Brandt-Daroff exercise for vertigo

Treatment Overview

The Brandt-Daroff exerciseClick here to see an illustration. is one of several exercises intended to speed up the compensation process and end the symptoms of vertigo. It often is prescribed for people with benign paroxysmal positional vertigo (BPPV) and sometimes for labyrinthitis. These exercises will not cure these conditions, but over time they can reduce symptoms of vertigo.

The Brandt-Daroff exercise is done as follows:

  • Sit on the edge of a bed or sofa, and quickly lean to the side that causes the worst vertigo. You should end up lying on your side with your ear down.
  • Remain in this position until either the vertigo goes away or 30 seconds have passed.
  • Sit up. If this causes vertigo, wait for it to stop. Repeat the procedure on the other side.

People using this exercise usually are instructed to do 20 repetitions of the exercise at least twice a day.

What To Expect After Treatment

Symptoms sometimes suddenly go away during an exercise period. More often, improvement occurs gradually over a period of weeks or months.

Why It Is Done

The Brandt-Daroff exercise and other similar exercises are used to treat BPPV and sometimes to treat labyrinthitis or vestibular neuritis.

How Well It Works

The Brandt-Daroff exercise relieves symptoms of vertigo within 3 to 14 days for almost all people. In a small number of cases, vertigo returns and has to be treated again.

Risks

There are no risks in doing these exercises. You should be careful not to lie down too quickly to avoid hitting your head or developing minor neck injuries.

What To Think About

While it is effective in relieving symptoms of BPPV and possibly other conditions causing vertigo, the Brandt-Daroff exercise may cause vertigo and the nausea and vomiting that sometimes accompany it. This can discourage people from continuing the exercise, particularly when the vertigo is severe enough to cause nausea and vomiting.

Since vertigo often goes away without treatment, it is hard to know just how effective this exercise really is.

Other similar exercises may also be recommended by your doctor to help resolve your vertigo symptoms.

Complete the special treatment information form (PDF)Click here to view a form.(What is a PDF document?) to help you understand this treatment.



Author: Kathe Gallagher, MSWLast Updated: January 29, 2007
Medical Review: Anne C. Poinier, MD - Internal Medicine
Barrie J. Hurwitz, MD - Neurology

© 1995-2008 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

Click here to learn about Healthwise
Click here to learn about Healthwise
Topic Contents
 Treatment Overview
 What To Expect After Treatment
 Why It Is Done
 How Well It Works
 Risks
 What To Think About