#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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physiotalk @physiotalk
@_JoeMiddleton @geekymedics You are getting ahead to question 3 (or is it 4?)!! :) #physiotalk
physiotalk @physiotalk
Welcome to tonights #physiotalk tweetchat on the subject of dizziness
physiotalk @physiotalk
Before we get started – let us know who you are, where you are tweeting from and your favourite local word to describe feeling dizzy! #physiotalk
physiotalk @physiotalk
As its St Andrews Day today here are some old Scots words for dizziness to get us started… gizzy, arr, waumish and swander #physiotalk
Helen Michel @hfdub
@physiotalk Hello, Helen from Kent and we like #giddy here #physiotalk
Janet Thomas @JanetThomas47
@physiotalk I'm on the @physiotalk account tonight from Edinburgh. No one Fife word my patients use to describe feeling dizzy but they are often giddy! #physiotalk
physiotalk @physiotalk
@hfdub Giddy is in the lead so far from Kent and Fife! Any others... #physiotalk
physiotalk @physiotalk
@Jen53715342 Hi You need to put #physiotalk in your tweets so we can follow the answers and discussions - thanks
Joe Middleton @_JoeMiddleton
RT @physiotalk: Before we get started – let us know who you are, where you are tweeting from and your favourite local word to describe feel…
Joe Middleton @_JoeMiddleton
RT @physiotalk: Welcome to tonights #physiotalk tweetchat on the subject of dizziness
physiotalk @physiotalk
#physiotalk
Naomi Cummins 💙 @naojane18_PT
@physiotalk Naomi from Nottingham- just dizzy here! #physiotalk
physiotalk @physiotalk
A reminder to use the hashtag in all of your tweets tonight please #physiotalk https://t.co/9QFVvTNvFv
Joe Middleton @_JoeMiddleton
@physiotalk Calling in from Somerset, where people feel 'Wurzel'* #physiotalk *I may have made that up....
Jen @Jen53715342
@physiotalk #physiotalk I am Jennie from Canterbury and ny patients local word for dizzy is ‘feeling wozzy’
physiotalk @physiotalk
@naojane18_PT Not fuzzy, lightheaded, swimming, 'funny' So many words - and it can be important diagnostically as well of course #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Hello Hayley here, tweeting from Birmingham but working in derby. Locals often say they feel like they’re ‘drunk’ but they haven’t had a drink! #physiotalk
David Herdman @DavidHerdmanPT
@physiotalk I don't have any local words, but I often reflect on how 'dizzy' is often slang for someone who is a bit thick or foolish, and the stigma this itself creates #physiotalk
physiotalk @physiotalk
@_JoeMiddleton Oh I wish that were true though #physiotalk
physiotalk @physiotalk
@DavidHerdmanPT As in dizzy blonde? I've never thought about that - but how true! #physiotalk
physiotalk @physiotalk
Our first question coming up - and its a poll #physiotalk
Catherine Bowdler @clbowdler
@physiotalk Catherine from Chester. Straight forward dizzy I think. #physiotalk
physiotalk @physiotalk
Do you treat people who complain of dizziness? #physiotalk
@LMSPhysio @LMSPhysio
RT @physiotalk: As its St Andrews Day today here are some old Scots words for dizziness to get us started… gizzy, arr, waumish and swand…
Niki Turner @niki_turner
@physiotalk Hi! Niki from Cardiff, 🤔 I think in South Wales we just say ‘dizzy’ 🥴 #physiotalk
David Herdman @DavidHerdmanPT
@physiotalk yes- it is often gendered and derogatory #physiotalk
Lakshmi Palanivel 💙 @LPalanivel
#physiotalk hello I am a physio from Manchester. Here I have heard most of my patients stating feeling woozy or dizzy sometimes lightheaded
Hayley Grice @HayleySGrice
@physiotalk Or a ‘hungover’ without the fun part #physiotalk
physiotalk @physiotalk
