{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:08:16Z","timestamp":1777561696489,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate if alternated Epley (EP) and Semont (ST) maneuvers could be more effective than repetition of the same in benign paroxysmal positional vertigo of posterior semicircular canal (pBPPV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We retrospectively reviewed the outcome of pBPPV patients treated with a second maneuver for the persistence of positional nystagmus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Sample:<\/jats:title>\n                    <jats:p>Forty-seven patients underwent 2 STs, 64 with 2 EPs, and 71 EPs followed by ST. Videonystagmography and Dizziness Handicap Inventory (DHI) questionnaire were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Absence of positional nystagmus was achieved after 2 maneuvers in 136 patients with pBPPV: 65.9% in the ST group, 70.3% in the EP group, and 84.5% in the EP-ST group. Alternated EP and ST were significantly more effective than repeated ST ( P = .03), while we found no significant difference when compared with repeated EP ( P = .07). At 1-month follow-up, 12 patients showed persistent positional nystagmus without difference between groups. After 1 month, the 46 patients with negative outcome had significantly higher DHI values ( P = .01) than other 136 patients with pBPPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Alternated EP and ST seemed more effective than repeating the same maneuver in treating pBPPV, and this should be confirmed in prospective clinical studies. Resolution of nystagmus after maneuvers was fundamental to reduce handicap deriving from dizziness as reported in DHI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320980183","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T08:33:27Z","timestamp":1611909207000},"page":"NP60-NP64","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Physical Therapy for Benign Positional Vertigo of Posterior Canal: The Role of Alternated Epley and Semont Maneuvers"],"prefix":"10.1177","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0369-1751","authenticated-orcid":false,"given":"Andrea","family":"Lovato","sequence":"first","affiliation":[{"name":"Department of Neuroscience DNS, University of Padova, Audiology Unit at Treviso Hospital, Treviso, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gino","family":"Marioni","sequence":"additional","affiliation":[{"name":"Department of Neuroscience DNS, University of Padova, Otolaryngology Unit, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Monzani","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Clinical and Public Health, University of Modena and Reggio Emilia, Audiology Unit, Modena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Rossettini","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Campus of Savona, Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabetta","family":"Genovese","sequence":"additional","affiliation":[{"name":"Department of Diagnostic, Clinical and Public Health, University of Modena and Reggio Emilia, Audiology Unit, Modena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cosimo","family":"de Filippis","sequence":"additional","affiliation":[{"name":"Department of Neuroscience DNS, University of Padova, Audiology Unit at Treviso Hospital, Treviso, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"bibr1-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2006.100420"},{"key":"bibr2-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.230"},{"key":"bibr3-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000185044.31276.59"},{"issue":"1","key":"bibr4-0145561320980183","first-page":"290","volume":"42","author":"Semont A","year":"1988","journal-title":"Adv Otorhinolaryngol"},{"key":"bibr5-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700310"},{"key":"bibr6-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnp.2019.03.001"},{"key":"bibr7-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604345"},{"key":"bibr8-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.08.022"},{"key":"bibr9-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814536530"},{"key":"bibr10-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1159\/000365438"},{"issue":"1","key":"bibr11-0145561320980183","first-page":"162123","volume":"2012","author":"Toupet M","year":"2012","journal-title":"Scientific World Journal"},{"issue":"4","key":"bibr12-0145561320980183","first-page":"190","volume":"30","author":"Nola G","year":"2010","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"1","key":"bibr13-0145561320980183","first-page":"38","volume":"545","author":"Monobe H","year":"2001","journal-title":"Acta Otolaryngol Suppl"},{"key":"bibr14-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200201000-00018"},{"key":"bibr15-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2004.00296.x"},{"key":"bibr16-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.085894"},{"key":"bibr17-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1016\/S1808-8694(15)30106-3"},{"key":"bibr18-0145561320980183","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-017-8580-2"},{"key":"bibr19-0145561320980183","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2018.00107"}],"container-title":["Ear, Nose &amp; 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