Contribution of the repositioning chair in the treatment of patients with benign paroxysmal positional vertigo: a systematic review and meta-analysis.
Saved in:
| Title: | Contribution of the repositioning chair in the treatment of patients with benign paroxysmal positional vertigo: a systematic review and meta-analysis. |
|---|---|
| Authors: | Sévenne, Éloïse (AUTHOR), Makhoul, Mikhaël (AUTHOR), Nieto, Pauline (AUTHOR), Molinier, Charles-Edouard (AUTHOR), Deguine, Olivier (AUTHOR), Marx, Mathieu (AUTHOR), Legois, Quentin (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Jul2026, Vol. 146 Issue 7, p783-799. 17p. |
| Subjects: | Medical information storage & retrieval systems, Dizziness, Treatment effectiveness, Meta-analysis, Benign paroxysmal positional vertigo, Systematic reviews, MEDLINE, Rotational motion, Online information services, Patient positioning, Sensitivity & specificity (Statistics) |
| Abstract (English): | Background: Benign paroxysmal positional vertigo is the most common cause of peripheral vertigo and is predominantly treated by using manual repositioning maneuvers. Although effective, these techniques may be limited by patient tolerance, physical constraints, or difficulties in diagnosis. Aims/Objectives: This study aimed to assess the clinical and practical advantages of using a repositioning chair for treating benign paroxysmal positional vertigo, compared with conventional techniques. Material and Methods: A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across PubMed, Embase, and Web of Science. Study quality was evaluated using the Newcastle-Ottawa Scale and the PEDro scale, and the meta-analysis quantified the chair's therapeutic efficacy. Results: Twelve studies including 1,385 patients were analyzed. Complete resolution rates ranged from 54% to 100%. Meta-analysis of nine studies showed a pooled success rate of 71.5% after one session and 91.4% cumulatively. Disability improved significantly (SMD 1.56). Residual dizziness occurred in 16.1% of patients, and recurrence in 16%. Sensitivity analyses confirmed robust results despite heterogeneity, with overall moderate to high methodological quality. Conclusions and Significance: Repositioning chairs appears to be effective tools for the management of benign paroxysmal positional vertigo, particularly in complex or refractory cases. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 良性阵发性位置性眩晕是周围性眩晕最常见的病因, 主要治疗方法是手动复位运作。尽管有效, 但这些技术可能受到患者耐受性、身体限制或诊断困难等因素的制约。 本研究旨在评估使用体位调整椅治疗良性阵发性位置性眩晕的临床和实际优势, 并与传统技术进行比较。 本研究遵循系统评价和荟萃分析的首选报告条目(PRISMA)指南, 在PubMed、Embase和Web of Science数据库中进行了系统评价和荟萃分析。 研究质量采用纽卡斯尔-渥太华量表和PEDro量表进行评估, 荟萃分析量化了体位调整椅的治疗效果。 共分析了12项研究, 涉及1385例患者。完全缓解率介于54%至100%之间。对九项研究的荟萃分析显示, 单次治疗后的汇总成功率为 71.5%, 累计成功率为 91.4%。残疾程度显著改善(SMD 1.56)。16.1% 的患者出现残余眩晕, 16% 的患者出现复发。敏感性分析证实, 尽管存在异质性, 但结果扎实, 总体方法学质量为中等至高。 体位调整椅看来是治疗良性阵发性位置性眩晕的有效工具, 尤其适用于复杂或难治性病例。 [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
Be the first to leave a comment!
