Clinical evaluation of elderly people with chronic vestibular disorder
Juliana Maria Gazzola,Fernando Freitas Ganança,Mayra Cristina Aratani,Monica Rodrigues Perracini,Maurício Malavasi Ganança +4 more
TLDR
Most of the sample included females with associated diseases, and using many different drugs, and the most prevalent vestibular diseases were metabolic and vascular labyrinth conditions.Abstract:
Summary Dizziness is common among the elderly. Aim To characterize social, demographic, clinical, functional and otoneurological data in elderly patients with chronic vestibular disorder. Method A sequential study of 120 patients with chronic vestibular disorder. Simple descriptive analyses were undertaken. Results Most of the patients were female (68.3%) with a mean age of 73.40±5.77 years. The average number of illnesses associated with the vestibular disorder was 3.83±1.84; the patients were taking on average 3.86±2.27 different medications. The most prevalent diagnosis on the vestibular exam was unilateral vestibular loss (29.8%) and the most prevalent etiology was metabolic vestibulopathy (40.0%) followed by benign paroxysmal positional vertigo (36.7%). Fifty-two patients (43.3%) had experienced dizziness for 5 years or more. Sixty-four patients (53.3%) had at least one fall in the last year and thirty-five (29.2%) had recurrent falls. Conclusions Most of the sample included females with associated diseases, and using many different drugs. The most prevalent vestibular diseases were metabolic and vascular labyrinth conditions. Dizziness is a chronic symptom in elderly patients. The association of two vestibular diseases is common. Falls are prevalent in chronic dizzy elderly patients.read more
Citations
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Clinical practice guideline: Benign paroxysmal positional vertigo
Neil Bhattacharyya,Reginald F. Baugh,Laura J. Orvidas,David M. Barrs,Leo J. Bronston,Stephen P. Cass,Ara A. Chalian,Alan L. Desmond,Jerry M. Earll,Terry D. Fife,Drew C. Fuller,James O. Judge,Nancy R. Mann,Richard M. Rosenfeld,Linda T. Schuring,Robert William Prasaad Steiner,Susan L. Whitney,Jenissa Haidari +17 more
TL;DR: This guideline provides evidence-based recommendations on managing benign paroxysmal positional vertigo (BPPV), which is the most common vestibular disorder in adults, with a lifetime prevalence of 2.4 percent.
Journal ArticleDOI
Disorders of Balance and Vestibular Function in US Adults: Data From the National Health and Nutrition Examination Survey, 2001-2004
TL;DR: The prevalence of vestibular dysfunction among US adults, as measured by a simple postural metric, is common and significantly increases the likelihood of falls, which are among the most morbid and costly health conditions affecting older individuals.
Disorders of Balance and Vestibular Function in US Adults
TL;DR: In this paper, the authors determined the prevalence of vestibular dysfunction among US adults, evaluate differences by sociodemographic characteristics, and estimate the association between vestibule dysfunction and risk of falls.
Journal ArticleDOI
World guidelines for falls prevention and management for older adults: a global initiative
Manuel Montero-Odasso,Nathalie van der Velde,Finbarr C. Martin,Mirko Petrovic,Maw Pin Tan,Jesper Ryg,Sara G. Aguilar-Navarro,Neil B. Alexander,Clemens Becker,Hubert Blain,R. Michael Bourke,Ian D. Cameron,Richard Camicioli,Lindy Clemson,Jacqueline C. T. Close,Kim Delbaere,Leilei Duan,Gustavo Duque,Suzanne M Dyer,Ellen Freiberger,David A. Ganz,Fernando Gomez,Jeffrey M. Hausdorff,David B. Hogan,Susan W. Hunter,Jose Jauregui,Nellie Kamkar,Rose Anne Kenny,Sarah E Lamb,Nancy K. Latham,Lewis A. Lipsitz,Teresa Liu-Ambrose,Pip Logan,Stephen R. Lord,Louise Mallet,David Marsh,Koen Milisen,Rogelio Moctezuma‐Gallegos,Meg E. Morris,Alice Nieuwboer,Monica Rodrigues Perracini,Frederico Pieruccini-Faria,Alison Pighills,Catherine M Said,Ervin Sejdic,Catherine Sherrington,Dawn A. Skelton,Sabestina Dsouza,Mark Speechley,Susan Stark,Chris Todd,Bruce R. Troen,Tischa J. M. van der Cammen,Joe Verghese,Ellen Vlaeyen,Jennifer Watt,Tahir Masud +56 more
TL;DR: A set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider a person-centred approach and will require flexible implementation strategies that consider both local context and resources are provided.
Journal ArticleDOI
Vestibular function assessment using the NIH Toolbox
Rosemarie M. Rine,Michael C. Schubert,Susan L. Whitney,Dale C. Roberts,Mark S. Redfern,Mark C. Musolino,Jennica L. Roche,Daniel P. Steed,Bree A. Corbin,Chia-Cheng Lin,Greg Marchetti,Jennifer L. Beaumont,John P. Carey,Neil P. Shepard,Gary P. Jacobson,Diane M. Wrisley,Howard J. Hoffman,Gabriel R. Furman,Jerry Slotkin +18 more
TL;DR: The newly created DVA test provides a valid measure of visual acuity with the head still and moving quickly and the novel BAM is a validMeasure of balance.
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