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 also important to note that you may experience mild dizziness whilst doing these exercises. One of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below.

Cawthorne-Cooksey Exercises for Dizziness

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. 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.

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

It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. The whole survey should take between 5 and 15 minutes of your time, depending on the number of services you have used. Our Helpline team are also here to answer your questions and provide practical and emotional support. 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.

Vestibular rehabilitation exercises

If your dizziness persists or comes back, it might be possible to have the treatment again. Coomsey aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks. You will be given guidance on how many repetitions of each exercise to do and when to progress to the cooisey set of exercises.

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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. 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. All responses are completely confidential so no individual answers will be identifiable to any person.

Call Our fact sheets are designed as general introductions to each subject and are intended to be concise. You should start the exercise whilst seated and then move on to standing. Sitting Eye movements and head movements as above Shoulder shrugging and circling Bending forward and picking up objects from the ground Acwthorne 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 evstibular 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.

Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. This is completely normal. It is advised not to complete more than 10 of each of the exercises below. 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.

Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice. You might be interested in reading our Dizziness and balance problems booklet for further information on the different causes of dizziness and cawthorrne conditions that can be treated with vestibular rehabilitation exercises. These exercises are likely to make cpoksey feel dizzy whilst you perform them, but it is important to persevere in order to feel any benefit.


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.

Ideally these activities should be cawthofne with a supervised group. When the crystals move around in this part of the ear it causes dizziness. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms.

This fact sheet provides information on vestibular rehabilitation exercises for people with dizziness and balance problems. 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.

Brain & Spine Foundation | Vestibular rehabilitation exercises

Spanish translation of CC exercises courtesy of Maria Busso. One can find the original document illustrating the CC exercises here.

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. 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 after cookesy start the exercises, but you should persevere with them.

It is unclear exactly how these exercises work. The CC exercises are mainly used as a home program. It can be helpful if someone else learns the exercises and helps you with them. The repeated head movements may work by moving the crystals back to their correct position inside the inner ear as with CRPs.