Brandt Daroff Research Articles

Treating benign paroxysmal positional vertigo in acute traumatic brain injury: a prospective, randomised clinical trial assessing safety, feasibility, and efficacy

BackgroundBenign paroxysmal positional vertigo (BPPV) affects approximately half of acute, moderate-severe traumatic brain injury (TBI) patients. To date, there have been no rigorous studies of BPPV assessment or treatment in...

Evaluation of the Efficacy of Vestibular Rehabilitation Home Program Based on Brandt Daroff and Gaze Stabilization Exercises in Patients with Idiopathic Vertigo

Amaç: Bu çalışmanın amacı, tanısı konmuş nörolojik ve otolojik hastalığı olmayan, 3 ay ve daha uzun süredir başdönmesi şikayeti olan bireyler için Brandt Daroff ve bakış stabilizasyon egzersizlerinden oluşturulan vestibüler rehabilitasyon ev programının etkinliğinin değerlendirilmesidir. Yöntem: Çalışmaya baş dönmesi şikayeti olan, otolojik ve nörolojik hastalığı olmayan, 25–45 yaş arası, 13 birey dahil edildi. Baş dönmesinin katılımcıların günlük yaşam aktiviteleri üzerindeki olumsuz etkisi Aktiviteye Özgü Denge Güven Ölçeği (AÖDGÖ) ile değerlendirildi. Kişiye özel vestibüler rehabilitasyon programı, günlük yaşam aktiviteleri sırasında baş dönmesinin artış gösterdiği baş hareketlerinin yönüne göre belirlendi. Brandt-Daroff Egzersizleri ve bakış stabilizasyon egzersizleri ev programı şeklinde verildi. Hastalar 3 hafta sonra ve 3 ay sonra AÖDGÖ ile tekrar değerlendirildi. Sonuçlar karşılaştırıldı. Bulgular: AÖDGÖ skorlarının sonuçlarına göre 3. hafta ile 3. ay değerlendirmeleri arasındaki fark (p<0,001) ve ilk değerlendirme ile 3. ay değerlendirmeleri arasındaki fark (p=0,014) istatistiksel olarak anlamlı bulundu. İlk değerlendirme ile 3 hafta sonraki değerlendirme skorları arasındaki fark istatistiksel olarak anlamlı değildi (p=0,118). Sonuç: Uzun süredir baş dönmesi şikayeti olan bireyler için hazırlanacak vestibüler rehabilitasyon egzersizleri ile günlük yaşam aktiviteleri sırasında baş dönmesinin yaratacağı olumsuzluklar azaltılabilir. Bireylerin günlük yaşam aktivitelerinde iyileşme gözlenebilmesi için vestibüler rehabilitasyon egzersizlerini düzenli olarak yapmaları önerilmelidir.

Effect of Semont maneuver and Brandt-Daroff exercises on Benign Paroxysmal Positional Vertigo

Objective. This study aimed to examine the efficacy of single session of Semont maneuver and Brand Daroff exercises in treatment of BPPV. Methods. This controlled single blinded randomized control trial (RCT) approved by “IEC, GJUS&T, Hisar” on vide letter no. PTY/2022/155 dated on 21/04/2022. 30 patients (18 years of age and above) of posterior semicircular canal BPPV divided into two groups; Group 1 (N=16) was intervention group treated with Semont maneuver & Brandt-Daroff exercises and Group 2 (N=14) was control group in which Brandt-Daroff exercises were given. Subjects were diagnosed with the help of Dix-Hallpike maneuver, visual vertigo analysis scale, questionnaire for self-diagnosis of BPPV and dizziness handicap inventory score. Paired t-test was used to compare data within groups and unpaired t-test was used to compare data between intervention and control group. Results. VAS and total DHI scores at the start of the study were not statistically significant (p=0.28, p=0.80, respectively) between the treatment group and control group. VAS and DHI scores statistically significantly improved after the intervention in group 1 (VAS 6.75±.68, p<0.001; Total-DHI =42.87±8.69; p<0.001). On the other hand, in the group 2, no significant difference was observed (VAS 1.21±.68, p=0.56; Total-DHI =2.29±8.69; p=.67). In addition, significant improvements were observed in VAS and total DHI scores in patients who underwent the Semont maneuver and Brandt-Daroff compared to those in the group 2 (p<0.01, p<0.01, respectively). Conclusion. Semont maneuver and Brandt Daroff exercises are safe and more effective in treatment of BPPV in majority of patient.

