Disequilibrium and its management in elderly patients

International Tinnitus Journal

Volumn 15, Issue 1, 2009, Pages 83-90

  Garcia, Fernando Vaz ^a  

^a Hospital Particular de Lisboa   (Portugal)

Author keywords

Disequilibrium; Dizziness; Elderly; Falls; Prevention

Indexed keywords

BETAHISTINE;

ACCIDENT PREVENTION; ATAXIA; BALANCE DISORDER; BODY EQUILIBRIUM; BRAIN BLOOD FLOW; CLINICAL EVALUATION; CLINICAL FEATURE; CONFERENCE PAPER; DIZZINESS; DRUG EFFICACY; DRUG POTENCY; ELECTRONYSTAGMOGRAPHY; EXERCISE; FALL RISK; FALL RISK ASSESSMENT; GAIT; GENERAL CONDITION; GERIATRIC PATIENT; HEALTH STATUS; HEARING TEST; HUMAN; NEUROIMAGING; NEUROPATHOLOGY; NUCLEAR MAGNETIC RESONANCE IMAGING; NYSTAGMOGRAPHY; OPTOKINETIC STIMULATION; PATIENT SAFETY; PHYSICAL ACTIVITY; PRIORITY JOURNAL; REHABILITATION CARE; RISK REDUCTION; STABILOGRAPHY;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; ATAXIA; BRAIN; DIZZINESS; HUMANS; KINESTHESIS; PHYSICAL THERAPY MODALITIES; POSTURAL BALANCE; PROPRIOCEPTION; RISK FACTORS; VESTIBULAR FUNCTION TESTS;

EID: 70349480706     PISSN: 09465448     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (44)

