Introduction: Recurrent vertigo in older adults is frequently associated with impaired postural control, unsteadiness, fear of falling, and reduced independence in daily activities. Brandt-Daroff exercises are a simple home-based vestibular rehabilitation approach that may support balance recovery through repeated positional stimulation and vestibular habituation. However, evidence regarding their use in community-based older adult populations in Indonesia remains limited. Objective: This study aimed to examine the effectiveness of Brandt-Daroff exercises in improving postural balance among older adults with recurrent vertigo. Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted at the Pangudi Luhur Integrated Center, Bekasi, Indonesia. Thirty-three older adults with recurrent vertigo and impaired balance were recruited using total sampling. Postural balance was assessed before and after the intervention using the Romberg Test observation sheet. Participants were taught Brandt-Daroff exercises and performed the exercises three times daily for two consecutive weeks. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Before the intervention, all participants demonstrated impaired postural balance based on the Romberg Test. After two weeks of Brandt-Daroff exercises, 24 participants (72.7%) showed improvement, while 9 participants (27.3%) continued to experience balance impairment. The Wilcoxon signed-rank test indicated a statistically significant improvement in postural balance after the intervention (Z = -4.889, p 0.001). Conclusion: Brandt-Daroff exercises significantly improved postural balance among older adults with recurrent vertigo. These exercises may serve as a safe, low-cost, and feasible home-based vestibular rehabilitation strategy that can be integrated into community nursing practice. Further studies with control groups, larger samples, validated vertigo-specific outcome measures, and longer follow-up periods are recommended.
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