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• Prerequisites and learning objectives
• Lesson
  • Content
    • 1 - How to prescribe speech therapy
      • 1.1 - Introduction
      • 1.2 - Indication of the speech and language assessment
      • 1.3 - Speech therapy for hearing loss
      • 1.4 - Impairment in written language
      • 1.5 - In the case of children with multiple disabilities
      • 1.6 - Speech therapy in pharyngolaryngeal disorders, including dysphonia
      • 1.7 - Speech therapy in dysphagia
      • 1.8 - Speech therapy and velo-palato-pharyngeal and buccal conditions
      • 1.9 - Speech therapy and neurological disorders
    • 2 - How to prescribe physiotherapy
      • 2.1 - Introduction
      • 2.2 - Maxillofacial physiotherapy and re-education
      • 2.3 - Physiotherapy and facial paralysis
      • 2.4 - Physiotherapy and vestibular re-education
        • 2 . 4 . 1 - Benign paroxysmal positional vertigo
        • 2 . 4 . 2 - Other vertigo-inducing situations
      • 2.5 - Physiotherapy and cervical carcinological surgery
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2  -  How to prescribe physiotherapy

2 . 1  -  Introduction

In France, the physiotherapist is a health-care professional trained for 3 years after passing an entry examination (1 400 places in approximately 30 schools).

The masseur physiotherapist carries out manual and instrumental acts that are intended to either prevent, or restore or compensate for functional disabilities. This therapist is consulted, following medical referral, to treat numerous ailments. Remaining within their professional limits, they are required to perform an assessment. This includes an evaluation of functional capacity and deficiencies. This enables a "physiotherapy" diagnosis to be made and a technical re-education program to be put forward. The physician's referral for therapy can be modified by the same at any time.

It is specified in the regulatory texts that the physiotherapist participates in the re-education of patients within the scope of otorhinolaryngologic diseases, such as :

• vestibular balance disorders;
• isolated deglutition disorders;
• maxillofacial conditions.

2 . 2  -  Maxillofacial physiotherapy and re-education

Maxillofacial physiotherapy and re-education are indicated in the dysfunction of the temporomandibular joint.

There are two types of symptoms: pain and restriction in buccal opening. The etiology is multiple: sequelae of trauma, surgical sequelae, and functional affliction.

Physiotherapy aims to improve buccal opening by reducing contractures.

2 . 3  -  Physiotherapy and facial paralysis

The handicap linked to peripheral facial paralysis can make patients very anxious. The prognosis depends on the etiology.

Whether the prognosis is good or bad, physiotherapy is often indicated. There is a double objective: re-education and psychological support.

Re-education includes :

• lymphatic draining facial massages;
• work on muscle groups (mimicking facial expressions).

General facial contractions and forced work are prescribed. This re-education program should take place at both the beginning of paralysis and the sequelae stage (contracture, synkinesia, and facial spasms).