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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It coosey advised not to complete more than 10 of each of the exercises below. One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below.

Vestibular rehabilitation exercises

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

They should be completed slowly at first. Call If your dizziness persists or comes back, it might be possible to have the treatment again. You may feel dizzy for the first 48 hours after the treatment. Ideally these activities should be done with a supervised group.

It is also important to note that you may experience mild dizziness whilst doing these exercises. As the exercise becomes easier over time you can start to do them more quickly. It is unclear exactly how these exercises work. Canalith repositioning procedures involve a sequence of specific head and upper body movements that cookzey be able to move the crystals back to their correct place in the ear.


Brain & Spine Foundation | Vestibular rehabilitation 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.

It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries. You should start the exercise whilst seated and then move on to standing. This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems.

You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of 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. Adapted from Dix and Hood, and Herdman, ; References: 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.

Essentially, the brain copes with exerciees disorientating signals coming from vestibulaar inner ears by learning to rely more on alternative signals coming from the eyes, ankles, legs and neck to maintain balance.

June 20, Return to VRT pag e. All responses are completely confidential so no individual answers will be identifiable to any person. The CC exercises are still in common use see numerous references at bottom of this document. These exercises may also be advised if CRPs are not suitable. You could ask if it is possible for a friend or relative to vsetibular with you at the assessment.

The manoeuvres are not appropriate for everyone.

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. 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. It can be helpful if someone else learns the exercises and helps you with them. Please be aware that it may take a few days for you to get used to the exercises. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms.

The whole survey should take between 5 and 15 minutes cawthore your time, depending on the number of services you have used. 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. 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.

Cawthorne-Cooksey Exercises for Dizziness

If you have used any of our services in cwwthorne 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. Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury.

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