Brandt-Daroff Exercises (Video)

Brandt-Daroff exercises are less effective than the Epley and the Semont maneuvers and are not shown to prevent recurrence [1-3]. Brandt-Daroff exercises may still be beneficial for habituation exercises and to reduce phobic responses to lying supine or side-lying after the resolution of BPPV. This figure demonstrates how to to complete Brandt-Daroff exercises [4].[1] Brandt T, Daroff RB. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg. 1980;106:484-5. https://doi.org/10.1001/archotol.1980.00790320036009; [2] Amor-Dorado JC, Barreira-Fernández MP, Aran- Gonzalez I, et al. Particle repositioning maneuver versus Brandt-Daroff exercise for treatment of unilateral idiopathic BPPV of the posterior semi- circular canal: a randomized prospective clinical trial with short- and long-term outcome. Otol Neurotol. 2012;33:1401-7. https://doi.org/10.1097/mao.0b013e318268d50a; [3] Helminski JO, Kotaspouikis D, Kovacs K, et al. Strategies to prevent recurrence of benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg. 2005;131:344-8. https://doi.org/10.1001/archotol.131.4.344; [4] Gold DR, Morris L, Kheradmand A, Schubert MC. Repositioning maneuvers for benign paroxysmal positional vertigo.Curr Treat Options Neurol. 2014;16(8). https://doi.org/10.1007/s11940-014-0307-