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Cawthorne-Cooksie exercises are introduced in graded levels, beginning with symptom-controlled eye movements and progressing to head, arm, body, and standing or walking tasks performed twice daily under tolerance 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[www.ulh.nhs.uk](www.ulh.nhs.uk)\u003Cbr>|  |\n\nWhat is Vestibular Rehabilitation?  \nVestibular rehabilitation (VR) is an exercise-based programme that is designed to encourage the central nervous system to compensate for problems in the inner ear.  \nFollowing thorough examination, your Audiologist will work with you on a management plan that may include exercises that you can do at home.  \nVR exercises involve head and eye movements that are essential in stimulating and retraining the vestibular system.  \nVR is highly effective for most adults with disorders of the vestibular system and has been shown to be more effective than generic exercises in resolving symptoms of imbalance.  \nHow does Vestibular Rehabilitation work?  \nVestibular compensation is a process that allows the brain to regain balance control and minimise dizziness symptoms. This can help you adapt when there is damage to, or an imbalance between, the right and left vestibular organs (balance organs) in the inner ear.  \nEssentially, 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.  \nThe basis for the success with VR is the use of existing neural mechanisms in the human brain to adapt and compensate.  \nThe extent of vestibular compensation and adaptation is closely related to the retraining stimulus. Specifically designed VR exercises will take advantage of the brain’s ability to restore symmetry. This should result in much better control of the balance system.  \nOther factors, such as your age, general health and eyesight can affect the degree to which your body will adapt to the changes in your balance system.  \nBefore you get started  \nGrade the severity of your symptoms as you do these exercises, using the following scale:  \n0-Symptom free  \n1-Mild discomfort  \n2-Discomfort  \n3-Severe  \nOnly when the symptoms clear, or after two weeks, move on to the next exercise.  \nBear in mind that a conscious effort should be made to seek out the head positions and movements that cause vertigo, but only as far as you can tolerate them. This is because the more frequently vertigo is induced, the more quickly the brain compensation mechanism builds up.  \nYou may have been prescribed medication to ease your symptoms and should continue with these while working on this exercise programme.  \nGetting started  \nWhat are Cawthorne-Cooksie Exercises?  \nThe balance parts of the two ears complement each other by sending equal impulses to the brain which are essential for the maintenance of equilibrium of the head and body.  \nIf either or both balance organs are damaged, equilibrium is upset. The result of this is vertigo or giddiness, which may be accompanied by nausea and vomiting. Although this condition may be very frightening it is not serious, in that it does not, in itself, threaten life.  \nCawthorne-Cooksie exercises are special exercises that can, in many cases, overcome the difficulties experienced with the disequilibrium. The purpose of these exercises is to build up a tolerance mechanism and the more diligently and regularly they are carried out, the sooner the symptoms should reduce.  \nHow to use the exercises?  \n􀁸 The exercises should be performed for approximately 10 minutes twice daily.  \n􀁸 You should perform the exercises daily for the most benefit.  \n􀁸 Begin with level 1.  \n􀁸 Should this exercise make you feel off balance, dizzy or  \nunstable, practice this level for the remainder of the 10 minutes.  \n􀁸 Do not overdo the exercises. If symptoms become too severe, take a break.  \n􀁸 Perform the exercises as directed on the following pages.  \nONLY when the symptoms clear, or after two weeks of level  \n1, then move on to level 2 and so on.  \n􀁸 Follow the above until you are able to perform all levels comfortably and easily and keep active","cbCaibomk4rewsTS","https://ap.wps.com/l/cbCaibomk4rewsTS","pdf",295562,"English","# What is Vestibular Rehabilitation?\n## How does Vestibular Rehabilitation work?\n# Before you get started\n# Getting started\n## What are Cawthorne-Cooksie Exercises?\n## How to use the exercises?\n## Level 1-Eye movements\n## Level 2-Head and eye movements\n## Level 3-Arm and body movements\n## Level 4-Up and moving about\n# What happens next?","[{\"question\":\"What is vestibular rehabilitation and what is it designed to do?\",\"answer\":\"Vestibular rehabilitation is an exercise-based programme designed to encourage the central nervous system to compensate for problems in the inner ear and retrain the vestibular system.\"},{\"question\":\"How does vestibular rehabilitation help with dizziness and imbalance?\",\"answer\":\"It promotes vestibular compensation, allowing the brain to regain balance control by learning to rely more on alternative signals from the eyes, ankles, legs, and neck.\"},{\"question\":\"How should Cawthorne-Cooksie exercises be progressed through the levels?\",\"answer\":\"Perform the exercises about 10 minutes twice daily, start at level 1, and only move to the next level when symptoms clear or after two weeks at the current level.\"}]","Vestibular Rehabilitation - Cawthorne-Cooksie Exercises - Home Exercise Programme | PDF"]