{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:13:34Z","timestamp":1791040414912,"version":"4.1.0"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2006,9,1]]},"abstract":"<jats:p>Existing treatment maneuvers for posterior canal benign paroxysmal positional vertigo (PC-BPPV) include the Semont liberatory maneuver (SLM) and canalith repositioning maneuver (CRM). Independent investigations reveal that these maneuvers provide an excellent outcome for most patients.\n However, certain aspects of these maneuvers, such as hyperextension of the neck for CRM and brisk lateral motion for the SLM, are contraindicated for patients with vertebrobasilar insufficiency, cervical spondylosis, back problems, and so forth. A hybrid approach, the Gans repositioning maneuver\n (GRM) was developed for use with these patients. The purpose of this project was to assess efficacy of the GRM for treatment of PC-BPPV. Two-hundred seven participants were enrolled in this prospective study. All participants were treated with the GRM. Six different clinicians performed the\n treatments. Participants returned for follow-up at one-week intervals until it was determined that the PC-BPPV was clear. On average, 1.25 GRM treatments were required to resolve the PC-BPPV. The majority of the participants (80.2%) were cleared with one GRM treatment, and 95.6% were clear\n after two treatments. Recurrence rate was 5%. There was no difference in outcome based on clinician. The GRM is an efficacious treatment maneuver for PC-BPPV and may be preferential for use in patients with neck, back, hip, and\/or mobility issues that contraindicate the use of SLM or CRM.\n Maniobras existentes para el tratamiento del v\u00e9rtigo posicional parox\u00edstico benigno del canal posterior (PC-BPPV) incluyen la maniobra liberadora de Semont (SLM) y la maniobra de reposicionamiento de los otolitos del canal (CRM). Investigadores independientes revelan que estas\n maniobras aportan resultados excelentes para la mayor\u00eda de los pacientes. Sin embargo, ciertos aspectos de estas maniobras, tales como la hiper-extensi\u00f3n del cuello en la CRM y el movimiento lateral brusco para la SLM, est\u00e1n contraindicadas en pacientes con insuficiencia\n vertebro-basilar, con espondilosis cervical, con problemas de espalda, y dem\u00e1s. Un enfoque h\u00edbrido, la maniobra de reposicionamiento de Gans (GRM) se desarroll\u00f3 para utilizarla con estos pacientes. El prop\u00f3sito de este proyecto fue evaluar la efectividad de la GRM\n para el tratamiento de la PC-BPPV. Doscientos siete pacientes fueron involucrados en este estudio prospectivo. Todos los pacientes fueron tratados con la GRM. Seis m\u00e9dicos diferentes realizaron el procedimiento. Los participantes regresaron para control a intervalos de una semana hasta\n que se determin\u00f3 que su PC-BPPV estaba resuelta. En promedio, se requirieron 1.25 tratamientos con GRM para resolver la PC-BPPV. La mayor\u00eda de los participantes (80.2%) fueron dados de alta con un tratamiento de GRM y 95.6% despu\u00e9s de dos tratamientos. La tasa de recurrencia\n fue de 5%. No existieron diferencias en los resultados en relaci\u00f3n con los m\u00e9dicos. La GRM es una maniobra de tratamiento eficaz para el PC-BPPV y puede estar indicada de preferencia para pacientes con problemas de cuello, espalda, cadera o con problemas de movilidad en general,\n que contraindican el uso de la SLM o la CRM.<\/jats:p>","DOI":"10.3766\/jaaa.17.8.6","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T23:54:28Z","timestamp":1208908468000},"page":"598-604","source":"Crossref","is-referenced-by-count":28,"title":["Efficacy of a New Treatment Maneuver for Posterior Canal Benign Paroxysmal Positional Vertigo"],"prefix":"10.3766","volume":"17","author":[{"given":"Richard A.","family":"Roberts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Gans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee L.","family":"Montaudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2006\/00000017\/00000008\/art00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T23:15:18Z","timestamp":1738797318000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.17.8.6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,9,1]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2006,9,1]]}},"alternative-id":["1050-0545(20060901)17:8L.598;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.17.8.6","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2006,9,1]]}}}