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Tytuł pozycji:

A survey of current management of Benign Paroxysmal Positional Vertigo (BPPV) by physiotherapists' interested in vestibular rehabilitation in the UK.

Tytuł :
A survey of current management of Benign Paroxysmal Positional Vertigo (BPPV) by physiotherapists' interested in vestibular rehabilitation in the UK.
Autorzy :
Male AJ; Faculty of Health Social Care and Education, Kingston University and St. George's University of London, Cranmer Terrace, London SW17 0RE, United Kingdom; Therapy Services, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, United Kingdom. Electronic address: .
Ramdharry GM; Faculty of Health Social Care and Education, Kingston University and St. George's University of London, Cranmer Terrace, London SW17 0RE, United Kingdom.
Grant R; Faculty of Health Social Care and Education, Kingston University and St. George's University of London, Cranmer Terrace, London SW17 0RE, United Kingdom.
Davies RA; Department of Neuro-Otology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, United Kingdom.
Beith ID; Faculty of Health Social Care and Education, Kingston University and St. George's University of London, Cranmer Terrace, London SW17 0RE, United Kingdom.
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Źródło :
Physiotherapy [Physiotherapy] 2019 Sep; Vol. 105 (3), pp. 307-314. Date of Electronic Publication: 2018 Sep 05.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't
Język :
English
Imprint Name(s) :
Publication: London : Chartered Society of Physiotherapy London
Original Publication: London.
MeSH Terms :
Evidence-Based Practice*
Physical Therapists*
Benign Paroxysmal Positional Vertigo/*rehabilitation
Humans ; Surveys and Questionnaires ; United Kingdom
Grant Information :
United Kingdom DH_ Department of Health
Contributed Indexing :
Keywords: Assessment*; Benign Paroxysmal Positional Vertigo (BPPV)*; Evidence-based practice*; Physical therapy*; Treatment*; Vertigo*
Entry Date(s) :
Date Created: 20181104 Date Completed: 20200102 Latest Revision: 20200102
Update Code :
20210210
DOI :
10.1016/j.physio.2018.08.007
PMID :
30389100
Czasopismo naukowe
Objectives: Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of dizziness. Extensive research has identified the best assessment and treatment manoeuvres for each subtype of BPPV. Education in vestibular rehabilitation (VR) is inconsistent. It is unclear if the evidence has been adopted by UK physiotherapists in clinical practice and no research has investigated this specifically.
Design: An online survey with closed- and open-text answers.
Participants: A purposive sample of physiotherapists interested in VR. A response rate of 67% (100/150) was obtained, from which 20 responses were excluded.
Results: Participants had good evidence-based awareness in assessment (79/80, 99%) and treatment (72/80, 90%) of posterior BPPV. Horizontal BPPV assessment awareness was lower than treatment (37/80, 46% vs 60/80, 75%). Differential diagnosis was poor in subjective (20/80, 25%) and objective stages of assessment (34/80, 43%). Thirty six percent (29/80) were able to list ≥3 test precautions with all three nystagmus characteristics described by 29% (23/80). Eighty one percent (65/80) encourage activity restrictions post-treatment. Only 28% (22/80) were aware of practice guidelines or Cochrane reviews in BPPV. External courses were rated the top method for learning how to manage BPPV. Lack of peer support (26/77, 34%) was the main challenge faced whilst learning. Recommendations for improving BPPV education included more external courses (23/87, 26%) and competency guidelines (13/87, 15%).
Conclusions: Good awareness of research evidence was observed in some aspects of BPPV management but many areas require development. Translation and implementation of evidence remains poor and suggests changes in education and knowledge dissemination are warranted.
(Copyright © 2018 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.)

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