Effects of Semont maneuver on benign paroxysmal positional vertigo: a meta-analysis
Effects of Semont maneuver on benign paroxysmal positional vertigo: a meta-analysis
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Semont 手法对良性阵发性位置性眩晕的影响：一项荟萃分析
DOI：
10.1080/00016489.2016.1212265
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发表时间：
2017-01-01
影响因子：
1.4
通讯作者：
Gao, Xia
中科院分区：
文献类型：
--
作者：
Zhang, Xiaoli;Qian, Xiaoyun;Gao, Xia
摘要背景：良性阵发性位置性眩晕（BPPV）是最常见的周围性眩晕。本研究旨在评价Semont手法（SM）治疗BPPV的效果，并与其他方法进行比较。方法：根据预定义的标准，在相关数据库中选择研究，直至2015年6月。采用科克伦评价系统评价研究质量。效应大小表示为风险比（RR）和相应的95%置信区间（CI）。统计分析是在随机或固定效应模型下进行的。进行亚组分析。结果：10项研究被纳入荟萃分析。所有的研究都呈现出低损耗偏倚，但高选择和报告偏倚。SM有更高的回收率（SM与未治疗组：RR = 2.60，95%CI = 1.97-3.44，p < 0.01; SM与假手术组：RR = 4.89，95%CI = 3.01-7.94，p < 0.01），复发率低于对照组（SM vs无治疗：RR = 0.11，95%CI = 0.04-0.31，p < 0.01）。总体而言，SM与Epley手法（EM）和Brandt-Daroff运动（BDE）在恢复率、复发率和副作用方面具有相似的结局。结论：SM治疗BPPV的疗效与EM、BDE相当。
Abstract Background: Benign paroxysmal positional vertigo (BPPV) is the most common type of peripheral vertigo. This study aimed to evaluate the effects of the Semont maneuver (SM) for BPPV treatment, compared with other methods. Methods: Studies were selected in relevant databases under pre-defined criteria up to June 2015. The Cochrane evaluation system was used to assess the quality of the studies. Effect size was indicated as a risk-ratio (RR) with corresponding 95% confidential interval (CI). Statistical analysis was conducted under a randomized- or fixed-effects model. Sub-group analysis was performed. Results: Ten studies were included in the meta-analysis. All of the studies presented a low attrition bias, but a high selection and reporting bias. SM had a much higher recovery rate (SM vs no treatment: RR = 2.60, 95% CI = 1.97–3.44, p < 0.01; SM vs sham: RR = 4.89, 95% CI = 3.01–7.94, p < 0.01), and lower recurrence rate than those from controls (SM vs no treatment: RR = 0.11, 95% CI = 0.04–0.31, p < 0.01). Overall, SM had similar outcomes with Epley maneuver (EM) and Brandt-Daroff exercise (BDE) in terms of recovery rate, recurrence rate, and side-effects. Conclusion: SM is as effective as EM and BDE for BPPV treatment.