@niki_turner Or is there a Welsh word? Calls husband from living room.... #physiotalk
Claire O' Connell @ClaireOCPhysio
@physiotalk Claire in Bristol. No local words but usually giddy/dizzy/woozy #physiotalk
physiotalk @physiotalk
@niki_turner He tells me its penysgafn (or lightheaded) #physiotalk
physiotalk @physiotalk
RT @physiotalk: Do you treat people who complain of dizziness? #physiotalk
physiotalk @physiotalk
Onto our next question (but make sure you answer the poll!) #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: Do you treat people who complain of dizziness? #physiotalk
physiotalk @physiotalk
Q: Do you feel your undergraduate curriculum prepared you to assess and treat people who are dizzy? #physiotalk
Niki Turner @niki_turner
@HayleySGrice @physiotalk Yes, lots of descriptions of the room spinning, like you’ve had too much to drink and then an awful hangover with no night out to show for it #physiotalk
Hayley Grice @HayleySGrice
RT @niki_turner: @HayleySGrice @physiotalk Yes, lots of descriptions of the room spinning, like you’ve had too much to drink and then an aw…
Fiona Lucey PT @FionaConroyPT
@physiotalk Hello from Ireland. No local word, but treated a lady with UVH whose first language was not English and her google translate informed me that she felt like “the juice had been squeezed from her lemon” It’s always stuck with me! #physiotalk
Helen Michel @hfdub
@physiotalk Most definitely not #physiotalk
Saffron @SaffThePhysio
RT @physiotalk: A reminder to use the hashtag in all of your tweets tonight please #physiotalk https://t.co/9QFVvTNvFv
Catherine Bowdler @clbowdler
@physiotalk Oh goodness, not even remotely. #physiotalk
mark 🏴󠁧󠁢󠁳󠁣󠁴󠁿🇪🇺 @m4rky_p4
@physiotalk No, I feel this is just touched on at most during university (from memory!) #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Assess potentially yes, I’m not sure about how to treat...I think that came once I was qualified...but I’ve been qualified 13 years so I’m sure curriculum has moved on...#physiotalk
Janet Thomas @JanetThomas47
@physiotalk I had a question on vertigo in my Part 2 finals - but I don't recall covering much on dizziness at all (a LONG time ago) #physiotalk
physiotalk @physiotalk
RT @FionaConroyPT: @physiotalk Hello from Ireland. No local word, but treated a lady with UVH whose first language was not English and her…
Claire O' Connell @ClaireOCPhysio
@physiotalk No, cannot recall what we did learn about dizzyness in uni, if anything.. #physiotalk
Cal Roberts @CR_MCSP
@physiotalk #physiotalk https://t.co/ff0VpyoMOC
Saffron @SaffThePhysio
@physiotalk Saffron and tweeting from hampshire 'I feel off' that super descriptive phrase... 🙃😂 #PhysioTalk
Kate Mccoy @physiocyclekate
@physiotalk Not at all - I had to learn it as I went along. #physiotalk
Ed Davis @EdDavis1988
@physiotalk All my vestibular skills were learnt postgrad. #physiotalk
Joe Middleton @_JoeMiddleton
.... Well, not that I remember anyway.... #physiotalk https://t.co/92p8jZ8ylj
Janet Thomas @JanetThomas47
@physiotalk And this was a response to my tweet on knowledge of vestibular systems etc in #physio20 #physiotalk https://t.co/VvaIUZqRMq
Joe Middleton @_JoeMiddleton
RT @physiotalk: Q: Do you feel your undergraduate curriculum prepared you to assess and treat people who are dizzy? #physiotalk
Niki Turner @niki_turner
@physiotalk No, not really. My main exposure to ‘dizzy’ patients has been within neuro and stroke specialty after qualifying. I don’t remember much experience or specific training as an undergrad (although many yrs ago 😂) #physiotalk
Amanda Rutter @AdvancingPhysio
#dizzy? Treating fallers who complain of dizziness / giddiness? How do you assess them?
