| Identifier |
nogi-liberatory-or-modified-semont-for-R-PC-BPPV |
| Title |
Liberatory or Modified Semont, Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) for Right Posterior Canal BPPV (Canalithiasis or Cupulolithiasis) |
| Creator |
Allison Nogi, DPT |
| Affiliation |
(AN) Vestibular Clinical Specialist, The Johns Hopkins Hospital, Baltimore, Maryland |
| Subject |
Benign Paroxysmal Positional Vertigo (BPPV); Vestibular; Vertigo; Positional Vertigo; Nystagmus |
| Description |
Posterior canal (PC) accounts for 70-90% cases of BPPV [1-3] and resolves with canalith repositioning maneuvers 90% of the time [4-13]. The Semont/Liberatory maneuver is considered a gold-standard treatment, with class 1 evidence for use and success rates close to 90% [4-13].The Liberatory maneuver needs to be completed quickly, hence the provider may seek additional assistance from a staff member. The patient may benefit from instructions in advance of the maneuver, including the expectation that this maneuver needs to be completed quickly, so the patient may be prepared to assist with the transitions as able. |
| Date |
2023-06 |
| References |
[1] Neuhauser HK. The epidemiology of dizziness and vertigo.In: Handbook of Clinical Neurology. 2016:67. https://doi.org/10.1016/b978-0-444-63437-5.00005-4; [2] Benecke H, Agus S, Kuessner D, Goodall G, Strupp M. The burden and impact of vertigo: findings from the REVERT Patient Registry. Front Neurol. 2013; 4:136. https://doi.org/10.3389/fneur.2013.00136 PMID: 24106487; PMCID: PMC3788351.; [3] Ahn S.K., Jeon S.Y., Kim J.P. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. Trauma. 2011;70(2):442-446. https://doi.org/10.1097/ta.0b013e3181d0c3d9; [4] Bashir K., Pathan S., Farook S., Khalid M.M., Zayed S. Disconnect between available literature and clinical practice: exploring gaps in the management of t-BPPV in the emergency department, Journal of Emergency Medicine. 2017; 6.; [5] Caruso G, Nuti D. Epidemiological data from 2.270 PPV patients. Audiol Med. 2005;3:7-11. https://doi.org/10.1080/16513860510028310; [6] von Brevern M, Bertholon P, Brandt T, et al. Benign paroxysmal positional vertigo: diagnostic criteria. J Vestib Res 2015;25:105-117. https://doi.org/10.3233/VES-150553; [7] Gupta AK, Sharma KG, Sharma P. Effect of epley, semont maneuvers and Brandt-Daroff exercise on quality of life in patients with posterior semicircular canal benign paroxysmal positional vertigo (PSCBPPV). Indian J Otolaryngol Head Neck Surg. 2019;71(1):99-103. https://doi.org/10.1007/s12070-018-1322-7; [8] Lee JD, Shim DB, Park HJ, et al. A multicenter randomized double-blind study: Comparison of the epley, semont, and sham maneuvers for the treatment of posterior canal benign paroxysmal positional vertigo. Audiology & neurotology. 2014;19(5):336-341. https://doi.org/10.1159/000365438; [9] Lovato A, Marioni G, Monzani D, Rossettini G, Genovese E, de Filippis C. Physical therapy for benign positional vertigo of posterior canal: The role of alternated epley and semont maneuvers. Ear, nose, & throat journal. 2023;102(2):NP60-NP64.https://doi.org/10.1177/0145561320980183; [10] Mishra P, Sindhu KLS, Chethana R, Kaushik M. Epleys versus semonts manoeuvre in posterior canal benign paroxysmal positional vertigo. Indian J Otolaryngol Head Neck Surg. 2023. https://doi.org/10.1007/s12070-023-03624-5; [11] Saberi A, Nemati S, Sabnan S, Mollahoseini F, Kazemnejad E. A safe-repositioning maneuver for the management of benign paroxysmal positional vertigo: Gans vs. Epley maneuver; a randomized comparative clinical trial. Eur Arch Otorhinolaryngol. 2017;274(8):2973-2979. https://doi.org/10.1007/s00405-016-4235-7; [12] Sinsamutpadung C, Kulthaveesup A. Comparison of outcomes of the epley and semont maneuvers in posterior canal BPPV: A randomized controlled trial. Laryngoscope Investigative Otolaryngology. 2021;6(4):866-871.https://doi.org/10.1002/lio2.619; [13] Strupp M, Goldschagg N, Vinck A, et al. BPPV: Comparison of the SémontPLUS with the sémont maneuver: A prospective randomized trial. Front Neurol. 2021;12. https://doi.org/10.3389/fneur.2021.652573 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Dan Gold Collection: https://novel.utah.edu/Gold/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6z4p05z |
| File Name |
nogi-liberatory-or-modified-semont-for-R-PC-BPPV.pdf |
| Setname |
ehsl_novel_gold |
| ID |
2292526 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6z4p05z |
