Physical Therapy Reviews最新文献

{"title":"Clinical course of pain and function in subacromial shoulder pain: a systematic review with meta-analysis","authors":"Zohreh Jafarian Tangrood, Angela Spontelli Gisselman, G. Sole, Daniel Cury Ribeiro","doi":"10.1080/10833196.2023.2192620","DOIUrl":"https://doi.org/10.1080/10833196.2023.2192620","url":null,"abstract":"Abstract Objective To assess the clinical course of pain and function in patients with subacromial pain. Design Systematic review. Methods We searched Medline, Embase, AMED, Web of Science, Cochrane Library, and Scopus for randomized clinical trials and observational studies recruiting participants with subacromial pain. Pain and function scores were extracted for groups receiving either ‘no intervention’ or ‘usual care’. Changes in pain and function from baseline were pooled at 6 weeks, 3, 6, and 12 months follow-up. Random effects meta-analyses and meta-regression were performed to assess the clinical course of pain and function in subacromial pain. Results Nineteen studies were included and 17 studies were pooled. Data from 5 studies in the ‘no intervention’ group were pooled to 3 months, showing minimal improvement for pain (mean difference, MD, 5.3/100, 95%CI −0.8 to 11.4) and function (MD 3.1/100, 95%CI −1.7 to 7.9). Data from 12 studies in ‘usual care’ group were pooled to 12 months, showing significant improvement for pain (MD 32.5/100, 95%CI 22.6 to 42.3) and function (MD 30.3/100, 95%CI 24.4 to 36.1), with approximately 40% of this gain in the first 6 weeks. Conclusion With ‘no intervention’, participants with subacromial pain are unlikely to show changes for pain and function within 3 months. For participants receiving ‘usual care’, recovery continued up to 12 months with almost 40% of this change during the first 6 weeks of care. Individuals with subacromial pain who received ‘usual care’ may have moderate changes in terms of minimal clinical important differences up to 12 months. PROSPERO registration number CRD42016052518.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48247392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telerehabilitation versus face-to-face rehabilitation in the management of musculoskeletal conditions: a systematic review and meta-analysis","authors":"N. Krzyżaniak, M. Cardona, R. Peiris, Z. Michaleff, Hannah Greenwood, J. Clark, A. Scott, P. Glasziou","doi":"10.1080/10833196.2023.2195214","DOIUrl":"https://doi.org/10.1080/10833196.2023.2195214","url":null,"abstract":"Abstract Background Musculoskeletal conditions such as spinal pain and osteoarthritis are among the leading causes of years lived with disability worldwide. With the COVID-19 pandemic forcing many healthcare providers to change the way in which care for chronic conditions is delivered, telehealth is an alternative to face-to-face consultations that can be used for both assessment and provision of therapy and support. Objectives To identify, appraise and synthesise findings from all randomised controlled trials (RCTs) that compared telehealth to face-to-face consultations for patients with any type of musculoskeletal condition. Methods Systematic review and meta-analysis. We used the GRADE approach to assess the quality of evidence related to all outcomes. We searched three electronic databases (PubMed, Embase, CENTRAL), clinical trial registries and citing-cited references of included studies. Results Five RCTs were includable: one in patients with osteoarthritis of the knee, one in patients with osteoarthritis of the knee or hip in preparation for a total joint arthroscopy and three after total knee replacement. Telehealth was conducted by video in four trials and by phone in one. A total of 402 participants were analysed across the five trials. There were no significant differences in pain outcomes (WOMAC) between telehealth and face-to-face therapy immediate post-intervention (mean difference (MD): 0.12 (95% CI −2.3 to 2.6, p = .92) or two months post-intervention (MD): 1.2, (95% CI: −2.7 to 5.1, p = .55). Similarly, outcomes related to function, quality of life and satisfaction were comparable between the two modes of delivery immediate post-intervention, with no significant differences reported. Conclusion There is limited low quality evidence that there is no significant differences between telehealth-based delivery of rehabilitation to patients with osteoarthritis or following knee surgery and face-to-face therapy for pain, function, quality of life and satisfaction. These findings should be should be interpreted with caution due to the small number of included studies and small sample size. HIGHLIGHTS Findings based on a small number of trials and very low-quality evidence suggest that there is no difference between telehealth and face-to-face consultation for rehabilitation for adults post-knee surgery. Outcomes related to pain, function and quality of life were comparable between the two modes of delivery. There is a significant gap in knowledge relating to cost outcomes, warranting studies that further evaluate cost-effectiveness of telehealth and the subsequent long-term sustainability of telehealth.