Effect of Dual Task Gaze Stabilization Exercise Along with Brandt-Daroff Exercise on Vertigo Patient

Dr. Aditi Devidas Pansare, Dr Ketaki Patani

Abstract: Background: Vertigo, commonly caused by vestibular dysfunction, can significantly impact daily functioning. Benign Paroxysmal Positional Vertigo (BPPV) is a leading cause and is typically managed with Brandt-Daroff exercises. However, patients often continue to experience symptoms, particularly when cognitive aspects such as attention and coordination are not addressed. Dual-task training, which integrates cognitive and physical demands, has demonstrated benefits in neurological rehabilitation but has not been widely explored in the context of vertigo. Need for Study: There is an increasing need for rehabilitation strategies that target both vestibular and cognitive components in vertigo patients. Combining gaze stabilization exercises with dual-task training may improve therapeutic outcomes. This study aims to assess the effectiveness of dual-task gaze stabilization exercises alongside Brandt-Daroff exercises in reducing symptoms and improving functional recovery in vertigo patients. Objective: The objective was to evaluate the impact of dual-task gaze stabilization exercises combined with Brandt-Daroff exercises on vertigo severity, balance, and overall functional recovery in patients with vestibular disorders. Methodology: This case series involved five participants with vertigo, treated over a 4-week period. The intervention included dual-task gaze stabilization exercises along with Brandt-Daroff exercises. Outcome measures included the Dix-Hallpike test, Dizziness Handicap Inventory (DHI), Sitting Balance Scale, Berg Balance Scale, and Visual Analog Scale for Quality of Life with Vertigo. Results: Significant improvements were observed across all measures. The DHI score decreased from 26.4 ? 12.75 (pre-test) to 12.8 ? 13.16 (post-test). The Dix-Hallpike test score improved from 15 ? 8.6 (pre-test) to 4.26 ? 4.3 (post-test). Sitting Balance Scale scores increased from 38.2 ? 5.7 (pre-test) to 41 ? 5.05 (post-test), indicating improved balance. The Visual Analog Scale for Quality of Life with Vertigo decreased from 5.34 ? 1.68 (pre-test) to 3.04 ? 0.95 (post-test), reflecting a significant improvement in quality of life. Conclusion: The combination of dual-task gaze stabilization exercises and Brandt-Daroff exercises is an effective rehabilitation approach, offering superior outcomes in vertigo patients compared to traditional therapy alone.

Keywords: Vertigo, Dual-Task Exercise, Gaze Stabilization, Brandt-Daroff Exercise, Vestibular Rehabilitation, Balance, Dizziness