Rapid Sit-Up Maneuver for Unilateral or Bilateral Posterior Canal BPPV

The Rapid Sit-Up Maneuver is perhaps the most efficient in-office treatment of posterior canalithiasis. Unilateral and bilateral disease can be treated. Advantages are that the patient is already in the supine position after the diagnostic Dix-Hallpike maneuvers, and this maneuver does not require repositioning to side lying on the exam chair which is difficult for many patients. To be effective patients must be able to hang the head 40 degrees below horizontal at the start of the maneuver.

[phuctranquang]

Thank for sharing SIr! it seems like Yacovino maneuver

[richbailey]

I have had vertigo and I I have done this and the Eply maneuver....gone to 4 different doctors who say "When I do this the problem goes away 99% of the time!"...and it doesn't for me. I am awaiting an appointment with what looks like a serious group focusing on Vertigo with options that include surgery. When I made the appointment I warned the secretary that if I hear the "This fixes it 99% of the time" speech that I am getting up and walking out of there!

[ashercox]

how do you do this on the elderly or obese pts that do not have as much ROM?

[beratbra]

Any upcoming studies on efficacy compared to epley?

[daniloasenov]

Hi doc. I just wanna ask you, did the damage of vestibular nerve is permanent ?

[hmmob]

What is the efficacy compared to Epley? Thank you.