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"71 - 87"},"PeriodicalIF":0.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42728389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between the quantity and duration of post-operative physiotherapy treatment and patient outcomes following primary anterior cruciate ligament reconstruction: a systematic review","authors":"Wayne A. Fausett, D. Reid, P. Larmer","doi":"10.1080/10833196.2023.2195213","DOIUrl":"https://doi.org/10.1080/10833196.2023.2195213","url":null,"abstract":"Abstract Background Functional rehabilitation following anterior cruciate ligament reconstruction (ACLR) is often physiotherapist-led, and generally required to achieve patient goals. The quantity and duration of physiotherapist-led following could therefore potentially influence outcomes following ACLR, although the nature of this relationship is not clear. Objective To clarify the relationship between the quantity and duration of post-operative physiotherapy treatment and patient outcomes following ACLR. Methods A search of the PubMed/MEDLINE, Google Scholar, Cochrane Library, and EBSCO databases was made from inception to March 2021 to identify relevant studies. Key characteristics of the selected studies were extracted, with methodological quality evaluated using a modified version of the Downs and Black appraisal tool. Results The search strategy identified 1137 studies, 15 of which met inclusion criteria. Two studies were rated strong methodological quality, eight were rated moderate, and five were rated limited. Results across all 15 studies provided conflicting evidence regarding the effects of the quantity and duration of physiotherapy treatment on patient outcomes following ACLR. Conclusions Based on evidence of variable methodological quality, a clear relationship between the quantity and duration of physiotherapy treatment and patient outcomes following ACLR could not be established. Several themes were identified to guide future research in this area, including ensuring participant homogeneity, monitoring participant adherence to unsupervised rehabilitation, and utilising rehabilitation interventions that replicate everyday physiotherapy practice.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"111 - 134"},"PeriodicalIF":0.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42947168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical neuro-musculoskeletal impairments in people with cervicogenic headache: a systematic review and meta-analysis","authors":"Kiran H. Satpute, N. Bedekar, T. Hall","doi":"10.1080/10833196.2023.2187996","DOIUrl":"https://doi.org/10.1080/10833196.2023.2187996","url":null,"abstract":"Abstract Background: People with cervicogenic headache (CGH) typically present with headache symptoms similar to other headache forms but with distinguishing features of neuro-musculoskeletal impairments. With current diagnostic criteria it is unclear which impairments are important for CGH diagnosis. Objective: To comprehensively review the evidence for cervical neuromusculoskeletal impairments in people with a diagnosis of CGH when compared to asymptomatic controls. Methods: Eight databases were searched for relevant studies evaluating neuro-musculoskeletal impairments in people with CGH. Risk-of-bias and overall quality of the evidence were assessed and meta-analyses performed. Results: Sixteen studies were included, the majority with low risk of bias. In comparison with asymptomatic controls the subjects with CGH presented with reduced combined cervical flexion-extension ROM (MD −9.26˚, 95% CI: −12.24˚, −6.27˚, I2 = 6%), side flexion ROM (MD: −2.97˚, 95% CI: 5.48˚, −0.46˚, I2 = 51%), and rotation ROM (MD: −13.57, 95% CI: −16.10, −11.03, I2 = 99%). Upper cervical rotation ROM was markedly reduced towards the headache side (MD: −15.07˚, 95% CI: −16.61˚, −13.53˚, I2 = 68%). Similarly, cervical flexor (MD: −33.70˚, 95% CI: −47.23˚, −20.16˚, I2 = 0%) and extensor strength (MD: −55.78, 95% CI: −77.56, −34.00, I2 = 0%) was reduced in subjects with CGH along with reduced craniovertebral angle. Kinaesthetic sense was not significantly impaired in subjects with CGH. The overall rating score for certainty of evidence was high to very low for all assessed outcomes. Conclusion: People with CGH have significantly decreased cervical ROM and muscle function with level of evidence ranging from high to very low.