Comparative Effects of Gaze Stabilization Exercises and Cawthorne-Cooksey Exercises on Craniovertebral Angle and Vestibulo-Ocular Reflex in IT Students

Gaze Stabilization vs. Cawthorne-Cooksey Exercises

Authors

  • Wardah Jabbar The University of Faisalabad, Faisalabad, Pakistan; House Officer at Madina Teaching Hospital, Faisalabad, Pakistan.
  • Marium Zafar Assistant Professor/Academic & Post-Graduate Coordinator, The University of Faisalabad, Faisalabad, Pakistan.
  • Zainab Boota Clinical Physiotherapist at Shafqat Memorial Clinic, Jhumra City, Pakistan, The University of Faisalabad, Faisalabad, Pakistan;
  • Irtasam Ahmad Clinical Resident at Madina Teaching Hospital, Faisalabad, Pakistan; The University of Faisalabad, Faisalabad, Pakistan
  • Syed Saqlain Babar Clinical Neuromuscular Physiotherapist, Khadija Mahmood Trust Hospital, Faisalabad, Pakistan; Clinical Resident at Madina Teaching Hospital, Faisalabad, Pakistan; The University of Faisalabad, Faisalabad, Pakistan;
  • Gulraiz Ayub Physiotherapist, PK Surgimed Hospital, Chiniot, Pakistan; Clinical Resident at Madina Teaching Hospital, Faisalabad, Pakistan; The University of Faisalabad, Faisalabad, Pakistan;

DOI:

https://doi.org/10.61919/jhrr.v4i3.1560

Keywords:

Gaze Stabilization Exercises, Cawthorne-Cooksey Exercises, Craniovertebral Angle, Vestibulo-Ocular Reflex, Forward Head Posture, Vestibular Rehabilitation

Abstract

Background: Vestibular dysfunction affects balance and spatial orientation, leading to symptoms like dizziness and impaired gaze stability. Forward head posture (FHP) is common among IT students due to prolonged screen time, exacerbating vestibular and postural issues.
Objective: To compare the effects of Gaze Stabilization Exercises (GSE) and Cawthorne-Cooksey Exercises (CCE) on craniovertebral angle (CVA) and vestibulo-ocular reflex (VOR) among IT students.
Methods: A single-blinded randomized clinical trial was conducted on 50 IT students aged 19-25 years with FHP. Participants were randomly assigned to GSE (n=25) or CCE (n=25) groups. Interventions were performed thrice weekly for 3 weeks. CVA and VOR were assessed pre- and post-intervention using a goniometer and clinical scale, respectively. Data were analyzed using SPSS version 27 with Wilcoxon signed-rank and Mann-Whitney U tests.
Results: Post-intervention, Group B (CCE) showed a significant increase in CVA (mean rank 26.80, U = 280.000, p = 0.527). Group A (GSE) demonstrated a significant reduction in VOR (mean rank 30.80, U = 180.00, p = 0.003).
Conclusion: GSE effectively improved VOR, while CCE significantly enhanced CVA, indicating the potential for targeted rehabilitation in addressing vestibular and postural dysfunctions.

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References

Lal V. A Clinical Approach to Neuro-Ophthalmic Disorders. CRC Press; 2022.

Joshua AM, Pai S. Vestibular Rehabilitation. In: Physiotherapy for Adult Neurological Conditions. Springer; 2022. p. 495-538.

Herdman SJ, Hall CD, Heusel-Gillig L. Factors Associated with Rehabilitation Outcomes in Patients with Unilateral Vestibular Hypofunction: A Prospective Cohort Study. Physical Therapy. 2020;100(11):2009-2022.

Franco I, Uricel Y, Valencia S, Castillo-Bustamante M, Madrigal J. Quality of Life in Patients with Vestibular Disorders: A Narrative Review. International Journal of Otorhinolaryngology and Head and Neck Surgery. 2023;9(5):426.

Gerstin G, Oakley PA, Harrison DE. The Treatment of Dizziness by Improving Cervical Lordosis: A Chiropractic BioPhysics® Case Report. Journal of Physical Therapy Science. 2020;32(12):864-868.

McGuire MJ. Practice Guidelines: Addressing Vestibular and Visual Problems in the Neurologically Impaired Adult. The Open Journal of Occupational Therapy. 2022;10(2):1-16.

