Semont Liberatory Maneuver for Treatment of BPPV 1) The patient is seated upright on the side of the examination table facing the examiner. 2) The examiner grasps the patient's head and gently turns it horizontally away from the affected right ear until it is 45 degrees toward the opposite (left) shoulder. 3) The patient is then rapidly reclined down onto the right shoulder. Allow any nystagmus or vertigo to subside, or wait 30-60s. 4) The patient is then rapidly moved from the right shoulder down to the left shoulder down position. Again, allow any nystagmus or vertigo to subside, or wait 30-60s. 5) Then the patient is briskly raised to the seated position, with the patient’s head maintained at a 45-degree angle toward his/her left shoulder. The Semont maneuver is useful when the Epley maneuver fails to remove particles or when particles are suspected to have become adherent to the cupula of the semicircular canals (cupulolithiasis). This maneuver is popular in Europe but is used less frequently in the United States than the Epley. #Semont #Liberatory #Maneuver #BPPV #positional #vertigo #neurology #instructions #clinical #video #physicalexam #management
