Treatment for BPPV, all three canals, right side, Barreto maneuver

By Marcello Cherchi, MD PhD

Barreto and colleagues (Barreto et al. 2023) described a “universal repositioning maneuver” intended to treat all three canals on one side.

The Figure below shows the Barreto maneuver for treating all three canals on the right side.

The “universal repositioning maneuver” for treating all three canals on the right side can be described as follows:

1. The patient starts in a neutral seated position.
2. The patient lies sideways onto the affected (right) shoulder with the neck laterally flexed 30 – 45 degrees toward the affected (right) shoulder.
3. The patient rolls the torso 180 degrees toward the unaffected (left) side, ending with lying on the unaffected (left) shoulder, and with the neck laterally flexed 30 – 45 degrees toward the unaffected (left) shoulder.
4. The patient resumes an upright, neutral seated position.

Barreto maneuver, all three canals, right side, videos

• https://www.youtube.com/shorts/Umz9wgMfXwA (Vestibular First)

References

Barreto RG, Yacovino DA, Cherchi M, Teixeira LJ, Nader SN, Leão GF (2023) Universal repositioning maneuver: a new treatment for single canal and multi-canal benign paroxysmal positional vertigo by 3-dimensional model analysis. Journal of International Advanced Otology 19: 242-247. doi: 10.5152/iao.2023.22921