The Lempert roll maneuver, also known as the "barbecue roll," is a technique used to treat Benign Paroxysmal Positional Vertigo (BPPV) affecting the horizontal semicircular canal. Here are step-by-step instructions for performing the Lempert roll maneuver for right-sided BPPV:

Instructions for Right-Sided BPPV:

1.  Initial Position:

• The patient begins by lying on their back (supine position).

2.  Roll onto Your Right Side:

• The patient turns 90 degrees to the right, towards the affected side, lying on their right side. Hold this position until the vertigo subsides, plus an additional 30 seconds.

3.  Roll onto Your Back:

• The patient then turns 90 degrees to the left, returning to lie on their back and facing upward. Hold this position until the vertigo stops, plus an additional 30 seconds.

4. Roll onto Your Left Side:

• Continue turning another 90 degrees to the left, so the patient is lying on their left side. Hold this position until the vertigo stops, plus an additional 30 seconds.

5. Roll on Your Stomach:

• The patient tucks their chin in and turns another 90 degrees to the left, lying on their stomach, propped up on their elbows. Hold this position until the vertigo stops, plus an additional 30 seconds.

6. Roll onto Your Right Side:

• The patient continues to turn another 90 degrees to the left, returning to lie on their right side. Hold this position until the vertigo stops, plus an additional 30 seconds.

7. Return to Sit:

• The patient slowly returns to a sitting position

Important Notes:

• Perform this maneuver three times a day until you have two consecutive days without vertigo.

• It's common to feel dizzy during the maneuver, but this should decrease with repeated sessions.

• Avoid quick or sudden head movements throughout the day after performing the maneuver.

• If your symptoms persist or worsen, consult your healthcare provider.