How to perform the Gufoni Maneuver

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The Gufoni maneuver, also known as the Appiani maneuver, is a therapeutic technique used to treat lateral (horizontal) canal benign paroxysmal positional vertigo (BPPV). Its purpose is to reposition any dislodged otoconia from the semicircular canals back to the utricle, where they no longer cause symptoms of dizziness or vertigo.

Before performing any form of positioning maneuver, it is important to ascertain whether the patient has current or past injuries of the neck or spine.

If any neurological symptoms occur during the execution of positioning maneuvers, discontinue the procedure immediately and refer for neurological evaluation. These symptoms might include blurred vision, numbness, weakness of the arms or legs, or confusion.

This procedure is an alternative treatment for patients who cannot complete the Lempert (BBQ) Roll.

Begin with the patient sitting on the edge of the examination table, facing the examiner.

With a rapid motion, guide the patient into a side-lying position toward the unaffected side.

While the patient is lying on their side, with a quick movement, turn the patient’s head to a 45-degree angle (so that the patient’s nose is pointing toward the table).

Hold this position for two to three minutes, after which you should guide the patient back into a sitting position.