Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY BMC Neurology Pub Date : 2025-03-17 DOI:10.1186/s12883-025-04123-6

Nannan Si, MengYuan Liu, Wei Chang

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Abstract

Background: The effect of different maneuver repositioning on benign paroxysmal vertigo was explored by network meta-analysis.

Methods: The PubMed, Embase, Cochrane library, and web of science databases were searched for randomized controlled studies on the effect of manipulative repositioning on benign paroxysmal vertigo from database creation to September 1, 2024, Bayesian network meta-analysis, R4.4.1 was used for data analysis.

Results: Twenty-two articles (n = 2507) were included in this study, and the results of network meta-analysis suggested the following odds ratios (OR) relative to the control group (UT): Epley maneuver (EM) vs UT [OR = 7.9, 95% CI (3.21, 23.31)]; Gufoni maneuver (GFM) vs UT [OR = 5.1, 95% CI (1.25, 21.45)]; Gans Repositioning Maneuvers (GRM) vs UT [OR = 11, 95% CI (1.65, 83.85)]; Modified Epley maneuver (MEM) vs UT [OR = 9.83, 95% CI (1.55, 64.06)]; Semont's maneuver (SM) vs UT [OR = 6.1, 95% CI (1.97, 18.46)]. The largest surface area under the cumulative ranking curve was for GRM (71.5%), followed by MEM (68%) and SEM (67.8%), and the worst was for UT (5.7%).

Conclusion: Based on our current findings, GRM, MEM and SEM are effective for BBPV symptoms, but due to the existence of study limitations, more high quality multicenter large sample randomized controlled studies are needed to testify to our conclusions.

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不同复位手法对良性阵发性眩晕的影响：网络荟萃分析。

背景：采用网络meta分析探讨不同手法复位对良性阵发性眩晕的影响。方法：检索PubMed、Embase、Cochrane图书馆和web of science数据库，检索自数据库创建至2024年9月1日的关于手法复位治疗良性阵发性眩晕疗效的随机对照研究，采用贝叶斯网络R4.4.1进行数据分析。结果：本研究纳入22篇文章（n = 2507），网络荟萃分析结果显示，相对于对照组（UT）， Epley机动组（EM） vs UT组（OR = 7.9, 95% CI(3.21, 23.31)）的优势比如下；Gufoni手法（GFM） vs UT [OR = 5.1, 95% CI (1.25, 21.45)]；Gans Repositioning Maneuvers (GRM) vs UT [OR = 11, 95% CI (1.65, 83.85)]；改良Epley手法（MEM） vs UT [OR = 9.83, 95% CI (1.55, 64.06)]；Semont's maneuver (SM) vs UT [OR = 6.1, 95% CI(1.97, 18.46)]。累积排序曲线下表面积最大的是GRM(71.5%)，其次是MEM（68%）和SEM(67.8%)，最差的是UT（5.7%）。结论：根据我们目前的研究结果，GRM、MEM和SEM对BBPV症状是有效的，但由于研究的局限性，需要更多高质量的多中心大样本随机对照研究来证实我们的结论。

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来源期刊

BMC Neurology 医学-临床神经学

CiteScore

4.20

自引率

0.00%

发文量

428

审稿时长

3-8 weeks

期刊介绍： BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.