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Published in: European Journal of Pediatrics 10/2019

01-10-2019 | Epilepsy | Original Article

Epilepsy: knowledge and attitudes of physiotherapists, occupational therapists, and speech therapists

Authors: Katharina Hackel, Martina Patrizia Neininger, Wieland Kiess, Thilo Bertsche, Astrid Bertsche

Published in: European Journal of Pediatrics | Issue 10/2019

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Abstract

Physiotherapists, occupational therapists, and speech therapists play a key role in the treatment of children with epilepsy. We performed a survey of therapists’ knowledge of and attitudes towards epilepsy in two regions of Germany, the city of Leipzig and the rural district of Zwickau. Therapists of 29/68 (43%) outpatient practices and 4/9 (44%) hospitals took part. In total, 195 therapists participated: 63 (32%) physiotherapists, 74 (38%) occupational therapists, and 58 (30%) speech therapist. In 65%, epilepsy was subject of vocational training. Of all therapists, 8% claimed they had not treated epilepsy patients so far. During professional life, 43% had witnessed a seizure. Of all therapists, 44% correctly assumed a seizure could result in death. During a seizure, 42% would perform the obsolete measure of placing something solid in the patient’s mouth, and 41% would administer a prescribed rescue medication. More information on epilepsy was requested by 92%.
Conclusion: Most therapists treat patients with epilepsy, and almost half have already witnessed a seizure. Often, however, epilepsy is not subject of vocational training. The risk of a fatal outcome of a seizure is underestimated, and many therapists would perform obsolete measures. Knowledge of seizure management should be transmitted to therapists especially during vocational training.
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Literature
7.
go back to reference Dumeier HK, Neininger MP, Bernhard MK, Merkenschlager A, Kiess W, Bertsche T, Bertsche A (2017) Providing teachers with education on epilepsy increased their willingness to handle acute seizures in children from one to 10 years of age. Acta Paediatr 106:1811–1816. https://doi.org/10.1111/apa.13938 CrossRefPubMed Dumeier HK, Neininger MP, Bernhard MK, Merkenschlager A, Kiess W, Bertsche T, Bertsche A (2017) Providing teachers with education on epilepsy increased their willingness to handle acute seizures in children from one to 10 years of age. Acta Paediatr 106:1811–1816. https://​doi.​org/​10.​1111/​apa.​13938 CrossRefPubMed
13.
go back to reference Knudsen FU (1979) Rectal administration of diazepam in solution in the acute treatment of convulsions in infants and children. Arch Dis Child 54:855–857CrossRefPubMedPubMedCentral Knudsen FU (1979) Rectal administration of diazepam in solution in the acute treatment of convulsions in infants and children. Arch Dis Child 54:855–857CrossRefPubMedPubMedCentral
15.
go back to reference Sánchez Fernández I, Abend NS, Agadi S, An S, Arya R, Carpenter JL, Chapman KE, Gaillard WD, Glauser TA, Goldstein DB, Goldstein JL, Goodkin HP, Hahn CD, Heinzen EL, Mikati MA, Peariso K, Pestian JP, Ream M, Riviello JJ Jr, Tasker RC, Williams K, Loddenkemper T (2014) Pediatric status epilepticus research group (pSERG). Gaps and opportunities in refractory status epilepticus research in children: a multi-center approach by the Pediatric Status Epilepticus Research Group (pSERG). Seizure 23:87–97. https://doi.org/10.1016/j.seizure.2013.10.004 CrossRefPubMed Sánchez Fernández I, Abend NS, Agadi S, An S, Arya R, Carpenter JL, Chapman KE, Gaillard WD, Glauser TA, Goldstein DB, Goldstein JL, Goodkin HP, Hahn CD, Heinzen EL, Mikati MA, Peariso K, Pestian JP, Ream M, Riviello JJ Jr, Tasker RC, Williams K, Loddenkemper T (2014) Pediatric status epilepticus research group (pSERG). Gaps and opportunities in refractory status epilepticus research in children: a multi-center approach by the Pediatric Status Epilepticus Research Group (pSERG). Seizure 23:87–97. https://​doi.​org/​10.​1016/​j.​seizure.​2013.​10.​004 CrossRefPubMed
17.
Metadata
Title
Epilepsy: knowledge and attitudes of physiotherapists, occupational therapists, and speech therapists
Authors
Katharina Hackel
Martina Patrizia Neininger
Wieland Kiess
Thilo Bertsche
Astrid Bertsche
Publication date
01-10-2019
Publisher
Springer Berlin Heidelberg
Keyword
Epilepsy
Published in
European Journal of Pediatrics / Issue 10/2019
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-019-03437-1

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