therefore changed the primary outcome measure to 'complete resolution of symptoms' at the 2014 update.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged;
PICO
Study flow diagram.
'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).
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.
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.
| 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] |
| 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] |
| 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] |
| 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] |
