Ferri Nicola, Morone Giovanni, Piermaria Jacopo, Manzari Leonardo, Turolla Andrea, De Tanti Antonio, Ciancarelli Irene, Pillastrini Paolo, Tramontano Marco
Department of Biomedical and Neuromotor Sciences, University of Bologna, 40138 Bologna, Italy.
Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Healthcare (Basel). 2024 Dec 25;13(1):22. doi: 10.3390/healthcare13010022.
Vestibular rehabilitation, an evidence-based physical therapy approach, plays a crucial role in managing and recovering from gaze and balance disorders, including those of central origin. This study, targeted at the community of Italian healthcare practitioners, is vital in understanding the application of vestibular rehabilitation in neurological disorders and in identifying knowledge gaps, barriers, and future directions. This is a cross-sectional study directed at healthcare professionals involved in neurorehabilitation in Italy. The survey consisted of 29 items grouped in 4 sections, which was estimated to take approximately 10 min to complete. The questions covered socio-demographic information, professional information, clinical practice, and future perspectives on vestibular rehabilitation. Out of the 435 respondents, 290 completed the survey. Most of the respondents reported either no (32.87%) or little (42.91%) experience in vestibular rehabilitation. However, most participants (72.98%) recognized the importance of vestibular rehabilitation in treating neurological disorders. The most common condition treated was stroke (46.39%), while balance training (52.69%) and visual input exercises (26.35%) were the two most frequently used strategies. The main barriers to implementing vestibular rehabilitation in clinical practice were equipment cost and insufficient skills. Vestibular physical therapy is a promising complementary approach in neurorehabilitation. However, the study reveals a perceived lack of basic training in vestibular assessment and therapy. This suggests that more efforts are needed to bridge this knowledge gap and make necessary equipment more accessible.
前庭康复是一种基于证据的物理治疗方法，在管理凝视和平衡障碍（包括中枢性起源的障碍）并从中恢复方面发挥着关键作用。这项针对意大利医疗从业者群体的研究，对于理解前庭康复在神经系统疾病中的应用以及识别知识差距、障碍和未来方向至关重要。这是一项针对意大利参与神经康复的医疗专业人员的横断面研究。该调查由29个项目组成，分为4个部分，估计大约需要10分钟完成。问题涵盖社会人口统计学信息、专业信息、临床实践以及前庭康复的未来展望。在435名受访者中，290人完成了调查。大多数受访者表示在前庭康复方面没有（32.87%）或几乎没有（42.91%）经验。然而，大多数参与者（72.98%）认识到前庭康复在治疗神经系统疾病中的重要性。最常治疗的疾病是中风（46.39%），而平衡训练（52.69%）和视觉输入练习（26.35%）是最常用的两种策略。在临床实践中实施前庭康复的主要障碍是设备成本和技能不足。前庭物理治疗是神经康复中一种有前景的辅助方法。然而，该研究揭示了在前庭评估和治疗方面存在基础培训不足的问题。这表明需要做出更多努力来弥合这一知识差距，并使必要的设备更容易获得。
