Effects of Semont Maneuver on Benign Paroxysmal Positional Vertigo: A Meta-Analysis

Acta Oto-Laryngologica

Zhang, X., Qian, X., et al. (2017).

Acta Oto-Laryngologica, 137(1), 63-70.

This meta-analysis investigates the effects of the Semont repositioning maneuver on the recovery and recurrence rate in individuals with benign paroxysmal positional vertigo (BPPV).

Natural Science Foundation-Youth fund of Jiangsu Province of China; National Natural Science Foundation of China; Fundamental Research Funds for the Central Universities (China)

Through June 2015

Randomized controlled trials

10

<p>Nine studies investigated the recovery rate of individuals with benign paroxysmal positional vertigo (BPPV) who received Semont maneuver (SM) treatment as compared to no treatment, sham treatment, the Epley maneuver (EM), or Brandt-Daroff exercise (BDE). The SM treatment group demonstrated higher recovery than the no treatment (Risk Ratio = 2.60; 95% CI = 1.97-3.44, p &lt; 0.01) and the sham treatment (Risk Ratio = 4.89, 95% CI = 3.01–7.94, p &lt; 0.01) groups . The SM treatment group achieved similar outcomes compared to EM (Risk Ratio = 0.83, 95% CI = 0.68–1.00, p = 0.05) and BDE (Risk Ratio = 1.32, 95% CI = 1.00–1.75, p = 0.05).</p><p>Seven studies investigating the recurrence rate of individuals with BPPV who received SM treatment found that SM had a lower rate of recurrence compared to the no treatment group (Risk Ratio = 0.11, 95% CI = 0.04–0.31, p &lt; 0.01). SM demonstrated no significant difference in recurrence when compared to the other repositioning maneuvers (p &gt; 0.05).</p><p>Four studies investigating the rate of side effects in individuals with BPPV who received SM treatment found no more side effects than the no treatment group (p = 0.98).</p>