Evidence map›Paper›PMID 40035862›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Minimal stimulus strategy for diagnosis and treatment of BPPV: a virtual simulation study.

Xiaoqing Li, Ruihu Yang, Yihan Zhang, Yaoyu Ying, Xiaomin Xu, Lidan Gao, Yanjun Li, Qiqi Shao, Wenhuan Wang, Congcong Sun and 1 more

Abstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiaoqing LiWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China. wzslixq@163.com.ORCID http://orcid.org/0000-0002-2355-807X
Ruihu YangWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Yihan ZhangWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Yaoyu YingWenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
Xiaomin XuWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Lidan GaoWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Yanjun LiWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Qiqi ShaoWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Wenhuan WangWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Congcong SunWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China.
Xiaokai YangWenzhou Third Clinical Institute Affiliated to Wenzhou Medical University/Wenzhou People's Hospital, Wenzhou, 325000, Zhejiang, China. yakeworld@shu.edu.cn.

Funding

Natural Science Foundation of Zhejiang Province LTGY24H090011Wenzhou Municipal Science and Technology Bureau 2023ZM0064Wenzhou Municipal Science and Technology Bureau Y20220757
6 · The paper itself

Abstract

backgroundBenign Paroxysmal Positional Vertigo (BPPV) is a common vestibular disorder typically diagnosed and treated through head movements, which can cause discomfort for patients. More importantly, a significant cause of treatment failure is the patient's inability to tolerate these maneuvers.

objectiveTo improve patient comfort while maintaining clinical efficacy, this study proposes a Minimal Stimulation Strategy (MSS), utilizing a modified Gufoni maneuver an immediate modified Epley maneuver for BPPV diagnosis and treatment.

methodsVirtual simulation technology was employed to simulate the trajectory of otolith movement, characteristics of nystagmus, accuracy of localization, and effectiveness of repositioning during the diagnostic and therapeutic processes. This was done to evaluate the scientific validity and effectiveness of MSS in diagnosing and treating BPPV.

resultsThe modified Gufoni maneuver effectively identifies BPPV affecting the lateral and posterior semicircular canals. Bilateral application of the Gufoni maneuver enables otolith repositioning in any location within the lateral semicircular canal. The subsequent immediate application of the modified Epley maneuver effectively shortened the otolith repositioning path, reducing treatment time and discomfort.

conclusionThe proposed MSS not only reduces the stimulation during the diagnostic and therapeutic process but also effectively diagnoses and treats BPPV.

Indexed as

Benign Paroxysmal Positional VertigoComputer SimulationPatient PositioningHead MovementsHumansOtolithic MembraneSemicircular CanalsVirtual RealityBPPVCanalith repositioningMinimal stimulus strategyVestibular disordersVirtual simulation

Identifiers

PMID40035862
PMCPMC12321662

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.