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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Vestibular rehabilitation exercises

If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks. 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.

Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist. This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a ball. Please be aware that it may take a few days for you to get used to the 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. One can find the original document illustrating the CC exercises here. Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. 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 may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. Although some authors state that the CC exercises are outmoded, this is not true.

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. 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.


Our fact sheets are designed as general introductions to each subject and are intended to be concise. You may feel dizzy for the first 48 hours after the treatment. These exercises may also be advised if CRPs are not suitable. Call 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.

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

All responses are completely confidential so no individual answers will be identifiable to any person. When the crystals move around in this part of the ear it causes dizziness. The repeated head movements may work by moving the crystals exerises to their correct position inside the inner ear as with CRPs. 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.

Do not complete any exercises if you cawtthorne that you are risk of falling without safety measures in place to stop this. Diligence and perseverance are required but the earlier and more regularly the exercise regimen is carried out, ccawthorne faster and more complete will be the return to normal activity. Our Helpline team are also here to answer your questions and provide practical and emotional support.

It is advised not to complete more than 10 of each of the exercises below.

Brain & Spine Foundation | Vestibular rehabilitation exercises

The CC exercises are still in common use see numerous references at bottom of this document. 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. Ideally these activities should be done with a supervised group.


You might find that your dizziness problems get worse for a few days after you start the exercises, but you should persevere with them. Adapted from Dix and Hood, and Herdman, ; References: The manoeuvres are not appropriate for everyone.

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

Cawthorne-Cooksey Exercises for Dizziness

You should start the exercise whilst seated and then move on to standing. Canalith repositioning procedures involve a sequence of dooksey head and upper body movements that may be able to move the crystals back to their correct place in the ear.

The Vesibular exercises are mainly used as a home program. 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. You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises. It can be helpful if someone else learns the exercises and helps you with them. Hain, MD Last update: Last saved on August 3, 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 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.

They should be completed slowly at first.

One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms.

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