How to perform the Posterior 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 possible neurological symptoms occur during the execution of positioning maneuvers, discontinue the procedure IMMEDIATELY and refer for a neurological These symptoms might include, blurred vision, numbness, weakness of the arms or legs or confusion

The patient should experience vertigo when moved to each position. If not, it is often useful to perform a slight headshake to loosen otolithic debris

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

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

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 side (The patient’s nose should be pointing downward toward the floor)

Hold this position for 3-5 minutes