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Brandt–Daroff Exercises

A home rehabilitation programme for BPPV.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Brandt–Daroff Exercises?

Described by Thomas Brandt and R. Daroff in 1980, these are home-based positional exercises for BPPV and other positional vertigos that the patient can perform unsupervised.

The patient starts seated, lies onto one side, waits 30 seconds, returns to sitting, and then lies onto the opposite side. One set comprises five repetitions; three sets per day are recommended.

They work more slowly than the Epley or Semont manoeuvres, with symptoms typically improving within 1–2 weeks. Exercises may worsen vertigo initially but adaptation develops with repetition.

Symptoms

Recurrent BPPV episodes
Positional vertigo
Failure of Epley or Semont manoeuvres
Mild positional dizziness
Sense of imbalance
Need for vestibular adaptation

Risk Factors

Chronic BPPV
Vestibular hypofunction
Elderly patients
Fear of head movement
Need for vestibular rehabilitation
Combined vestibular pathology

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When home exercises are requested for BPPV
  • For reinforcement after a clinical manoeuvre
  • For mild positional vertigo
  • For vestibular hypofunction
  • To assess exercise tolerance

Treatment Methods

01
Sit on the edge of the bed
02
Turn the head 45° away and rapidly lie to that side
03
Wait 30 seconds (until symptoms subside)
04
Return to sitting for 30 seconds
05
Perform the same movement on the opposite side
06
5 repetitions, 3 sets per day
07
Continue regularly for 2 weeks
08
Reduce the dose once symptoms are controlled

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.