Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo
To determine the immediate and long-term therapeutic efficacies of Gufoni and head-shaking maneuvers in apogeotropic type of benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV), a randomized, prospective, sham-controlled study was conducted. In 10 nationwide di...
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| Veröffentlicht in: | Neurology 2012-01, Vol.78 (3), p.159-166 |
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| creator | KIM, J.-S OH, S.-Y KIM, H. J LEE, S.-H KANG, J.-H KIM, D. U JEONG, S.-H CHOI, K.-D MOON, I.-S KIM, B.-K OH, H. J |
| description | To determine the immediate and long-term therapeutic efficacies of Gufoni and head-shaking maneuvers in apogeotropic type of benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV), a randomized, prospective, sham-controlled study was conducted.
In 10 nationwide dizziness clinics in Korea, 157 consecutive patients (95 women, age range: 18-89 years, mean age ± SD = 59.9 ± 13.6) with apogeotropic HC-BPPV were randomized to Gufoni (n = 52), head-shaking (n = 54), or sham maneuver (n = 51). For Gufoni maneuver, patients underwent ipsilesional side-lying and upward head-turn for migration of the debris toward the vestibule. Immediate responses were determined within 1 hour after a maximum of 2 trials of each maneuver and in the following day. The patients also had weekly follow-ups for 1 month after the initial maneuver.
After a maximum of 2 maneuvers on the initial visit day, Gufoni (38/52, 73.1%) and head-shaking (33/53, 62.3%) maneuvers showed better responses than the sham maneuver (17/49, 34.7%). The cumulative therapeutic effects were also better with Gufoni (p < 0.001) and head-shaking (p = 0.026) maneuvers compared with the sham maneuver. However, therapeutic efficacies did not differ between the Gufoni and head-shaking groups in terms of both immediate (p = 0.129) and long-term (p = 0.239) outcomes.
Using a prospective randomized trial, we demonstrated that the Gufoni and head-shaking maneuvers are effective in treating apogeotropic HC-BPPV.
This study provides Class II evidence that Gufoni and head-shaking maneuvers are effective in treating apogeotropic horizontal BPPV up to 1 month after initial treatment.
NCT00810641. |
| doi_str_mv | 10.1212/wnl.0b013e31823fcd26 |
| format | Article |
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In 10 nationwide dizziness clinics in Korea, 157 consecutive patients (95 women, age range: 18-89 years, mean age ± SD = 59.9 ± 13.6) with apogeotropic HC-BPPV were randomized to Gufoni (n = 52), head-shaking (n = 54), or sham maneuver (n = 51). For Gufoni maneuver, patients underwent ipsilesional side-lying and upward head-turn for migration of the debris toward the vestibule. Immediate responses were determined within 1 hour after a maximum of 2 trials of each maneuver and in the following day. The patients also had weekly follow-ups for 1 month after the initial maneuver.
After a maximum of 2 maneuvers on the initial visit day, Gufoni (38/52, 73.1%) and head-shaking (33/53, 62.3%) maneuvers showed better responses than the sham maneuver (17/49, 34.7%). The cumulative therapeutic effects were also better with Gufoni (p < 0.001) and head-shaking (p = 0.026) maneuvers compared with the sham maneuver. However, therapeutic efficacies did not differ between the Gufoni and head-shaking groups in terms of both immediate (p = 0.129) and long-term (p = 0.239) outcomes.
Using a prospective randomized trial, we demonstrated that the Gufoni and head-shaking maneuvers are effective in treating apogeotropic HC-BPPV.
This study provides Class II evidence that Gufoni and head-shaking maneuvers are effective in treating apogeotropic horizontal BPPV up to 1 month after initial treatment.
