An investigation on the effects of Cawthorne Cooksey exercises on both vestibular and non- vestibular balance issues: A Systematic Review of Rehabilitative Services for the Elderly

The vestibular system plays an essential role in the preservation of balance. Any dysfunction in the vestibular system leads to an elevated risk (40%-50%) of elderly persons experiencing dizziness, vertigo, and peripheral vestibular disease. Functional deficit or physiological changes with aging can result in balance disturbance and an increase in the likelihood of falls in elders. Moreover, non-vestibular conditions such as sensory loss, psychiatric, visual impairment, and adverse drug effects have also disturbed the balance and can lead to falls in elders. The primary purpose of the proposed manuscript is to address whether the Cawthrone exercise intervention is effective for vestibular or non-vestibular balance impairments in the geriatric population and can contribute to the improvement of balance and to decrease the likelihood of falls. 40 studies from various databases (Pubmed, Medline, Cochrane, and other databases) were included in this systematic review. This systematic analysis is based on the PRISMA protocol guidelines. Only databases that investigated the impact of Cawthorne Cooksey exercises on both vestibular and non-vestibular balance disorders from 2011 to 2021 were included in this study. The results of these clinical trials indicate that Cawthorne and Cooksey’s exercises are an effective means of treating elderly patients with vestibular or non-vestibular complaints. These exercises also enhance the quality of life and can be used in older peoples with balance disturbances as a prevention or treatment technique.

Keywords – Balance, fall, impairments, quality of life, vestibular system, vertigo