Background: One of the vulnerable populations of any community are the elderly, who are exposed to poor balance, falls, injuries, reduced quality of life QoL and independency, and early death. Considering the importance of balance in independently performing activities of daily living ADL and its impact on QoL, in this study, we aimed at investigating the effect of Cawthorne and Cooksey exercises CCE on QoL and balance of 60 to 80 year-old individuals in Shiraz, Iran. Methods: This clinical trial study was conducted on forty 80 to year-old individuals of Jahandideghan retirement center in Shiraz 20 in the intervention and 20 in the control groups in The intervention group did CCE in three minute sessions a week for 2 months.

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Objective: To compare the effectiveness of vestibular rehabilitation by using Cawthorne-Cooksey exercises with that of instrumental rehabilitation. Setting: Division of physical therapy and rehabilitation at a scientific institute in Italy. Interventions: Cawthorne-Cooksey exercises or instrumental rehabilitation training consisting of standing with eyes open EO or closed EC on a platform moving, relative to the subjects, in the anteroposterior AP or mediolateral direction, at a sinusoidal translation frequency of 0.

Main outcome measures: Body sway and subjective score of sway during quiet stance with EO or EC, with feet 10cm apart FA or together FT ; the standard deviation of the AP displacement of the malleolus, hip, and head during AP platform translations; the Dizziness Handicap Inventory DHI ; and performance-oriented evaluation of balance and gait according to Tinetti.

Results: Both interventions improved patients' balance. Under each postural and visual condition, both groups showed reduction in body sway, and the post rehabilitation sway values approached those observed in normal subjects; improvement was significantly better for instrumental rehabilitation under FA EO, FA EC, and FT EC conditions.

All patients reported a subjective feeling of increased steadiness. Sway recorded 1 month before treatment did not differ from that at the start of treatment. The follow-up evaluation showed persistence of effect.

Parallel to the improved stability, a decrease in the SD of the displacement of hip and head in balancing on the movable platform was present in both groups; improvement was better in the instrumental rehabilitation group than the Cawthorne-Cooksey group under the EC condition.

Balance and gait assessment improved to the same extent in both groups. Scores on the physical, functional, and emotional questions of the DHI improved significantly in both groups after treatment, but to a larger extent in the instrumental rehabilitation patients. Conclusions: Both Cawthorne-Cooksey and instrumental rehabilitation are effective for treating balance disorders of vestibular origin.

Improvement affects both control of body balance and performance of activities of daily living. The larger decrease in body sway and greater improvement of DHI after instrumental rehabilitation suggests that it is more effective than Cawthorne-Cooksey exercises in improving balance control. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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Full-text links Cite Favorites. Abstract Objective: To compare the effectiveness of vestibular rehabilitation by using Cawthorne-Cooksey exercises with that of instrumental rehabilitation. Similar articles Erratum. Mult Scler. Epub Jun 3. PMID: Vestibular rehabilitation with visual stimuli in peripheral vestibular disorders. Manso A, et al. Braz J Otorhinolaryngol. Epub Jan 8.

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J Vestib Res. Vestibular rehabilitation strategies and factors that affect the outcome. Eleftheriadou A, et al. Eur Arch Otorhinolaryngol. Epub Apr PMID: Review. Effects of vestibular rehabilitation in the elderly: a systematic review. Martins E Silva DC, et al. Aging Clin Exp Res. Epub Oct Show more similar articles See all similar articles. Sozzi S, et al. Front Neurol. Giardini M, et al. Neural Plast. Clinical Trial. Front Hum Neurosci. Glucocorticoids improve acute dizziness symptoms following acute unilateral vestibulopathy.

J Neurol. Lacour M, Bernard-Demanze L. Lacour M, et al. Show more "Cited by" articles See all "Cited by" articles. Publication types Comparative Study Actions. Research Support, Non-U. Gov't Actions. Adult Actions. Aged Actions. Female Actions. Humans Actions. Male Actions. Middle Aged Actions. Treatment Outcome Actions. Vestibular Function Tests Actions. Full-text links [x] Elsevier Science.

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Vertigo Relief: How to Do Cawthorne Head Exercises

Do you often feel dizzy — like the room is spinning? If so, you may be experiencing vertigo. If left untreated, vertigo can become a serious problem. Luckily, vertigo is something that can be treated. A variety of medications, therapy, and even surgical procedures can help with feelings of dizziness. But balance therapy, like Cawthorne head exercises, can help reduce sensitivity to motion.


Timothy C. Spanish translation of CC exercises courtesy of Maria Busso. One of the first "general" interventions for vestibular problems were the Cawthorne-Cooksey CC exercises, as shown below. 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.

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