NCT00810641.</description><identifier>ISSN: 0028-3878</identifier><identifier>EISSN: 1526-632X</identifier><identifier>DOI: 10.1212/wnl.0b013e31823fcd26</identifier><identifier>PMID: 22170885</identifier><identifier>CODEN: NEURAI</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Exercise Therapy - methods ; Exercise Therapy - statistics & numerical data ; Female ; Head Movements ; Humans ; Male ; Medical sciences ; Middle Aged ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; Prevalence ; Republic of Korea - epidemiology ; Treatment Outcome ; Vertigo - epidemiology ; Vertigo - rehabilitation</subject><ispartof>Neurology, 2012-01, Vol.78 (3), p.159-166</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-b10fd054396dfdd561c55b48acfd8c7ff54480fa1646b5382235261bea6bd1a43</citedby><cites>FETCH-LOGICAL-c434t-b10fd054396dfdd561c55b48acfd8c7ff54480fa1646b5382235261bea6bd1a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25518353$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22170885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KIM, J.-S</creatorcontrib><creatorcontrib>OH, S.-Y</creatorcontrib><creatorcontrib>KIM, H. J</creatorcontrib><creatorcontrib>LEE, S.-H</creatorcontrib><creatorcontrib>KANG, J.-H</creatorcontrib><creatorcontrib>KIM, D. U</creatorcontrib><creatorcontrib>JEONG, S.-H</creatorcontrib><creatorcontrib>CHOI, K.-D</creatorcontrib><creatorcontrib>MOON, I.-S</creatorcontrib><creatorcontrib>KIM, B.-K</creatorcontrib><creatorcontrib>OH, H. J</creatorcontrib><title>Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo</title><title>Neurology</title><addtitle>Neurology</addtitle><description>To determine the immediate and long-term therapeutic efficacies of Gufoni and head-shaking maneuvers in apogeotropic type of benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV), a randomized, prospective, sham-controlled study was conducted.
In 10 nationwide dizziness clinics in Korea, 157 consecutive patients (95 women, age range: 18-89 years, mean age ± SD = 59.9 ± 13.6) with apogeotropic HC-BPPV were randomized to Gufoni (n = 52), head-shaking (n = 54), or sham maneuver (n = 51). For Gufoni maneuver, patients underwent ipsilesional side-lying and upward head-turn for migration of the debris toward the vestibule. Immediate responses were determined within 1 hour after a maximum of 2 trials of each maneuver and in the following day. The patients also had weekly follow-ups for 1 month after the initial maneuver.
After a maximum of 2 maneuvers on the initial visit day, Gufoni (38/52, 73.1%) and head-shaking (33/53, 62.3%) maneuvers showed better responses than the sham maneuver (17/49, 34.7%). The cumulative therapeutic effects were also better with Gufoni (p < 0.001) and head-shaking (p = 0.026) maneuvers compared with the sham maneuver. However, therapeutic efficacies did not differ between the Gufoni and head-shaking groups in terms of both immediate (p = 0.129) and long-term (p = 0.239) outcomes.
Using a prospective randomized trial, we demonstrated that the Gufoni and head-shaking maneuvers are effective in treating apogeotropic HC-BPPV.
This study provides Class II evidence that Gufoni and head-shaking maneuvers are effective in treating apogeotropic horizontal BPPV up to 1 month after initial treatment.
NCT00810641.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Exercise Therapy - methods</subject><subject>Exercise Therapy - statistics & numerical data</subject><subject>Female</subject><subject>Head Movements</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Prevalence</subject><subject>Republic of Korea - epidemiology</subject><subject>Treatment Outcome</subject><subject>Vertigo - epidemiology</subject><subject>Vertigo - rehabilitation</subject><issn>0028-3878</issn><issn>1526-632X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkclKBDEQhoMoOi5vINIX8dSavdNHETcYFETRW5vOMka6kzbpcXt6I44KXrxUQf1fVVF_AbCN4D7CCB-8-G4fthARQ5DAxCqN-RKYIIZ5yQm-WwYTCLEoiajEGlhP6RHCLFb1KljDGFVQCDYB91fS69C7d6ML1TnvlOyKMbocbYiFHMLMhDGGwaniIUT3HvyYNSV9jq3xbuaLQcbw-pb6XBlCcqMLn-KziaObhU2wYmWXzNYib4Cbk-Pro7Nyenl6fnQ4LRUldCxbBK2GjJKaa6s140gx1lIhldVCVdYySgW0EnHKW0YExiQfilojeauRpGQD7H3NHWJ4mps0Nr1LynSd9CbMU1NjXkNMoPifRJzXnFVVJukXqWJIKRrbDNH1Mr41CDafT2huL6bN3yfktp3FgnnbG_3T9O16BnYXgEzZbxulVy79cowhQRghH_R4k0s</recordid><startdate>20120117</startdate><enddate>20120117</enddate><creator>KIM, J.