How to perform the Anterior Semont Maneuver

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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 a neurological evaluation. These symptoms might include, blurred vision, numbness, weakness of the arms or legs or

The patient should experience vertigo when moved to the face-down position. If not, it is often useful to perform a slight headshake in an effort to loosen otolithic

Begin with the patient sitting on the examination table, facing the examiner, with the patient’s head turned toward the affected side at a 45º angle

Guide the patient into a side-lying position on the affected side. (This should be a rapid movement and the patient’s nose should be pointing)

Hold this position for 2-3 minutes

While maintaining the 45º head position, guide the patient in a continuous motion from side-lying on the affected side to side-lying on the unaffected (The patient’s nose should be pointing upward)

Hold this position for 3-5 minutes