II. Indications
-
Benign Paroxysmal Positional Vertigo (BPPV) affecting the lateral semicircular canal
- Procedure is diagnostic and therapeutic
III. Background
- Maneuver maintains lateral semicircular canal perpendicular to the floor while rotating a full 360 degrees
- Postulated to move particles from the involved lateral semicircular canal into the utricle
IV. Technique
- Patient starts by lying supine
- Patient's entire body is rolled as a single unit in 90 degree increments for a full 360 degree turn
- Roll patient to 90 degrees (on to one side) and stop until Vertigo subsides
- Next, roll patient another 90 degrees into prone position and stop until Vertigo subsides
- Next, roll patient another 90 degrees on the their other side and stop until Vertigo subsides
- Finally, roll patient another 90 degrees until they are once again supine
- Numerous variations exist
- Starting with rotating head to the opposite side of roll for 15-30 seconds, then rotating head to the other side
- Rolling to prone position directly from supine position
- Moving to sitting position directly from prone position
V. Resources
- BBQ Roll Maneuver (YouTube, Physiotutors)