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Dizziness and Vertigo

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Exercise Summary

The following was published in a leaflet called : “Dizziness: Brand-Daroff Exercises” from St Helens and Knowsley Teaching Hospitals NHS Trust.

The procedure will only take you approximately 5 minutes to perform.
These exercises may also help if you don’t have BPPV but get symptoms of dizziness when you turn your head into certain positions. This can be due to a sensitivity from avoiding these positions due to previous dizziness.
Below is a set of instructions on how to perform the exercises. They should be practiced 3 times per day for approximately a week or until you have been clear of dizziness for 3 days

Main Activity

Daily activity

1) Sit on the edge of your bed or settee.
2) Lie down onto the side that causes your dizziness to
increase, look towards the ceiling. Stay in this position for 30
3) Sit upright and then wait for 30 seconds.
4) Move rapidly to the opposite side for 30 seconds, this
completes the first cycle of the exercise.
5) Repeat the above 4 steps twice more.
6) Do the exercises 3 times a day, for approximately one week
or until you have been clear of dizziness for 3 days.

We suggest a frequency of: each day
and it could last 5





Exercise to stop dizziness
This video demonstrates 10 exercises that can be performed at home in order to challenge and slowly strengthen the inner ear balance system in order to treat dizziness due to vestibular dysfunction. Perform each exercise 10-20 times, twice a day. Keep in mind that these exercises will not help with dizziness due to BPPV and Meniere’s which are treated differently. In order for correct diagnosis, please see your local ENT or neurologist. DISCLAIMER: Please perform these exercises with assistance in order to prevent injury from exercise triggered dizziness.
Controlling Vertigo
Benign Paroxysmal Positional Vertigo, better known as BPPV, can literally stop you in your tracks. Make sure you are properly diagnosed because the symptoms can be something more serious and dangerous if not properly diagnosed.The first exercises are called Brandt-Daroff exercises. Start in an upright, seated position. Then move into a lying position on one side with your nose pointed up at about a 45-degree angle. Stay in this position for about 30 seconds (or until the vertigo subsides, whichever is longer). Then move back to the seated position and stay for 30 seconds. Repeat on the other side. This should be done 5 times, 2 times a day holding each position for 30 seconds.The next set of exercises are called Gaze Stabilization exercises. Keeping your head in one spot, move your eyes side to side as smoothly as you can 10 times. Then move them up and down 10 times. Next move them at a diagonal 10 times one way, and then 10 times the other way. You might get some symptoms while doing this, but if you can keep moving them, the symptoms should go away.Finally, you are going to move your head, but keep your eyes focused on one spot. Hold out your finger in front of you, or put an X or A, or any letter on a piece of paper on the wall. While focusing on the one spot, move your head side to side as smoothly as you can 10 times. Then move it up and down 10 times. Next move it at a diagonal 10 times one way, and then 10 times the other way.

Now you have to decide if you want this exercise to be part of your action plan.

If you don’t, then either hit the back arrow or click the button to go back to look at another exercise.

If you do, then carry on down the page and follow the instructions. 

If you want to include this exercise in your action plan, select Yes from on the right then click  the green button saying ‘Include this exercise’.

Sadly you’ll go back to the top of this page – please scroll down and fill in the bits that appear before here.

Now you’ve copied the action plan title, paste it on the right and press the green button.  After a short pause you will be taken to a page where you will set up your own version of this exercise.

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