REVIEW PAPER
Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
 
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Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, India
 
 
Submission date: 2023-04-15
 
 
Acceptance date: 2023-09-04
 
 
Publication date: 2024-12-06
 
 
Corresponding author
Meenakshi Bagri   

Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar-125001, Haryana, India
 
 
Physiother Quart. 2024;32(4):1-6
 
KEYWORDS
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ABSTRACT
Introduction:
Benign Paroxysmal Positional Vertigo (BPPV) is defined as a disorder of the inner ear characterised by repeated episodes of positional vertigo. BPPV is one of the most prevalent vestibular disorders in the general population, accounting for one-third of all vestibular disorders. The prevalence of BPPV is higher in females than males and this prevalence increases with increasing age. The common non-surgical treatments of BPPV are repositioning manoeuvres and habituation exercises. This review aimed to explore the effectiveness of Brandt-Daroff exercises in patients with BPPV.

Methods:
Two search engines, PubMed and Cochrane, were used. Articles focusing on Brandt-Daroff exercises as management of BPPV were included in this review. All articles were published in English and results up to February 2023 were included.

Results:
Epley’s repositioning manoeuvre is a better treatment option for posterior canal BPPV. Epley’s manoeuvre is more effective if applied alone as compared to its application along with Brandt-Daroff exercises or with medication. Epley’s manoeuvre was more effective than any other repositioning manoeuvre, such as the Semontmanoeuvre. The application of Brandt-Daroff was ineffective when applied alone. However, it was effective when applied in combination with the Cawthorne-Cooksey exercises in reducing the symptoms of BPPV.

Conclusions:
Brandt-Daroff exercises have inconsistent results in the treatment of BPPV; hence, high-quality randomised controlled trials should be carried out to investigate their efficacy.

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