Exploring Knowledge, Attitude, And Perception Of Ent Specialists Towards The Role Of Physiotherapy In Vestibular Rehabilitation

Abstract

OBJECTIVE: There is compelling scientific evidence about the role of physiotherapists in vestibular rehabilitation. However, patients with vestibular disorders including dizziness, vertigo ,BPPV and balance disturbances, are seldom referred to physiotherapists in Pakistan. This study aimed to assess the knowledge, attitude, and perception of ENT specialists in Hazara Division regarding the role of physiotherapy in vestibular rehabilitation, and to examine the barriers and possible strategies for enhancing interprofessional collaboration between ENT specialists and physiotherapists.

METHOD: This cross-sectional study was conducted among ENT specialists practicing in the Hazara Division. A total of 59 participants were recruited using a non-probability convenience sampling technique. Data were collected using a self-structured questionnaire developed by the researchers after an extensive review of relevant literature. The questionnaire was reviewed and approved by the institutional research committee to ensure content validity. It consisted of sections assessing knowledge, attitude, and perception regarding the role of physiotherapy in vestibular rehabilitation, as well as perceived barriers and strategies for improving interprofessional collaboration. The questionnaire was distributed to eligible participants in different hospitals and clinics , and responses were collected for analysis.

RESULTS: A total of 59 ENT specialists participated in the study. Among ENT specialists, vestibular rehabilitation knowledge was predominantly average, with 94.9% (n = 56) demonstrating average knowledge and only 5.1% (n = 3) showing poor knowledge. Attitudes toward physiotherapy were largely positive, with 88.1% (n = 52) showing a positive attitude, 8.5% (n = 5) moderate, and 3.4% (n = 2) negative. Perception was also favorable, as 84.7% (n = 50) had good perception, 11.9% (n = 7) moderate, and 3.4% (n = 2) poor perception.The most commonly reported barriers included limited availability of trained physiotherapists (66.1%, n = 39), patient-related factors such as lack of motivation (66.1%, n = 39), and institutional constraints (59.3%, n = 35).The most supported strategies were the development of institutional guidelines promoting collaborative care (89.8%, n = 53), followed by interprofessional case discussions (83%, n = 49), shared referral pathways (83%, n = 49), and joint training initiatives (81.3%, n = 48).

CONCLUSION: ENT specialists showed average knowledge, positive attitudes, and supportive perceptions toward physiotherapy in vestibular rehabilitation and interprofessional collaboration. However, referral barriers ,like limited trained physiotherapists, patient-related factors, and institutional constraints were identified. Strengthening structured collaboration and specialized training may improve integration and patient outcome.