13
Figure 5. The Lempert 360° roll maneuver (sometimes
referred to as the barbecue roll maneuver) for the
treatment of right lateral SSC BPPV-geotropic
type
Table 9. Stepwise Description of the Performance of
the Lempert 360° Roll Maneuver (barbecue roll
maneuver) for the Treatment of Right Lateral Canal
BPPV-geotropic Type
Step Action
1 Starting from the supine position, OR
2 Some recommend rolling to start on the involved side.
3 Roll the patient's head (or full body) to the unaffected side.
4 Keep rolling in the same direction until the patient's head is completely nose
down or prone. Some recommend ending the maneuver here and returning to
sit (270° roll) as anatomically the debris is repositioned.
5,6,7 As originally published, however, complete the final roll (full 360°) and return
to sitting.
Adapted and reproduced with permission from Fife et al. ©2008 Barrow Neurological Institute,
Phoenix, Arizona.