Comparing therapeutic maneuvers in posterior canal benign paroxysmal positional vertigo

Context: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo accounting for around 24% of all peripheral vestibular abnormalities and the posterior semicircular canal being the most affected. The most common cause of BPPV is idiopathic, others being inner ear disorders, trauma, infection, and increasing age. Objective: This study evaluated the efficacy of Epley’s maneuver alone and Epley’s maneuver with Brandt–Daroff exercises in the management of posterior semicircular canal BPPV, thereby comparing the recurrence rate after treatment in both groups. Materials and Methods: The study was a randomized prospective clinical trial with parallel and superiority trial design where 94 consecutive patients with posterior semicircular canal BPPV and fulfilling the inclusion criteria were enrolled into two Groups A = 47 and B = 47. All subjects underwent detailed history, examination, and assessment with UCLA dizziness questionnaire and videonystagmography. Group A patients received Epley’s maneuver while group B received Epley’s maneuver with Brandt–Daroff exercises as the treatment, with follow-up done on the 1st and 2nd weeks and after 1 month. Results: The age group of the majority of the patients in the study ranged between 51 and 60 years. The percentage of females in the study was 54.3% and males 45.7%. Results showed significant improvement in vertigo and nystagmus in both groups, with Group B having lesser recurrence during the follow-up visits. Conclusion: Both Epley’s maneuver and Brandt–Daroff exercises are ideal means of treatment, but a combined approach of the two maneuvers yields better outcome in terms of symptomatic resolution and less recurrence.

The use of brandt daroff for Vertigo among elderly

Introduction: Vertigo is a disturbance in the orientation or balance of the body towards a room that makes the patient feel moving or spinning and feel pain. Vertigo attacks if not treated immediately will cause bad effects, namely life. Vertigo can also be a serious cause of early symptoms of a brain tumor. many vertigo sufferers are less concerned about vertigo, the only action taken is taking medication when the vertigo recurs, and just lying down or resting at home, not being taken to the nearest health service and there is no effort to prevent vertigo symptoms. Efforts to reduce vertigo symptoms non-pharmacologically include therapy Brandt Daroff which has the advantage of being able to accelerate the recovery of vertigo and prevent recurrence without having to take drugs. Objective: This study aims to apply therapy Brandt Daroff to reduce vertigo symptoms in the elderly in the family. Methods: The method used in this research is a case study, with a purposive sampling technique. The sample taken was an elderly patient aged 49 years who experienced vertigo with a pain scale of 4. The research data was taken by participatory observation method. Interview and documentation method. Results: the results of this study found that physical therapy brandt daroff can reduce vertigo symptoms in the form of pain from a scale of 4 to a scale of 2 within 6 visits for 2 weeks. Conclusion: therapy Brandt Daroff can reduce the scale of pain that can be done at home, in contrast to other methods that must be done with a doctor's supervision.

Association of Cervical Spondylosis with Recurrence of Benign Paroxysmal Positional Vertigo: a case report

Benign Paroxysmal Positional Vertigo is thought to be the main cause of vertigo globally. It is recurrent and remediable disease accounts under peripheral vestibular disorder which involve one or more then on semicircular canal with floating and displaced otoconia. Activated afferents of semicircular canals produce false sensation of nystagmus. It is characterized by scanty spinning sensations initiated by head movements, commonly in the vertical or horizontal planes. BPPV is common in elderly population and is often undiagnosed or misdiagnosed. BPPV is mostly diagnosed by history and complete examination which involve the Dix-Hallpike maneuver consider as gold standard maneuver in assessment. BPPV is mostly treated conservatively utilizing various physiotherapeutic techniques. Patient education, Semont maneuver (SM), Epley maneuver, Brandt Daroff along with vestibular rehabilitation exercises are proven to be effective in improving sensations of vertigo and chances of reoccurrence. Keywords: Benign Paroxysmal Positional Vertigo, Cervical Spondylosis, Association

A Comparative Study to Assess the Effectiveness of Epley’s Maneuver Vs Brandt Daroffs Home Exercises for Management of Benign Paroxysmal Positional Vertigo

Background:Vertigo is one of the most distressing symptom seen in patients encountered in clinical practice by otolaryngologist and neurologist. It results from dysfunction of vestibular system, among which most common is BBPV(benign paroxysmal positional vertigo). BPPV present with short episodes of vertigo lasting for few seconds, usually precipitated by change in head position. In BPPV, otoconia from utricles are thought to collect in semicircular canal making them abnormally gravity sensitive. BPPV is clinical diagnosis on the basis of typical history and Dix Hallpike testing. Dr. T Brandt and Daroff introduced Brandt daroff home exercises based on cupulolithiasis theory. In 1980, John M Epley introduced canalolith repositioning procedure of Epley in the treatment of BPPV. Because of lack of consensus regarding the optimal treatment maneuver, in our study we have compared the effectiveness of Brandt Daroff and Epleys maneuver.

