How to perform the Lempert (BBQ) Roll

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The Lempert (BBQ) roll, also known as the Lempert maneuver, is a treatment technique to relieve vertigo symptoms. It involves positioning the patient in the supine position with the head toward the affected side, rolling them onto the unaffected side, holding for 30-60 seconds, rolling into the prone position, holding again, rolling onto the affected side, holding again, and guiding the patient back to a sitting position.

Utilizing Video Frenzel or VNG while performing this maneuver is recommended to reduce the ability of the patient to fixate during the procedure in an attempt to reduce the nystagmus This will also allow the examiner to see even very slight horizontal nystagmus. If the treatment is successful, the nystagmus will beat in the same direction throughout the procedure.

The success rate of this procedure in the treatment of horizontal canal BPPV is very high and success is usually immediate. If the procedure is successful, the patient may not exhibit symptoms during the last steps of the procedure.

If the patient does not show marked improvement upon completion of the procedure, you should repeat the procedure. If there is still no improvement, it is possible that the wrong ear has been treated.

The patient’s complaint will often be that he/she experiences “dizziness” when turning his/her head in bed without turning the body.

Begin by having the patient lay in supine position with the head towards the affected side.

Roll the patient onto the shoulder of the unaffected side.

Hold this position for 30-60 seconds.