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"88 - 110"},"PeriodicalIF":0.7,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49207239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stroke survivor, caregiver and therapist experiences of home-based stroke rehabilitation: a thematic synthesis of qualitative studies","authors":"H. Lavis, P. van Vliet, M. Tavener","doi":"10.1080/10833196.2023.2180710","DOIUrl":"https://doi.org/10.1080/10833196.2023.2180710","url":null,"abstract":"Abstract Background Following the initial period of hospitalisation, stroke rehabilitation is increasingly occurring within the home. As such, the home setting becomes a critical environment in the context of rehabilitation service provision. Objectives This study aimed to explore what factors influence the experiences of stroke survivors, caregivers and therapists participating in home-based rehabilitation. Methods A systematic approach to thematic synthesis of qualitative studies began with search term development, followed by database search (CINAHL, Emcare, Medline, Scopus) from inception to 1 November 2022 using keywords and synonyms of ‘stroke survivor’, ‘therapist’, ‘caregiver’, ‘home rehabilitation’ and ‘experience’. Included studies were appraised using the Critical Appraisal Skills Programme (CASP) qualitative checklist. Data were analysed inductively for themes using a three-step thematic synthesis approach. Results A total of 26 studies were included in this thematic synthesis. Across the data, three overarching analytical themes were constructed, including (i) The significance of place, (ii) The impact of relationships, and (iii) The meaning of therapy. Conclusions The home setting offers benefits and challenges to delivery and participation in physical rehabilitation after stroke, shaped by various psychosocial and environmental factors that influence outcomes. Altered roles and relationships developed within the home setting influence participatory experience, whilst the setting can offer a familiar and relevant context to promote engagement in meaningful and purposeful therapy. Prior to hospital discharge, therapists who integrate personalised contexts into therapeutic environments can better prepare stroke survivors and caregivers for therapeutic participation within the home. Furthermore, future studies conducted before, during and after therapy focussing on stroke survivor, caregiver and therapist experiences of home-based rehabilitation can provide greater insight into the barriers and facilitators of home-based rehabilitation acceptance, adherence and implementation.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"157 - 173"},"PeriodicalIF":0.7,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48904560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The biopsychosocial model of pain in physiotherapy: past, present and future","authors":"K. Smart","doi":"10.1080/10833196.2023.2177792","DOIUrl":"https://doi.org/10.1080/10833196.2023.2177792","url":null,"abstract":"Abstract Background The biopsychosocial model of pain may aid the understanding pain and its clinical presentations. Objectives This paper presents a discussion of the past, present and future state of the biopsychosocial model of pain within physiotherapy. Main Findings The biopsychosocial model of pain acknowledges the dynamic interdependent biological, psychological and social dimensions of peoples pain experiences and has been widely endorsed. However, the biopsychosocial model is not beyond criticism and its applicability to clinical practice has been questioned. Researchers have investigated how clinicians understand and apply the biopsychosocial model in clinical practice. Evidence suggests that physiotherapists demonstrate varying levels of confidence and proficiency in their psychosocially-oriented clinical knowledge and practice. Psychologically informed physiotherapy treatment approaches have been described and trialled and show inconsistent results and effect sizes with respect to patient-related outcomes. In addition, commentators suggest that the ‘-social’ dimension of the model has been relatively neglected. While there is some evidence that the biopsychosocial model is evolving, and efforts are underway to develop and validate clinically-applicable tools, physiotherapy clinicians, educators and researchers have been invited to consider existing barriers and enablers to the implementation of the biopsychosocial model in clinical practice in order to improve its understanding and application within healthcare. Conclusion The biopsychosocial model invites clinicians to understand and address the biological, psychological, and social dimensions of patients pain. Understanding and implementation of the biopsychosocial model of pain in physiotherapy is mixed. Improving education and training and developing and evaluating innovative biopsychosocial-oriented interventions appear to be important ways forward. The biopsychosocial model of pain is evolving in response to scientific and clinical developments.