Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review

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 pre...

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Main Authors: Meenakshi Bagri, Shabnam Joshi, Vandana Rani, Rekha Chaturvedi, Jyoti Sabharwal
Format: Article
Language:English
Published: Termedia Publishing House 2024-12-01
Series:Physiotherapy Quarterly
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Online Access:https://physioquart.awf.wroc.pl/Effectiveness-of-Brandt-Daroff-exercises-in-benign-paroxysmal-positional-vertigo,171820,0,2.html
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author Meenakshi Bagri
Shabnam Joshi
Vandana Rani
Rekha Chaturvedi
Jyoti Sabharwal
author_facet Meenakshi Bagri
Shabnam Joshi
Vandana Rani
Rekha Chaturvedi
Jyoti Sabharwal
author_sort Meenakshi Bagri
collection DOAJ
description 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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spelling doaj-art-70e26be9ffe94252a731232980396cb42025-01-27T10:42:58ZengTermedia Publishing HousePhysiotherapy Quarterly2544-43952024-12-013241610.5114/pq/171820171820Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic reviewMeenakshi Bagri0https://orcid.org/0000-0002-3222-3124Shabnam Joshi1https://orcid.org/0000-0003-1497-9734Vandana Rani2https://orcid.org/0000-0003-0437-0706Rekha Chaturvedi3https://orcid.org/0000-0002-6491-0500Jyoti Sabharwal4https://orcid.org/0000-0003-1808-0400Department of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, IndiaDepartment of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, IndiaDepartment of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, IndiaDepartment of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, IndiaDepartment of Physiotherapy, Guru Jambheshwar University of Science and Technology, Hisar, Haryana, IndiaIntroduction 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.https://physioquart.awf.wroc.pl/Effectiveness-of-Brandt-Daroff-exercises-in-benign-paroxysmal-positional-vertigo,171820,0,2.htmlbenign paroxysmal positional vertigovestibular diseaseshabituationrehabilitation
spellingShingle Meenakshi Bagri
Shabnam Joshi
Vandana Rani
Rekha Chaturvedi
Jyoti Sabharwal
Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
Physiotherapy Quarterly
benign paroxysmal positional vertigo
vestibular diseases
habituation
rehabilitation
title Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
title_full Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
title_fullStr Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
title_full_unstemmed Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
title_short Effectiveness of Brandt-Daroff exercises in benign paroxysmal positional vertigo: a systematic review
title_sort effectiveness of brandt daroff exercises in benign paroxysmal positional vertigo a systematic review
topic benign paroxysmal positional vertigo
vestibular diseases
habituation
rehabilitation
url https://physioquart.awf.wroc.pl/Effectiveness-of-Brandt-Daroff-exercises-in-benign-paroxysmal-positional-vertigo,171820,0,2.html
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