{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:00:47Z","timestamp":1791892847793,"version":"4.3.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T00:00:00Z","timestamp":1494288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Immunopathol Pharmacol"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>The objective of this article is to systematically review the evidence on the effectiveness of vestibular rehabilitation (VR) in patients with benign paroxysmal positional vertigo (BPPV). Relevant published studies about VR in BPPV were searched in PubMed, Google Scholar and Ovid using various keywords. We included trials that were available in the English language and did not apply publication year or publication status restrictions. Studies based on the VR in other peripheral and\/or central balance disorders are excluded. Primary outcome was the effect on vertigo attacks and balance. Of 42 identified trials, only 12 trials fulfilled our inclusion criteria and were included in this review. Three of them investigated the role of VR in patients with BPPV comparing with no treatment, two of them evaluated the efficacy of VR versus medications, seven of them have highlighted the benefits of the VR alone or in combination with canalith repositioning procedure (CRP) compared to CRP alone. The studies differed in type of intervention, type of outcome and follow-up time. VR improves balance control, promoting visual stabilization with head movements, improving vestibular\u2013visual interaction during head movement and expanding static and dynamic posture stability. CRP and VR seem to have a synergic effect in patients with BPPV, especially in elderly patients. VR does not reduce the recurrence rate, but it seems to reduce the unpleasantness. So VR can substitute CRP when spine comorbidities contraindicate CRP and can reduce the uptake of anti-vertigo drugs post CRP. Further studies are needed to confirm these encouraging results.<\/jats:p>","DOI":"10.1177\/0394632017709917","type":"journal-article","created":{"date-parts":[[2017,5,9]],"date-time":"2017-05-09T09:35:51Z","timestamp":1494322551000},"page":"113-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Vestibular rehabilitation in benign paroxysmal positional vertigo: Reality or fiction?"],"prefix":"10.1177","volume":"30","author":[{"given":"Federica","family":"Bressi","sequence":"first","affiliation":[{"name":"Unit Physical and Rehabilitation Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Vella","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuele","family":"Casale","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Moffa","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Sabatino","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Antonio","family":"Lopez","sequence":"additional","affiliation":[{"name":"University of the Republic of San Marino, San Marino, San Marino"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Carinci","sequence":"additional","affiliation":[{"name":"Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Papalia","sequence":"additional","affiliation":[{"name":"Unit of Orthopaedics and Trauma Surgery, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Salvinelli","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, School of Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Sterzi","sequence":"additional","affiliation":[{"name":"Unit Physical and Rehabilitation Medicine, Campus Bio-Medico University, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,5,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3233\/VES-150553"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70187-2"},{"key":"e_1_3_2_4_2","first-page":"395","article-title":"Benign paroxysmal positional vertigo: Diagnosis and treatment","volume":"155","author":"Salvinelli F","year":"2004","unstructured":"Salvinelli F, Firrisi L, Casale M, . (2004) Benign paroxysmal positional vertigo: Diagnosis and treatment. La Clinica Terapeutica 155: 395\u2013400.","journal-title":"La Clinica Terapeutica"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.08.022"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000313378.77444.ac"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/03005364000000005"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.001"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/77.8.812"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)05430-0"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70195-0"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20100399"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790320036009"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988910100104"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197009000-00008"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1413-35552010000500003"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001906237"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000180518.34672.3d"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1994.01880290013003"},{"key":"e_1_3_2_20_2","first-page":"373","article-title":"Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine","volume":"37","author":"Kulcu DG","year":"2008","unstructured":"Kulcu DG, Yanik B, Boynukalin S, . (2008) Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. Journal of Otolaryngology\u2013Head & Neck Surgery 37: 373\u2013379.","journal-title":"Journal of Otolaryngology\u2013Head & Neck Surgery"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989670284-X"},{"key":"e_1_3_2_22_2","first-page":"179","article-title":"Benign paroxysmal vertigo: A comparative prospective study of the efficacy of Brandt and Daroff exercises, Semont and Epley maneuver","volume":"122","author":"Soto Varela A","year":"2001","unstructured":"Soto Varela A, Bartual Magro J, Santos Perez S, . (2001) Benign paroxysmal vertigo: A comparative prospective study of the efficacy of Brandt and Daroff exercises, Semont and Epley maneuver. Revue De Laryngologie - Otologie - Rhinologie 122: 179\u2013183.","journal-title":"Revue De Laryngologie - Otologie - Rhinologie"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300256-0"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215507082741"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318184586d"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318268d50a"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1190870"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016489850183340"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.3233\/VES-1998-8404"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2011-0686"},{"key":"e_1_3_2_31_2","first-page":"541","article-title":"Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review","volume":"52","author":"Hillier S","year":"2016","unstructured":"Hillier S, McDonnell M (2016) Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review. European Journal of Physical and Rehabilitation Medicine 52: 541\u2013556.","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_3_2_32_2","first-page":"472","article-title":"Lorazepam and diazepam in the treatment of benign paroxysmal vertigo","volume":"9","author":"McClure JA","year":"1980","unstructured":"McClure JA, Willett JM (1980) Lorazepam and diazepam in the treatment of benign paroxysmal vertigo. Journal of Otolaryngology 9: 472\u2013477.","journal-title":"Journal of Otolaryngology"}],"container-title":["International Journal of Immunopathology and Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0394632017709917","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0394632017709917","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0394632017709917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:04:45Z","timestamp":1777457085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0394632017709917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,9]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1177\/0394632017709917"],"URL":"https:\/\/doi.org\/10.1177\/0394632017709917","relation":{},"ISSN":["0394-6320","2058-7384"],"issn-type":[{"value":"0394-6320","type":"print"},{"value":"2058-7384","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,9]]}}}