© 2018 by Todd. E. Samuelson M.D.

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Home Treatment of BPPV: Brandt-Daroff Exercises

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 than the office treatments. These exercises are performed in three sets per day for two weeks. In each set, one performs the maneuver as shown five times.

Suggested Schedule for Exercise

1 repetition = maneuver done to each side in turn (takes 2 minutes)

Time

Exercise

Duration

10 minutes

5 repetitions

Noon

Morning

5 repetitions

10 minutes

Evening

5 repetitions

10 minutes

Start sitting upright (position 1). Then move into the side-lying position (position 2), with the head angled upward about halfway. An easy way to remember this is to imagine someone standing about 6 feet in front of you, and just keep looking at their head at all times. Stay in the side-lying position for 30 seconds, or until the dizziness subsides if this is longer, then go back to the sitting position (position 3). Stay there for 30 seconds, and then go to the opposite side (position 4) and follow the same routine..

 

These exercises should be performed for two weeks, three times per day, or for three weeks, twice per day