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This patient information factsheet from University Hospital Southampton’s Audiology and Hearing Therapy Department explains benign paroxysmal positional vertigo (BPPV) and provides detailed guidance on the Barbecue Roll Manoeuvre, a home‑based treatment for BPPV affecting the right horizontal semicircular canal. The document defines BPPV, describes its causes (dislodged otolith crystals in the inner ear) and typical symptoms (brief episodes of intense spinning dizziness triggered by head position). It introduces the Barbecue Roll Manoeuvre, outlining its purpose to reposition the displaced crystals back to the utricle, and supplies a step‑by‑step protocol with specific timing (30‑second holds, 5‑minute and 15‑minute rest periods). Safety recommendations include having a helper present, watching a demonstration video, and moving slowly. Potential risks such as transient vertigo during the manoeuvre and post‑treatment imbalance are described, along with advice on post‑treatment head‑movement restrictions, a one‑week self‑test, and guidance on when to contact the clinic if symptoms recur. The factsheet concludes with comprehensive contact details, information on translation and accessibility services, and version control information.
Topics
Understanding BPPV: Definition, Causes, and Symptoms
Explains what benign paroxysmal positional vertigo is, the role of otolith crystals, how they become dislodged, and the typical dizzy episodes patients experience.
Barbecue Roll Manoeuvre: Rationale and Targeted Canal
Describes why the Barbecue Roll is used specifically for right horizontal canal BPPV, how the series of head rolls aim to move crystals back to their proper location.
Step‑by‑Step Instructions for Performing the Barbecue Roll at Home
Provides a detailed, numbered protocol (lie on right side, roll to back, left side, stomach, right side, sit, repeat) with timing guidance and safety tips such as having a helper and watching a video.
Potential Risks and Expected Post‑Treatment Sensations
Outlines normal transient vertigo during the manoeuvre, possible imbalance for up to 48 hours after, and emphasizes that these symptoms are expected and temporary.
Follow‑Up Guidance and When to Seek Further Care
Advises patients to avoid rapid head movements after treatment, perform a self‑test after one week, monitor for recurrence, and contact the clinic if vertigo returns or persists.
Accessibility, Support Resources, and Contact Information
Lists phone, email, translation services, alternative formats, and a link to a demonstration video, ensuring patients can obtain further help and accommodations.