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. 2025 Aug;282(8):3883-3896.
doi: 10.1007/s00405-025-09304-0. Epub 2025 Mar 18.

Barbecue roll maneuver for horizontal canal benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

Anas R Alashram  1   2
Affiliations

Barbecue roll maneuver for horizontal canal benign paroxysmal positional vertigo: a systematic review of randomized controlled trials

Anas R Alashram. Eur Arch Otorhinolaryngol. 2025 Aug.

Abstract

Purpose: This review aims to investigate the effects of the Barbecue roll maneuver on horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) recovery.

Methods: Multiple databases, including "PubMed, PEDro, REHABDATA, MEDLINE, SCOPUS, EMBASE, and Web of Science" were searched from inception to October 2024". Experimental studies that included patients with HC-BPPV that performed the Barbecue roll maneuver independently or in combination with other treatments, compared with active, passive, or no controls, assessed HC-BPPV symptoms, were included in this analysis. The "Physiotherapy Evidence Database (PEDro)" scale was used to investigate the methodological quality of the included studies.

Results: Nine studies met the inclusion criteria with 768 HC-BPPV patients (mean age = 56.16 years; 64% female; 52% right-side HC-BPPV; 90% geotropic HC-BPPV). The PEDro scores ranged from 3 to 8, with a median of 6. The findings showed that the Barbecue roll maneuver is not superior in reducing HC-BPPV symptoms compared to other maneuvers, such as the Gufoni, the Gufoni-Appiani and the Li repositioning.

Conclusions: The initial findings indicated that the Barbecue roll maneuver is considered a treatment option for treating geotropic HC-BPPV. Performing Barbecue roll maneuver for 1 to 3 times can yield meaningful effects. Accurate diagnosis of HC-BPPV is essential for optimal treatment outcomes. The success rate of recovery depends on patient characteristics and therapist proficiency. Additional studies are recommended.

Keywords: Barbecue roll maneuver · vestibular; Benign paroxysmal positional vertigo; Horizontal semicircular Canal; Rehabilitation.

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Conflict of interest statement

Declarations. Ethical approval: This article is based on previously conducted studies and contains no new studies with human participants or animals performed by any of the authors. Details of any previous presentation of the research, manuscript, or abstract in any form: None. Permission: Permissions were approved by Dr. Qusai Janada and Tareq Youssef to include their names in acknowledgments. Conflicts of interest: On behalf of all authors, the corresponding author states that there is no conflict of interest.

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