Figure 3 Semont maneuver for right-sided benign paroxysmal positional vertigo

While sitting up in Step 1, the patient’s head is turned 45 degrees toward the left side, and then the patient is rapidly moved to the side-lying position as depicted in Step 2. This position is held for 30 seconds or so, and then the patient is rapidly taken to the opposite side-lying position without pausing in the sitting position or changing the head position relative to the shoulder. This is in contrast to the Brandt–Daroff exercises that entail pausing in the sitting position and turning the head with body position changes.