The individualized treatment of a patient with benign paroxysmal positional vertigo

The purpose of this case report is to describe the evaluation and treatment of a patient with vertigo. The patient was a 32-year-old male carpenter with a 17-year history of episodic vertigo that occurred when his neck was in the extended position while positioned supine and during walking. His medical and physical therapy evaluative findings were consistent with a diagnosis of benign paroxysmal positional vertigo (BPPV). He was treated with an individualized home exercise program of eye movement exercises, Brandt/Daroff exercises, and general conditioning exercises. Twenty-four days from the start of physical therapy, the patient was free of symptoms even when his neck was in the extended position.