Interventions for Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: A Systematic Review
Physical Therapy Reviews
Kinne, B. L., Breuer, R. E., et al. (2023).
Physical Therapy Reviews, 28(1), 30-38.
This systematic review investigates the effects of replicable maneuvers performed by healthcare professionals on nystagmus, vertigo, and/or benign paroxysmal positional vertigo (BPPV) outcomes in individuals with apogeotropic horizontal canal BPPV.
No funding received
From database inception to 2021
English-language studies with an evidence level of 2 or 3. Excludes studies with an evidence level of 4 or 5. Evidence level descriptions were not provided.
15
The Gufoni maneuver, the Zuma maneuver, and the Cupulolith Repositioning maneuver demonstrated 100% efficacy after only one treatment session for individuals with apogeotropic horizontal canal BPPV. Because both the Zuma and Cupulolith Repositioning maneuvers require performing a roll, the Gufoni maneuver demonstrated the greatest accessibility for patients who are elderly, obese, or have general mobility issues. The authors noted weak methodological rigor of the majority of studies (14/15) and the limited availability of research on some of the maneuvers' efficacy (i.e., only one study investigating each of the following maneuvers: Zuma, Modified Cupulolith Repositioning, Modified Lempert, and Square Wave). Additional research with higher methodological rigor and studies comparing the efficacy of the different maneuvers is warranted.
