The profiles of malay muslims with vestibular disorders and the outcome of vestibular rehabilitation

• Main Author: Sakeri, Nurul Syarida Mohd
• Format: Thesis
• Language: English
• Published: 2020
• Subjects: R Medicine (General)
• Online Access: http://eprints.usm.my/48089/1/60.%20NURUL%20SYARIDA%20BINTI%20MOHD%20SAKERI-FINAL%20THESIS%20P-SKD001515%28R%29%20PWD_-24%20pages.pdf; http://eprints.usm.my/48089/

Those who are diagnosed with chronic vestibular disorders are anticipated to experience disturbing vestibular symptoms when pursuing their daily life activities. In the present study, it was of interest to know the specific difficulties faced by Muslims when performing their daily tasks (including solat) and whether the conventional vestibular rehabilitation would be effective in reducing the symptoms. This is a mixed-design study with three consecutive phases. In the first phase, triggering and/or worsening factors to vestibular symptoms were determined. In the subsequent phases, a mixed-convergent study design was employed, i.e., quantitative (VHIT, cVEMP and MyVRBQ) and qualitative (in-depth interview) methods. Of 91 respondents, 68% reported that their symptoms were triggered by body and head movements. Nearly half of them reported at least one prayer movement triggered and/or worsened their symptoms. In the second phase of the study, despite normal findings from VHIT and cVEMP (except for P13 and N23 latencies), MyVRBQ showed that the participants were affected by the symptoms. Content analysis unveiled five content areas: 1) Common symptoms, 2) Effects on general activities, 3) Effects on performing solat, 4) Conditions that may exacerbate and/or provoke vestibular symptoms, 5) Compensatory strategies to overcome and/or hinder from having the symptoms. Following rehabilitation, significant reductions in MyVRBQ scores were seen in all categories (as early as two weeks). Two content areas were discovered: 1) Improvements in general activities, and 2) Improvements in solat. While the objective assessments (VHIT and cVEMP) were insensitive, the occurrence of the symptoms and the benefit of the rehabilitation were clearly shown by MyVRBQ. The content analysis was able to discover other important aspects missed to be covered by the quantitative assessments (including the ability to perform solat before and after the rehabilitation). The study findings would be useful to clinicians in providing optimum services to Muslim patients with chronic vestibular disorders.