Patient Instructions for Half Somersault for right-sided BPPV - HubSpot

A.Kn eel on the floor or in the middle of a large bed. Tip your head straight upward quickly until you
are looking straight up at the ceiling. This may cause dizziness briefly.
B.Ne xt place your head on the floor upside down, as if you are about to do a somersault. Tuck the chin
so that your head touches the floor near the back of the head rather than near the forehead. This
position may cause a burst of vertigo. Without moving, wait until any vertigo ends. The vertigo means
the particles are moving in the proper direction. Tapping firmly on the skull with your fingertips just
behind the right ear can help move the particles along.
C.Slowly turn your head to face your right elbow. Try to center the right elbow in your field of view.
Y
ou will keep your head turned to the right through the rest of the maneuver. Again, wait for any
vertigo to end before moving to the next step.
D.Keeping your head turned to the right and viewing your right elbow, QUICKLY raise your head to
s
houlder level. Your head should be positioned at about a 45
o
angle to the floor throughout this move.
Vertigo is normal during this part of the procedure. Wait for the vertigo to end or count to 15 before
continuing.
E.Raise your head to the upright position QUICKLY, keeping it about halfway turned toward the right
s
houlder. Some additional vertigo may occur. After the vertigo subsides, slowly sit upright.
Rest for 15 minutes. After the rest, quickly tip your head up and down. If no dizziness occurs, do not
repeat the maneuver. If you still feel some dizziness when making that movement, repeat the
maneuver. You may also repeat the maneuver if you have another vertigo spell in the future.