Brandt-Daroff exercises - West Suffolk NHS Foundation Trust

These exercises are a method of treating Benign Paroxysmal Positional Vertigo
(BPPV). They succeed in 95% of cases but more arduous than the Epley
manoeuvre.

The Brandt-Daroff exercises should be performed for two or three weeks and a
suggested schedule is as follows

Time exercise duration:
Morning 5 repetitions 10 minutes

Noon 5 repetitions 10 minutes

Evening 5 repetitions 10 minutes

1. Sitting comfortably sideways on, in the middle of your bed (position 1), turn your
head 45 degrees to one side.

2. Keeping your head 45 degrees to one side, lie down sideways on the bed in the
opposite direction to the way your head is turned. For example, if your head is
turned to the left then lie down onto your right side (position 2).

3. This movement may provoke a brief sensation of dizziness or vertigo. Stay in
this position for 30 seconds or until the dizziness has passed if this is longer.

4. Return to the sitting position (position 3), staying there for 30 seconds.

5. Turn your head 45 degrees in the opposite direction to previously and go through
the same routine but to the other side. This means keeping your head turned 45
degrees to one side and lying down sideways on the bed to the side opposite to
the way your head is turned. For example, if your head is turned to the right then
lie down onto your left side (position 4).

6. Again this movement may provoke a brief sensation of dizziness. Stay in this

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position for 30 seconds or until the dizziness has passed if this is longer.

7. Return to the sitting position (position 1), staying there for 30 seconds.

8. Repeat, as according to your schedule.

9. On completion of your set of exercises ensure you stay sitting on the side of your
bed until any dizziness has passed and you feel safe to stand up.