What are the prognostic indicators for the successful resolution of benign paroxysmal positional vertigo (BPPV): A systematic review
by Nabar, Nikita S.|Singh, Neha K., M.S.P.T.|M.S.P.T., MGH INSTITUTE OF HEALTH PROFESSIONS, 2009|2009, 80 pages; 1465816

Abstract:

Purpose. To investigate the prognostic indicators for successful resolution of BPPV and to determine the number of treatment maneuvers required for the successful resolution of BPPV.

Method. Study design: Systematic review. 11 studies (3 prospective cohort studies and 8 retrospective studies) were graded independently by 2 reviewers using a customized Prognosis Scale and Sackett's level of evidence. Disagreements in grading between the 2 reviewers were resolved by a third reviewer.

Results. The prognostic indicators considered were age, gender, etiology, pathology of BPPV, type of canal involved, and duration of symptoms. The Sackett's level of evidence for the studies ranged from level 1b to 2b. On the prognosis scale, 6 studies were of high quality (score from 17-14), 3 were of medium quality (score 13-10), and 2 were of poor quality (score ≤ 9).

Conclusion. Based on this review, the etiology of BPPV is a significant prognostic indicator for the treatment outcomes. The average number of treatment maneuvers required for successful resolution of BPPV is in the range of 1.3-3.1.

 
AdviserAnne McCarthy Jacobson
SchoolMGH INSTITUTE OF HEALTH PROFESSIONS
SourceMAI/ 47-05, p. , May 2009
Source TypeThesis
SubjectsPhysical therapy
Publication Number1465816
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