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. 2015 Jan 13;2015(1):CD005397. doi: 10.1002/14651858.CD005397.pub4

Foster 2012.

Methods Design: randomised controlled trial
Participants Number: 68
Age: not reported
Gender: 19 males
Setting: university outpatient clinic
Eligibility criteria: adults with a history suggestive of BPPV and Dix‐Hallpike manoeuvre consistent with unilateral posterior canal BPPV
Exclusion criteria: those with cupulolithiasis, horizontal canal BPPV, bilateral BPPV, nystagmus due to central or other peripheral vestibular disorders, those without nystagmus on the D‐H, those unable to bend the neck or turn the head safely, or sit up, lie down, roll over or kneel on hands and knees, or those who could not tolerate the D‐H, the CRM or assume the half‐somersault position
Baseline characteristics: not reported
Interventions Intervention group: half‐somersault manoeuvre was performed twice in the clinic and also given as a home exercise (n = 33)
Comparator group: Epley manoeuvre was performed twice in the clinic and also given as a home exercise (n = 35)
VR versus VR
Outcomes Primary outcome: nystagmus intensity score
Secondary outcome: BPPV recurrence
Notes All participants completed the study
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Researcher... assigned them via a randomised list prepared by a statistician"
Allocation concealment (selection bias) Low risk Participants were removed to another training room prior to randomisation to treatment group
Blinding (performance bias and detection bias) 
 All outcomes Low risk Outcome assessors were blinded to group allocation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk At 6‐month follow‐up 5 participants dropped out from the Epley group and 6 from the half‐somersault group
Selective reporting (reporting bias) Low risk Study protocol not available but all data appear to be reported
Other bias Low risk The study appears to be free of other sources of bias