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Development of a physiotherapy-led balance clinic: the Aintree model

Published online by Cambridge University Press:  14 October 2014

A V Kasbekar ,
N Mullin ,
C Morrow ,
A M Youssef ,
T Kay  and
T H Lesser
A V Kasbekar*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Aintree University Hospital, Liverpool, UK
N Mullin
Affiliation:
Department of Physiotherapy, Aintree University Hospital, Liverpool, UK
C Morrow
Affiliation:
Department of Physiotherapy, Aintree University Hospital, Liverpool, UK
A M Youssef
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Aintree University Hospital, Liverpool, UK
T Kay
Affiliation:
Department of Audiology, Aintree University Hospital, Liverpool, UK
T H Lesser
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Aintree University Hospital, Liverpool, UK
*
Address for correspondence: Mr Anand Kasbekar, 36 North Mossley Hill Road, Liverpool L18 8BP, UK Fax: +44 (0)1270 273462, E-mail: [email protected]
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Abstract

Objective:

To create a ‘one-stop’ clinic in which assessment, diagnosis, treatment and therapies for most patients presenting with balance and dizziness disorders are delivered simultaneously.

Methods:

Patients triaged via referral letters were selected to attend the balance clinic, which is led by specialist balance physiotherapists. Patients were seen by an audiologist, and a ‘balance’ ENT consultant was available for joint consultations when required. Further details of the clinic set up are discussed.

Results:

Over an 18-month period, 200 new ‘dizzy’ patients attended the clinic. Benign paroxysmal positional vertigo and labyrinthitis were the commonest diagnoses. Fifty per cent of all patients were discharged after a single clinic visit. Questionnaires showed that patient satisfaction was high.

Conclusion:

The physiotherapy-led balance clinic has reduced patient waiting times to be seen, has a high level of patient satisfaction and is economically beneficial.

Keywords

Postural BalanceAmbulatory Care FacilitiesPhysical Therapists
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 966 - 971
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Kroenke, K, Price, RK. Symptoms in the community. Prevalence, classification, and psychiatric comorbidity. Arch Intern Med 1993;153:2474–80CrossRefGoogle ScholarPubMed
2Yardley, L, Owen, N, Nazareth, I, Luxon, L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 1998;48:1131–5Google Scholar
3Davis, A, Moorjani, P. The Epidemiology of Hearing and Balance Disorders. In: Luxon, L, Furman, JM, Martini, A, Stephens, D, eds. Textbook of Audiological Medicine. London: Martin Dunitz; 2003Google Scholar
4Jayarajan, V, Rajenderkumar, D. A survey of dizziness management in General Practice. J Laryngol Otol 2003;117:599–604CrossRefGoogle ScholarPubMed
5Department of Health. The NHS Improvement Plan. London: The Stationery Office; 2004Google Scholar
6British Association of Otorhinolaryngologists – Head and Neck Surgeons (BAO-HNS). Balance 2008. Excellence in Practice – the provision of adult balance services by otolaryngologists. London: BAO-HNS; 2008Google Scholar
7Lee, A, Jones, G, Corcoran, J, Premachandra, P, Morrison, GA. A UK hospital based multidisciplinary balance clinic run by allied health professionals: first year results. J Laryngol Otol 2011;125:661–7CrossRefGoogle ScholarPubMed
8Leong, AC, Barker, F, Bleach, NR. Primary assessment of the vertiginous patient at a pre-ENT balance clinic. J Laryngol Otol 2008;122:132–8CrossRefGoogle Scholar
9Royal College of Physicians. Hearing and balance disorders: achieving excellence in diagnosis and management. Report of a Working Party. London: RCP; 2007Google Scholar