1. Baloh RW, Honrubia V. The History in the Dizzy Patient. In Clinical Neurophysiology of the Vestibular System. Philadelphia: FA Davis Co, 1990.
2. Belal A, Glorig A. Disequilibrium of aging (presbyastasis). J Laryngol Otol 100:1037-1041, 1986.
3. Baloh RW. Disequilibrium and gait disorders in older people. Rev Clin Gerontol 12(01):21-30, 2002.
4. Chamberlin ME, Fulwider BD, Sanders SL, Medeiros JM. Does fear of falling influence spatial and temporal gait parameters in elderly persons beyond changes associated with normal aging? J Gerontol A Biol Sci Med Sci 60:1163-1167, 2005.
5. Herdman SJ, Schubert MC, Tusa RJ. Strategies for balance rehabilitation: Fall risk and treatment. Ann N Y Acad Sci 942:394-412, 2001.
6. Macias JD, Massingale S, Gerkin RD. Efficacy of vestibular rehabilitation therapy in reducing falls. Otolaryngol Head Neck Surg 133:323-325, 2005. (Pubitemid 41247717)
7. Hall CD, Schubert MC, Herdman SJ. Prediction of fall risk reduction as measured by dynamic gait index in individuals with unilateral vestibular hypofunction. Otol Neurotol 25:746-751, 2004.
8. Kerber KA, Enrietto JA, Jacobson BA, Baloh RW. Disequilibrium in older people. A prospective study. Neurology 51:574-580, 1998.
9. Whitman GT, DiPatre PL, Lopez IA, et al. Neuropathology in older people with disequilibrium of unknown cause. Neurology 53(2):375-382, 1999. (Pubitemid 29344362)
10. Engstrom H, Bergstrom B, Rosenhall U. Vestibular sensory epithelia. Arch Otolaryngol 100:411-418, 1974.
11. Lopez I, Honrubia V, Baloh RW. Aging and the human vestibular nucleus. J Vestib Res 7:77-85, 1997.
12. Hall T, Miller K. Variations in the human Purkinje cell population according to age and sex. Neuropathol Appl Neurobiol 1:267-292, 1975.
13. Ma SY, Roytt M, Collan Y, Rinne JO. Unbiased morphometrical measurements show loss of pigmented nigral neurones with ageing. Neuropathol Appl Neurobiol 25:394-399, 1999. (Pubitemid 29495687)
14. Toba K, Okochi J, Takahashi T, Matsubayashi K, et al. Development of a portable fall risk index for elderly people living in the community. Nippon Ronen Igakkai Zasshi 42:346-352, 2005. (Pubitemid 40935130)
15. Garcia FV, Coelho MH, Figueira ML. Psychological manifestations of vertigo: A pilot prospective observational study in a Portuguese population. Int Tinnitus J 9:42-47, 2003.
16. Sloan PD, Coeytaux RR, Beck RS, Dallara J. Dizziness: State of the science. Ann Intern Med 134:823-832, 2001.
17. Desmond AL. Equipping the comprehensive balance clinic. Adv Audiol 2(4): 2000.
18. Colledge N, Lewis S, Mead G, et al. Magnetic resonance brain imaging in people with dizziness: A comparison with non-dizzy people. J Neurol Neurosurg Psychiatry 72:587-589, 2002. (Pubitemid 34462810)
19. Hajioff D, Barr-Hamilton RM, Colledge NR, et al. Is electronystagmography of diagnostic value in the elderly? Clin Otolaryngol Allied Sci 27:27-31, 2002.
20. Cho BL, Scarpace D, Alexander NB. Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults. J Am Geriatr Soc 52:1168-1173, 2004. (Pubitemid 38869078)
21. Podsiadlo D, Richardson S. The timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39:142-148, 1991.
22. Rockwood K,Awalt E, Carver D, MacKinight C. Feasibility and measurement properties of the functional reach and the timed up and go tests in the Canadian study of Health and Aging. J Gerontol 55A:M70-M73, 2000. (Pubitemid 30165499)
23. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up and go test. Phys Ther 80:896-903, 2000. (Pubitemid 30688542)
24. Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil 73:1073-1080, 1992.
25. Jonsson E, Seiger A, Hirschfeld H. One-leg stance in healthy young and elderly adults: A measure of postural steadiness? Clin Biomech 19:688-694, 2004.
26. Brandt T. Vertigo, Dizziness and Falls in the Elderly. In Vertigo: Its Multisensory Syndromes. London: Springer-Verlag, 2000.
27. Jacobson GP, Newman CW. The development in the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 116:424-427, 1990.
28. Allum JH, Carpenter MG, Adkin AL. Balance control analysis as a method for screening and identifying balance deficits. Ann N Y Acad Sci 942:413-427, 2001.
29. Gill JH, Allum J, Carpenter MG, et al. Trunk sway measures of postural stability during clinical balance tests: Effects of age. J Gerontol 56A:M438-M417, 2001. (Pubitemid 32645822)
30. Norré ME, Forrez G, Beckers E. Vestibular dysfunction causing instability in aged patients. Acta Otolaryngol 104:50-55, 1987.
31. Pyykko I, Janti PO, Aalto H. Postural control in elderly subjects. Age Ageing 19:215-221, 1990.
32. Horak FB. Effects of Neurological Disorders on Postural Movement Strategies in the Elderly. In Falls, Balance and Gait Disorders in Elderly. Paris: Elsevier, 1992.
33. Piirtola M, Era P. Force platform measurements as predictors of falls among older people - a review. Gerontology 52:1-16, 2006. (Pubitemid 43162715)
34. Fife TD, Baloh RW. Disequilibrium of unknown cause in older people. Ann Neurol 34:694-702, 1993.
35. Kao AC, Nanda A, Williams CS, Tinetti ME. Validation of dizziness as a possible geriatric syndrome. J Am Geriatr Soc 49:72-75, 2001. (Pubitemid 32195138)
36. Salles N, Kressig RW, Michel JP. Management of chronic dizziness in elderly people. Z Gerontol Geriatr 36:10-15, 2003. (Pubitemid 36286311)
37. Mira E. Betahistine in the treatment of vertigo. History and clinical implications of recent pharmacological researches. Acta Otorhinolaryngol Ital 21(3):1-7, 2001.
38. Botta L, Mira E, Valli S, et al. Effects of betahistine and of its metabolites on vestibular sensory organs. Acta Otorhinolaryngol Ital 21(3):24-30, 2001.
39. Chavez H, Vega R, Valli P, et al. Action mechanism of betahistine in the vestibular end organs. Acta Otorhinolaryngol Ital 21(3):8-15, 2001.
40. Meyer JS, Mathew NT, Hartmann A, Rivera VM. Orally administered betahistine and regional cerebral blood flow in cerebrovascular disease. J Clin Pharmacol 14(5-6):280-289, 1974.
41. Robbins S, Gouw GJ, McClaran J. Shoe sole thickness and hardness influence balance in older men. J Am Geriatr Soc 40(11):1089-1094, 1992.
42. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev (4):CD000340, 2003.
43. Vitte E, Sémont A, Berthoz A. Repeated optokinetic stimulation in conditions of active standing facilitates recovery from vestibular deficits. Exp Brain Res 102(1):141-148, 1994. (Pubitemid 24364923)
44. Semont A, Vitte E, Freyss G. Falls in the Elderly: A Therapeutic Approach by Optokinetic Reflex Stimulations. In Falls, Balance and Gait Disorders. Paris: Elsevier, 1992.