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 |
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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 |
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Outcomes |
Primary outcome: nystagmus intensity score Secondary outcome: BPPV recurrence |
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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 |