Kate Mccoy @physiocyclekate
@physiotalk Kate from south Wales, arriving a bit late #physiotalk
physiotalk @physiotalk
#physiotalk
Lauren Nic Giolla Bháin @laurenmce2_
@physiotalk No, haven't learned about dizziness in uni #physiotalk
physiotalk @physiotalk
I think there is an overwhelming no to the question about covering it at undergraduate level! So - did ANY of you get taught it at uni? #physiotalk
Saffron @SaffThePhysio
@physiotalk I feel like we learn it as a red flag.. but in clinic if patient feels dizzy you take BP/SpO2 and get a Dr? 🤷🏻‍♀️ #physiotalk
Ben Ellis @bendotellis
@physiotalk No. What would people consider the relevant learning outcomes at pre-registration (lots of programmes not undergrad) level? #Physiotalk
ACPSEMdance @ACPSEMdance
RT @physiotalk: Q: Do you feel your undergraduate curriculum prepared you to assess and treat people who are dizzy? #physiotalk
Janet Thomas @JanetThomas47
I did a session on vestibular issues for @QMUPhysio final year students last year and it was surprising how many students had already seen people with vestibular problems #physiotalk
Hayley Grice @HayleySGrice
@physiotalk I re-call possibly being taught how to assess it as in agg’s/ease’s/red flags... and maybe within stroke/neuro placement re: posterior strokes #physiotalk
Philippa Leishman @Leishm1Philippa
@physiotalk 100% no! #physiotalk
physiotalk @physiotalk
A few tweets slipping through without the hashtag tonight Please remember to put #physiotalk in all your tweets including replies!
Claire O' Connell @ClaireOCPhysio
@physiotalk We probably learned about the inner ear and symptoms but don't think we learned much about assessnent or treatment #physiotalk
physiotalk @physiotalk
So - given the answer to the first question (and realising that you might be taking part in tonights chat because you are interested in dizziness!) onto the next question #physiotalk
Emily Jay @emilyja97488515
@physiotalk I don't remember any vestibular teaching at uni! @acpivr are working on a ACPIVR framework for core competencies which will be really useful. #physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk No #physiotalk
physiotalk @physiotalk
Q: Do you feel competent to diagnose and treat the possible reasons people might be complaining of feeling dizzy? #physiotalk
physiotalk @physiotalk
RT @emilyja97488515: @physiotalk I don't remember any vestibular teaching at uni! @acpivr are working on a ACPIVR framework for core compe…
Stephanie Land @n8vgrl1
@physiotalk I started to learn about dizziness as a Junior in an out patients rotation (many years ago now!). I do not recall it being covered at Uni. #physiotalk
Joe Middleton @_JoeMiddleton
@bendotellis @physiotalk At least the Dix-Hallpike & Epley. If you can do the Dix-Hallpike & Epley, you literally become the most popular clinician in the hospital. #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: Q: Do you feel competent to diagnose and treat the possible reasons people might be complaining of feeling dizzy? #physi
Lucy Cocker (She/ Her) @LCphysio
@physiotalk No learnt alot in neuro outpatients and falls team post grad #physiotalk
Cal Roberts @CR_MCSP
@physiotalk Again no. Not until I was newly qualified and working in MSK. #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk #physiotalk That'd be a big old... https://t.co/UFu2LiKCaz
Janet Thomas @JanetThomas47
@physiotalk Competent yes, specialist, no But so many older people have vestibular issues contributing to falls its important that I am able to assess and treat #physiotalk
Helen Michel @hfdub
@physiotalk I feel able to rule in/rule out a few causes, but anything vestibular is a total mystery to me and would require onward referral as we were not a specialist service #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Competent within my skill set but I have only ever had informal vestibular training. Definitely an area that I would like to undertake further specialist training in... #neurophysio #everydayaschoolday #physiotalk
physiotalk @physiotalk
#physiotalk
Jen @Jen53715342
@physiotalk #physiotalk not that confident to be honest despite me doing a short course of vestibular rehab at UCLH
Joe Middleton @_JoeMiddleton
@physiotalk (but well on my way to reaching that point....) #physiotalk
Cal Roberts @CR_MCSP
@physiotalk Yes. Only now after about 10 years of CPD, courses, working in falls clinics, ENT and endless other opportunities. #physiotalk
Kate Mccoy @physiocyclekate
@physiotalk Out of practice #physiotalk
