Presbyequilibrium in the oldest old, a combination of vestibular, oculomotor and postural deficits.
Identifieur interne : 000B93 ( Main/Exploration ); précédent : 000B92; suivant : 000B94Presbyequilibrium in the oldest old, a combination of vestibular, oculomotor and postural deficits.
Auteurs : Eeva Tuunainen [Finlande] ; Dennis Poe ; Pirkko J Ntti ; Kirsi Varpa ; Jyrki Rasku ; Esko Toppila ; Ilmari PyykköSource :
- Aging clinical and experimental research [ 1594-0667 ]
Descripteurs français
- KwdFr :
- Chutes accidentelles (prévention et contrôle), Enquêtes et questionnaires (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Mouvements oculaires (MeSH), Mâle (MeSH), Nystagmus pathologique (physiopathologie), Nystagmus pathologique (épidémiologie), Personne âgée fragile (MeSH), Réflexe vestibulo-oculaire (MeSH), Sensation vertigineuse (physiopathologie), Sensation vertigineuse (épidémiologie), Sujet âgé de 80 ans ou plus (MeSH), Vertige (physiopathologie), Vertige (épidémiologie), Équilibre postural (MeSH), Études de suivi (MeSH), Évaluation gériatrique (MeSH).
- MESH :
- physiopathologie : Nystagmus pathologique, Sensation vertigineuse, Vertige.
- prévention et contrôle : Chutes accidentelles.
- épidémiologie : Nystagmus pathologique, Sensation vertigineuse, Vertige.
- Enquêtes et questionnaires, Facteurs âges, Femelle, Humains, Mouvements oculaires, Mâle, Personne âgée fragile, Réflexe vestibulo-oculaire, Sujet âgé de 80 ans ou plus, Équilibre postural, Études de suivi, Évaluation gériatrique.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Age Factors (MeSH), Aged, 80 and over (MeSH), Dizziness (epidemiology), Dizziness (physiopathology), Eye Movements (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Frail Elderly (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Male (MeSH), Nystagmus, Pathologic (epidemiology), Nystagmus, Pathologic (physiopathology), Postural Balance (MeSH), Reflex, Vestibulo-Ocular (MeSH), Surveys and Questionnaires (MeSH), Vertigo (epidemiology), Vertigo (physiopathology).
- MESH :
- epidemiology : Dizziness, Nystagmus, Pathologic, Vertigo.
- physiopathology : Dizziness, Nystagmus, Pathologic, Vertigo.
- prevention & control : Accidental Falls.
- Age Factors, Aged, 80 and over, Eye Movements, Female, Follow-Up Studies, Frail Elderly, Geriatric Assessment, Humans, Male, Postural Balance, Reflex, Vestibulo-Ocular, Surveys and Questionnaires.
Abstract
BACKGROUND AND AIMS
Dizziness, impaired balance and fear of falling are common complaints in the elderly. We evaluated the association of vestibular symptoms with vestibular findings in the elderly by posturography and video-oculography (VOG).
METHODS
We studied 38 oldest old subjects (≥ 85 yrs, mean age 89) living in a residential home. Vestibular symptoms were taken with a structured questionnaire, the Mini Mental State Examination (MMSE) was scored and any falls were recorded over a period of 12 months. Posturography was measured with a force platform and eye movements were measured by video-oculography.
RESULTS
In the majority of the elderly, vestibular abnormalities were found, such as reduced vestibulo-ocular reflex gain 6/38, spontaneous nystagmus 5/38, gaze deviation nystagmus 5/38, head shaking nystagmus 9/38, pathologic head thrust test 10/38, and positional nystagmus 17/38. Posturography demonstrated two major findings: the body support area was limited and the use of vision for postural control was reduced. In principal component analysis of the vertigo, four major factors described elements of failure in the vestibular and other systems important to maintenance of balance: episodic vertigo, postural instability, multisystem failure (frail) and presyncopal imbalance. These four factors were associated in different degrees to vestibular abnormalities and falls. During the follow-up period, in 19 elderly (19/38), one or more falls were recorded.
CONCLUSIONS
Progressive loss of balance in the aged, or "presbyequilibrium," is a complex and incompletely understood process involving vestibular, oculomotor, visual acuity, proprioception, motor, organ system and metabolic weaknesses and disorders. These factors provide a potential basis for streamlining diagnostic evaluations and aiding in planning for effective therapy. In oldest old, these problems are magnified, increasing the need for additional expertise in their care, which may be met by training specialized healthcare staff.
