Vol. 6, Issue 1, Part A (2024)

The Cawthorne Cooksey exercises, devised in the 1940s by Cawthorne and Cooksey, form a pivotal vestibular rehabilitation regimen. Targeting various vestibular functions, including eye-head coordination, gaze stability, and balance, these exercises aim to facilitate sensory re-weighting, habituation, and compensation, proving effective in alleviating symptoms and improving equilibrium in conditions like BPPV, vestibular neuritis, and Meniere's disease. To enhance patient adherence, strategies such as tailored plans, gradual progression, telehealth support, motivational techniques, and integration into daily routines are crucial. These approaches optimize compliance, thereby refining treatment outcomes, bolstering vestibular function, and enhancing overall well-being. This review provides a comprehensive overview of the historical context, mechanisms, clinical applications, as well as adherence and compliance strategies of the Cawthorne Cooksey Exercise. Furthermore, it identifies research gaps and future directions, including longitudinal studies, comparative trials, neuroimaging exploration, virtual reality integration, and standardized outcome measures. By combining multidisciplinary insights, this review underscores the exercise program's significance in vestibular rehabilitation and its potential for advancing patient care.