The balance exercises were first suggested by Sir Terence Cawthorne and F S Cooksey over half a century ago for people who had undergone surgery which. Cawthorne-Cooksey Exercises. SUPPORTING If your vestibular system (inner ear balance system) is not working properly, you will feel dizzy and off balance. Cawthorne-Cooksey Exercises. The aims of the Cawthorne-Cooksey exercises include relaxing the neck and shoulder muscles, training the eyes to move.

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You could ask if it is possible for a friend or relative to be with you at the assessment. It would be advisable to start each exercise at a level that you would rate as a 2 or 3 on the rating scale i. It is thought that BPPV may be caused by crystals also known as otoconia becoming dislodged from their normal place inside the inner ear, and moving into another area within the ear that is responsible for sensing rotation the semicircular canals.

Adapted from Dix and Hood, and Herdman, ; References: Canalith repositioning procedures involve a sequence of specific head and upper body movements that may be able to move the crystals back to their correct place in the ear. The manoeuvres are not appropriate for everyone. You may feel dizzy for the first 48 hours after the treatment. You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises.

Individual patients should be accompanied by a friend or relative who also learns the exercises.

It can be helpful if someone else learns the exercises and helps you with them. Progressions with this exercise can include placing the target letter on a busy background. June 20, Return to VRT pag e. When the crystals move around in this part of the ear it causes dizziness. This is completely normal. Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice.

Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. Sitting Eye movements and head movements as above Shoulder shrugging and circling Bending forward and picking up objects from the ground Standing Eye, head and shoulder movements as before Changing from sitting to standing position with eyes open and exrecises Throwing a small ball from hand to hand above eye level Throwing a ball from hand to hand under knee Changing from sitting to standing and turning around in between Moving about in class Circle around center person who will throw a large ball and to whom it will be returned Walk across room with eyes open and then closed Walk up and down slope vestibulaar eyes open and then closed Walk up and down steps with eyes open and then closed Cqwthorne game involving stooping and stretching and aiming such as bowling and basketball Diligence and perseverance are required but the earlier and more regularly the exercise regimen is carried out, the faster and more complete will be the return to normal activity.


It is unclear exactly how these exercises work. Hain, MD Last update: The Vestihular exercises are still in common use see numerous references at bottom of this document. The CC exercises exefcises mainly used as a cawhhorne program This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a ball. Last saved on August 3, cawthorbe If you have used any of our services in the last two years, we would really value your feedback to ensure that we can continue providing a high standard of information and support for people with neurological problems.

As the exercise becomes easier over time you can start to do them exercides quickly.

Brain & Spine Foundation | Vestibular rehabilitation exercises

It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries.

If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks. It is also important to note that you may experience mild dizziness whilst doing these exercises.

Please note that you should not attempt any of these exercises without first seeing a specialist or physiotherapist for a comprehensive assessment, advice and guidance. You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises.

A diary such as the one below might help you to keep track of the exercises and help with knowing when to make each one harder. Ideally these activities should be done with a supervised group. Our fact sheets are designed as general introductions to each subject and cookwey intended to be concise. You might find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them.

This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems.

These exercises may also be advised if CRPs are not suitable. Although some authors state that the CC exercises are outmoded, this is not true. One can find the original document illustrating the CC exercises here. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions.


Our Helpline team are also here to answer your questions and provide exerciess and emotional support. Diligence and perseverance are required but the earlier and more regularly the exercise regimen is carried out, the faster and more vestibulat will be the return to normal activity. Essentially, the brain copes with the disorientating signals coming from the inner ears by learning edercises rely more on alternative signals coming from the eyes, ankles, legs and neck to maintain balance.

Vestibular rehabilitation exercises

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. For example, 0 through to 5 for the severity of your symptoms vsstibular being no symptoms and 5 being severe symptoms. Please be aware that it may take a few days for you to get used to the exercises.

These exercises are likely to make you feel dizzy whilst you perform them, but it is important to persevere in order to feel any benefit. Call Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist. You might be interested in reading our Dizziness and balance problems booklet for further information on the different causes of dizziness and the conditions that can be treated with vestibular rehabilitation exercises.

Vestibular compensation is a process that allows the brain to regain balance control and minimise dizziness symptoms when there is damage to, or an imbalance between, the right and left vestibular organs balance organs in the inner ear. The CC exercises are mainly used as a home program.

This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a ball. You should start the exercise vestibluar seated and then move on to standing.

All responses are completely confidential so no individual answers will be identifiable to any person. If your dizziness persists or comes back, it might be possible to have the treatment again.

Cawthorne-Cooksey Exercises for Dizziness

Do not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. Alternatively, it may be that repeated exposure to movements that provoke dizziness symptoms teaches your brain not to listen to the signals it is receiving from the ears as much vestibular compensation.

They should be completed slowly at first.

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