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.