Cawthorne Cooksey exercises in patients with peripheral vestibular dysfunction

Abstract

Introduction.  Peripheral vestibular dysfunction is a disorder of the body’s balance system that may present symptoms such as vertigo, nausea, vomiting, head movement intolerance, postural instability, and gait disturbances. Its most common form is benign paroxysmal positional vertigo (BPPV). Objective. To evaluate the effectiveness of Cawthorne–Cooksey exercises in patients with peripheral vestibular dysfunction through a review of specialized scientific literature. Methodology.  A systematic review of randomized controlled trials (RCTs) was conducted by searching the Web of Science (WoS), Scopus, and Medline databases, following PRISMA guidelines. Only RCTs were included, and methodological quality was assessed using the PEDro scale, selecting studies with a score >7. Results. A total of 231 articles were identified; after applying inclusion criteria, 10 studies were selected. The reviewed evidence indicates that Cawthorne–Cooksey exercises are an effective approach in vestibular rehabilitation when delivered as part of a multimodal intervention, leading to improvements in balance, reductions in dizziness, and enhanced gait speed and stability. Conclusion.  Vestibular rehabilitation should be implemented through an integrated approach, supported by technologies that improve treatment adherence. Vestibular disorders show better recovery outcomes when interventions are continuous and individualized, highlighting the critical role of consistent practice and personalized therapeutic strategies. General Area of Study: Health sciences.  Specific area of study: Physiotherapy. Type of study: Systematic review.