Pitfalls, patience and patients: developing a physiotherapy-led balance clinic
Tank, Ed ; Morrison, Elaenor
Tank, Ed
Morrison, Elaenor
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Affiliation
The Dudley Group NHS Foundation Trust
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Publication date
23/05/2024
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Abstract
Balance dysfunction and vestibular conditions are major problems requiring significant resources. There is significant national and international variation in management pathways for such patients. This paper outlines a collaborative project run by the ENT department and two vestibular rehabilitation trained physiotherapists to establish a clinic to manage patients referred to ENT with vestibular and/or balance complaints. As part of a six-month pilot, two physiotherapy-led balance clinics were provided per week. Results: A total of 159 new patients were seen, with only 15 needing ENT consultant input. This led to the successful creation of substantive posts; the clinic has seen 698 patients in its first two years. Patient outcomes and experience have been positive, and accompanied by reduced waiting and in-service times. The authors discuss some of the pitfalls, challenges and opportunities of developing this type of clinic.
Citation
Tank E, Morrison E. Pitfalls, patience and patients: developing a physiotherapy-led balance clinic. J Laryngol Otol. 2024 Jun;138(S2):S47-S50. doi: 10.1017/S0022215123002256. Epub 2024 May 23.