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Figure 5 Lempert roll maneuver for right-sided horizontal canal benign paroxysmal positional vertigo (BPPV)
When it is determined to be horizontal canal BPPV affecting the right side, the patient is taken through a series of step-wise 90-degree turns away from the affected side in Steps 1 through 5, holding each position for 10 to 30 seconds. From Step 5, the patient positions his or her body to the back (6) in preparation for the rapid and simultaneous movement from the supine face up to the sitting position (7).
