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Physiotherapy Theory and Practice· 2026Q2

Vestibular rehabilitation therapy in Turkey: insights into physical therapists’ clinical practice

Birgül Balcı, Burçin Aktar, Susan L. Whitney

Short summary

A survey of 178 Turkish physical therapists found that 88.8% have no experience with vestibular rehabilitation therapy (VRT), and over 94% are unfamiliar with common VRT maneuvers like Semont, Gufoni, and barbecue roll.

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Key points

  • 88.8% of 178 surveyed Turkish physical therapists reported no experience with vestibular rehabilitation therapy (VRT).
  • Over 94% of respondents were unfamiliar with or did not use common VRT maneuvers such as Semont (96.1%), Gufoni (97.2%), and barbecue roll (94.4%).
  • More than 60% of physical therapists were unfamiliar with habituation, substitution, optokinetic stimulation, virtual reality, and visual exercises for vestibular disorders.
  • Only 1.2% of therapists reported using Frenzel lenses/infrared goggles, essential tools for VRT assessment.

AI-generated from the title and abstract; the full text is not read.

Abstract

INTRODUCTION: Vestibular rehabilitation therapy (VRT) is an effective physiotherapy approach for patients with vestibular hypofunction. The administration of VRT requires relevant knowledge and skills to practice effectively. PURPOSE: To explore the knowledge, beliefs, and clinical practices regarding VRT among physical therapists in Turkey. METHODS: Licensed physical therapists practising as clinicians or academics in Turkey were invited through professional networks on WhatsApp, LinkedIn, and Instagram to complete a Google Forms survey. Because recruitment used an open survey link that was posted and redistributed through these networks, the number of individual recipients could not be determined and a conventional response rate could not be calculated. A total of 178 eligible physical therapists completed the survey. RESULTS: Of the 178 physical therapists who completed the survey, 88.8% had no VRT experience. Only 1.2% had used Frenzel lenses/infrared goggles. Across the Epley, Semont, Gufoni, and barbecue roll maneuvers, the proportions of respondents reporting either not using the procedure or not knowing it were 87.6%, 96.1%, 97.2%, and 94.4%, respectively. More than 60% had never used or were unfamiliar with habituation, substitution, optokinetic stimulation, virtual reality, and visual exercises for the treatment of patients with vestibular disorders. Overall, 36.5% had received VRT education or training. CONCLUSION: The identified educational and implementation gaps provide a national evidence base for strengthening competency-based vestibular rehabilitation training in undergraduate physiotherapy curricula and continuing professional development in Turkey. Addressing these gaps may improve physical therapists' readiness to deliver evidence-based vestibular care and expand access to appropriate rehabilitation services.

The authors' abstract, as published at the source. Physiotherapy Theory and Practice, 2026 · DOI ↗

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Field: Neurology (Neuroscience)

NeurologyNeuroscience