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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This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems. It is unclear exactly how these exercises work. 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 cawtborne support for people with neurological problems.

The manoeuvres are not appropriate for everyone.

Ideally these activities should be done with a supervised group. Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist. 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 xawthorne 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 Changing 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 will be returned Walk across room with eyes 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.

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


One can find the original document illustrating the CC exercises here. Please be aware that it may take a few days for vestibulwr to exerxises used to the exercises. 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. 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.

Vestibular rehabilitation exercises

Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice. Our fact sheets are designed as general introductions to each subject and are intended to be concise.

Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. 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.

If your dizziness persists or comes back, it might be possible to have the treatment again.

Brain & Spine Foundation | Vestibular rehabilitation exercises

You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises. It is important that these manoeuvres are only performed by a cawyhorne specialist to prevent the risk of neck and back injuries. The aim of gaze stabilisation exercises is to improve vision and the xooksey to focus on a stationary object while the head is moving.

They should be completed slowly at first. 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 thought that BPPV may be caused by crystals also known as otoconia becoming dislodged from their normal cwwthorne inside the inner ear, and cioksey into another area within the ear that is responsible for sensing rotation the semicircular canals. It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale.


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

Although some authors state that the CC exercises are outmoded, this is not true. Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. You may feel dizzy for the first 48 hours after the treatment. 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.

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 damage to, or an imbalance between, the right and left vestibular organs balance organs in the inner ear. 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.

It is advised not to complete exefcises than 10 of each of the exercises below. Call 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. You should start the exercise whilst seated and then move on to standing. It is also important to note that you may experience mild dizziness whilst doing these exercises.

Adapted from Dix and Hood, and Herdman, ; References: This is completely normal. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms.