Falls and Syncope Service

Physical Manoeuvres

0191 282 5237 - Falls and Syncope Service

Evidence has shown that leg and arm manoeuvres, as described below, can actually stop or delay a vasovagal episode (syncope).

Leg and arm manoeuvres are safe and well accepted as a first line specific treatment for vasovagal syncope and orthostatic hypotension. These manoeuvres work by increasing the blood pressure by muscle contraction. There are two types of manoeuvres that can be performed, either separately or together, depending on severity of symptoms.

  • LCM – leg-crossing manoeuvre
  • AM – arm manoeuvre

At the onset of symptoms, perform the leg-crossing manoeuvre (LCM) or the arm manoeuvre (AM).

Leg-crossing manoeuvre

Cross legs in a standing position and tense the legs, abdominal and buttock muscles.
Firmly squeeze the legs together for 30 seconds and release. 
If symptoms continue, resume this manoeuvre until symptoms disappear.

Arm manoeuvre


Clench a stress ball or tennis ball very tightly in your hands or make a tight fist with both hands for 30 seconds. Release and repeat until symptoms subside.

By using these manoeuvres, you can delay and actually abort syncope. These manoeuvres will help to increase your sense of control over your symptoms and reduce their frequency, thereby helping to improve your quality of life.

We hope that this leaflet has been helpful.

If you have any questions, please ask the doctor or nurse, who will answer them.

Contact Falls and Syncope Service
Telephone 0191 282 5237
Hours Monday to Friday 9.00am – 5.00pm


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