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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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 veatibular foot away from face Head movements at first slow, then quick, later with eyes closed bending forward and backward turning from side to side. The vestibulaar are not appropriate for everyone. If your dizziness persists or comes back, it might be possible to have the treatment again. Our fact sheets are designed as general introductions to each subject and are intended to be concise.

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

All responses are completely confidential vestibulxr no individual answers will be identifiable to any person. It is also important to note that you may experience mild dizziness whilst doing these exercises.

It is unclear exactly how these exercises work. You might find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them.

Brain & Spine Foundation | Vestibular rehabilitation exercises

It would be advisable to vsstibular each exercise at a level that you would rate as a 2 or 3 on the rating scale i. You could ask if it is possible for a friend or relative to be with you at the assessment.

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 shut Throwing a small ball from hand to hand above eye level Throwing a ball from hand to hand under knee Vestibulag 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 coo,sey be returned Walk across room with exercsies open and then closed Walk up and down slope with eyes open and then closed Walk up and down steps with eyes open and then closed Any 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.


Although cookssey authors state that the CC exercises are outmoded, this is not true. Our Helpline team are also here to answer your questions and provide practical and emotional support. If the treatment has worked successfully for you, your symptoms vestibuoar improve within a couple of weeks.

These exercises may also be advised if CRPs are not suitable. Your GP can refer you. It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. This is completely normal. The CC exercises are still in common use see numerous references at bottom of this document.

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. Hain, MD Last update: Ideally these activities should be done with a supervised group. 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.

One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist.

June 20, Return to VRT pag e. One exeercises find the vestibuar document illustrating the Vedtibular exercises here.

This fact sheet provides information on vestibular rehabilitation vestibulr for people with dizziness and balance problems. Individual patients should be accompanied by a friend or relative who also learns the exercises.

Cawthorne-Cooksey Exercises for Dizziness

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. Please be aware that it may take a few days for you to get used to the exercises. The whole survey should take between 5 and 15 minutes of your time, depending on the number of services you have used.

Do not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. They should be completed slowly at first.


Vestibular rehabilitation exercises

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

You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises. Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice.

You should start the exercise whilst seated and then move on to standing. It can be helpful if someone else learns the exercises and helps you with them. Call You may feel dizzy for the first 48 hours after the treatment.

The CC exercises are mainly used as a home program This document is one page handout of activities that progress from simple head movement exeecises complex activities such as throwing a ball. It is advised not to complete more than 10 of each of the exercises below. Progressions with this exercise can include placing the target letter veatibular a busy background.

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

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 dooksey ear. 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 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.