Updated : Oct 13, 2019 in Personal Growth


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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The aim of gaze stabilisation exercises is to improve vision and the ability to focus on a stationary object while the head is moving. Individual patients should be accompanied by a friend or relative who also learns the exercises.

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.

Vestibular rehabilitation 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.

Ideally these activities should be done with a supervised group. You should start the exercise whilst seated and then move on to standing.

Make sure that you are in a safe environment before you start any of the exercises to reduce the risk of injury. These exedcises may also be advised if CRPs are not suitable.


Our Helpline team are also here to answer your questions and provide practical and emotional support. For example, 0 through to 5 for the severity of your symptoms 0 being no symptoms and 5 being severe symptoms. Last saved on August 3, Please be aware that it may take a few days for you to get used to the 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.

Cawthorne-Cooksey Exercises for Dizziness

A diary such as the one below might help you to keep track of the exercises and help with knowing when to vestibulat each one harder. Some of these exercises will not be suitable for everyone, and some are only suitable for certain conditions. June 20, Return to VRT pag e.

Do not complete any exercises if you feel that you are risk of falling without safety measures in place to stop this. This document is one page handout of activities that progress from simple head movement to complex activities such as throwing a vestibulqr. Alternatively, it may be that repeated exposure to movements that provoke dizziness symptoms teaches your brain cwwthorne to listen to the signals it is receiving from the ears as much vestibular compensation.

If your dizziness persists or comes back, it might be possible to have the treatment again. Cawthlrne of the first “general” interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. When the crystals move around in this part of the ear it causes dizziness.


One can find the original document illustrating the CC exercises here. If the treatment has worked successfully for you, your symptoms should improve within a couple of weeks.

Hain, MD Last update: It can be helpful if someone else learns the exercises and helps you with them. The manoeuvres are not appropriate for everyone. The CC exercises are still in common use see numerous references at bottom of this document.

Call 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. It would be advisable to start each exercise at a level that you would rate as a 2 or 3 on the rating scale execrises. Each person is affected differently by dizziness and balance problems and you should speak with your GP or specialist for individual advice.

Brain & Spine Foundation | Vestibular rehabilitation exercises

It is advised not to complete more than 10 of each of the exercises below. It is unclear exactly how these exercises work.

Progressions with this exercise can include placing the target letter on a busy background. You could ask if it is possible for a friend or relative to be with you at cawthhorne assessment.