Comparison of effectiveness of Cawthorne Cooksey exercise with Brandt Daroff exercise in managing post Epley’s residual dizziness in patients with posterior canal benign paroxysmal positional vertigo

<p class="abstract"><strong>Background:</strong> Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. Vertigo and balance disorders are among the most common symptoms experienced in patients who visit ENT outpatient department. BPPV is a common vestibular disorder leading to significant morbidity and psychosocial impact. Residual dizziness is a common condition that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV.</p><p class="abstract"><strong>Methods: </strong>In this study we analysed and compared the effectiveness of Cawthorne Cooksey Exercise with Brandt Daroff Exercise to treat residual dizziness after successful Epley’s maneuver for posterior canal benign paroxysmal positional vertigo. A total of 30 subjects with residual dizziness after successful Epley’s maneuver for posterior canal BPPV were included in our study, 10 were male and 20 were female. The Group A received the Cawthorne Cooksey exercise post Epley’s maneuver and Group B received the Brandt Daroff exercise post Epley’s maneuver. </p><p class="abstract"><strong>Results:</strong> We conclude that both the groups have significant improvement in their symptoms and balance. This was indicated by the results. Despite the significant results within the groups, there was no significant difference between the groups, means both exercises showed almost equal improvement in their respective group.</p><p><strong>Conclusions: </strong>This<strong> </strong>study concludes that both Cawthorne Cooksey exercise and Brandt Daroff exercise are helpful in treating residual dizziness after successful Epley’s maneuver in posterior canal BPPV patients. These exercises are safe and able to reduce subjective symptoms and imbalance hence, any of these can be recommended for treating post Epley’s residual dizziness in patients with posterior canal BPPV. </p>

Residual Dizziness in Elderly Patients after Benign Paroxysmal Positional Vertigo

Introduction: The aim of this study was to compare the effects of Brandt-Daroff (BD) exercise and shopping exercise (SE) on the resolution of residual dizziness (RD) in patients with benign paroxysmal positional vertigo (BPPV) following a successful modified Epley canalith repositioning maneuver (CRP). Methods: This single-blind, randomized clinical trial included patients with posterior semicircular canal type of BPPV. Following the modified Epley maneuver, patients that experienced RD were randomly assigned to 3 groups: (i) BD, (ii) SE, and (iii) control groups. Primary outcomes were quantified using the Dizziness Handicap Inventory (DHI). Results: Following CRP, 240 (63%) participants experienced RD. All these patients were followed up weekly for RD. After the resolution of RD, patients were followed up monthly for recurrence. Mean time to recovery was 16.4 ± 10 (range, 5–49) days in the BD group, 11.5 ± 4.6 (range, 6–32) days in the SE group, and 23.4 ± 16.8 (range, 6–89) days in the control group. The SE group recovered significantly faster than the BD and control groups (p < 0.001). Baseline emotional DHI (E-DHI) scores were significantly correlated with the duration of pre-CRP symptoms (p < 0.001). Correlation analysis indicated that patients with obesity and diabetes mellitus (DM) recovered later than patients without these comorbidities. Conclusion: We found that RD improved significantly in the SE group compared to the BD and control groups. Additionally, a significant relationship was established between RD and high anxiety levels and DM, and obesity had a negative impact on the resolution of RD.

Effectiveness of Brandt Daroff, Semont and Epley maneuvers in the treatment of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial.

