土耳其的前庭康复治疗：物理治疗师临床实践的洞察

文献信息

中文摘要

引言： 前庭康复治疗（VRT）是一种针对前庭功能减退患者的有效物理治疗方法。实施VRT需要相关知识和技能才能有效实践。
目的： 探讨土耳其物理治疗师对VRT的知识、信念和临床实践。
方法： 通过WhatsApp、LinkedIn和Instagram上的专业网络，邀请在土耳其从事临床或学术工作的持证物理治疗师完成一项Google Forms调查。由于招募使用的是通过这些网络发布和转发的开放式调查链接，无法确定个体接收者的数量，也无法计算常规的应答率。共有178名符合条件的物理治疗师完成了调查。
结果： 在完成调查的178名物理治疗师中，88.8%没有VRT经验。只有1.2%使用过Frenzel透镜/红外眼镜。在Epley、Semont、Gufoni和烧烤翻滚手法中，报告未使用该操作或不知道该操作的比例分别为87.6%、96.1%、97.2%和94.4%。超过60%的人从未使用过或不熟悉习惯化、替代、视动刺激、虚拟现实和视觉练习用于治疗前庭疾病患者。总体而言，36.5%接受过VRT教育或培训。
结论： 所发现的教育和实施差距为加强土耳其本科物理治疗课程中以胜任力为基础的前庭康复培训以及继续专业发展提供了国家证据基础。解决这些差距可能会提高物理治疗师提供循证前庭照护的准备程度，并扩大适当康复服务的可及性。

英文摘要

INTRODUCTION: Vestibular rehabilitation therapy (VRT) is an effective physiotherapy approach for patients with vestibular hypofunction. The administration of VRT requires relevant knowledge and skills to practice effectively.
PURPOSE: To explore the knowledge, beliefs, and clinical practices regarding VRT among physical therapists in Turkey.
METHODS: Licensed physical therapists practising as clinicians or academics in Turkey were invited through professional networks on WhatsApp, LinkedIn, and Instagram to complete a Google Forms survey. Because recruitment used an open survey link that was posted and redistributed through these networks, the number of individual recipients could not be determined and a conventional response rate could not be calculated. A total of 178 eligible physical therapists completed the survey.
RESULTS: Of the 178 physical therapists who completed the survey, 88.8% had no VRT experience. Only 1.2% had used Frenzel lenses/infrared goggles. Across the Epley, Semont, Gufoni, and barbecue roll maneuvers, the proportions of respondents reporting either not using the procedure or not knowing it were 87.6%, 96.1%, 97.2%, and 94.4%, respectively. More than 60% had never used or were unfamiliar with habituation, substitution, optokinetic stimulation, virtual reality, and visual exercises for the treatment of patients with vestibular disorders. Overall, 36.5% had received VRT education or training.
CONCLUSION: The identified educational and implementation gaps provide a national evidence base for strengthening competency-based vestibular rehabilitation training in undergraduate physiotherapy curricula and continuing professional development in Turkey. Addressing these gaps may improve physical therapists' readiness to deliver evidence-based vestibular care and expand access to appropriate rehabilitation services.