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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Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice. This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems. You should start the exercise whilst seated and then move on to standing.

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.

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. Adapted from Dix and Hood, and Herdman, ; References: Essentially, the brain copes with the disorientating 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.

The repeated head movements may work by moving the crystals back to their correct position inside the inner ear as with CRPs.

The CC exercises are mainly used as a home program. Although some authors state that the CC exercises are outmoded, this is not true. The whole survey should take between 5 and 15 minutes of your time, depending on the number of services you have used. It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries. Our fact sheets are designed as general introductions to each subject and are intended to be concise.

It is unclear exactly how these exercises work. 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.


Vestibular rehabilitation exercises

Call It is also important to note that you may experience mild dizziness whilst doing these exercises. Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision cawthorhe a specialist.

exercisea Please be aware that it may take a few days for you to get used to the exercises. If your dizziness persists or comes back, it might be possible to have the treatment again.

Progressions with this exercise can include placing vestibupar target letter on a busy background. 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.

It would be advisable to start each exercise xooksey a level that you would rate as a 2 or 3 on the rating scale i. All responses are completely confidential so no individual answers will be identifiable to any person. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions.

Spanish translation of CC exercises courtesy of Maria Busso. These exercises may also be advised if CRPs are not suitable. You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises.

For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. The aims of the Cawthorne-Cooksey exercises include relaxing the neck and shoulder muscles, training the eyes to move independently of the head, practising good balance in everyday situations, practising the head movements that cause dizziness to help the development of vestibular compensationimproving general co-ordination and encouraging natural unprompted movement. cathorne

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 cookzey. Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. In particular, the manoeuvres will not be suitable if you have pain or stiffness in your neck or if you have had a neck injury.


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.

It can be helpful if someone else learns the exercises and helps you with them.

Individual patients should be accompanied by a friend or relative who also learns the exercises. 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. You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises.

Cawthorne-Cooksey Exercises for Dizziness

It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. Diligence and perseverance are required but the earlier and more regularly the exercise regimen is carried out, the cawtohrne and more complete will be the return to normal activity. You may feel dizzy for the first 48 hours after the treatment.

You cawghorne find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them. The CC exercises are still in common use see numerous references at bottom of this document.

Brain & Spine Foundation | Vestibular rehabilitation exercises

As the exercise becomes easier over festibular you can start to do them more quickly. They should be completed slowly at first. It is advised not to complete more than 10 of each of the exercises below. One can find the original document illustrating the CC exercises here. 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.

Ideally these activities should be done with a supervised group.