Vestibular exercises

 

 

Vestibular exercises are slow, careful movements of the head to help improve the symptoms of positional dizziness.

Two common vestibular exercises are Brandt Daroff exercises and Home Epley exercises.  Each takes about 2-4 minutes to perform.

Vestibular exercises may increase dizziness.  Sometimes it helps to sit or lie still while dizziness occurs, even if the exercise is not yet complete.  When the dizziness subsides, continue the activity.  If dizziness occurs with the exercise, that is a good sign, not a bad sign.

Brandt-Daroff exercise

Start by sitting on the side of a couch or bed.

 

Turn the head to the right, while the chest is faced forward.  Hold this position for 30 seconds.

While the head is turned to the right, lie down onto the left shoulder.  Hold this position for 30 seconds.

Sit back up, hold for 30 seconds.

Turn the head to the left, while the chest is faced forward.  Hold this position for 30 seconds.

While the head is turned to the left, lie down on the right shoulder, then hold for 30 seconds.

Sit back up.

Normally repeating the Brandt-Daroff exercise 2-10 times a day for 1-2 weeks helps the symptom of positional dizziness.

Home Epley exercise

Start by sitting on a bed or mat with the feet in front of you.

Turn the head to the left, and hold this position for 30 seconds.

Slowly lie down, while the head is turned, until your head and back touch the floor or bed.  Hold for 30 seconds.

Turn the head all the way to the right.  Hold this position for 30 seconds.

Turn the body so that the head and chest are both pointed to the right.  Hold for 30 seconds.

Sit back up, by turning your head and body back to the neutral (start) position.

The Home Epley exercise can also be done by starting with a head turn to the right.

Repeating the Home Epley exercise 2-3 times per day for 1-2 weeks helps to improve the symptom of positional dizziness.