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Vertigo Half Somersault Maneuver for BPPV – Ask Doctor Jo

hey everybody it’s Doctor Jo and unicorn
bear, and today I’m going to show you the half somersault maneuver for vertigo. so
let’s get started. So the half somersault maneuver is just like the Epley or the Brandt-Daroff, it’s for BPPV,
which is a positional vertigo. so if you don’t know what kind of vertigo you have,
if you’ve just been diagnosed with vertigo, this might not help. it might
actually make you feel worse, so make sure you have BPPV. also this is for
different canals than the Epley. so sometimes that’s why maybe one doesn’t
work versus the other, but please don’t ask me which one you have because I
don’t know. I can’t evaluate you that’s why it’s so important to go get properly
diagnosed to be able to do the correct treatment. so with the half somersault,
again just like the other ones, it might make you feel a little worse before it
makes you feel better. sometimes people actually do get physically sick and
throw up, so just be prepared for that. don’t have anywhere to have to go a
fright afterwards because you might feel pretty yucky for a little while. but if
it’s the right treatment for you, each time you do it, you’ll get feel better
and better and better. so usually the holds with these are for 30 seconds. I
probably won’t hold it the whole 30 seconds just so I can get through it to
show you, but just make sure you’re either holding it for 30 seconds or at
each movement until the spinning goes away. so the first one is just to get on
your knees, you don’t have to do this on the floor, you can do it on your bed, you
can do it on the couch, if you can’t get down on the floor. but this is the
position you start in. and the first thing you do is you just tilt your head
back and look all the way up. so this position you’re gonna hold for 30
seconds. so if you have any neck problems or anything, just be careful because this
position if you have you know some kind of impingement back there might actually
make you feel a little bit worse. so again make sure you’re getting cleared
by your doctor before you’re doing any of these. I always suggest doing these at
least once with your therapist or healthcare provider to make sure you’re
doing it correctly. after the 30 seconds with this, you’re gonna come down and
tuck your chin in as you’re coming into kind of all four quadrupeds, and tuck
your chin in and touch your head to the floor.
I know you can’t really see that my chin is tucked in, but I’m trying to tuck it
in towards my chest, bending down as much as I can. so again
I’m holding this position for 30 seconds or until that spinning stops. so if you
have the spinning, that’s normal. try and keep and hold that position until it
stops. don’t just stop because it increases your spinning, that’s kind of
what we’re doing here. and then after the 30 seconds you’re gonna turn your head
to the side of the spinning. so if it was on my right side, I’m gonna turn my head
about 45 degrees or until I’m looking at my elbow. so it doesn’t have to be exact,
I know some people will say this is hard to see the 45 degrees, just turn your
head so you’re looking at your elbow or in between turning it all the way to the
side and all the way to the front and that’s about 45 degrees. so again holding
that position. my chin is still tucked in, I’m turned to that 45 degree angle, and
I’m holding it for 30 seconds. after that 30 seconds I’m going to come up really
quickly just back into that all-fours quadruped, and my head is still at the 45
degree angle. my chin is still tucked in, and I’m still holding it for that 30
seconds. so again each movement you’re spinning might increase again. it might
get you know all the way down to no spinning once at 30 seconds you know
time is up, and then as soon as you move you might get that spinning again. if you
can try and hold that position. and then the last one you’re going to come all
the way up, but you’re still keeping that chin tucked and your head turned to that
45 degree angle. so again holding that for 30 seconds or until the spinning
stops. and then nice and slow come up, fix your hair if it’s been rolling around on
the floor. so for this one sometimes you’ll need to do it anywhere between
three and five times in a row, but it’s recommended that you wait at least 15
minutes in between each one. so you want to kind of see how you feel afterwards.
like I said sometimes you do feel a little bit worse
before you feel better. if your vertigo is really bad, on rare occasions people
do throw up. so just make sure you’re prepared for all that. it might wear you
out as well, so make sure you don’t have any where you have to go that night. you
know make sure you can just relax and not do anything strenuous afterwards
because you’re moving those crystals out of the canal that they got stuck in and
back into the canal they’re supposed to be in. so you don’t want to go and then
be running around afterwards, you want to get the crystals back where they’re
supposed to, those little follicles that are hair like follicles that hold the
crystals in place, you want to get them set back in there in a nice position,
and let them be where they’re supposed to be for a little while before you go
and just do your normal everyday activities again. so make sure you’re
following those steps, but I really recommend you at least do it once, if
just once, with a health care provider, your physical therapist, your doctor, any
of those just make sure that you’re doing it right. so that was the half
somersault maneuver for vertigo. if you’d like to help support my channel, make
sure and click on the link up there, and don’t forget to subscribe, where Bear?
Down there. and remember be safe, have fun, and I hope you feel better soon.


  1. trend trader
    trend trader October 7, 2019

    HA first finally !!!

  2. Adventures with Gnomie
    Adventures with Gnomie October 7, 2019

    Looks like a easy therapy to do

  3. zoran popovic
    zoran popovic October 7, 2019

    ๐Ÿ™๐Ÿ‘thank you

  4. JavaRemastered
    JavaRemastered October 8, 2019

    i have vertigo when i travel in metro

  5. Theda Ways
    Theda Ways October 8, 2019

    Thank you Dr Jo. Hoping this helps.

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