Which BPPV Treatments Work Best? Insights From 82 Clinical Trials

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. Although multiple treatment approaches are available, the high recurrence rate of BPPV continues to pose a clinical challenge. To identify the most effective management strategies, researchers evaluated efficacy data from 82 clinical trials.

The meta-analysis showed that, for posterior canal BPPV, most maneuvers combined with postmaneuver rehabilitation or self-treatment were more effective than traditional maneuvers used alone, with or without medication, in achieving symptom resolution. Among these, the Epley maneuver combined with home-based self-treatment demonstrated the highest resolution rate, with an odds ratio (OR) of 33.70. For horizontal canal BPPV, the Gufoni maneuver was the only intervention associated with a significantly higher resolution rate (OR: 4.40) as well as a higher…