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Table 7. Stepwise Sequence for the Performance of The
Canalith Repositioning Maneuver (see Figure 3)
Step Action
1 e patient is placed in the upright position with the head turned 45° toward
the affected ear (the ear that was positive on the Dix-Hallpike testing ).
2 e patient is rapidly laid back to the supine head-hanging 20° position, which
is then maintained for 20–30 seconds.
3 Next, the head is turned 90° toward the other (unaffected) side and held for
about 20 seconds.
4 Following this, the head is turned a further 90° (usually necessitating the
patient's body to also move from the supine position to the lateral decubitus
position) such that the patient's head is nearly in the facedown position. is is
also held for 20–30 seconds.
5 e patient is then brought into the upright sitting position, completing the
maneuver.
