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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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. Our fact sheets are designed as general introductions to each subject and are intended to be concise.

Cawthorne-Cooksey Exercises for Dizziness

Individual patients should be accompanied by a exercisws or relative who also learns the exercises. All responses are completely confidential so no individual answers will be identifiable to any person. June 20, Return to VRT pag e. They should be completed slowly at first. 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

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. It is also important to note that you may experience mild dizziness whilst doing these 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.

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. Call Cawthorne Cooksey Exercises In bed or sitting Eye movements — 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, later with eyes closed bending forward and backward turning from side to side.

It is advised not to complete more than 10 of each of the exercises below. 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. Although some authors state that the CC exercises are outmoded, this is not true.


If your dizziness persists or comes back, it might be possible to have the treatment again. Spanish translation of CC exercises courtesy of Maria Busso. The CC exercises are still in common use see numerous references at bottom of this document.

Progressions with this exercise can include placing the target letter on a busy background. 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. Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist. Vestibulat these activities should be done with a supervised group.

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

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.

For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. When the crystals move around in this part of the ear it causes dizziness. The whole survey should take between 5 and 15 minutes of your time, depending on the number of services you have used. If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks.

One can find the original document illustrating the CC exercises here. It is unclear exactly how these exercises work. 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. You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises. The manoeuvres are not appropriate for everyone.

This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems. The CC exercises are mainly used as a home program. Your GP can refer you. Adapted from Dix and Hood, and Herdman, ; References: You might find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them.


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

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 may caqthorne advised not to undertake exercises that you would rate a 4 or 5 on the scale.

Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. 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 more quickly.

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.

Last saved on August 3, You should start the exercise whilst seated and then move on to standing. Please be aware that it may take a few days for you vestkbular get used to the exercises. One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below.

The CC exercises are mainly used as a home program This document is one page handout of activities cookseey progress from simple head movement to complex activities such as throwing a ball. You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises.

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.