Vertigo will happen as the particles move below the canal exit. Another wait for 30 seconds happens to permit the particles to move so far as you can in the canal, before the patient is rolled onto their leftside, allowing the mind to turn further toward the left shoulder, even until the individual is facing the ground in a 45 degree angle. Dangling the head off the bed unsupported through the Dix Hallpike can strain the throat. At the initial evaluation she noticed that each and every time she went to lie back in bed or flip to her right side in bed, then she'd feel the room would spin for around 30 seconds, then it might go off. To satisfy with up with the need for a more straightforward home exercise, the half somersault maneuver (see Figure 4) was devised; the writer was published on this topic.6 It doesn't require an assistant and can be performed on almost any stable surface, usually the floor or a bed. The mind is tilted up to face the ceiling to 30 seconds and then is placed upside down to the ground at the somersault position for 30 seconds.