Effectiveness of Particle Repositioning Maneuvers in the Treatment of Benign Paroxysmal Positional Vertigo: A Systematic Review

Physical Therapy

Helminski, J. O., Zee, D. S., et al. (2010).

Physical Therapy, 90(5), 663-678.

This systematic review investigates the effectiveness of manual particle repositioning maneuvers on benign paroxysmal positional nystagmus in individuals with unilateral posterior canal benign paroxysmal positional vertigo (BPPV).

Not stated



From 1966 to September 2009

Randomized controlled trials; quasi-randomized controlled trials

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<p>For manual particle repositioning maneuvers used to treat individuals with unilateral posterior canal benign paroxysmal positioning vertigo:</p><ul> <li>"The CRP [canalith repositioning procedure] is more effective than a control" (pp. 674-675).</li> <li>The <strong></strong>liberatory maneuver<strong> </strong>is as effective as CRP.</li> <li>The patient-administered CRP is more effective than the patient-administered liberatory maneuver.</li> <li>The Brandt-Daroff exercise has "little or no effect on symptom resolution" (p. 676).</li></ul>