The aim was to compare the effectiveness of Brandt-Daroff, Semont and Epley maneuver in BPPV resolution.A Single Blind RCT in a Secondary Care Center was performed. Inclusion criteria were: patients with unilateral rotatory nystagmus on Dix-Hallpike Maneuver (DHM). Exclusion criteria: other causes of peripheral or central vertigo. Patients were randomized into 4 groups: Brandt-Daroff, "sham", Semont and Epley. Patients underwent allocation, 1st visit (at 1week with reprise of original maneuver if persistent nystagmus) and 2nd visit (2 to 4weeks) with repetitions of both DHM and DHI. Main Outcome Measures: Absence of nystagmus on DHM at 1st and 2nd visit evaluations and DHI score. Resolution was defined as the abscence of nystagmus. We included 34 patients (25 females, 9 males). Patients were randomized to Brandt-Daroff (n = 9), "sham" (n = 7), Semont (n = 9) and Epley (n = 9) group. Overall mean age was 59.85years (SD ± 13.10). A total of 47.06% patients (n = 16) had negative DHM at 1st visit. Resolution for Brandt-Daroff was 22.22%, "sham" 28.57%, Semont 44.44% and Epley 88.88% (p = 0.024); at 2nd visit follow up, Epley achieved 100% resolution (other maneuvers: 42.86%, 16.67%, 44.44%, respectively. P = 0.006). The DHI improvement at 2nd visit for Brandt-Daroff was 21.17 points, "sham" 8.05, Semont 14.67 and Epley 61.78 (p = 0.001).Epley maneuver was superior to Brandt Daroff, "sham" and Semont maneuvers on nystagmus resolution and DHI improvement in patients with BPPV.

The Effect of Brandt Daroff Therapy on Rehabilitation in Vertigo Patients in Hospital Imelda Pekerja Indonesia Medan in 2017

The Effect of Brandt Daroff Therapy on Rehabilitation in Vertigo Patients in Hospital Imelda Pekerja Indonesia Medan in 2017

Effect of the Epley Maneuver and Brandt-Daroff Exercise on Benign Paroxysmal Positional Vertigo Involving the Posterior Semicircular Canal Cupulolithiasis: A Randomized Clinical Trial.

Objective: To investigate the therapeutic efficacies of the Epley maneuver and Brandt-Daroff (BD) exercise in patients with benign paroxysmal positional vertigo involving the posterior semicircular canal cupulolithiasis (PC-BPPV-cu).Methods: We conducted a randomized clinical trial to evaluate the therapeutic effect of the Epley maneuver and BD exercise in patients with PC-BPPV-cu. Patients were randomly assigned to undergo the Epley maneuver (n = 29) or BD exercise (n = 33). The primary outcome was an immediate resolution of positional nystagmus within 1 h after a single treatment of each maneuver on the visit day. Secondary outcomes included the resolution of positional nystagmus at 1 week, the change of maximal slow phase velocity (mSPV) of positional nystagmus, and dizziness handicap inventory (DHI) immediately and at 1 week.Results: Immediate resolution occurred in none of 29 patients in the Epley maneuver group and only 1 of 33 patients in the BD exercise group. The Epley maneuver and BD exercise had an equivalent effect at 1 week in treating PC-BPPV-cu in terms of resolving positional nystagmus (48 vs. 36%, p = 0.436) and the decrease of mSPV and DHI.Conclusion: Neither the Epley maneuver nor BD exercise has an immediate therapeutic effect in treating PC-BPPV-cu. Clear classification of PC-BPPV should be required at the time of different pathology and different treatment response.

Eficacia de los ejercicios de rehabilitación vestibular y de Brandt- Daroff En Pacientes con Vértigo Posicional Paroxístico Benigno

Este trabajo tiene como objetivo determinar la eficacia de los ejercicios de rehabilitación vestibular y de Brandt Daroff en pacientes con Vértigo Posicional Paroxístico Benigno del Hospital Florencia de Mora. Se realizó una investigación observacional correlacional cuasiexperimental con una población de 46 pacientes encontrando que la eficacia con los ejercicios de Brandt Daroff fue superior en relación a los ejercicios de rehabilitación vestibular, mientras que en relación al sexo se estableció que el 36.9% de los casos pertenecen al sexo masculino, mientras que el 63.0 % pertenecen al sexo femenino.

BALANCE AND GAIT PERFORMANCE AFTER PARTICLE REPOSITIONING MANEUVER IN BENIGN PAROXYSMAL POSITIONAL VERTIGO PATIENTS

Purpose: The purpose of this study was to examine subjective complaints, recurrence of benign paroxysmal positional vertigo (BPPV), balance and gait with a particle repositioning maneuver (PRM), and to investigate the effects of Brandt Daroff (BD) exercises and comorbid factors as migraine on recovery in BPPV patients. Methods: Fifty-seven patients were treated with a PRM for posterior canal BPPV. The perception of vertigo was estimated with Visual Analogue Scale (VAS), gait with Dynamic Gait Index (DGI), balance with the modified Clinical Test of Sensory Integration and Balance (mCTSIB). If the Dix-Hallpike test was still positive one week after the PRM, the maneuver was repeated. When remission was confirmed, patients were called back after one month to repeat all tests. If the patient suffered only from residual dizziness after one week, BD exercises were recommended for one month. Results: The VAS scores for all patients improved significantly one month after a PRM (p 0.05). It was found that patients with migraine had complaints of more severe imbalance. Conclusion: Subjective complaints, balance and gait abilities improved in all patients after PRM. BPPV patients with migraine have a greater risk of recurrence and lower improvement in balance and gait ability after PRM. BD exercises did not prevent recurrence and residual dizziness.

