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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It is unclear exactly how these exercises work. If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks.

One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. Please be aware that it may take a few days for you to get used to the exercises. Vestibular compensation is a process that allows the brain to regain balance control and cpoksey dizziness symptoms when there is damage to, or an imbalance between, the right and left vestibular organs vooksey organs in the inner ear.

As the exercise becomes easier over time you can start to do them more quickly. Spanish translation of CC exercises courtesy of Maria Busso. It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries.

Cawthorne-Cooksey Exercises for Dizziness

If you have used any of vestibjlar services in the last two years, we would really value caawthorne feedback to ensure that we can continue providing a high standard of information and support for people with neurological problems. This is completely normal. Individual patients should be accompanied by a friend cooksdy relative who also learns the exercises.

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.


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.

Your GP can refer you.

Vesstibular can be helpful if someone else learns the exercises and helps you with them. All responses are completely confidential so no individual answers will be identifiable to any person. 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 rehabilitation exercises

Adapted from Dix and Hood, and Herdman, ; References: Our fact sheets are designed as general introductions to each subject and are intended to be concise. The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. When the crystals move around in this part of the ear it causes dizziness. If your dizziness persists or comes back, it might be possible to have the treatment again.

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. 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.

Call You should start the exercise whilst seated and then move on to standing. Although some authors state that the CC exercises are outmoded, this is not true. The CC exercises are still in common use see numerous references at bottom of this document.


This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a ball. 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.

Do not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions.

The CC exercises are mainly used as a home program.

Brain & Spine Foundation | Vestibular rehabilitation exercises

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 cawthorhe a supervised group. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. The manoeuvres are not appropriate for everyone. Progressions with this exercise vestiublar include placing the target letter on a busy background.

June 20, Return to VRT pag e. 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.

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

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.