Rapid Sit-Up Maneuver for Unilateral or Bilateral Posterior Canal BPPV

The Rapid Sit-Up Maneuver is perhaps the most efficient in-office treatment of posterior canalithiasis. Unilateral and bilateral disease can be treated. Advantages are that the patient is already in the supine position after the diagnostic Dix-Hallpike maneuvers, and this maneuver does not require repositioning to side lying on the exam chair which is difficult for many patients. To be effective patients must be able to hang the head 40 degrees below horizontal at the start of the maneuver.