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Randomized Controlled Trial
. 2012:2012:160475.
doi: 10.1100/2012/160475. Epub 2012 Apr 19.

Treatment of horizontal canal benign paroxysmal positional vertigo: a new rehabilitation technique

D Testa  1 , G Castaldo, C De Santis, A Trusio, G Motta
Affiliations
Randomized Controlled Trial

Treatment of horizontal canal benign paroxysmal positional vertigo: a new rehabilitation technique

D Testa et al. ScientificWorldJournal. 2012.

Abstract

The aim of this study was to evaluate the effectiveness of a new technical variant applied to the Gufoni's manoeuvre, in the treatment of horizontal canal benign paroxysmal positional vertigo (HSC-BPPV). 87 patients with BPPV of HSC (55 women and 32 men), aged between 21 and 80 years, were randomized either to modified Gufoni's manoeuvre or to the Gufoni's manoeuvre. 93% of patients treated with modified Gufoni's manoeuvre was cured after the first treatment session, of which only 2% had a conversion into PSC-BPPV, while the Gufoni's manoeuvre led to a symptoms resolution in 88% of cases, of which 16% had a conversion into PSC-BPPV. Therefore, the modified Gufoni's manoeuvre shows the same effectiveness in the resolution of symptoms of Gufoni's manoeuvre, but it appears more effective than the latter to reduce the percentage of conversion of the HSC-BPPV into PSC-BPPV (χ(2) = 6.13, P = 0.047).

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Figures

Figure 1
Figure 1
Gufoni's manoeuvre for the geotropic form of right HSC-BPPV [11].
Figure 2
Figure 2
Modified Gufoni's manoeuvre for the geotropic form of right HSC-BPPV.
Figure 3
Figure 3
Comparison of results obtained with the 2 rehabilitation techniques: Modified Gufoni's manoeuvre and Gufoni's manoeuvre.
See this image and copyright information in PMC

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