Brandt-Daroff Exercises Modified for Lateral Canalithiasis

By implementing several modifications, traditional Brandt-Daroff Exercises can more effectively treat Horizontal Canal BPPV.  Model simulation indicates tilting the head 20° upward in the lateral position, instead of 45° specified by the original technique, significantly increases displacement of otoliths in the horizontal ducts. Lateral Modified Brandt-Daroff Exercises can be performed as a direct two-step sequence without pausing in the upright position before switching sides.
Perform as shown for 10 minutes twice daily as directed by your treating physician or therapist.