Jen @Jen53715342
@physiotalk #physiotalk no I did it as a post graduate post short course
Fiona Lucey PT @FionaConroyPT
@physiotalk Yes, but more importantly, recognizing when things are outside scope of practice/require further specialist follow up. For me, it’s been important to have a mentor in the area to problem solve/clinically reason with as often you are out on a limb in the workplace #physiotalk
David Herdman @DavidHerdmanPT
@bendotellis @physiotalk I think this is a common approach- too much focus on dizziness as a red flag in relation to manual therapy. It is part of our scope of practice, we should be looking at the commonest causes and including it as part of falls/balance/neuro assessment and therapy. #physiotalk https://t.co/SE6qu4eKlm
physiotalk @physiotalk
Q: So given the gap between current competence / confidence / need to do something (!) and the lack of pre-reg training, how did you gain knowledge of vestibular issues? #physiotalk
Lauren Nic Giolla Bháin @laurenmce2_
@physiotalk Only with the simpler, more common reasons, but would definitely be asking for guidance re. anything more complicated or without an obvious cause #physiotalk
physiotalk @physiotalk
RT @DavidHerdmanPT: @bendotellis @physiotalk I think this is a common approach- too much focus on dizziness as a red flag in relation to ma…
Janet Thomas @JanetThomas47
@physiotalk Courses, conferences, reading, membership of @acpivr for starters #physiotalk
Niki Turner @niki_turner
@physiotalk Getting there with confidence. In acute stroke setting I see patterns of how patients describe their symptoms, associated balance / mobility problems and how they respond to desensitisation exercises... not confident with diagnosis and often look to medics for this #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: Q: So given the gap between current competence / confidence / need to do something (!) and the lack of pre-reg training, h…
Hayley Grice @HayleySGrice
@physiotalk When I was a Band 5 Physio and early Band 6 Physio from Senior Physio’s from their experience and also from them attending formal training and then doing local IST and sharing knowledge #physiotalk
physiotalk @physiotalk
@DavidHerdmanPT @bendotellis So would you push for it to be covered in pre-reg curriculum given how common problems are for people with falls / balance issues etc? #physiotalk
Claire O' Connell @ClaireOCPhysio
@physiotalk Feel competent to assess and know who to refer to/liaise with. Would not feel competent with treating vestibular issues #physiotalk
Catherine Bowdler @clbowdler
@physiotalk BMJ Learning has a really good module on vertigo. #physiotalk
Jen @Jen53715342
@physiotalk #physiotalk by reading books and journals, looking for courses some are actually for GP I find.
physiotalk @physiotalk
RT @clbowdler: @physiotalk BMJ Learning has a really good module on vertigo. #physiotalk
Claire O' Connell @ClaireOCPhysio
@physiotalk Always seems to be a topic for in-service training, possibly as colleagues may not feel confident in this area #physiotalk
Kate Mccoy @physiocyclekate
@physiotalk Falls assessments - really good way to look at global clinical reasoning and linking to balance systems #physiotalk
Fiona Lucey PT @FionaConroyPT
@physiotalk Multiple basic and advanced weekend courses, workshops/ conferences/online masterclass/ self directed learning++,working alongside experts in the area,on the job learning and enormous amounts of clinical reasoning/case discussions with a specialist mentor in the area #physiotalk
Cal Roberts @CR_MCSP
@physiotalk Touched slightly on last tweet however I remember being newly qualified and in MSK where there was a specialist vestibular physio; I was literally stuck to their hip!! 🤣 It fascinated me and that’s where it all began but there’s still much to learn. #physiotalk
physiotalk @physiotalk
Over half way through - keep on with the hash tagging please! That's including #physiotalk in all of your tweets tonight
Ben Ellis @bendotellis
@DavidHerdmanPT @physiotalk Agree that assessment linked to balance and falls feels the best place. Alongside a framework for understanding and assessing components of balance control like Horak’s model #physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk In service training, Neck dizziness app, discussions with experienced physios #physiotalk
physiotalk @physiotalk
Onto the next question... #physiotalk
physiotalk @physiotalk
