Awareness About the Necessity of Vestibular Rehabilitation Education Among Physical Therapists Working in Saudi Arabia

Main Article Content

Abdulaziz A. Albalwi
Ahmad A. Alharbi
Majed M. Ramadan
Nour A. Alghorayed
Faei A. Albalwi
Reem A. Alaid
Athiar S. Alatawi

Keywords

Vestibular Rehabilitation, Education, Physical Therapists, Saudi Arabia

Abstract

Background: A physical therapist plays an integral role in vestibular rehabilitation, which is a form of therapy that addresses problems related to the inner ear and brain structures that control balance and coordination.
Objective: This study aimed to report the awareness about the necessity of vestibular rehabilitation education and the satisfaction with the current vestibular rehabilitation situation among physical therapists working in Saudi Arabia.
Methods: A self-administered online questionnaire consisted of two sections: one contained demographic information, and the other had questions related to the knowledge and education of physical therapists regarding vestibular rehabilitation in the country, as well as the experience and satisfaction of physical therapists.
Results: A total of 235 participants participated in the online survey conducted between September and December of 2022. This study found that most participants (85.96%) learned about vestibular rehabilitation from courses, workshops, and lectures. A little more than half of the participants (56.60%) reported never seeing vestibular referral cases, whereas less than half (46.15%) rarely examined and treated patients with vestibular disorders. The majority of the participants (65.53%) reported that a lack of knowledge, lack of referrals, and lack of equipment prevented them from performing vestibular examinations. Furthermore, the majority of participants (59.57%) are not satisfied with the current vestibular rehabilitation situation.
Conclusion: The current study reported that there is a lack of knowledge, referrals, and equipment that prevent Saudi Arabian physical therapists from performing vestibular examinations which results in dissatisfaction with the current vestibular rehabilitation situation.

Abstract 866 | PDF Downloads 415

References

1. von Brevern M, Neuhauser H. Epidemiological evidence for a link between vertigo and migraine. Journal of Vestibular Research. 2011;21(6):299-304.
2. Alharbi AA, Alshammari ME, Albalwi AA, Ramadan MM, Alsharif DS, Hafiz AE. Dizziness in Saudi Arabia: An epidemiologic study. Frontiers in neurology. 2023;14:1040231.
3. Wali SO, Abalkhail B, Krayem A. Prevalence and risk factors of obstructive sleep apnea syndrome in a Saudi Arabian population. Annals of thoracic medicine. 2017;12(2):88.
4. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Archives of internal medicine. 2009;169(10):938-44.
5. van Vugt VA, Diaz Nerio PM, van der Wouden JC, van der Horst HE, Maarsingh OR. Use of canalith repositioning manoeuvres and vestibular rehabilitation: a GP survey. Scandinavian journal of primary health care. 2017;35(1):19-26.
6. Bath AP, Walsh RM, Ranalli P, Tyndel F, Bance ML, Mai R, et al. Experience from a multidisciplinary “dizzy” clinic. Otology & Neurotology. 2000;21(1):92-7.
7. Heaton JM, Barton J, Ranalli P, Tyndel F, Mai R, Rutka JA. Evaluation of the dizzy patient: experience from a multidisciplinary neurotology clinic. The Journal of Laryngology & Otology. 1999;113(1):19-23.
8. Yin M, Ishikawa K, Wong WH, Shibata Y. A clinical epidemiological study in 2169 patients with vertigo. Auris Nasus Larynx. 2009;36(1):30-5.
9. Sung Y-H, Sung Y-H. Awareness about the necessity of vestibular rehabilitation education in Korean physical therapists. Journal of Exercise Rehabilitation. 2020;16(2):197-203.
10. Bush ML, Dougherty W. Assessment of vestibular rehabilitation therapy training and practice patterns. Journal of community health. 2015;40:802-7.
11. Cohen HS, Gottshall KR, Graziano M, Malmstrom E-M, Sharpe MH. International survey of vestibular rehabilitation therapists by the Barany Society ad hoc committee on vestibular rehabilitation therapy. Journal of Vestibular Research. 2009;19(1-2):15-20.
12. Hall CD, Heusel-Gillig L, Tusa RJ, Herdman SJ. Efficacy of gaze stability exercises in older adults with dizziness. Journal of Neurologic Physical Therapy. 2010;34(2):64-9.
13. Whitney SL, Alghwiri A, Alghadir A. Physical therapy for persons with vestibular disorders. Current opinion in neurology. 2015;28(1):61-8.
14. 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.
15. Hillier S, Mcdonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review. Eur J Phys Rehabil Med. 2016;52(4):541-56.
16. Kwon YH, Ko YM. Review on Physical Therapy for Patients with Vestibular Disorder. The Journal of Korean Physical Therapy. 2017;29(6):316-23.
17. Heffernan A, Abdelmalek M, Nunez DA. Virtual and augmented reality in the vestibular rehabilitation of peripheral vestibular disorders: systematic review and meta-analysis. Scientific reports. 2021;11(1):17843.
18. Alshemary AHM, Asiri AAA, Banah AG, Alzahrani ANS, Alyami MRH, Saleh AM, et al. An Overview on vertigo Diagnostic and Management Approach in Primary Health Care Center. International Journal of Pharmaceutical Research & Allied Sciences. 2021;10(4).
19. Meldrum D, Burrows L, Cakrt O, Kerkeni H, Lopez C, Tjernstrom F, et al. Vestibular rehabilitation in Europe: a survey of clinical and research practice. Journal of neurology. 2020;267:24-35.
20. Alyahya D, Kashoo FZ. Perception, knowledge, and attitude of medical doctors in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey. PeerJ. 2022;10:e13035.