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.

To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV). Retrospective case review. Tertiary referral center. Fifteen patients with symptoms of BPPV and oculomotor evidence of activation of posterior semicircular canal (P-SCC) cupula that arises when sitting up from Dix-Hallpike maneuver (DH). All patients were examined with videonystagmography and underwent brain magnetic resonance imaging (MRI). All patients showed up-beating nystagmus with ipsilateral torsional component when coming up from right or left side DH. Most patients described vertiginous symptoms when sitting up from bed and many described severe non-positional disequilibrium. Eight patients had been treated with Epley canalith repositioning maneuver (CRM) at our clinic for posterior canal BPPV. Four of them were re-tested within an hour for CRM effectiveness and the rest, a week later. Three patients had been diagnosed with BPPV and were being treated with CRM in other institutions. Four patients showed these findings but they had not previously undergone CRM. All patients were treated with CRM without success, but they resolved their positional vertigo by means of Brandt Daroff exercises. No patient showed evidence of central vestibular disorder. We propose a P-SCC canalolithiasis limited to the periampullar portion by means of an anatomical restriction of distal movement of the otoconial debris. This syndrome seems to be more frequent early after CRM of classical P-SCC canalolithiasis. Close attention to ocular movement on sitting up after DH on patients is warranted.

Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India

Introduction: Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.BPPV is often overlooked by general physician and treated with anti-vertigo drugs. Objective: To evaluate the prevalence, incidence, clinical presentation of benign paroxysmal positional vertigo (BPPV). Also assessing the age, gender and site of the lesion, association with other vestibular disorders, progression, and recurrence in these patients. Materials and methods: A retrospective study of total of 172patients those attended in vertigo clinic for giddiness diagnosed as BPPV. Data analyzed from medical records since last 3 years. Out of total 685 vertigo patients in our Vertigo Clinic, 172were found to suffer from BPPV.The age of the patients ranged from 23 years to 76 years with mean of 41.4 year. Results: Out of 685 patients with vertigo,172 were diagnosed as BPPV. Among them, 102 female and 70 male patients. The posterior canal was affected in 81.97 %, the lateral in 10.46 %, the anterior in 5.23 % and multiple canals in 2.32 %.The treatment maneuver used most was Epley’smaneuver. Recurrence was observed in 10.37 % of the cases. It was idiopathic in 73.83% of cases. Conclusion: BPPV is a common peripheral vestibular disorder causing significant morbidity, psychosocial impact and medical costs. Epley’s maneuver provides rapid relief of symptoms of BPPV. In addition daily Brandt–Daroff exercises decrease the chances of recurrence rate.

Effect of Epley, Semont Maneuvers and Brandt-Daroff Exercise on Quality of Life in Patients with Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo (PSCBPPV).

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause in patients with vertigo (Pereira et al. in Braz J Otorhinolaryngol (Impr) 76(6):704-708, 2010; Dix and Hallpike in Ann Otol Rhinol Laryngol 6:987-1016, 1952). Posterior Semicircular Canal BPPV (PSCBPPV) has more incidence and prevalence then Lateral, and Anterior Semicircular Canal BPPV (Alghwiri et al. in Arch Phys Med Rehabil 93:1822-1831, 2012). Quality of life (QoL) is significantly impaired by vertigo (Sargent et al. in Otol Neurotol 22:205-209, 2001; World Health Organization in International classification of functioning, disability and health, World Health Organization, Geneva, 2001). To study the effect and compare Epley, Semont maneuvers and Brandt-Daroff Exercise on QoL in patients with PSCBPPV. 90 individuals with unilateral PSCBPPV were selected based on positive Dix-Hallpike test. 3 groups Epley, Semont, and Brandt-Daroff were formed and 30 individuals were selected in each group randomly. Dix-Hallpike test and Vestibular Activities and Participation (VAP) Scale based on International Classification of Functioning were administered before and after Epley, Semont maneuvers, and Brandt-Daroff Exercise to fulfill the aim. VAP Scale results revealed significant difference between pre and post treatment score in all 3 groups, suggestive of positive effect on QoL in patients with PSCBPPV. Improvements in VAP Score between 3 groups were compared and significant difference was observed. Dix-Hallpike test results revealed that 90, 73.33, and 50% patients improved in Epely, Semont, and Brandt-Daroff group respectively. Epely maneuver found to be the best choice and then Semont and Brandt-Daroff should be least preferred in treatment of patients with PSCBPPV.

