Brandt-Daroff vestibular gymnastics. Description, exercises for dizziness, photos, videos, pictures

Vestibular dizziness is a rather unpleasant symptom that interferes with normal work, rest and life. During this period, it is false for a person to orientate himself in space, all objects around him seem to be moving, and the person himself seems to rotate in relation to fixed surfaces. In fact, this condition is very unpleasant and get rid of it. gymnastics will help Brandt-Daroff.

Essence and basic principles

Brandt-Daroff vestibular gymnastics is one of the most effective techniques to help speed up the compensation process and get rid of the unpleasant symptoms of dizziness. This set of exercises is often recommended for patients with BPPV (benign paroxysmal positional vertigo).

BPPV occurs when small crystals of calcium carbonate that form in the ears are released and migrate into the semicircular canals of the ears. This reaction sends mixed signals to the brain about body position, and as a result, dizziness appears.

But special exercises help break and knock out crystals, relieving the symptoms of dizziness.

Brandt-Daroff exercises have a lot of positive aspects:

• with regular exercise, it is possible to gradually remove otolith particles from the semicircular canal on the eve of the labyrinth;
• during exercise, otolith particles can gradually dissolve in the endolymph;
• the maximum effect can be achieved due to the phenomenon of habituation: repeated provocation of dizziness leads to the fact that the likelihood of a response of the central nervous system to an irritant factor is significantly reduced.

Gymnastics helps to restore the disturbed organ of balance and helps to gradually adapt to the conditions of the outside world. This technique is quite effective, but gymnastics should be performed exactly as the doctor recommended. It is in this case that you can achieve a positive result for a long time.

If you follow all the recommendations, then vestibular exercises will help:

• reduce the likelihood of injury from a fall if you suddenly feel dizzy;
• remove the manifestations of nausea and dizziness;
• improve and increase blood flow to the organs of the spinal cord and brain;
• improve the quality of life;
• normalize the coordination of movements;
• improve eyesight.

In elderly people, gymnastics helps to better orientate in space, to maintain balance.

Such exercises not only have a positive effect on all organs of the human body, but also prepare the body for possible falls. As a result of this, a person will receive a minimum number of injuries if a situation suddenly develops.

Indications for the beginning of use

Brandt-Daroff vestibular gymnastics helps concentrate attention, but does not train muscles. This type of charging is recommended for all people, including the elderly, who suffer from frequent attacks of dizziness.

This set of exercises is shown to people:

• have had a stroke;
• suffering from BPPV;
• with general disorders of coordination of movements;
• with osteochondrosis;
• with high numbers on the tonometer;
• with chronic migraine;
• with mental disorders;
• with lung pathologies
• having minor and serious spinal injuries;
• with disculatory encephalopathy;
• having pathologies affecting the ear areas.

Brandt-Daroff vestibular gymnastics is also recommended for people who have suffered brain trauma in the past.

Contraindications for use

Vestibular gymnastics performed at home is very beneficial for the human body. But before proceeding with the exercises according to the Brandt-Daroff method or using any other technique, it is imperative to consult a doctor. Such activities have a number of contraindications, and if they are not taken into account, then the patient's already serious condition can be aggravated.

You can not use gymnastics if:

• there are serious disturbances in the rhythm of breathing;
• the patient has a history of heart problems;
• the patient has a cold or infectious disease.

Helpful advice for patients

Vestibular gymnastics will be most effective if you follow a number of basic rules:

1. Exercises should be performed in a well-lit room so that there are no objects with sharp corners nearby, a carpet without any folds that can lead to a fall and injury to the patient.
2. The maneuver is performed using soft surfaces such as a yoga mat, mat, blanket, or thick rug.
3. Clothing should be chosen that is comfortable so that it does not constrain or restrict movement. But it should not be too wide, so that the patient does not get entangled in it.
4. Shoes should be flat.
5. During the performance of gymnastics, a coach or a close person must be present nearby, who, if necessary, can come to the rescue.
6. Do not overload the body, as soon as even a slight feeling of fatigue appears, you need to stop.
7. The load should be increased gradually in order to prepare the body and prevent relapses.
8. Regularity is also important.
9. If the patient is unwell, then it is better to postpone the exercise until the condition improves.
10. Gymnastics is not a separate type of treatment, it will only be beneficial in combination with medication.

Main complex

This type of vestibular gymnastics is allowed to be carried out at home, since it is not provokes any negative reactions in the human body suffering from frequent attacks dizziness.

Outside help in performing the exercise is not required, but it is better if someone is nearby, because it is not known how the human body will react, this is especially important when performing the maneuver for the first time.

The patient should take a sitting position, you can use a regular table or ottoman, while the legs should be on the floor or simply hanging down. You can just sit on the bed.

And after the movement should be like this:

1. When a person calms down, he will feel comfortable in a sitting position, he will need to lie on his right or left side.
2. The head needs to be turned upward, keeping an angle of 45 degrees.
3. Lock in a similar position for 30 seconds.
4. Then the person must again take a sitting position, stay in it for half a minute.
5. Then you need to repeat the procedure, but lie on the opposite side.

This is how you need to do 5 repetitions on each side. Rest for 15 seconds between repetitions.

If during the exercise the person does not show dizziness, then the maneuver should be repeated, but only after a day. If dizziness occurs even for a short time in any of the positions, then the maneuver should be repeated at least 2 more times, in the evening, and then in the morning.

Vestibular exercises work in several ways at once. Their main essence is an increased supply of stimuli to the nerve endings of the central part of the vestibular apparatus, which are localized in the region of the brain stem.