-S</creator><creator>OH, S.-Y</creator><creator>KIM, H. 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Leukoencephalitis</topic><topic>Neurology</topic><topic>Prevalence</topic><topic>Republic of Korea - epidemiology</topic><topic>Treatment Outcome</topic><topic>Vertigo - epidemiology</topic><topic>Vertigo - rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KIM, J.-S</creatorcontrib><creatorcontrib>OH, S.-Y</creatorcontrib><creatorcontrib>KIM, H. J</creatorcontrib><creatorcontrib>LEE, S.-H</creatorcontrib><creatorcontrib>KANG, J.-H</creatorcontrib><creatorcontrib>KIM, D. U</creatorcontrib><creatorcontrib>JEONG, S.-H</creatorcontrib><creatorcontrib>CHOI, K.-D</creatorcontrib><creatorcontrib>MOON, I.-S</creatorcontrib><creatorcontrib>KIM, B.-K</creatorcontrib><creatorcontrib>OH, H. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KIM, J.-S</au><au>OH, S.-Y</au><au>KIM, H. J</au><au>LEE, S.-H</au><au>KANG, J.-H</au><au>KIM, D. U</au><au>JEONG, S.-H</au><au>CHOI, K.-D</au><au>MOON, I.-S</au><au>KIM, B.-K</au><au>OH, H. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo</atitle><jtitle>Neurology</jtitle><addtitle>Neurology</addtitle><date>2012-01-17</date><risdate>2012</risdate><volume>78</volume><issue>3</issue><spage>159</spage><epage>166</epage><pages>159-166</pages><issn>0028-3878</issn><eissn>1526-632X</eissn><coden>NEURAI</coden><abstract>To determine the immediate and long-term therapeutic efficacies of Gufoni and head-shaking maneuvers in apogeotropic type of benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV), a randomized, prospective, sham-controlled study was conducted.
In 10 nationwide dizziness clinics in Korea, 157 consecutive patients (95 women, age range: 18-89 years, mean age ± SD = 59.9 ± 13.6) with apogeotropic HC-BPPV were randomized to Gufoni (n = 52), head-shaking (n = 54), or sham maneuver (n = 51). For Gufoni maneuver, patients underwent ipsilesional side-lying and upward head-turn for migration of the debris toward the vestibule. Immediate responses were determined within 1 hour after a maximum of 2 trials of each maneuver and in the following day. The patients also had weekly follow-ups for 1 month after the initial maneuver.
After a maximum of 2 maneuvers on the initial visit day, Gufoni (38/52, 73.1%) and head-shaking (33/53, 62.3%) maneuvers showed better responses than the sham maneuver (17/49, 34.7%). The cumulative therapeutic effects were also better with Gufoni (p < 0.001) and head-shaking (p = 0.026) maneuvers compared with the sham maneuver. However, therapeutic efficacies did not differ between the Gufoni and head-shaking groups in terms of both immediate (p = 0.129) and long-term (p = 0.239) outcomes.
Using a prospective randomized trial, we demonstrated that the Gufoni and head-shaking maneuvers are effective in treating apogeotropic HC-BPPV.
This study provides Class II evidence that Gufoni and head-shaking maneuvers are effective in treating apogeotropic horizontal BPPV up to 1 month after initial treatment.
NCT00810641.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>22170885</pmid><doi>10.1212/wnl.0b013e31823fcd26</doi><tpages>8</tpages></addata></record> |
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| ispartof | Neurology, 2012-01, Vol.78 (3), p.159-166 |
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| source | MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection |
| subjects | Adolescent Adult Biological and medical sciences Exercise Therapy - methods Exercise Therapy - statistics & numerical data Female Head Movements Humans Male Medical sciences Middle Aged Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Prevalence Republic of Korea - epidemiology Treatment Outcome Vertigo - epidemiology Vertigo - rehabilitation |
| title | Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo |
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