Roy B, Mohan P, Suresh A, Kumar SS. Effectiveness of Cawthorne-Cooksey Exercise in Improving Balance for Patients with Dizziness and Vertigo: A Systematic Review. 2022.

Ha S-Y, Sung Y-H. A Temporary Forward Head Posture Decreases Function of Cervical Proprioception. Journal of Exercise Rehabilitation. 2020;16(2):168.

Dieterich M, Brandt T. The Parietal Lobe and the Vestibular System. Handbook of Clinical Neurology. 2018;151:119-140.

Meldrum D, Jahn K. Gaze Stabilisation Exercises in Vestibular Rehabilitation: Review of the Evidence and Recent Clinical Advances. Journal of Neurology. 2019;266(Suppl 1):11-18.

Thakkar RD, Kanase S. To Design and Investigate the Effectiveness of a Gaze Stabilization Application on Patients with Impaired Visual Vestibulo-Ocular Reflex. Journal of Ecophysiology and Occupational Health. 2022;22(2):94-103.

Womble MN, McAllister-Deitrick J, Marchetti GF, Reynolds E, Collins MW, Elbin R, et al. Risk Factors for Vestibular and Oculomotor Outcomes After Sport-Related Concussion. Clinical Journal of Sport Medicine. 2021;31(4).

Abbasi H, Alizadeh MH, Rajabi R, Mohammadi F. Comparison of Static and Dynamic Postural Stability Between Individuals with and Without Forward Head Posture. Physical Treatments-Specific Physical Therapy Journal. 2020;10(3):127-134.

Hyong IH, Kim JH. The Effect of Forward Head on Ankle Joint Range of Motion and Static Balance. Journal of Physical Therapy Science. 2012;24(9):925-927.

Silva AG, Johnson MI. Does Forward Head Posture Affect Postural Control in Human Healthy Volunteers? Gait & Posture. 2013;38(2):352-353.

Millar JL, Gimmon Y, Roberts D, Schubert MC. Improvement After Vestibular Rehabilitation Not Explained by Improved Passive VOR Gain. Frontiers in Neurology. 2020;11:79.

Anjasmara B. The Correlation of Forward Head Posture with Dynamic Balance to Student Members of the Umsida Sports UKM. ACTIVE: Journal of Physical Education, Sport, Health and Recreation. 2023;12(1):59-63.

Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD, et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: From the American Physical Therapy Association Neurology Section. Journal of Neurologic Physical Therapy. 2016;40(2):124-155.

Elhamrawy MY, Saif MYS, Mohamed SH, Said MT. Effect of Eye Movement Training on Balance in Post-Stroke Patients with Unilateral Spatial Neglect. First Preliminary Report. NILES Journal for Geriatric and Gerontology. 2019;2(1):71-76.

He W, Ji Y, Wei X, Wang F, Xu F, Lu C, et al. Eye Movement Technique to Improve Executive Function in Patients with Stroke: A Randomized Controlled Trial. Frontiers in Neurology. 2021;12:98-50.

Correia A, Pimenta C, Alves M, Virella D. Better Balance: A Randomised Controlled Trial of Oculomotor and Gaze Stability Exercises to Reduce Risk of Falling After Stroke. Clinical Rehabilitation. 2021;35(2):213-221.

Lin G, Zhao X, Wang W, Wilkinson T. The Relationship Between Forward Head Posture, Postural Control and Gait: A Systematic Review. Gait & Posture. 2022;11(2):58.

Sung Y-H. Suboccipital Muscles, Forward Head Posture, and Cervicogenic Dizziness. Medicina. 2022;58(12):1791.

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Published

2024-09-20

How to Cite

Wardah Jabbar, Marium Zafar, Zainab Boota, Irtasam Ahmad, Syed Saqlain Babar, & Gulraiz Ayub. (2024). Comparative Effects of Gaze Stabilization Exercises and Cawthorne-Cooksey Exercises on Craniovertebral Angle and Vestibulo-Ocular Reflex in IT Students: Gaze Stabilization vs. Cawthorne-Cooksey Exercises. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1560

Issue

Vol. 4 No. 3 (2024): Volume 4, Issue 3 - July to September 2024

Section

Articles

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Copyright (c) 2024 Wardah Jabbar, Marium Zafar, Zainab Boota, Irtasam Ahmad, Syed Saqlain Babar, Gulraiz Ayub

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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