Open AccessVestibular rehabilitation by telemonitoring
Author(s) -
Isabella Moraes de Castro,
Letícia Moraes de Aquino
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.489
Subject(s) - telehealth , psychological intervention , rehabilitation , telemedicine , medicine , vestibular rehabilitation , physical therapy , physical medicine and rehabilitation , covid-19 , psychology , health care , nursing , economics , economic growth , disease , pathology , infectious disease (medical specialty)
Dizziness is one of the main symptoms of vestibular disorders, with high prevalence and functional impact. Vestibular Physiotherapy (VP) is a part of the treatment in these disorders, targeting functional improvement. Currently, telehealth (TH) appears to expand access, being an immediate solution for COVID-19 pandemic. Objective: To seek evidence of the benefits of VP via TH regarding assessment and interventions for patients with VD. Design and settings: Study carried out at São Camilo University. Methodology: Integrative review of clinical studies, Key words: “Vestibular disorders” and “TH”, in the PubMED and PeDRO databases, with no language or year limit. Results: 10 articles were found, 5 were included after review. Of these, 80% had a TH care protocol guiding adaptations to assessments for acute/ subacute symptoms, considering the severity and need for referrals. 60% of the works highlight the barriers found: devices and the patient’s ability to manage them, data and internet security; but also raise the possibility of greater reach to specialized professionals. One article adapted the Dix-Hallpike test from a distance. Only one study proposed remote interventions by exercise, comparing with face-to-face assistance, demonstrating similar results. Conclusion: Evidence suggests viable use of TH in dizziness, with better evidence in the evaluation processes, considering the barriers to be controlled. Only one study showed results on VF and exercises, showing that it is a possibility to be further investigated.