Curative effect analysis of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo

Objective:To explore the curative effect and quality life of the vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Method:Residual dizziness after successful canalith repositioning maneuvers in patients with BPPV were enrolled in our study. They were randomized into three groups, the control group A were no disposition which include 32 patients, the intervention group B were guided to self rehabilitation training which include 33 patients, the control group C were guided to Brandt Daroff training which include 33 patients. Dizziness handicap inventory (DHI) and residual dizziness duration were used to evaluation the patients. Result:After one week vestibular rehabilitation training, the scores of DHI in group B and C decreased, and there was no significant difference (P>0.05), there were significant differences between group B and group C in group A, respectively (P<0.01). After four weeks of vestibular rehabilitation training, the scores of DHI in group B and group C were lower than those in group A, the decrease of group B was significantly higher than that of group C (P<0.01). The residual dizziness duration indicated that no statistical differences in the B, C groups (P>0.05) and scores of group B,C were significantly lower than group A (P<0.05). Conclusion:The appropriate vestibular rehabilitation training on residual dizziness after successful canalith repositioning maneuvers in patients with BPPV can help promote the central vestibular compensation, reduce the residual symptoms, improve the quality life of patients, and which can be used as the adjuvant treatment on BPPV patient who has residual dizziness symptoms.

"Effectiveness of Canalith Re Positioning Procedure Versus Brandt Daroff Exercises in Benign Paroxysmal Positionalvertigo Subjects"

Background: Vertigo is perception of motion, when no movement is present or abnormal perception of motion in response to movement. Vertigo is usually due to a disturbance in the vestibular System. Physical therapy plays an important role in reducing vertigo and nystagmus in benign paroxysmal positional vertigo subjects. Benign paroxysmal positional vertigo(BPPV) comes under the peripheral Vertigo which is the most common disease causing vertigo.Cawthrone and cooksy were the first clinicians to advocate exercises for persons suffering from vertigo. Canalith repositioning procedure was effective in treating BPPV. Brandt Daroff exercises were designed to habituate the central nervous system to provoking position and they dislodge and move the debris out of canal which is effective in treating BPPV. Hence this study compares the effectiveness of these two techniques in treating BPPV.Methods: Total number of 30 subjects was taken and they were divided into two groups by simple random sampling method with Pre test and post test experimental design . Group A subjects were treated with Canalith repositioning procedure and Group B subjects were treated with Brandt Daroff exercises. Outcome measure is dizziness handicap inventory (DHI)Results: P-value is less than 0.05 which shows that there is significant difference between Canalith repositioning procedure and Brandt Daroff exercises.Conclusion: Canalith repositioning procedure is most effective and less time consuming procedure in treating the Benign Paroxysmal positional vertigo subjects and found to have less reoccurrence.

Diagnosis and management of posterior semicircular canal benign paroxysmal positional vertigo: A practical approach

ObjectivesTo identify variables affecting outcome in patients with unilateral and bilateral BPPV. Materials and methodsRetrospective review of 220 patients diagnosed with posterior SCC underwent treatment successfully with Canalith Repositioning Maneuver. Bilateral and severe cases received medical treatment before starting the maneuver. Scheme for management of the cases had been settled. ResultsOne hundred seventy-four patients (74.5%) as the first BPPV episode while 25.5% with recurring episodes. Significant improvement was reported in 84% of patients. Etiology is not playing a role in unilateral or bilateral BPPV. Patients presented with bilateral BPPV were classified into true or unilateral mimicking bilateral BPPV. 46.7% of the patients reported sleeping using one pillow. Daily routine Brandt–Daroff exercises after the success of CRM affect the rate of recurrence. ConclusionCanalith repositioning Maneuver provides rapid relief of symptoms of BPPV. Patients with bilateral or severe BPPV required a special protocol to reach complete relief. In addition daily routine Brandt–Daroff exercises decrease the recurrence rate.