In order to prevent further dizziness attacks, you need to allocate 10 minutes of time and for 1-2 months every morning to perform a simple gymnastics that improves the functioning of the vestibular apparatus:

1. In the prone position, you need to move your eyes first horizontally, and then vertically, bring your eyes closer, direct your gaze to the tip of the fingertip approaching the nose.
2. Next, you need to add gradually accelerating head movements, initially do everything with open eyes, and then with closed ones.
3. After that, in a seated position, you need to perform head turns, tilts, and all at first with open eyes, and then with closed eyes.
4. Subsequently, you can add the throwing of a small ball from one hand to the other, and then complicate the task, throw the ball under the knee.
5. Next, you can add squats, also closing, and then opening your eyes. Once all the exercises are going well, without any unpleasant symptoms, you can move on to turning the torso.
6. After that, you need to walk on a flat surface with open and closed eyes. You can add head turns when walking.

This whole complex helps to better navigate in space, to protect against the appearance of dizziness.

Fixing the result

Today, in the world of modern technology, vertigo is mostly treated without the use of medication. Oral drugs can be prescribed if the patient has an acute period when the level a person's life has reached critical and dizziness is also accompanied by nausea and vomiting reflex.

Medication can help relieve the condition and improve your life.

The following medications may be prescribed to the patient:

1. Dramina. It is an antihistamine that inhibits the vestibular apparatus of the inner ear, affecting primarily the otoliths. The medicine has antiemetic, sedative, anorexigenic action, eliminates dizziness. Take 1 pill. up to 3 times a day. The duration is set individually. A pack of 10 tablets will cost an average of 300 rubles.
2. Cinnarizine. This medicine belongs to the group of vasodilators, effectively helps with migraines and dizziness. For each of the diseases, and the drug can be prescribed for relieving pain and treating vascular pathologies, the dosage and course are selected individually. The standard dosage for treating vertigo is 1 tablet up to 3 times a day. You need to take it only after a meal, as the drug can irritate the gastric mucosa. The average price for 1 unit of goods is 100 rubles.

   

3. Vestibo. This is a drug from the group of vestibulolytics, it is prescribed for people suffering from attacks of dizziness. The medicine has similar properties to histamine, improves the process of blood flow into the basilar arteries, slowing down the work of some recipes and relieving the symptoms of dizziness, has a positive effect on the trunk brain. Packaging of the drug will cost an average of 200 rubles.
4. Tanakan. This is a drug from the group of herbal nootropics. It helps to improve all metabolic processes in the body, improves blood flow, enhances blood flow to the brain, normalizes vascular tone, and stops the active development of thrombosis. Take the drug 1 pill three times a day. The average cost of the drug is from 500 rubles.
5. Cerucalus. It is an antiemetic. Dizziness in acute form often causes bouts of vomiting, and Cerucal helps to eliminate them. The dose and course are selected individually, taking into account the contraindications and features of the course of the disease. The average cost of the drug is from 200 rubles.

But doctors use positional maneuvers as their primary treatment for vertigo. Their action is to change the position of the patient's body and head in space. It is thanks to such exercises that it is possible to move the otoliths localized in the ear canals to the part of the vestibular apparatus, where they should be located. During such maneuvers, attacks of BPPV may occur.

There are several such maneuvers that you can independently perform at home without the help of a specialist, these include Brandt-Daroff, and there are those whose implementation should be supervised by a doctor or trainer.

The table below lists several maneuvers to help you get rid of dizziness. They are recommended to be carried out if the Brandt-Daroff vestibular gymnastics did not give the desired results or there are contraindications to its use.

Maneuver	Features of execution
Semont	This technique is quite effective, but it is better to perform it in the presence of a doctor, because during it an attack of dizziness may occur, which will need to be stopped. The maneuver is performed in a sitting position with your feet on the floor. The patient turns his head 45 degrees to one side, all movements are slow, without jerks. The doctor fixes the head in this position, and the patient assumes a position lying on his side and lingers in it for 2 minutes. After that, the patient takes the starting position again. They will repeat the maneuver, only turn their head and lie on the other side.
Epley	This maneuver is also performed in the presence of a healthcare professional. The patient should take a sitting position. Feet are on the floor, head turns to the side by 45 degrees. The medical worker fixes the head, and the patient lies on his back, throwing his head back as far as possible, linger for 1 minute. Then you need to turn your head in the other direction, and then the person turns the whole body on its side. Linger again for 30 seconds, and then return to the starting position.
Lempert	This type of gymnastics strongly resembles the Epley maneuver. The main difference is that after the body turns on its side, its movement does not stop. The body needs to continue to rotate around the axis.

All the maneuvers described above are often used to treat dizziness, there are a number of others, but as practice has shown, it is the 4 described above that give the best effect. Treatment, as a rule, lasts no more than a week, but more often everything goes faster.

In the most difficult cases, dizziness surgery can be used:

• labyrinthomy - used for the chronic stage of Meniere's disease;
• ototoxic antibiotics - effective for Meniere's disease;
• neurovascular decompression - with vestibular paroxysm;
• surgery to remove neuroma;
• surgery of perilymphatic fistula.

When to expect the effect

According to experts and the patients themselves, a positive result after using gymnastics according to the Brandt-Daroff method can be expected after the first set. You need to perform a maneuver of 5 repetitions each morning, afternoon and evening.

Each set should take no more than 10 minutes. If an episode of dizziness has occurred, then it is better to perform the maneuver for 2 weeks. But doctors say that already a day after the gymnastics, the patient's condition improves significantly.

Vestibular gymnastics, regardless of which of the maneuvers was applied by Brandt-Daroff or Epley, is safe and the most effective way to independently weaken, and in some cases completely get rid of symptoms dizziness.

If the maneuvers do not help, then it is better to seek qualified help. The doctor will help you choose another set of exercises and, if necessary, prescribe medication.

Video about vestibular gymnastics

Exercises Brandt-Daroff: