ABSTRACT

Peripheral vestibular disorders cover various inner ear conditions leading to symptoms like vertigo and imbalance. These include chronic and acute failures, along with recurrent disturbances like BPPV, Meniere's disease, and vestibular paroxysmia. A systematic review is essential to evaluate the effectiveness of Cawthorne-Cooksey, Epley maneuver, and Brandt-Daroff exercises in treating BPPV. Findings from this study can guide evidence-based clinical practices, enhancing patient outcomes in BPPV management. This systematic review was performed in PubMed, google scholar and PEDro and the studies on diagnostic accuracy of physical examination test used for identifying BPPV. Methodological quality of the studies meeting to inclusion criteria was assessed using score of PEDro scale. We have taken proper reference from 12 different articles and studied them thoroughly and concluded the study. From electronic searches, 127 articles were initially identified. After removing duplicates and screening against inclusion/exclusion criteria, 81 were excluded based on title and abstract. Subsequently, 46 full-text articles were reviewed, with 11 further exclusions due to low PEDro scale scores or study type. Ultimately, 12 articles meeting inclusion criteria were selected, all randomized-controlled trials (RCTs). The most effective exercise for BPPV treatment requires careful consideration of patient-specific factors, including the type and severity of BPPV, and individual responses to treatment. Epley's Maneuver is highly effective, particularly for posterior canal BPPV, while Cawthorne-Cooksey Exercises focus on enhancing vestibular function and reducing symptoms. Brandt-Daroff Exercises are suitable for milder forms of BPPV or individuals unable to tolerate other treatments. Each approach has distinct strengths and may be more suitable for certain patients or types of BPPV. Keywords: BPPV, Vestibular, Epley’s, Brandt- Daroff, Cawthorne-Cooksey, Maneuver
Publication date: 01/01/2026

https://ijbpas.com/pdf/2026/January/MS_IJBPAS_2026_9689.pdf

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https://doi.org/10.31032/IJBPAS/2026/15.1.9689