Prevalence of Cognitive and Vestibular Impairment in Seniors Experiencing Falls.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Brenda VarrianoMaria Carmela Tartaglia

Abstract

Falls are a growing concern in seniors (≥65 yrs). Cognitive impairment (CI) and vestibular impairment (VI) increase fall risk. The aim of this study is to assess the prevalence of CI and VI in seniors experiencing falls. Participants (≥65 yrs) with falls were recruited from Falls Prevention Programs (FPPs) and a Memory Clinic (MC). CI was assessed using the Montreal Cognitive Assessment at FPPs. VI was assessed at an MC and FFPs using the Head Impulse- (video + bedside), Headshake-, Dix-Hallpike test, and test of sensory interaction in balance. Questionnaires included Dizziness Handicap Inventory (DHI) and Activities-specific Balance Confidence Scale (ABC). Of 41 participants (29 FPPs, 12 MC); mean age was 80.1 ± 7.1 years, and 58.5% were female. Overall, 82.9% had VI. At FPPs, 76.0% had CI, and 72.3% had CI + VI. Bilateral vestibular hypofunction (BVH) was more common than unilateral vestibular hypofunction (UVH) (70.6% vs. 29.4%); p = 0.016. Dizziness Handicap (DHI) was not different between those with a VI (23.5 ± 23.9) versus without VI [PVI + no impairment] (10.0 ± 15.4); p = 0.160. Balance confidence (ABC) was lowest in VI but not significantly different between those with a VI (63.4 ± 27.3) versus without VI [PVI + no im...Continue Reading

References

Apr 1, 1990·Archives of Otolaryngology--head & Neck Surgery·G P Jacobson, C W Newman
Jan 1, 1987·American Journal of Otolaryngology·T C HainD S Zee
Jan 1, 1995·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·L E Powell, A M Myers
Jun 1, 1993·Physical Therapy·H CohenL L Gombash
May 20, 2000·Annals of the New York Academy of Sciences·K RockwoodP Montgomery
May 20, 2003·Journal of the American Geriatrics Society·Jane JensenLillemor Lundin-Olsson
Dec 1, 1952·The Annals of Otology, Rhinology, and Laryngology·M R DIX, C S HALLPIKE
Apr 9, 2005·Journal of the American Geriatrics Society·Ziad S NasreddineHoward Chertkow
Sep 30, 2008·Physical Therapy·Teresa Y Liu-AmbroseKarim M Khan
Mar 18, 2009·Journal of Advanced Nursing·Jürgen HärleinCornelia Heinze
Jul 23, 2011·Stroke; a Journal of Cerebral Circulation·Philip B GorelickUNKNOWN American Heart Association Stroke Council, Council on Epidemiology and Prevention, Council on Cardiovascular Nursing, Counci
May 31, 2012·The Laryngoscope·Harrison W Lin, Neil Bhattacharyya
Sep 27, 2012·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Kim DelbaereStephen R Lord
Dec 19, 2012·Auris, Nasus, Larynx·Alexander BlödowLeif Erik Walther
Feb 11, 2014·Journal of Neuroengineering and Rehabilitation·Daniel J GobleBrett W Fling
Aug 8, 2014·Frontiers in Integrative Neuroscience·Martin HitierPaul F Smith
Aug 28, 2015·Journal of the American Geriatrics Society·Robin T BigelowYuri Agrawal
Sep 25, 2015·Journal of Alzheimer's Disease : JAD·Kiyotaka NakamagoeAkira Tamaoka
Mar 15, 2016·The Laryngoscope·Myunggi MoonMin-Beom Kim
Jul 29, 2016·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Aisha HarunYuri Agrawal
Jan 12, 2017·Journal of Neurology·Pauline PoppMarianne Dieterich
Jul 20, 2017·Scientific Reports·Ann-Kathrin RoggeKirsten Hötting
Mar 14, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Kristen L JankyJulie A Honaker

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