![]() ![]() ![]() However, evidence for its effectiveness is weak and Brandt-Daroff exercises have been shown to be inferior to the Epley manoeuvre. BPPV can also be treated with Brandt-Daroff exercises, a canalith repositioning technique that can be performed by the patient at home. The treatment has been proven to be safe and effective and can easily be performed by a trained healthcare professional. In BPPV, a canalith repositioning technique called the Epley manoeuvre is preferred, in which vestibular debris is shifted from the semilunar canal by rapidly putting the patient in various positions. The most common cause of dizziness in general practice is peripheral vestibular disease, including benign paroxysmal positional vertigo (BPPV), Ménière’s disease (MD) and vestibular neuronitis. The economic burden of dizziness is considerable, due to a decrease in work productivity of the patient and costs of medical care. ![]() People who experience dizziness often report occupational consequences, a lower quality of life and substantial interference with their daily activities. The prevalence of dizziness among adults has been reported to be 20–30%, increasing to more than 50% in the oldest old. Dizziness is a common and challenging complaint in general practice. ![]()
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