Open Access
Subscription Access
Open Access
Subscription Access
The effect of Cawthorne and Cooksey Exercises in Patients, affecting Balance Following Vestibular Problem in Elderly
Subscribe/Renew Journal
Objective: To determine the benefit of Cawthorne and Cooksey exercises with standard medical care given in case of chronic vertigo as vestibular suppressant, using a brief intervention for vertigo patients in a home based exercises program given by a trained professional.
Method: Elderly people consulting their general practitioner with dizziness or vertigo were randomly assigned to treatment or control group. Patients in both the group received the same evaluation at baseline, midsession and four week latter comprising the assessment of balance and vertigo symptoms. At base line and mid-term follow up all the patients were stimulated with habituation as Cawthorne and Cooksey exercises comprising of Eye, Head Trunk exercises designed to promote vestibular compensation and enhance skill and confidence in balance and reducing the symptoms of vertigo. While the control group as well the study group were allowed to take regular medication prescribed by their physician for their presenting symptoms.
Result: Result were calculated for the subjects who completed the study excluding patients which did not complete the study (n=10) .The treatment group (n=15) with mean age and standard deviation was 57.13 + 6.33 where as the control group (n=15) with mean age and standard deviation 56.2 + 4.47. Result calculated using paired t test demonstrated significant result in both the group but when comparison was done it was more significant ( P0.05). Where as at final result of comparison of means between different session for SRT (Sharpened Romberg test for standing)and VSS (vertigo symptom scale) showed group A showed more significance (P
Conclusion: Cawthorne and Cooksey exercises are simple, inexpensive and beneficial form of habituation exercise used to improve balance and vertigo symptoms in a home based treatment program.
Keywords
- Darcy A. Umpired. Jeb Burton, edition 2001, page (618-622).
- Maria stokes, Physical management in neurological rehabilitation reprinted 2005, page (413—419).
- Susan B.O’Sullivan, EdD, PT and Thomas J. Schmitz. PhD, PT. Physical rehabilitation assessment and treatment, fourth edition. . 2001,822-24
- Terence Cawthorne. Vestibular injuries proceeding of the royal society of medicine, December 7, 1945, (270-273).
- Persons F. Hanssen. Assessment and management of vertigo and dizziness among older Cambridge University publications, 2004; 14: 229-234,
- Lucy Yardley et al. Effectiveness of primary cases—based vestibular rehablitation for Chronic Dizziness. Ann intern med, 2004; 141, 598—605.
- Yardley, Shard a beech et al. A randomized controlled trial of exercise therapy for dizziness & vertigo, British journal of practice, 1998.48, 1136 -1140.
- Kollen, Lena. Evaluation and treatment in benign paroxysmal positional vertigo (BPPV). Advances in physiotherapy volume 8, No 3, September. 2006, 106-115(10).
- Erna Kentala, Steven D. Rauehia A practical assessment algorithm for diagnosis of dizziness. Otolaryngology head neck surgery .2003; 128- 54-59.
- Hain TC Uddin M. Pharmacological treatment of vertigo. CNS Drugs, 2003; 17(2):85- 100.
- Angela dos Santos Bersot. Balance improvement & reduction of likelihood of falls in older women after Cawthorne &Cooksey exercise. Rev Bras Otorinolaryngol, 2005; 71(1):38-46.
- F.B Horak et. al. Effect of vestibular rehablitation on dizziness and imbalance. Otolaryngol Head and neck Surgery 1992; 166-175.
- Helen S Cohen et al .Decreased ataxia and improved balance after vestibular Rehabilitation. Otolaryngology head, neck surgery 2004; 130: 18-25.
- Weiss LS, Amedee RG. Vestibular rehabilitation. La State Med Soc.1993 May 145 ;( 5); 187-9.
- Davis LE, J. Dizziness in elderly men. Am Geriatric soc 1994 NOV 42(11); 1184-8.
- Magnus Johansson et al. Randomized controlled trial of vestibular rehabilitation combined with Cognitive Behavior therapy for dizziness in older people. Otolaryngology head, neck surgery 2001; 125-151-6.
- F.S.Cooksey. Rehabilitation in vestibular injuries. Proceedings of royal societies of medicine. 1945; 273-78.
- Stefano Corna et al .Comparison of Cawthorne & Cooksey exercise & sinusoidal support surface translation to improve balance in patient with unilateral vestibular deficit. .Arch Phys Med Rehabilitation: 2003; 84; 1173-84.
- Cohen H .Vestibular rehabilitation reduces functional disability, Otolaryngeal Head Neck Surgery .1992Nov; 107(5):638-43.
- Hansson EE et. al. Effect of specific rehabilitation for dizziness among patients in primary health care .A randomized controlled trial. Clinical Rehabilitation 2004, Aug; 18 (5):558-65.
- B. Mendel et. al. The sense of coherence: a tool for evaluating the patients with peripheral vestibular disorder. 2001, clinical Otolaryngol 26, 19-24.
- Sales N, Kressig R ,et al. Management of chronic dizziness in elderly people.. Z Gerontol Geriatr , 2003 Feb 36(1) 10-5.
- Prasansuk.S (et. al ) .Balance disorder in the elderly and the benefit of balance exercise. J Med Assoc Thi 2004; 87(10):1225-33.
- Barona De Guzman, et. al. Vestibular compensation. Rehabilitation of a patient with Vertigo .Acta Otorrinolaringol Esp. 1994, Nov- Dec, 45(6):401-5.
- Schmal F, Stoll W, drug treatment for vertigo. Laryngorhinootologic. 2003; 82(1):44-61.
- Stakk W. Otogenic vertigo .Differentiation and therapy, Laryngorhinootologic.1993; 72(6):311-5.
- Fitzgeiald B. A review of the sharpened Romberg test in diving medicine. SPUMS 1996; 26(3): 142-146.
- Brigg RC et. al .Balance performance among non institutionalized elderly women. Phy Ther 1989; 69(9):748-56.
- Badke MB et. al .Outcome after rehabilitation for adults with balance dysfunction .Arch Phys Med rehabilitation .2004,85;(2)227-33.
Abstract Views: 1362
PDF Views: 0