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Alyahya D, Kashoo FZ. Perception, knowledge, and attitude of medical doctors in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey. PeerJ 2022; 10:e13035. [PMID: 35282282 PMCID: PMC8908887 DOI: 10.7717/peerj.13035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 02/08/2022] [Indexed: 01/11/2023] Open
Abstract
Objectives There is compelling scientific evidence about the role of physiotherapists in vestibular rehabilitation. However, patients with vestibular-associated dizziness and balance disturbances are seldom referred to physiotherapists in Saudi Arabia. Therefore, this study aims to achieve insight into perceptions, knowledge, attitudes, and referral practices among Saudi Arabian medical doctors relating to the role of physiotherapists in vestibular rehabilitation. Methods A sample of 381 medical doctors practicing in Saudi Arabia participated in this nationwide cross-sectional study. The sample was obtained from 226 hospitals across 13 provinces of Saudi Arabia by stratified sampling method. The 23-item questionnaire developed by a team of experts was emailed to medical doctors practicing in various hospitals across Saudi Arabia. Results Out of 1,231 medical doctors invited, 381 medical doctors responded, giving a response rate of 30.9%. One hundred ninety-three (50.6%) medical doctors reported managing patients with vestibular rehabilitation. The most preferred specialist for managing patients with vestibular disorders was an Ear Nose Throat (ENT) specialist (n = 173, 89.6%). Related Sample Cochran's Q test showed statistically significant difference between preferred specialist for managing patients with vestibular disorders (ENT specialists, physiotherapists, nurses, occupational therapists and audiologists) (χ2(4) = 482.476, p = 0.001). Out of 193 medical doctors, 153 (79.2%) reported no role of the physiotherapist in vestibular rehabilitation. One hundred forty-five (75.1%) of medical doctors reported that they were not aware of the role of physiotherapists in vestibular rehabilitation. Only 27 (15.5%) medical doctors reported referring patients with vestibular disorders to physiotherapists. Conclusion The study reports that physiotherapy services are underutilized in vestibular rehabilitation due to limited referral from Saudi Arabian medical doctors. Therefore, there is a need to increase the awareness among Saudi Arabian doctors about the physiotherapist's role in vestibular rehabilitation.
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Marouane E, El Mahmoudi N, Rastoldo G, Péricat D, Watabe I, Lapôtre A, Tonetto A, Xavier F, Dumas O, Chabbert C, Artzner V, Tighilet B. Sensorimotor Rehabilitation Promotes Vestibular Compensation in a Rodent Model of Acute Peripheral Vestibulopathy by Promoting Microgliogenesis in the Deafferented Vestibular Nuclei. Cells 2021; 10:3377. [PMID: 34943885 PMCID: PMC8699190 DOI: 10.3390/cells10123377] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 11/26/2021] [Accepted: 11/29/2021] [Indexed: 12/16/2022] Open
Abstract
Acute peripheral vestibulopathy leads to a cascade of symptoms involving balance and gait disorders that are particularly disabling for vestibular patients. Vestibular rehabilitation protocols have proven to be effective in improving vestibular compensation in clinical practice. Yet, the underlying neurobiological correlates remain unknown. The aim of this study was to highlight the behavioural and cellular consequences of a vestibular rehabilitation protocol adapted to a rat model of unilateral vestibular neurectomy. We developed a progressive sensory-motor rehabilitation task, and the behavioural consequences were quantified using a weight-distribution device. This analysis method provides a precise and ecological analysis of posturolocomotor vestibular deficits. At the cellular level, we focused on the analysis of plasticity mechanisms expressed in the vestibular nuclei. The results obtained show that vestibular rehabilitation induces a faster recovery of posturolocomotor deficits during vestibular compensation associated with a decrease in neurogenesis and an increase in microgliogenesis in the deafferented medial vestibular nucleus. This study reveals for the first time a part of the underlying adaptative neuroplasticity mechanisms of vestibular rehabilitation. These original data incite further investigation of the impact of rehabilitation on animal models of vestibulopathy. This new line of research should improve the management of vestibular patients.
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Affiliation(s)
- Emna Marouane
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
- BIOSEB ALLCAT Instruments, Couperigne, 13127 Vitrolles, France;
| | - Nada El Mahmoudi
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
| | - Guillaume Rastoldo
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
| | - David Péricat
- Institute of Pharmacology and Structural Biology (IPBS), University of Toulouse, CNRS, 31400 Toulouse, France;
| | - Isabelle Watabe
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
| | - Agnès Lapôtre
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
| | - Alain Tonetto
- Fédération de Recherche Sciences Chimiques Marseille FR 1739, Pôle 18 PRATIM, CEDEX 03, 13331 Marseille, France;
| | - Frédéric Xavier
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
- GDR Physiopathologie Vestibulaire—Unité GDR2074, CNRS, 13003 Marseille, France;
| | - Olivier Dumas
- GDR Physiopathologie Vestibulaire—Unité GDR2074, CNRS, 13003 Marseille, France;
| | - Christian Chabbert
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
- GDR Physiopathologie Vestibulaire—Unité GDR2074, CNRS, 13003 Marseille, France;
| | - Vincent Artzner
- BIOSEB ALLCAT Instruments, Couperigne, 13127 Vitrolles, France;
| | - Brahim Tighilet
- Aix-Marseille Université-CNRS, Laboratoire de Neurosciences Cognitives, LNC UMR 7291, Centre Saint-Charles Case C, 3 Place Victor Hugo, CEDEX 03, 13331 Marseille, France; (E.M.); (N.E.M.); (G.R.); (I.W.); (A.L.); (F.X.); (C.C.)
- GDR Physiopathologie Vestibulaire—Unité GDR2074, CNRS, 13003 Marseille, France;
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