Q Do you think people who are dizzy are best seen by a specialist team as there are so many possible differential diagnoses? #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: Q Do you think people who are dizzy are best seen by a specialist team as there are so many possible differential diagnose…
Helen Michel @hfdub
@physiotalk Yes! Maybe specialists outreach services to begin to spread the knowledge #physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk #physiotalk https://t.co/pcuVIdzqj6
Catherine Bowdler @clbowdler
@physiotalk Yes, or an ACP physio with the right skill set. #physiotalk
Ben Ellis @bendotellis
@_JoeMiddleton @physiotalk Can that be effectively learned outside of clinical practice without patient contact? Students can practice on each other but Is that sufficient for use in practice? And if not, is it worth learning when the next opportunity to use in practice is unknown? #physiotalk
Janet Thomas @JanetThomas47
@physiotalk I'm lucky in that most people I see are assessed as part of our team approach to CGA . However we do get a number of physio only outpatients - but these usually come from consultant clinic so I know they have had a medical workup first #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Ideally all physio’s at first point of contact whether acute or community need a level of competence in differential diagnosis so that the issue can be treated quickly; onward referrals can be timely and then specialist services can be for complex cases...#physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk Yes, or it must be included in our undergraduate/ post graduate training, so that we feel better equipped to diagnose and treat dizziness. #physiotalk
Janet Thomas @JanetThomas47
@bendotellis @_JoeMiddleton @physiotalk Could you not say that for any technique? Teaching final years vest rehab I was surprised how many had already seen and treated dizzy patients and at least were aware of the tests #physiotalk
physiotalk @physiotalk
RT @physioNikitaM: @physiotalk #physiotalk https://t.co/pcuVIdzqj6
Hayley Grice @HayleySGrice
@physiotalk Are specialist vestibular services commissioned in all areas?Often it seems a very bespoke one physio specialism...#physiotalk
Fiona Lucey PT @FionaConroyPT
@physiotalk I think as a profession we could do more to develop basic skill set amongst the many to assess and treat basic vestibular pathologies. Access to specialist teams for more complex presentations from there. #physiotalk
David Herdman @DavidHerdmanPT
@bendotellis @_JoeMiddleton @physiotalk I used to practice the head impulse test on my dog 😂 #physiotalk https://t.co/dp88MUy32M
physiotalk @physiotalk
@physioNikitaM Do you have a link for the app you mention? #physiotalk
Susanne Syme @SusanneSyme
@physiotalk It’s unlikely than many of my residents living with frailty would ever reach the threshold of referral to specialist services so more needs to be available in the first instance in the care setting #physiotalk
physiotalk @physiotalk
RT @HayleySGrice: @physiotalk Are specialist vestibular services commissioned in all areas?Often it seems a very bespoke one physio special…
physiotalk @physiotalk
@HayleySGrice Would be good to know how many areas do have vestibular services? #physiotalk
Hayley Grice @HayleySGrice
RT @FionaConroyPT: @physiotalk I think as a profession we could do more to develop basic skill set amongst the many to assess and treat bas…
Joe Middleton @_JoeMiddleton
@clinicalphysio have you done any sessions on dizziness and/or vestibular pathology, assessment and treatment? #physiotalk
Kate Mccoy @physiocyclekate
@physiotalk Yes and No - everyone should be able to lying / standing BP as a screen - sorts out 30% of those I see in an ESDT . We are a specilast team but not dizziness or vestibular. Really important we can sort out basic causes and treat but also opportunity to refer on. #physiotalk
Ben Ellis @bendotellis
@JanetThomas47 @_JoeMiddleton @physiotalk Yep! I think the key thing at pre-reg is likely to be an awareness of the role vestibular system plays in balance and how to potentially pick up on that through assessment. Awareness of Rx techniques is fine too of course, but I’m not sure should be the focus #physiotalk
Janet Thomas @JanetThomas47
@DavidHerdmanPT @bendotellis @_JoeMiddleton @physiotalk Ha! I practiced on my daughter once following a course but made her feel really dizzy #physiotalk
physiotalk @physiotalk
RT @physiocyclekate: @physiotalk Yes and No - everyone should be able to lying / standing BP as a screen - sorts out 30% of those I see in…