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"61 - 70"},"PeriodicalIF":0.7,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49119804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balance assessment tools and their psychometric properties among individuals post-stroke: a systematic review","authors":"Saleh M. Aloraini, Arwa A. Abu Mismar, Haifa F. Aloqaily, M. Aldaihan","doi":"10.1080/10833196.2023.2168850","DOIUrl":"https://doi.org/10.1080/10833196.2023.2168850","url":null,"abstract":"Abstract Background and purpose Balance assessment following stroke is a significant part of the rehabilitation program. The Berg Balance Scale (BBS), the Postural Assessment Scale for Stroke (PASS) and the Balance Evaluation Systems Test (BESTest) are multi-item balance scales commonly used for assessing balance for people post-stroke. The purpose of our systematic review is to identify and appraise the literature on the psychometric properties of these balance measures (BBS, PASS and BESTest) in studies involving people post-stroke. Methods A comprehensive electronic literature search was performed in five databases PubMed, CINAHL, Embase, Scopus and Web of Science; in addition to hand searching of relevant references. Two independent reviewers screened the literature search results to include studies that were: written in the English language and published in peer-reviewed journals; participants were adults (>18 years) and had a diagnosis of stroke; Balance of participants was assessed using one (or more) of the following measures: BBS, PASS, BESTest or a shortened version of these measures; and the study reported at least one psychometric property for the balance measure. Two independent reviewers extracted the data using a standardized form. Quality of included studies was assessed using a critical appraisal tool. Results A total of 65 studies met our inclusion criteria and were included in our review. The majority of studies reported on the psychometric properties of the BBS, followed by the PASS and then the BESTest. Results of the critical appraisal scale showed that the overall quality of studies was good. A variety of psychometric properties were reported, with validity being the most reported property followed by reliability. Discussion The BBS, BESTest and PASS and their variants show overall excellent psychometric properties when used among people post-stroke. However, further research is needed to investigate the responsiveness of these measures following rehabilitation programs.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"135 - 156"},"PeriodicalIF":0.7,"publicationDate":"2023-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48963193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of structured exercise programs in polycystic ovary syndrome: a systematic review","authors":"A. Bansal, J. Sethi, R. Parasher","doi":"10.1080/10833196.2022.2163076","DOIUrl":"https://doi.org/10.1080/10833196.2022.2163076","url":null,"abstract":"Abstract Background Polycystic Ovary Syndrome (PCOS) is an endocrine disorder affecting up to 10% of women of reproductive age. Several pharmacological and non-pharmacological interventions are used to manage symptoms in women with PCOS. Objective The objective of this review was to identify and discuss evidence pertaining specifically to the benefits of structured exercise programs on clinical features and biomarkers relevant to PCOS. Methods Potential studies published between 2000 and 2019 were identified by systematically searching PubMed, Cochrane Library, and CINAHL by using key concepts of PCOS. The PEDro scale was used to evaluate studies’ strength of evidence. Result Thirteen manuscripts of moderate to strong quality were identified. All studies involved structured exercise regimes lasting from 8 weeks to 24 weeks duration with variable frequency (2–5 sessions per week) and duration (25–60 min). Most of the studies reported improvements in menstrual cyclicity, Ferriman-Gallwey scores, testosterone, DHEA-S, sex hormone binding globulin levels and free androgen index scores. Conclusion Structured well-defined aerobic and resistance training protocols, independently or in combination with diet control, that lasted for at least 12 weeks led to improvements in a number of clinical parameters and biomarkers related to PCOS.