Specialised vestibular physiotherapy in the emergency department: A pilot safety and feasibility study.


Journal

Emergency medicine Australasia : EMA
ISSN: 1742-6723
Titre abrégé: Emerg Med Australas
Pays: Australia
ID NLM: 101199824

Informations de publication

Date de publication:
10 2020
Historique:
received: 30 01 2020
revised: 31 05 2020
accepted: 01 06 2020
pubmed: 7 7 2020
medline: 20 7 2021
entrez: 7 7 2020
Statut: ppublish

Résumé

To evaluate the safety and feasibility of vestibular physiotherapy in the ED, and its impact on adherence to evidence-based clinical practice. This prospective pre-post implementation study of adults presenting with dizziness symptoms of potential vestibular aetiology measured the proportion of participants safely completing vestibular physiotherapy assessment and treatment. A total of 52 participants were recruited (20 usual care and 32 vestibular physiotherapy). Thirty (93.8%) of 32 completed all components of physiotherapy assessment, and there were no adverse events recorded. The results of the present study support extending the role of physiotherapists to managing peripheral vestibular dysfunction in the ED.

Identifiants

pubmed: 32627315
doi: 10.1111/1742-6723.13569
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

860-863

Subventions

Organisme : Western Health Foundation
ID : 2018 Seed Grant - nil specific grant number
Pays : International

Informations de copyright

© 2020 Australasian College for Emergency Medicine.

Références

Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J. Neurol. Neurosurg. Psychiatry 2007; 78: 710-5.
Kerber KA, Burke JF, Skolarus LE et al. Use of BPPV processes in emergency department dizziness presentations: a population-based study. OTO Open 2013; 148: 425-30.
Bhattecharyya N, Gubbels SP, Schwartz SR et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). OTO Open 2017; 156: S1-S47.
Kasbekar AV, Mullin N, Morrow C, Youssef AM, Kay T, Lesser TH. Development of a physiotherapist-led balance clinic: the Aintree model. J. Laryngol. Otol. 2014; 128: 966-71.
Lefmann SA, Crane JL. Establishing the diverse value of the emergency department physiotherapist. J. Physiother. 2016; 62: 1-3.
Eldridge SM, Chan CL, Campbell MJ et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ 2016; 355: i5239.

Auteurs

Melanie Lloyd (M)

Melbourne Medical School - Western Precinct, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Physiotherapy, Western Health, Melbourne, Victoria, Australia.

Allison Luscombe (A)

Department of Physiotherapy, Western Health, Melbourne, Victoria, Australia.

Catherine Grant (C)

Department of Physiotherapy, Western Health, Melbourne, Victoria, Australia.

Harin Karunajeewa (H)

Melbourne Medical School - Western Precinct, The University of Melbourne, Melbourne, Victoria, Australia.
Department of General Medicine, Western Health, Melbourne, Victoria, Australia.

Sharon Klim (S)

Joseph Epstein Centre for Emergency Medicine Research, Sunshine Hospital, Melbourne, Victoria, Australia.

Tissa Wijeratne (T)

Melbourne Medical School - Western Precinct, The University of Melbourne, Melbourne, Victoria, Australia.
Department of Neurology, Western Health, Melbourne, Victoria, Australia.

Anne-Maree Kelly (AM)

Joseph Epstein Centre for Emergency Medicine Research, Sunshine Hospital, Melbourne, Victoria, Australia.

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Classifications MeSH