Hayley Grice @HayleySGrice
@physiotalk Derby certainly within the Acute Trust has a Specialist Vestibular Physiotherapist within the Outpatient Dept. #physiotalk
Claire O' Connell @ClaireOCPhysio
@physiotalk I think first contact with a physio in the acute or community should involve an assessment and differential diagnosis. If cannot be managed by physio team, then refer to falls clinic or ENT depending on the issues #physiotalk
physiotalk @physiotalk
Just about 20 mins left in tonights chat - thanks for all of your input. Onto our next question #physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk FYI https://t.co/xdlRtkhICf #physiotalk
physiotalk @physiotalk
Q: Should treating dizziness require physiotherapists to have specific post registration training? #physiotalk
Susanne Syme @SusanneSyme
@physiotalk It would be interesting to look at care home residents with a care plan that restricts mobility due to conditions such as postural hypotension #physiotalk
Cal Roberts @CR_MCSP
@physiotalk I’d like to think they should be as it’s #complex but I know that’s not the case and having worked in teams of ‘generalists’ it can be challenging unless members have developed/keep up to date with those specific skills. #physiotalk
physiotalk @physiotalk
RT @physioNikitaM: @physiotalk FYI https://t.co/xdlRtkhICf #physiotalk
physiotalk @physiotalk
Sorry - I meant 10 minutes! #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: Q: Should treating dizziness require physiotherapists to have specific post registration training? #physiotalk
Jen @Jen53715342
@physiotalk #physiotalk I would say yes
Hayley Grice @HayleySGrice
@physiotalk A national standardised qualification? This would be very funding dependent... #physiotalk
Donncha Lane (Neuro-Rehab Physiotherapist) @DonnchaLanePT
Aaah. No. Just no. #Physiotalk
physiotalk @physiotalk
@HayleySGrice An overarching framework at least? I understand @acpivr are working on something along these lines? #physiotalk
physiotalk @physiotalk
#physiotalk
Helen Michel @hfdub
@physiotalk I would say yes, a specific recognised course supported by ‘on the job’ experience or mentoring #physiotalk
physiotalk @physiotalk
RT @DonnchaLanePT: Aaah. No. Just no. #Physiotalk https://t.co/r4EzXfPIxN
Kate Mccoy @physiocyclekate
@physiotalk General screening ,specific questions, n understanding vestibular conditions, basic exercises - no specific assessments, epley etc.......yes. #physiotalk
physiotalk @physiotalk
RT @physiocyclekate: @physiotalk General screening ,specific questions, n understanding vestibular conditions, basic exercises - no specif…
Jen @Jen53715342
@physiotalk #physiotalk definitely to be able to administer the correct treatment as if they come across someone who has not got a clue of what they are going to be looking out for then they just get sent round in circles until their condition deteriorates and impacts on their function.
Hayley Grice @HayleySGrice
I have had a lot of success with cawthrone cooksey exercises and those are my go to but are they #EBP? Or best practice? They seem to be a good reference point to signpost non-specialist colleagues to #physiotalk
Cal Roberts @CR_MCSP
@physiotalk Most certainly. I’ve heard of some horror stories of individuals treating BPPV and it was not a good outcome. #physiotalk
physiotalk @physiotalk
#physiotalk
Claire O' Connell @ClaireOCPhysio
@physiotalk Yes this would improve confidence in assessment and management. #physiotalk
Alice-physio @Alicephysio3
@physiotalk That's a no from me too. Definitely gained through practice in neuro/stroke #physiotalk
David Herdman @DavidHerdmanPT
@physiotalk For people treating dizziness, what do you think our top research priorities should be? #physiotalk
physiotalk @physiotalk
RT @DavidHerdmanPT: @physiotalk For people treating dizziness, what do you think our top research priorities should be? #physiotalk
physiotalk @physiotalk
In the last 5 minutes of tonights #physiotalk What are your main 'go to' resources for patients who are dizzy?
Niki Turner @niki_turner
@physiotalk @HayleySGrice We have a vestibular clinic run by neurology / audiology, not aware of a specific specialist vestibular physio locally. Pretty sure lots of physio colleagues are treating dizzy patients across primary and secondary care though. #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk: In the last 5 minutes of tonights #physiotalk What are your main 'go to' resources for patients who are dizzy?
