Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis
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 repositionin...
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2025-03-01
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| Online Access: | https://doi.org/10.1186/s12883-025-04123-6 |
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| author | Nannan Si MengYuan Liu Wei Chang |
| author_facet | Nannan Si MengYuan Liu Wei Chang |
| author_sort | Nannan Si |
| collection | DOAJ |
| description | 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. |
| format | Article |
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| institution | DOAJ |
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| language | English |
| publishDate | 2025-03-01 |
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| spelling | doaj-art-a95b09d166694d6f8eeea5da90c9ee2a2025-08-20T03:08:43ZengBMCBMC Neurology1471-23772025-03-0125111010.1186/s12883-025-04123-6Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysisNannan Si0MengYuan Liu1Wei Chang2Heping Hospital Affiliated to Changzhi Medical CollegeQingdao Municipal Hospital GroupHeping Hospital Affiliated to Changzhi Medical CollegeAbstract 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.https://doi.org/10.1186/s12883-025-04123-6ManeuversBenign paroxysmal vertigoNetwork meta-analysis |
| spellingShingle | Nannan Si MengYuan Liu Wei Chang Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis BMC Neurology Maneuvers Benign paroxysmal vertigo Network meta-analysis |
| title | Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis |
| title_full | Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis |
| title_fullStr | Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis |
| title_full_unstemmed | Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis |
| title_short | Effect of different maneuvers of repositioning on benign paroxysmal vertigo: a network meta-analysis |
| title_sort | effect of different maneuvers of repositioning on benign paroxysmal vertigo a network meta analysis |
| topic | Maneuvers Benign paroxysmal vertigo Network meta-analysis |
| url | https://doi.org/10.1186/s12883-025-04123-6 |
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