How to Perform the Zuma Maneuver to Treat Lateral Canal BPPV

In this video we review how to perform the Zuma Maneuver. As the video demonstrates, the maneuver is simple to perform and can be used to treat both canalithiasis and cupulolithiasis of the lateral canal.

In the original article in 2016, there is no mention of using a pillow, but in this video we take the liberty of having a pillow under the patient's head. We find this useful to keep the head in a neutral position in side lying and keeps the head slightly inclined when supine.

Here is a link to the original 2016 article: https://www.ncbi.nlm.nih.gov/pmc/arti....

While the original technique can be used to treat both canalithiasis and cupulolithiasis of the lateral canal, a modified version has been outlined to treat canalithiasis affecting the posterior arm of the lateral canal (most common form of lateral canal BPPV and characterized by positionally evoked unsustained geotropic nystagmus). Modifications include:
- turning the head 45 degrees away from the affected side while the patient is sitting, then keeping this head position while the patient initially lays on their affected side,
- not having to make the position changes suddenly,
- and not having to hold each position for 3 minutes.

To visualize what is happening anatomically with the Zuma and Modified Zuma Maneuvers check out this video:    • Zuma Maneuver How It Works  .

Here is a link to an article outlining the modified Zuma: https://www.ncbi.nlm.nih.gov/pmc/arti....

If you would like to learn more about the Zuma and modified Zuma maneuvers check out this link: https://courses.north49therapy.com/bl...

To hear about the Zuma Maneuver from Dr. Zuma himself, check out this video:    • Benign Paroxysmal Positional Vertigo ...  .

For further learning opportunities from North 49 check out our website at: https://courses.north49therapy.com.

The goggles used in this video are from Vestibular First: https://vestibularfirst.com/?referred...