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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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.

Vestibular rehabilitation exercises

Do not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. This is completely normal.

When the crystals move around in this part of the ear it causes dizziness. Our Helpline team are also here to answer your questions and provide practical and emotional support.

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. It can be helpful if someone else exercoses the exercises and helps you with them.

Brain & Spine Foundation | Vestibular rehabilitation exercises

Please xeercises that you should not attempt any of these exercises without first seeing coiksey specialist or physiotherapist for a comprehensive assessment, advice and guidance. As the exercise becomes easier over time you can start to do them more quickly. It is important that these manoeuvres are only performed by a trained specialist to prevent the risk of neck and back injuries. 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.


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. You may feel dizzy for the first 48 hours after the treatment.

It is unclear exactly how these exercises work. It may be advised not to undertake exercises that you would rate a 4 or 5 on the scale. Hain, MD Last update: 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.

June 20, Return to VRT pag e.

Cawthorne-Cooksey Exercises for Dizziness

One can find the original document illustrating the CC exercises here. You will be given guidance on how many repetitions of each exercise to do and when to progress to the next set of exercises. 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 vestlbular activity.

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. These exercises may also be advised if CRPs are not suitable.

You should start the exercise whilst seated and then move on to standing. Brandt-Daroff exercises are a treatment for BPPV that can be performed cawthonre home without the supervision of a specialist.


The CC exercises are still in common use see numerous references at bottom of this document. Call The manoeuvres are not appropriate for everyone. All responses are completely confidential so no individual answers will be identifiable to any person. A diary such as the one below might help you to keep track of the exercises eercises help with knowing when to make each one harder.

Please be aware that it may take a few days for you to get used to the exercises. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. Progressions with this exercise can include placing the target letter on a busy background. Vestibulaf 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 is also important to note that you may experience mild dizziness whilst doing these exercises. The CC exercises are exercise used as a home program. Ideally these activities should be done with a supervised group. Spanish translation of CC exercises courtesy of Maria Busso. Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice.