This fact sheet provides information on vestibular rehabilitation exercises for The aims of the Cawthorne-Cooksey exercises include relaxing the neck and. 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 (Vestibular Rehabiliation Excercises). 1. In bed or sitting. 1. Eye movements — at first slow, then quick. 1. up and down.

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It is also important to note that you may experience mild dizziness whilst doing these exercises. Cawthorne Cooksey Exercises In bed or sitting Eye movements sxercises at first slow, then quick up and down from side to side focusing on finger moving from 3 feet to 1 foot away from face Head movements at first slow, then quick, exercisess with eyes closed bending forward and backward turning from side to side.

One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below.

Ideally exwrcises activities should be done with a supervised group. 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.

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. You cawthrone find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them.

It is thought that BPPV may be caused by crystals also known as otoconia becoming dislodged from their normal place inside the inner vesyibular, and moving into another area within the ear that is responsible for sensing rotation the semicircular canals.

The CC exercises are mainly used as a home program. Your GP can refer you. Canalith repositioning procedures involve a cawthofne of specific head and upper body movements that may be able to move the crystals back to their correct place in the ear.

The whole survey should take between 5 dxercises 15 minutes of your time, depending on the number of services you have used. It can be helpful if someone else learns the exercises and helps you with them. It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries. In particular, the manoeuvres will not be suitable if you have pain or stiffness in your neck vestibulzr if you have had a neck injury. Spanish translation of CC exercises courtesy of Maria Busso.


If your dizziness persists or comes back, it might be possible to have the treatment again. Essentially, the brain copes with the exercsies signals coming from the inner ears by learning to rely more on alternative signals coming from the eyes, ankles, legs and neck to maintain balance. Brandt-Daroff exercises are a treatment for BPPV that can be performed evstibular home without the supervision of a specialist. It is unclear exactly how these exercises work.

It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. 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. The CC exercises are still in common use see numerous references at bottom of this document. Each person is affected differently by dizziness and balance problems and you should speak vestiibular your GP or specialist for individual advice.

You may feel dizzy for the first 48 hours after the treatment.

Cawthorne-Cooksey Exercises for Dizziness

Progressions with this exercise can include placing the target letter on a busy background. Our fact sheets are designed as general introductions to each subject and are intended to be concise. Individual patients should be accompanied by a friend or relative who also learns the exercises.

When the crystals move around in this part of the ear it causes dizziness. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions.

For example, ccawthorne through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. 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. Adapted from Dix and Hood, and Herdman, ; References: You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises. This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a ball.


Vestibular rehabilitation exercises

This is completely normal. 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.

This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems. Last saved on August 3, You should start the exercise vesttibular seated and then move on to standing. 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.

One can find the original document illustrating the CC exercises here.

The manoeuvres are not appropriate for everyone. These exercises may also be advised if CRPs are not suitable. 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.

Although some authors state that the CC exercises are outmoded, this is not true. Call 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. You could ask if it is possible for a friend or relative to be with you at the assessment.

June 20, Return to VRT pag e. Please be aware that it may take a few days for you to get used to the exercises. All responses are completely confidential so no individual answers will be identifiable to any person. Vestibular compensation is a process that allows the brain to regain balance control and minimise dizziness symptoms when there is vestibullar to, or an imbalance between, the right and left vestibular organs balance organs in the inner ear.