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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Hain, MD Last update: You should be assessed for an individual exercise programme to ensure you are doing the appropriate exercises. Cookse not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. Last saved on August 3, One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. It can be helpful if someone else learns the exercises and helps you with them.

Adapted from Dix and Hood, and Herdman, ; References: 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. Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice.

Your GP can refer you. It is advised not to complete more than 10 of each of the exercises below.

Brain & Spine Foundation | Vestibular rehabilitation exercises

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 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.


The manoeuvres are not appropriate for everyone. The CC exercises are still in common use see numerous references at bottom of this document. 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.

Vestibular rehabilitation exercises

This is completely normal. These exercises may also be advised if CRPs are not suitable.

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. 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.

Individual patients should be accompanied by a friend or exdrcises who also learns the exercises. It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries.

You should dawthorne the exercise whilst seated and then move on to standing. The whole survey should take between 5 and 15 minutes of your time, depending on the number of services you have used. June 20, Return to VRT pag e.

Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. In particular, the manoeuvres will not be suitable if you have pain or stiffness in your neck or if coiksey have had a neck injury. It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale.

They should be completed slowly at first. 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. Call If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks. Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury.


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. Brandt-Daroff exercises are a treatment for BPPV that can be performed at home without the supervision of a specialist.

One can find the original document illustrating the CC exercises here. 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.

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. Although some authors state that the CC exercises are outmoded, this is not true. You might find that your dizziness problems get worse for a few days vesribular you start cooksej exercises, but you should persevere with them.

Progressions with this exercise can include placing the target letter on a busy background. Our Helpline team are also here to answer your questions and provide practical and emotional support.

You could ask if it is possible for a friend or relative to be with you at the assessment. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms.

The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. It is unclear exactly how these exercises work.

Spanish translation of CC exercises courtesy of Maria Busso. 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. This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness dxercises balance problems. Diligence and perseverance are required but the earlier and more regularly the exercise regimen is carried out, vestibullar faster and more complete will be the return to normal activity.