Table 3.
GPs using vestibular treatment: medical indications, form of treatment and referral strategy.
| Treatment modalities | Epley manoeuvre(N = 244 users) | Brandt-Daroff exercises(N = 214 users) | VR (N = 29 users) |
|---|---|---|---|
| Medical indication | |||
| Patients with Ménière’s disease, % | 2.9 | 2.8 | 6.9 |
| Patients with benign paroxysmal positional vertigo, % | 97.5 | 97.2 | 82.8 |
| Patients with vestibular neuronitis, % | 17.2 | 17.3 | 41.4 |
| Patients with chronic dizziness, % | 10.7 | 16.8 | 41.4 |
| Patients with dizziness of unknown origin, % | 33.6 | 25.2 | 41.4 |
| Elderly patients (>65 years) with vestibular dizziness, % | 22.5 | 21.0 | 58.6 |
| Treatment without referral, N (%) | 181 (74.2%) | 191 (89.3%) | 19 (65.5%) |
| Form of treatment | |||
| I perform the treatment myself, % | 82.3 | 24.1 | 15.8 |
| I give the patient oral instructions during the consultation, % | 54.1 | 74.9 | 73.7 |
| I provide the patient with written instructions, % | 30.4 | 41.4 | 57.9 |
| I provide the patient with the name of a website which explains how to perform the treatment, % | 16.6 | 21.5 | 10.5 |
| Other, % | 9.4 | 8.4 | 5.3 |
| Referral for treatment, N (%) | 63 (25.8%) | 23 (10.7%) | 10 (34.5%) |
| Choice of referral | |||
| Physical therapist, % | 85.7 | 95.6 | 80.0 |
| Neurologist, % | 9.5 | 0.0 | 10.0 |
| ENT-doctor, % | 15.9 | 4.3 | 10.0 |
| Specialized clinic for dizziness, % | 0.0 | 0.0 | 0.0 |
| Other, % | 14.3 | 21.7 | 40.0 |