A couple of 360NeuroGO members have reached out to us about the Dias Supine to Seated canalith repositioning maneuver (CRM) that was referenced in the VestibularFirst newsletter.

This newer CRM is successful and more suitable for healthcare providers that may be performing a CRM for posterior canalithiasis on a smaller hospital bed or if the patient has mobility problems. The authors of this research found a success rate of 85.19% after a single application and a 94.44% rate with 2 maneuvers performed on the same day.

Please click here to view the article, Proposal of an otolith repositioning maneuver for posterior canal Benign Paroxysmal Positional Vertigo: a supine seated approach. This demonstrates how to perform this maneuver. When referring to this article, pay close attention to the written description. For example, the image showing a 90-degree angle head turn does not quite represent a full 90 degrees as explained in the text. Also, remember that there is no rolling over to the patient’s side as done with the Epley. Instead, the patient transitions from supine to seat while the head is kept in rotation.

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