BACKGROUND: Benign Paroxysmal Positional Vertigo (BPPV) is the most common peripheral vestibular disorder, characterized by brief episodes of vertigo, imbalance, and postural instability, increasing the risk of falls. While Canalith Repositioning Maneuvers (CRM) remain the standard treatment for rapid symptom relief, many patients continue to experience persistent postural instability. Vestibular rehabilitation, particularly postural stability exercises, may provide additional benefits in restoring balance and reducing disability. MATERIALS AND METHODS: A prospective experimental pilot study was conducted in the Outdoor Physiotherapy Department of Gokul Hospital, Rajkot. n = 10 patients diagnosed with BPPV through Dix-Hallpike or supine roll tests were randomized into two groups: Group A (CRM with Home Exercise Programme) and Group B (CRM with postural stability exercises). Outcome measures included Modified Dynamic Gait Index (mDGI), Dizziness Handicap Inventory (DHI), and Modified Clinical Test of Sensory Integration and Balance (mCTSIB). Assessments were performed at baseline, 1 week, 1 month, and 3 months. Data were analyzed using the Friedman test, Wilcoxon signed-rank test, and Mann-Whitney U test. RESULTS: Within-group analysis showed significant improvements in mDGI, DHI, and mCTSIB scores in the intervention group (Group B), whereas Group A showed improvements mainly in mDGI. Between-group comparisons revealed superior improvements in Group B across all outcome measures at 1 month. At the 3-month follow-up, two patients in Group A reported recurrence of symptoms, while no recurrence was observed in Group B. CONCLUSION: The results of this pilot study indicates that CRM remains effective for rapid symptom relief in BPPV; however, combining it with postural stability exercises leads to greater improvements in dynamic balance, postural control, and a reduction in dizziness handicap. This integrated approach may lower recurrence risk and enhance long-term functional recovery, particularly in patients with persistent instability. However, further research with a larger sample size is needed to develop such a structured program.

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