Donncha Lane (Neuro-Rehab Physiotherapist) @DonnchaLanePT
@DavidHerdmanPT @physiotalk The psychological impact.........would always have thought this in relation to vestibular rehab but even more so after what 2020 has thrown at us and what will likely manifest for years to come.......#physiotalk
Hayley Grice @HayleySGrice
@DavidHerdmanPT @physiotalk I love a good outcome https://t.co/qd3fojuNne there a standardised one used within vestibular or specialist services? objective or QOL? #physiotalk
Janet Thomas @JanetThomas47
@physiotalk Not for patients but I would certainly recommend joining @acpivr https://t.co/oxe8QBRYSC #physiotalk
Nikita Mascarenhas @physioNikitaM
@physiotalk That’s the app that was mentioned in one of our in service training. Never used it in a clinical scenario as yet #physiotalk
David Herdman @DavidHerdmanPT
@HayleySGrice They are 70 odd years old- I would encourage you to move beyond that and deliver customised exercises, see the latest APTA clinical practice guidelines. #physiotalk
physiotalk @physiotalk
RT @HayleySGrice: @DavidHerdmanPT @physiotalk I love a good outcome https://t.co/qd3fojuNne there a standardised one used within vestibular…
Alice-physio @Alicephysio3
@physiotalk I think a lot of people encounter dizziness in a lot of specialities so useful for everyone to have baseline knowledge and access to specialist therapists. #physiotalk
Lakshmi Chaudhary @LakshmiChaudha3
@physiotalk ACPIVR resources #physiotalk
physiotalk @physiotalk
@DavidHerdmanPT @HayleySGrice Do you have a link? Is it these from a quick google?! https://t.co/5TyTTZxUyM #physiotalk
Hayley Grice @HayleySGrice
@DavidHerdmanPT Thanks for the signpost.Always happy to be challenged and to be moving forwards with rehab. #physiotalk
physiotalk @physiotalk
That's the #physiotalk hour over Thank you so much to everyone who took part tonight - keep tweeting especially if you have resources to share #physiotalk
Cal Roberts @CR_MCSP
@DavidHerdmanPT @physiotalk My thoughts exactly. The psychological impact and links between anxiety and dizziness. I have seen so much of that this year. #physiotalk
Niki Turner @niki_turner
@physiotalk Acutely, I find most patients respond well to good old Cawthorne Cooksey exercises and my best attempt at explaining why they may feel dizzy and what we’re trying to achieve with desensitisation work #physiotalk
physiotalk @physiotalk
Our next #physiotalk is on 14th December at the usual time with @AGILECSP #physiotalk
David Herdman @DavidHerdmanPT
@physiotalk @HayleySGrice This is the summary: https://t.co/dIfZ803WQs Full guidelines: https://t.co/SQPmkRZWoN #physiotalk
Hayley Grice @HayleySGrice
@DavidHerdmanPT I always combine them with patient set goals.Table tennis has been a recent rehab progression with a patient with vestibular issues #neurophysio #physiotalk
Niki Turner @niki_turner
@physiotalk And lots of reassurance, advice to slow down, rest and take their time with returning to activity / mobility #physiotalk
physiotalk @physiotalk
RT @DavidHerdmanPT: @physiotalk @HayleySGrice This is the summary: https://t.co/dIfZ803WQs Full guidelines: https://t.co/SQPmkRZWoN #physi
physiotalk @physiotalk
#physiotalk
physiotalk @physiotalk
@DavidHerdmanPT @HayleySGrice Thank you! #physiotalk
Trisha Elliott @Trisha_the_doc
RT @physiotalk: Q Do you think people who are dizzy are best seen by a specialist team as there are so many possible differential diagnose…
physiotalk @physiotalk
@_JoeMiddleton @AGILECSP Currently waiting on the information for the blog posting - so I don't know yet! #mystery #physiotalk
Cal Roberts @CR_MCSP
@physiotalk Il admit other than the main ones acpivr & brain&spine it’s got to be youtube!! #physiotalk
Niki Turner @niki_turner
@physiotalk Thank you. Look forward to trawling the transcript and reading up on some new found resources. Diolch pawb! #physiotalk
physiotalk @physiotalk
@CR_MCSP Anyone use resources from @MenieresSociety https://t.co/Wr7C0kgp9x #physiotalk
physiotalk @physiotalk
@niki_turner Diolch yn fawr iawn #physiotalk
Cal Roberts @CR_MCSP
@physiotalk @MenieresSociety Oh yes forgot that one. And https://t.co/radKZxzqEJ always a fav 😊 #physiotalk
physiotalk @physiotalk
RT @CR_MCSP: @physiotalk @MenieresSociety Oh yes forgot that one. And https://t.co/radKZxzqEJ always a fav 😊 #physiotalk
physiotalk @physiotalk
Link here https://t.co/PlnrYo9CMB #physiotalk
physiotalk @physiotalk
I'll put the resources linked to tonight onto our blog posting for todays chat for reference #physiotalk
Sarah Zeb @sarahahpmh
@_JoeMiddleton @bendotellis @physiotalk People teach us amazing new skills when they are unwell, and there are such good self help guides already published. I forgot to add #physiotalk on my tweet above 😊
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