Brandt-Daroff Exercise for BPPV - Brighton and Sussex University

The Brandt-Daroff Exercises are a method of treating. BPPV, usually used when the office treatment fails. They succeed in 95% of cases but are more arduous.

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What are Brandt-Daroff exercises?
Brandt-Daroff exercises are used for the treatment of Benign
Paroxysmal Positional Vertigo (BPPV). For more information on
BPPV please see our separate leaflet on this.
What is the benefit of doing the exercises?
The exercises can stop the dizzy spells experienced by BPPV
sufferers. It is not clear why the exercises work, some evidence
suggests that the exercises help to relocate the loose crystals
that cause the dizziness in the first place, whereas other
evidence suggests that repeated exposure to the feeling
of dizziness reduces its intensity.
What are the risks or disadvantages?
The exercises are likely to provoke dizziness, therefore should
be performed in a safe environment, preferably with another
person present. Some people find it difficult to persevere with
the exercises but the exercises have a good success rate.
Are there any alternatives to performing these exercises?
There are alternative manoeuvres that can be used to treat
BPPV, such as an Epley manoeuvre. Your specialist may perform
an Epley manoeuvre with you in clinic and then recommend
Brandt-Daroff exercises for you to use at home as these are
easier to perform unsupervised.
What is the benefit of doing the exercises?
What are the risks or disadvantages?
Are there any alternatives to performing these exercises?
What are Brandt-Daroff exercises?