# Telerehabilitation and Physical Therapy: Proposal for a Therapeutic Assessment Applied to Vestibular Dysfunctions

## TL;DR

This paper proposes a remote assessment protocol for evaluating vestibular dysfunctions in physical therapy, aiming to reduce costs and improve accessibility.

## Contribution

The novel contribution is a structured telerehabilitation protocol for assessing vestibular dysfunctions remotely.

## Key findings

- The proposed protocol includes anamnesis, adapted oculomotor, balance, and gait tests, and a dizziness impact questionnaire.
- The protocol is intended to reduce healthcare costs and improve access for patients needing isolation or with travel difficulties.

## Abstract

Telerehabilitation has been used in several areas of physical therapy, including for respiratory, neurological, and musculoskeletal functions of patients with coronavirus disease 2019 (COVID-19), after stroke, and after hospital discharge (respectively). However, a few studies investigated protocols for assessing vestibular dysfunctions using teleconsultation.

To propose a protocol for remote physical therapy assessment of vestibular dysfunctions.

A literature review on telerehabilitation in physical therapy was conducted in the PubMed and SciELO databases using the search terms
telehealth
,
telerehabilitation
,
vestibular disease
,
dizziness
,
vertigo
, and
postural balance
. Four physical therapists with experience in the vestibular rehabilitation field discussed the collected data and suggested adaptations for remote clinical and functional tests to assess patients with vestibular dysfunctions.

The proposed protocol for remote assessment of vestibular dysfunctions comprised anamnesis, adaptations of nine oculomotors, two static balance, and one dynamic gait balance tests, a questionnaire assessing the impact of dizziness on quality of life, and observation of cervical mobility.

The protocol may be a valuable tool to assess and monitor the care of patients with vestibular dysfunction, reducing healthcare costs for the therapist and patient and enabling the attendance of those with difficulties in traveling to the rehabilitation center or needing isolation.