DOI: 10.1007/BF03337761
PubMed: 21447995
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Dizziness (epidemiology)</term>
<term>Dizziness (physiopathology)</term>
<term>Eye Movements (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Frail Elderly (MeSH)</term>
<term>Geriatric Assessment (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Nystagmus, Pathologic (epidemiology)</term>
<term>Nystagmus, Pathologic (physiopathology)</term>
<term>Postural Balance (MeSH)</term>
<term>Reflex, Vestibulo-Ocular (MeSH)</term>
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<term>Vertigo (physiopathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Chutes accidentelles (prévention et contrôle)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mouvements oculaires (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus pathologique (physiopathologie)</term>
<term>Nystagmus pathologique (épidémiologie)</term>
<term>Personne âgée fragile (MeSH)</term>
<term>Réflexe vestibulo-oculaire (MeSH)</term>
<term>Sensation vertigineuse (physiopathologie)</term>
<term>Sensation vertigineuse (épidémiologie)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vertige (physiopathologie)</term>
<term>Vertige (épidémiologie)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études de suivi (MeSH)</term>
<term>Évaluation gériatrique (MeSH)</term>
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<term>Nystagmus, Pathologic</term>
<term>Vertigo</term>
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<term>Sensation vertigineuse</term>
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<term>Aged, 80 and over</term>
<term>Eye Movements</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Frail Elderly</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Male</term>
<term>Postural Balance</term>
<term>Reflex, Vestibulo-Ocular</term>
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<term>Humains</term>
<term>Mouvements oculaires</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b>
</p>
<p>Dizziness, impaired balance and fear of falling are common complaints in the elderly. We evaluated the association of vestibular symptoms with vestibular findings in the elderly by posturography and video-oculography (VOG).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We studied 38 oldest old subjects (≥ 85 yrs, mean age 89) living in a residential home. Vestibular symptoms were taken with a structured questionnaire, the Mini Mental State Examination (MMSE) was scored and any falls were recorded over a period of 12 months. Posturography was measured with a force platform and eye movements were measured by video-oculography.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>In the majority of the elderly, vestibular abnormalities were found, such as reduced vestibulo-ocular reflex gain 6/38, spontaneous nystagmus 5/38, gaze deviation nystagmus 5/38, head shaking nystagmus 9/38, pathologic head thrust test 10/38, and positional nystagmus 17/38. Posturography demonstrated two major findings: the body support area was limited and the use of vision for postural control was reduced. In principal component analysis of the vertigo, four major factors described elements of failure in the vestibular and other systems important to maintenance of balance: episodic vertigo, postural instability, multisystem failure (frail) and presyncopal imbalance. These four factors were associated in different degrees to vestibular abnormalities and falls. During the follow-up period, in 19 elderly (19/38), one or more falls were recorded.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Progressive loss of balance in the aged, or "presbyequilibrium," is a complex and incompletely understood process involving vestibular, oculomotor, visual acuity, proprioception, motor, organ system and metabolic weaknesses and disorders. These factors provide a potential basis for streamlining diagnostic evaluations and aiding in planning for effective therapy. In oldest old, these problems are magnified, increasing the need for additional expertise in their care, which may be met by training specialized healthcare staff.</p>
</div>
</front>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">In the majority of the elderly, vestibular abnormalities were found, such as reduced vestibulo-ocular reflex gain 6/38, spontaneous nystagmus 5/38, gaze deviation nystagmus 5/38, head shaking nystagmus 9/38, pathologic head thrust test 10/38, and positional nystagmus 17/38. Posturography demonstrated two major findings: the body support area was limited and the use of vision for postural control was reduced. In principal component analysis of the vertigo, four major factors described elements of failure in the vestibular and other systems important to maintenance of balance: episodic vertigo, postural instability, multisystem failure (frail) and presyncopal imbalance. These four factors were associated in different degrees to vestibular abnormalities and falls. During the follow-up period, in 19 elderly (19/38), one or more falls were recorded.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Progressive loss of balance in the aged, or "presbyequilibrium," is a complex and incompletely understood process involving vestibular, oculomotor, visual acuity, proprioception, motor, organ system and metabolic weaknesses and disorders. These factors provide a potential basis for streamlining diagnostic evaluations and aiding in planning for effective therapy. In oldest old, these problems are magnified, increasing the need for additional expertise in their care, which may be met by training specialized healthcare staff.</AbstractText>
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