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.
Similar content being viewed by others
Abbreviations
- O:
-
occupational therapists
- P:
-
physiotherapists
- S:
-
speech therapists
References
Aaberg KM, Gunnes N, Bakken IJ, Lund Søraas C, Berntsen A, Magnus P, Lossius MI, Stoltenberg C, Chin R, Surén P (2017) Incidence and prevalence of childhood epilepsy: a nationwide cohort study. Pediatrics 139:e20163908. https://doi.org/10.1542/peds.2016-3908
Alaqeel A, Alebdi F, Sabbagh AJ (2013) Epilepsy: what do health-care professionals in Riyadh know? Epilepsy Behav 29:234–237. https://doi.org/10.1016/j.yebeh.2013.07.009
Åndell E, Tomson T, Carlsson S, Hellebro E, Andersson T, Adelöw C, Åmark P (2015) The incidence of unprovoked seizures and occurrence of neurodevelopmental comorbidities in children at the time of their first epileptic seizure and during the subsequent six months. Epilepsy Res 113:140–150. https://doi.org/10.1016/j.eplepsyres.2015.04.002
Atakli D, Dogan Ak P, Guveli BT, Yuksel B (2016) Knowledge of epilepsy among persons with epilepsy in Turkey. Epilepsy Behav 57:41–45. https://doi.org/10.1016/j.yebeh.2016.01.030
Bellon M, Panelli RJ, Rillotta F (2015) Epilepsy-related deaths: an Australian survey of the experiences and needs of people bereaved by epilepsy. Seizure 29:162–168. https://doi.org/10.1016/j.seizure.2015.05.007
Dumeier HK, Neininger MP, Bernhard MK, Syrbe S, Merkenschlager A, Zabel J, Kiess W, Bertsche T, Bertsche A (2015) Knowledge and attitudes of school teachers, preschool teachers and students in teacher training about epilepsy and emergency management of seizures. Arch Dis Child 100:851–855. https://doi.org/10.1136/archdischild-2015-308306
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
Dumeier HK, Neininger MP, Kaune A, Schumacher PM, Merkenschlager A, Kiess W, Bernhard MK, Bertsche T, Bertsche A (2017) Seizure management by preschool teachers: a training concept focussing on practical skills. Seizure 50:38–42. https://doi.org/10.1016/j.seizure.2017.06.001
Fisch SM, Neininger MP, Prenzel F, Bernhard MK, Hornemann F, Merkenschlager A, Kiess W, Bertsche T, Bertsche A (2018) Experiences, expectations, and fears of adolescents with epilepsy or bronchial asthma. Eur J Pediatr 177(10):1451–1457. https://doi.org/10.1007/s00431-018-3200-4
Holmes E, Bourke S, Plumpton C (2019) Attitudes towards epilepsy in the UK population: results from a 2018 national survey. Seizure 65:12–19. https://doi.org/10.1016/j.seizure.2018.12.012
Jansen P, Neininger MP, Bernhard MK, Kiess W, Merkenschlager A, Bertsche T, Bertsche A (2017) Knowledge and attitudes about epilepsy: a survey of high school students in Germany. Seizure 51:139–144. https://doi.org/10.1016/j.seizure.2017.08.008
Karimi N, Akbarian SA (2016) Knowledge and attitude toward epilepsy of close family members of people with epilepsy in north of Iran. Adv Med 2016:8672853. https://doi.org/10.1155/2016/8672853
Knudsen FU (1979) Rectal administration of diazepam in solution in the acute treatment of convulsions in infants and children. Arch Dis Child 54:855–857
Pauschek J, Bernhard MK, Syrbe S, Nickel P, Neininger MP, Merkenschlager A, Kiess W, Bertsche T, Bertsche A (2016) Epilepsy in children and adolescents: disease concepts, practical knowledge, and coping. Epilepsy Behav 59:77–82. https://doi.org/10.1016/j.yebeh.2016.03.033
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
Schnabel S, Neininger MP, Bernhard MK, Merkenschlager A, Kiess W, Bertsche T, Bertsche A (2019) Epilepsy: a cross-sectional study of paediatricians and general practitioners on their experiences, knowledge and handling of the disease. Epileptic Disord 21:197–205. https://doi.org/10.1684/epd.2019.1048
Spindler UP, Hotopp LC, Bach VA, Hornemann F, Syrbe S, Andreas A, Merkenschlager A, Kiess W, Bernhard MK, Bertsche T, Neininger MP, Bertsche A (2017) Seizure disorders and developmental disorders: impact on life of affected families—a structured interview. Eur J Pediatr 176:1121–1129. https://doi.org/10.1007/s00431-017-2958-0
Vancini RL, Benedito-Silva AA, Sousa BS, Gomes da Silva S, Souza-Vancini MI, Vancini-Campanharo CR, Cabral FR, de Lima C, de Lira CA (2012) Knowledge about epilepsy among health professionals: a cross-sectional survey in Sao Paulo, Brazil. BMJ Open 2:e000919. https://doi.org/10.1136/bmjopen-2012-000919
Acknowledgments
We thank all the participating therapists for taking their time to answer our survey. Additionally, we thank Lena Schrader for language editing of the manuscript.
Author information
Authors and Affiliations
Contributions
Katharina Hackel designed the study protocol, developed the questionnaire, performed the questionnaire survey, the statistical analysis, and the interpretation of the data, and wrote the manuscript.
Martina P. Neininger was involved in the development of the questionnaire, performed the statistical analysis and the interpretation of the data, and critically reviewed and revised the manuscript.
Wieland Kiess supported the development of the questionnaire, and critically reviewed and revised the manuscript.
Thilo Bertsche was involved in the development of the study protocol and the questionnaire, was involved the interpretation of data, and critically reviewed and revised the manuscript.
Astrid Bertsche designed the study protocol, was involved in the development of the questionnaire, supervised the questionnaire survey, the recruitment of participants, and the statistical analysis, performed the interpretation of data, and wrote the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
A. Bertsche reports grants from UCB Pharma GmbH and honoraria for speaking engagements from Desitin Arzneimittel GmbH, Eisai GmbH, ViroPharma Incorporated, and Shire Deutschland GmbH. The other authors declare they have no conflicts of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study described has been carried out in accordance with abovementioned standards and has been approved by the institutional ethics committee.
Informed consent
Written informed consent was obtained from all individual participants included in the study.
Additional information
Communicated by Mario Bianchetti
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(DOCX 28 kb)
Rights and permissions
About this article
Cite this article
Hackel, K., Neininger, M.P., Kiess, W. et al. Epilepsy: knowledge and attitudes of physiotherapists, occupational therapists, and speech therapists. Eur J Pediatr 178, 1485–1491 (2019). https://doi.org/10.1007/s00431-019-03437-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-019-03437-1