Managing Challenges in an Aging Vestibular System: Rehabilitation Strategies Normalize Balance Function in a Cohort of Patients Up to 99 Years.
Identifieur interne : 000247 ( Main/Exploration ); précédent : 000246; suivant : 000248Managing Challenges in an Aging Vestibular System: Rehabilitation Strategies Normalize Balance Function in a Cohort of Patients Up to 99 Years.
Auteurs : Daniel A. Deems [États-Unis] ; Rhonda O. Deems [États-Unis] ; Bert W. O'Malley [États-Unis]Source :
- Ear, nose, & throat journal [ 1942-7522 ] ; 2019.
Descripteurs français
- KwdFr :
- Chutes accidentelles (prévention et contrôle), Femelle (MeSH), Humains (MeSH), Labyrinthe vestibulaire (physiopathologie), Maladies vestibulaires (physiopathologie), Maladies vestibulaires (rééducation et réadaptation), Mâle (MeSH), Résultat thérapeutique (MeSH), Rééducation neurologique (méthodes), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles sensitifs (physiopathologie), Troubles sensitifs (rééducation et réadaptation), Vieillissement (MeSH), Équilibre postural (MeSH), Études rétrospectives (MeSH).
- MESH :
- méthodes : Rééducation neurologique.
- physiopathologie : Labyrinthe vestibulaire, Maladies vestibulaires, Troubles sensitifs.
- prévention et contrôle : Chutes accidentelles.
- rééducation et réadaptation : Maladies vestibulaires, Troubles sensitifs.
- Femelle, Humains, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement, Équilibre postural, Études rétrospectives.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Aged, 80 and over (MeSH), Aging (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Neurological Rehabilitation (methods), Postural Balance (MeSH), Retrospective Studies (MeSH), Sensation Disorders (physiopathology), Sensation Disorders (rehabilitation), Treatment Outcome (MeSH), Vestibular Diseases (physiopathology), Vestibular Diseases (rehabilitation), Vestibule, Labyrinth (physiopathology).
- MESH :
- methods : Neurological Rehabilitation.
- physiopathology : Sensation Disorders, Vestibular Diseases, Vestibule, Labyrinth.
- prevention & control : Accidental Falls.
- rehabilitation : Sensation Disorders, Vestibular Diseases.
- Aged, Aged, 80 and over, Aging, Female, Humans, Male, Postural Balance, Retrospective Studies, Treatment Outcome.
Abstract
Imbalance is a major health problem affecting 90 million Americans and is the primary risk factor in falls, which consume $50 billion annually in medical costs (US). A person is often unaware of their balance challenge and its potential impact on fall risk and subsequent injury. Even when balance deficits and fall risk are realized, older patients may not pursue intervention for their disorder due to a fatalistic view of their advanced age. In this retrospective study, a cohort of older patients who had completed a course of vestibular rehabilitation therapy was studied for extent of recovery using computerized dynamic posturography (CDP) as the outcomes measure. The study group was comprised of sequential outpatients from a community-based balance treatment facility for whom pre- and posttherapy CDPs were available for analyses (N = 76). Patients had been referred for imbalance, vertigo, unsteadiness, and falls-age range 66 to 99 years (mean 80.5 years). Balance function, measured by composite sensory organization test (SOT) CDP scores, improved on average 35% ( P < .0001). Average posttherapy SOT score was 72.8, equivalent to the oldest SOT normative scores available (70 to 79 year age bracket; SOT Norm = 72.9). A subset 10 years above this eldest norm, mean age 89.4 years (N = 25, range 85 to 99 years), was then analyzed. Results revealed an improvement in balance function of 42.1% ( P < .0001), with average posttherapy SOT score of 74.2. Data confirm that vestibular therapy programs can significantly recover, if not normalize imbalance even to age 99. Given that the eldest participants were well above average life expectancy in the United States (78.9 years), this study could be used by allied health professionals to encourage older patients to engage in balance and falls prevention programs.
DOI: 10.1177/0145561318824541
PubMed: 30834792
Affiliations:
Links toward previous steps (curation, corpus...)
