Abstract：
OBJECTIVE: This review aims to investigate the effects of the Gufoni maneuver on horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV).
METHODS: A comprehensive search, including PubMed, PEDro, REHABDATA, SCOPUS, EMBASE, and Web of Science, was conducted to determine randomized clinical trials (RCTs) studying the effects of the Gufoni maneuver for HC-BPPV from inception to March 1, 2024. The quality of the included studies was estimated using the Physiotherapy Evidence Database (PEDro) scale.
RESULTS: Ten randomized controlled trials (RCTs) were included in this review with a total of 1025 HC-BPPV patients (mean age = 58.58 years; 63% female; 55% right-side HC-HBPPV; 49% geotropic HC-BPPV). The included RCTs ranged from 4 to 9 out of 10 (median = 6.5) on the PEDro scale. The included studies showed that the Gufoni maneuver revealed efficacy when compared to the sham maneuver but not when compared to other maneuvers such as the Barbecue roll maneuver, the Appiani maneuver, the Mastoid oscillation, the head shaking, and the modified Gufoni maneuver.
CONCLUSIONS: The Gufoni maneuver is considered an option for treating patients with geotropic or apogeotropic HC-BPPV. Precise diagnosis of the BPPV, the subtype of HC-BPPV, symptom duration, history of previous BPPV attacks, the applied methods of maneuver and the proficiency of the clinician performing the maneuver, proper diagnosis, presence of any underlying health conditions are critical for successful treatment. Further studies are strongly warranted.
METHODS: A comprehensive search, including PubMed, PEDro, REHABDATA, SCOPUS, EMBASE, and Web of Science, was conducted to determine randomized clinical trials (RCTs) studying the effects of the Gufoni maneuver for HC-BPPV from inception to March 1, 2024. The quality of the included studies was estimated using the Physiotherapy Evidence Database (PEDro) scale.
RESULTS: Ten randomized controlled trials (RCTs) were included in this review with a total of 1025 HC-BPPV patients (mean age = 58.58 years; 63% female; 55% right-side HC-HBPPV; 49% geotropic HC-BPPV). The included RCTs ranged from 4 to 9 out of 10 (median = 6.5) on the PEDro scale. The included studies showed that the Gufoni maneuver revealed efficacy when compared to the sham maneuver but not when compared to other maneuvers such as the Barbecue roll maneuver, the Appiani maneuver, the Mastoid oscillation, the head shaking, and the modified Gufoni maneuver.
CONCLUSIONS: The Gufoni maneuver is considered an option for treating patients with geotropic or apogeotropic HC-BPPV. Precise diagnosis of the BPPV, the subtype of HC-BPPV, symptom duration, history of previous BPPV attacks, the applied methods of maneuver and the proficiency of the clinician performing the maneuver, proper diagnosis, presence of any underlying health conditions are critical for successful treatment. Further studies are strongly warranted.
摘要：
目的：本综述旨在探讨Gufoni手法对水平半规管良性阵发性位置性眩晕（HC-BPPV）的影响。
方法：全面搜索，包括PubMed,PEDro,REHABDATA,Scopus,EMBASE,和WebofScience,从开始到2024年3月1日，进行了随机临床试验（RCT），研究Gufoni动作对HC-BPPV的影响。使用物理治疗证据数据库（PEDro）量表评估纳入研究的质量。
结果：本综述纳入了10项随机对照试验（RCT），共1025例HC-BPPV患者（平均年龄58.58岁；63%为女性；55%为右侧HC-HBPPV；49%为地向型HC-BPPV）。在PEDro量表上，所包括的RCT范围为10个中的4到9个（中位数=6.5）。纳入的研究表明，与假动作相比，Gufoni动作显示出功效，但与烧烤滚动动作等其他动作相比却没有，阿皮亚尼演习,乳突振荡，摇头，和修改后的Gufoni机动。
结论：Gufoni手法被认为是治疗患有地向性或外向性HC-BPPV的患者的一种选择。BPPV的精确诊断，HC-BPPV的亚型，症状持续时间,以前BPPV攻击的历史，所应用的机动方法和执行机动的临床医生的熟练程度，正确的诊断,任何潜在的健康状况的存在是成功治疗的关键。进一步的研究是非常必要的。
方法：全面搜索，包括PubMed,PEDro,REHABDATA,Scopus,EMBASE,和WebofScience,从开始到2024年3月1日，进行了随机临床试验（RCT），研究Gufoni动作对HC-BPPV的影响。使用物理治疗证据数据库（PEDro）量表评估纳入研究的质量。
结果：本综述纳入了10项随机对照试验（RCT），共1025例HC-BPPV患者（平均年龄58.58岁；63%为女性；55%为右侧HC-HBPPV；49%为地向型HC-BPPV）。在PEDro量表上，所包括的RCT范围为10个中的4到9个（中位数=6.5）。纳入的研究表明，与假动作相比，Gufoni动作显示出功效，但与烧烤滚动动作等其他动作相比却没有，阿皮亚尼演习,乳突振荡，摇头，和修改后的Gufoni机动。
结论：Gufoni手法被认为是治疗患有地向性或外向性HC-BPPV的患者的一种选择。BPPV的精确诊断，HC-BPPV的亚型，症状持续时间,以前BPPV攻击的历史，所应用的机动方法和执行机动的临床医生的熟练程度，正确的诊断,任何潜在的健康状况的存在是成功治疗的关键。进一步的研究是非常必要的。
