Comparing in-clinic versus telehealth for vestibular physical therapy

Author:

Kriz Morgan1,Conover Sarah23,Cameron Nicholas4,Conover Meg5,Simon Janet6,Prueter James7,Samy Ravi8,Backous Douglas9

Affiliation:

1. Vestibular Therapy Specialists, Seattle, WA, USA

2. Sarah Conover and Associates, LLC, Troy, OH, USA

3. Xcel Sports Medicine, Vandalia, OH, USA

4. Department of Otolaryngology - Head and Neck Surgery, Kettering Health Dayton, Dayton, OH, USA

5. Doctors Hospital Family Medicine, Columbus, OH, USA

6. College of Applied Health Sciences and Wellness, Ohio University, Athens, OH, USA

7. Department of Otolaryngology - Head and Neck Surgery, Southwest Ohio ENT, Dayton, OH, USA

8. Department of Otolaryngology - Head and Neck Surgery, Lehigh Valley Health Network, Allentown, PA, USA

9. Department of Otolaryngology - Head and Neck Surgery, Puget Sound ENT, Edmonds, WA, USA

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) (p > 0.05). However, there was a significant main effect for time (pre and post) (p < 0.05). 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.

Publisher

IOS Press

Reference26 articles.

1. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis;Agostini;Journal of Telemedicine and Telecare,2015

2. The burden and impact of vertigo: Findings from the REVERT patient registry;Benecke;Frontiers in Neurology,2013

3. The physiological basis for head exercises;Cawthorne;The Journal of the Chartered Society of Physiotherapy

4. Clendaniel R. and Goode A. , Measurement properties of the dizziness handicap inventory, In APTA Combined Sections Meeting, San Diego, CA 23 (2013, January).

5. Cooksey F.S. , Rehabilitation in vestibular injuries, 7 (1946), 273–278.

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