Hi Joshie
I personally find it very useful. But to be on the safe side, goto Hagen's site, and read their comments regarding a reversible powerhead.
But here is my humble opinion.
A normal u/g filter, powerhead or airdriven, collects the dirt in the gravel. The very fine one eventually goes below the plate. If you do have other filters, loike a cannister etc. it will also clean the water of suspended dirt. BUT, if you reverse the flow of the u/g powerhead, then dirty water will enter the riserstem, go down under the plate and pushes the CLEAN water up through the gravel. Any dirt in/on the gravel will be suspended in the tank and subsequently be collected by the cannister or other filter. You can change back to normal flow later on. You can also do that on a periodic cycle. Forward flow for a couple of weeks, then reverseflow for a couple of days. Simple. But still, don't forget to get Hagen's opinion also.
Lots of people don't believe what I say.
John