Implementing specialised vestibular physiotherapy in an emergency department: a process evaluation.

Background: Dizziness and vertigo-like symptoms, often caused by common peripheral vestibular disorders such as benign paroxysmal positional vertigo (BPPV), may significantly impact function and quality of life. These symptoms often result in emergency department (ED) presentations. Evidence-based clinical practice guidelines strongly recommend using physical assessment and treatment manoeuvres for the assessment, diagnosis and treatment of these symptoms.

Specialised vestibular physiotherapy in the emergency department: A pilot safety and feasibility study.

Objective: To evaluate the safety and feasibility of vestibular physiotherapy in the ED, and its impact on adherence to evidence-based clinical practice.

Methods: This prospective pre-post implementation study of adults presenting with dizziness symptoms of potential vestibular aetiology measured the proportion of participants safely completing vestibular physiotherapy assessment and treatment.

Results: A total of 52 participants were recruited (20 usual care and 32 vestibular physiotherapy).