Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea.
Neurology. 2012 Aug 14;79(7):700-7. doi: 10.1212/WNL.0b013e3182648b8b. Epub 2012 Aug 1.
To determine the immediate and long-term therapeutic efficacies of barbecue rotation and Gufoni maneuvers, a randomized, prospective, and sham-controlled study was conducted in patients with the geotropic type of benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV).
In 10 nationwide dizziness clinics in Korea, 170 consecutive patients (107 women, age range 11-97 years, mean age ± SD 61 ± 15 years, median = 61 years) with geotropic HC-BPPV were randomly assigned to barbecue rotation (n = 56), Gufoni (n = 64), or sham maneuver (n = 50). An immediate response was determined within 1 hour after a maximum of 2 trials of each maneuver on the visit day. We also assessed the cumulative results of each maneuver by following up the patients for 1 month.
After a maximum of 2 maneuvers on the initial visit day, barbecue rotation (38 of 55 [69.1%]) and Gufoni (39 of 64 [60.9%]) maneuvers showed better responses than the sham maneuver (17 of 48 [35.4%]). The cumulative therapeutic effects were also better with barbecue rotation (p = 0.006) and Gufoni (p = 0.031) maneuvers than with the sham maneuver. However, therapeutic efficacies did not differ between the barbecue rotation and Gufoni groups in terms of both immediate (p = 0.46) and long-term (p = 0.10) outcomes.
Using a prospective randomized trial, we demonstrated that barbecue rotation and Gufoni maneuvers are effective in treating geotropic HC-BPPV.
This study provides Class I evidence that barbecue rotation and Gufoni maneuvers are effective in the treatment of geotropic HC-BPPV.
确定烧烤旋转和 Gufoni 手法在水平半规管良性阵发性位置性眩晕（HC-BPPV）中向地型的即时和长期治疗效果。
在韩国的 10 家全国性头晕诊所中，170 名连续患者（107 名女性，年龄 11-97 岁，平均年龄±标准差 61±15 岁，中位数=61 岁）被随机分配到烧烤旋转组（n=56）、Gufoni 组（n=64）或假手法组（n=50）。在就诊当天，最多进行 2 次每种手法的试验后 1 小时内确定即时反应。我们还通过随访患者 1 个月来评估每种手法的累积结果。
在初始就诊日进行最多 2 次手法后，烧烤旋转（55 例中的 38 例[69.1%]）和 Gufoni（64 例中的 39 例[60.9%]）手法的反应优于假手法（48 例中的 17 例[35.4%]）。烧烤旋转（p=0.006）和 Gufoni（p=0.031）手法的累积治疗效果也优于假手法。然而，在即时（p=0.46）和长期（p=0.10）结果方面，烧烤旋转和 Gufoni 组之间的治疗效果没有差异。
使用前瞻性随机试验，我们证明了烧烤旋转和 Gufoni 手法在治疗向地型 HC-BPPV 方面是有效的。
本研究提供了 I 级证据，证明烧烤旋转和 Gufoni 手法在治疗向地型 HC-BPPV 方面是有效的。