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A person is often unaware of their balance challenge and its potential impact on fall risk and subsequent injury. Even when balance deficits and fall risk are realized, older patients may not pursue intervention for their disorder due to a fatalistic view of their advanced age. In this retrospective study, a cohort of older patients who had completed a course of vestibular rehabilitation therapy was studied for extent of recovery using computerized dynamic posturography (CDP) as the outcomes measure. The study group was comprised of sequential outpatients from a community-based balance treatment facility for whom pre- and posttherapy CDPs were available for analyses (N = 76). Patients had been referred for imbalance, vertigo, unsteadiness, and falls-age range 66 to 99 years (mean 80.5 years). Balance function, measured by composite sensory organization test (SOT) CDP scores, improved on average 35% ( P < .0001). Average posttherapy SOT score was 72.8, equivalent to the oldest SOT normative scores available (70 to 79 year age bracket; SOT Norm = 72.9). A subset 10 years above this eldest norm, mean age 89.4 years (N = 25, range 85 to 99 years), was then analyzed. Results revealed an improvement in balance function of 42.1% ( P < .0001), with average posttherapy SOT score of 74.2. Data confirm that vestibular therapy programs can significantly recover, if not normalize imbalance even to age 99. Given that the eldest participants were well above average life expectancy in the United States (78.9 years), this study could be used by allied health professionals to encourage older patients to engage in balance and falls prevention programs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30834792</PMID><DateCompleted><Year>2019</Year><Month>07</Month><Day>01</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1942-7522</ISSN><JournalIssue CitedMedium="Internet"><Volume>98</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Ear, nose, & throat journal</Title><ISOAbbreviation>Ear Nose Throat J</ISOAbbreviation></Journal><ArticleTitle>Managing Challenges in an Aging Vestibular System: Rehabilitation Strategies Normalize Balance Function in a Cohort of Patients Up to 99 Years.</ArticleTitle><Pagination><MedlinePgn>37-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/0145561318824541</ELocationID><Abstract><AbstractText>Imbalance is a major health problem affecting 90 million Americans and is the primary risk factor in falls, which consume $50 billion annually in medical costs (US). A person is often unaware of their balance challenge and its potential impact on fall risk and subsequent injury. Even when balance deficits and fall risk are realized, older patients may not pursue intervention for their disorder due to a fatalistic view of their advanced age. In this retrospective study, a cohort of older patients who had completed a course of vestibular rehabilitation therapy was studied for extent of recovery using computerized dynamic posturography (CDP) as the outcomes measure. The study group was comprised of sequential outpatients from a community-based balance treatment facility for whom pre- and posttherapy CDPs were available for analyses (N = 76). Patients had been referred for imbalance, vertigo, unsteadiness, and falls-age range 66 to 99 years (mean 80.5 years). Balance function, measured by composite sensory organization test (SOT) CDP scores, improved on average 35% ( P < .0001). Average posttherapy SOT score was 72.8, equivalent to the oldest SOT normative scores available (70 to 79 year age bracket; SOT Norm = 72.9). A subset 10 years above this eldest norm, mean age 89.4 years (N = 25, range 85 to 99 years), was then analyzed. Results revealed an improvement in balance function of 42.1% ( P < .0001), with average posttherapy SOT score of 74.2. Data confirm that vestibular therapy programs can significantly recover, if not normalize imbalance even to age 99. Given that the eldest participants were well above average life expectancy in the United States (78.9 years), this study could be used by allied health professionals to encourage older patients to engage in balance and falls prevention programs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Deems</LastName><ForeName>Daniel A</ForeName><Initials>DA</Initials><AffiliationInfo><Affiliation>1 Department of Clinical Sciences, Florida State University School of Medicine, Regional Medical School Campus, Sarasota, FL, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 University Health Park Medical Campus, Bldg 2, Sarasota, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deems</LastName><ForeName>Rhonda O</ForeName><Initials>RO</Initials><AffiliationInfo><Affiliation>2 University Health Park Medical Campus, Bldg 2, Sarasota, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>O'Malley</LastName><ForeName>Bert W</ForeName><Initials>BW</Initials><Suffix>Jr</Suffix><AffiliationInfo><Affiliation>3 Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>01</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ear Nose Throat J</MedlineTA><NlmUniqueID>7701817</NlmUniqueID><ISSNLinking>0145-5613</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000375" MajorTopicYN="N">Aging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000066530" MajorTopicYN="N">Neurological Rehabilitation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014722" MajorTopicYN="N">Vestibule, Labyrinth</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">aging</Keyword><Keyword MajorTopicYN="N">computerized dynamic posturography</Keyword><Keyword MajorTopicYN="N">falls</Keyword><Keyword MajorTopicYN="N">imbalance</Keyword><Keyword MajorTopicYN="N">vestibular rehabilitation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>3</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>3</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30834792</ArticleId><ArticleId IdType="doi">10.1177/0145561318824541</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Deems, Daniel A" sort="Deems, Daniel A" uniqKey="Deems D" first="Daniel A" last="Deems">Daniel A. Deems</name></region><name sortKey="Deems, Daniel A" sort="Deems, Daniel A" uniqKey="Deems D" first="Daniel A" last="Deems">Daniel A. Deems</name><name sortKey="Deems, Rhonda O" sort="Deems, Rhonda O" uniqKey="Deems R" first="Rhonda O" last="Deems">Rhonda O. Deems</name><name sortKey="O Malley, Bert W" sort="O Malley, Bert W" uniqKey="O Malley B" first="Bert W" last="O'Malley">Bert W. O'Malley</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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