Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder among older adults, characterised by dizziness and imbalance caused by the displacement of otoconia into the semicircular canals. Although canalith repositioning manoeuvres are considered the standard treatment, their high recurrence rate and the need for frequent clinic visits highlight the demand for supplementary therapeutic approaches....
Home-based vestibular rehabilitation for BPPV in older adults appears feasible and warrants consideration, but this scoping review maps available evidence rather than synthesising effect sizes — do not change first-line in-clinic repositioning protocols until RCT data confirm equivalence.
With an ageing population and growing demand for remote or home-based care, establishing the evidence base for self-administered BPPV management could significantly reduce the burden on audiology and physiotherapy clinics.
- 01Scoping review maps home-based vestibular rehabilitation approaches for BPPV in older adults.
- 02BPPV (dislodged inner-ear crystals causing dizziness) is among the most common balance disorders in older people.
- 03Home-based management could improve access and reduce clinic burden if supported by robust evidence.
- 04As a scoping review, it identifies research gaps rather than confirming clinical effectiveness.
- 05Published in the Malaysian Journal of Medical Sciences (PMID 42077343, DOI 10.21315/mjms-05-2025-356).
Home-based vestibular rehabilitation is a viable approach for managing BPPV in older adults.
studypartially supported- PMID
- 42077343
- DOI
- 10.21315/mjms-05-2025-356.
- Journal
- Malaysian Journal of Medical Sciences
- Publication type
- review
- Evidence level
- 2a
- Population
- Older adults with benign paroxysmal positional vertigo (BPPV)
- Intervention
- Home-based vestibular rehabilitation
Primary outcomes
Feasibility and approaches of home-based vestibular rehabilitation for BPPV; Identification of research gaps in home-based BPPV management for older adults