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Abstract
Background: Vertigo is the sensation of spinning , it is the most recognizable and quite often the sole symptom of decreased blood flow in the vertebra basilar distribution. The purpose of this study was to compare between the effect of cawthorne cooksey versus habituation training on postural stability and vertigo at flow volume in vertebra basilar insufficiency patients. Methodology: A referred thirty vertebra basilar insufficiency patients from both sexes were assigned into two equal groups (group A and B), every group consists of 15 patients, with age ranged from (45-60) years old, diagnosed with vertebra basilar insufficiency and received training for 12 sessions every other day, each session for one hour: group (A) received cawthorne cooksey training while group (B) received habituation training. The patients were assessed clinically using biodex stability system, doppler ultrasound, berg balance scale , functional reach Test and visual vertigo analogue scale. The study was done in out clinics of Kasr Alainy Hospital, faculty of physical therapy-Cairo university, and 6 October university hospital. Results: This study revealed that balance and vertigo were improved in both groups with the best improvement results of group (A) more than group (B). Conclusion: Cawthorne cooksey training could be aproper method for improving balance and vertigo in vertebrobasilar insufficiency patients