Académique Documents
Professionnel Documents
Culture Documents
T.D. Fife, MD; D.J. Iverson, MD; T. Lempert, MD; J.M. Furman,
MD, PhD; R.W. Baloh, MD; R.J. Tusa, MD, PhD; T.C. Hain, MD;
S. Herdman, PT, PhD, FAPTA; M.J. Morrow, MD; G.S. Gronseth,
MD
Background
Gaps in care
AAN guideline process
Analysis of evidence, conclusions,
recommendations
Recommendations for future research
2008, Barrow
Provocative maneuver Dix Hallpike* Supine Roll Test (Pagnini-McClure) Dix Hallpike*
Clinical Question
Evidence
Conclusions
Recommendations
Search
Review abstracts
Select articles
Relevant
2006 American Academy of Neurology
AAN Classification of
Evidence
All studies rated Class I, II, III, or IV
Five different classification systems:
Therapeutic
Randomization, control, blinding
Diagnostic
Comparison to gold standard
Prognostic
Screening
Causation
2008, Barrow
Remaining RCTs were graded Class IV because they did not clearly
state whether the outcomes were obtained in a blinded and
independent manner10-17 or because of important baseline difference
between study and control groups.18
*Technique for preventing researchers from inadvertently influencing which patients are
assigned to the treatment or placebo group (may cause selection bias that overestimates
the treatment effect).23
2008, Barrow
2008, Barrow
2008, Barrow