Comparing in-clinic versus telehealth for vestibular physical therapy.
J Vestib Res
; 34(4): 215-222, 2024.
Article
em En
| MEDLINE
| ID: mdl-38905068
ABSTRACT
BACKGROUND:
Vestibular rehabilitation (VR) is a commonly employed treatment method for disorders of dizziness and imbalance. Access to a clinic for rehabilitation appointments can be challenging for a person experiencing dizziness. Telehealth may offer a comparable alternative to clinic-based VR for some patients.OBJECTIVE:
The objective of this study was to determine the efficacy of telehealth-based VR compared to traditional clinic-based VR, as measured with the Dizziness Handicapped Inventory (DHI) in a retrospective sample of patients with vestibular conditions.METHODS:
This is a retrospective, multi-institutional review from May 2020 to January 2021. Three study groups were analyzed a telehealth group, a hybrid group, and a clinic based control group. Treatment efficacy was measured using the DHI. A repeated measures ANCOVA was performed to compare changes between the groups and across timepoints.RESULTS:
The repeated measures ANCOVA was not significant for the interaction of groups (control, telehealth, and hybrid) by time (pre and post) (pâ>â0.05). However, there was a significant main effect for time (pre and post) (pâ<â0.05). Specifically, all groups improved DHI scores from pre to post treatment with mean differences of control 31.85 points, telehealth 18.75 points, and hybrid 21.45 points.CONCLUSION:
Findings showed that in-clinic, telehealth, and hybrid groups demonstrated a decrease in DHI scores, indicating self-reported improvements in the impact of dizziness on daily life. Continued research is recommended to explore the efficacy of using telehealth in assessing and treating vestibular conditions.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Doenças Vestibulares
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Modalidades de Fisioterapia
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Telemedicina
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Tontura
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article