Zuma Maneuver

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Description

The Zuma Maneuver was created in 2016 as an intervention for apogeotropic lateral canal Benign Paroxysmal Positional Vertigo (LC-BPPV). The maneuver involves a sequence of head positions to detach the otoconia from the anterior arm of the horizontal canal and/or the cupula. It utilizes both inertial and gravitational forces to dislodge and guide otoliths toward the utricle.

Steps of the Zuma Maneuver

1. Initially, from a seated position the patient is instructed to swiftly lie down on the affected side and maintain this position for 3 minutes.
2. The patient's head is turned 90° upwards and held in place for another 3 minutes.
3. The patient transitions to a supine position, and the head is rotated 90° towards the unaffected side, also held for 3 minutes.
4. Slightly tilt the head forward to prevent the particles from returning toward the rear arm of the canal
5. Gradually return to the sitting position.

Indication

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Clinical Presentation

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Resources

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