UF Health Neurologists Promote Semont-plus Maneuver
New research suggests the maneuver may resolve vertigo symptoms faster than the traditional Epley technique.
Updated on Oct. 21, 2026 in Stroke
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Neurologists at UF Health in Gainesville are advocating for the Semont-plus maneuver as a highly effective treatment for benign paroxysmal positional vertigo (BPPV). Published findings in JAMA indicate the technique offers a swift resolution to vertigo symptoms compared to long-standing methods.
Why it matters
The Semont-plus maneuver may offer a more accessible alternative for patients struggling with the Epley maneuver, especially those dealing with cervical spine or shoulder limitations. This shift could improve quality of life for the significant portion of the elderly population prone to BPPV.
Clinical trials demonstrate a 90% success rate for the Semont-plus maneuver during an initial patient visit. BPPV currently impacts 30% of individuals over age 60 and 50% of those older than 85.
The players
UF Health
This Gainesville-based academic health center is home to a team of neurologists focused on advancements in vestibular care.
JAMA
This is a peer-reviewed medical journal that publishes original research and clinical studies across various medical specialties.
The details
The Semont-plus maneuver repositions inner ear canaliths through precise head extensions and body movements that patients can eventually perform at home. While the Epley maneuver has remained a standard first-line treatment for posterior canal BPPV for decades, this updated approach provides a viable alternative for patients with physical mobility issues.
Timeline
The Epley maneuver has served as a standard treatment for BPPV for the past 45 years.
Health Landscape
This study marks a significant departure from the standard Epley maneuver protocol by highlighting a faster, more adaptable alternative. It represents a broader evolution in vestibular care, moving toward specialized maneuvers tailored to individual patient physical constraints.
Patients dealing with chronic vertigo or cervical spine issues may find the Semont-plus maneuver easier to perform than traditional techniques. Consult with a specialist to determine if this maneuver or home-based exercises are appropriate for your specific health needs.
The takeaway
Patients experiencing vertigo should discuss the Semont-plus maneuver with their physician to see if it offers a better alternative to traditional physical therapy. Incorporating these targeted head extensions may provide faster relief from BPPV symptoms for many elderly individuals.
Further reading
Learn more about the latest developments in vestibular medicine in our Stroke section.
Source note: This article includes information reported by Alachua Chronicle.
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