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"49 - 59"},"PeriodicalIF":0.7,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44384297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-based approaches for the management of fibromyalgia syndrome: a scoping review","authors":"N. Adams, J. McVeigh, A. Cuesta-Vargas, Sedik A Abokdeer","doi":"10.1080/10833196.2022.2157945","DOIUrl":"https://doi.org/10.1080/10833196.2022.2157945","url":null,"abstract":"Abstract Background Fibromyalgia syndrome (FMS) is a chronic widespread pain syndrome characterized primarily by widespread pain, fatigue, sleep dysfunction and low exercise tolerance. The pathophysiology is complex and its understanding evolving, and clinical management is difficult, with heterogeneous interventions employed. Objectives This scoping review provides an overview of fibromyalgia syndrome, and the evidence for the principal rehabilitation approaches. CINAHL, Cochrane, Medline and PubMed databases were searched from 1996 to 2021. Rehabilitation approaches included exercise, psychologically-based approaches, multicomponent approaches, and complementary and alternative therapies. Major findings Due to factors such as methodological shortcomings of existing studies, and the lack of evidence on individual modalities, it is difficult to draw definitive conclusions as to which is the most appropriate rehabilitation approach in FMS. However, there is evidence from meta-analyses and several international guidelines for the use of approaches incorporating exercise. There is also some evidence for the use of psychologically-informed interventions such as cognitive-behavioural therapy (CBT) approaches. Evidence for other interventions is more equivocal. Conclusions It appears that a combination of interventions (e.g. exercises combined with education and psychological approaches), is the most promising means of managing patients with FMS. Issues such as high numbers of drop-outs from exercise programmes, lack of long-term follow-up in many studies, and patients’ preferences warrant further investigation. An individualized approach based upon extent of psychological involvement, severity of symptoms and level of disability is also recommended.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"1 - 17"},"PeriodicalIF":0.7,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46331285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions for apogeotropic horizontal canal benign paroxysmal positional vertigo: a systematic review","authors":"B. Kinne, R. Breuer, Olivia Margeurite Fitkin, Rebecca Lynn Kelly","doi":"10.1080/10833196.2022.2163082","DOIUrl":"https://doi.org/10.1080/10833196.2022.2163082","url":null,"abstract":"Abstract Background A 2021 systematic review reported that all of the included maneuvers for the treatment of geotropic horizontal canal benign paroxysmal positional vertigo (BPPV) demonstrated high efficacy and few contraindications. However, a similar systematic review for the apogeotropic subtype of horizontal canal BPPV has not been published. Objectives The purpose of this systematic review was to evaluate the effectiveness of current treatment options for apogeotropic horizontal canal BPPV. Methods The databases accessed from inception through 2021 were CINAHL Complete, PubMed, and Web of Science. The search terms utilized were (ageotropic OR apogeotropic) AND (horizontal OR lateral) AND vertigo. A 10-item tool developed by Medlicott and Harris was utilized to assess methodological rigor. Results Three of the included maneuvers (the Gufoni maneuver, the Zuma maneuver, and the Cupulolith Repositioning maneuver) demonstrated 100% efficacy after only one treatment session. The Gufoni maneuver may be preferable for individuals who are elderly, obese, or have problems with their general mobility because it does not require the individual to perform a roll. Although the Zuma maneuver is also easy to perform on these types of individuals, only one study has been completed on this maneuver. Because the Cupulolith Repositioning maneuver is a roll maneuver, it may not be tolerated by all individuals. Conclusions The Gufoni maneuver may be the best maneuver to initially consider because it has been more well-studied than the Zuma maneuver; and it may be more comfortable than the Cupulolith Repositioning maneuver for certain types of individuals.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"28 1","pages":"30 - 38"},"PeriodicalIF":0.7,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41762009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}