دورية أكاديمية

[Balance disorders in the elderly].

التفاصيل البيبلوغرافية
العنوان: [Balance disorders in the elderly].
عنوان ترانسليتريتد: I disturbi dell'equilibrio nell'anziano.
المؤلفون: Bracchi E; Clinica Otorinolaringologica e Chirurgia Cervico-facciale R, Università di Perugia., Rizzo S, Longari F, Bernardini M, Bizzotti C, Frenguelli A
المصدر: Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale [Acta Otorhinolaryngol Ital] 2002 Oct; Vol. 22 (5), pp. 263-7.
نوع المنشور: English Abstract; Journal Article
اللغة: Italian
بيانات الدورية: Publisher: Pacini editore Country of Publication: Italy NLM ID: 8213019 Publication Model: Print Cited Medium: Print ISSN: 0392-100X (Print) Linking ISSN: 0392100X NLM ISO Abbreviation: Acta Otorhinolaryngol Ital Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Pisa : Pacini editore, 1981-
مواضيع طبية MeSH: Postural Balance*, Sensation Disorders/*etiology, Aged ; Aged, 80 and over ; Caloric Tests ; Female ; Health Status ; Humans ; Male ; Sensation Disorders/diagnosis ; Surveys and Questionnaires
مستخلص: In the elderly patient, instability is a syndrome in which a loss of balance, during ambulation or while standing, can give rise to falls, with consequent disability and morbidity. Maintaining the correct static and dynamic balance is known to be the result of the synergetic functioning of different systems. In old age, however, the efficiency of these mechanisms is impaired because of the physiological process of aging, which affects all of the organs and systems of the human body. Besides that, different concomitant causes such as cardiovascular and dysmetabolic pathologies, chronic pharmacological therapies etc. contribute to the aging of our organism. The object of this study was to evaluate 40 subjects, 21 males and 19 females, aged between 70 and 86, who were referred to us with craniofacial trauma consequent to a fall. Upon hospitalization, all of the patients were asked to fill in a questionnaire evaluating the incidence of the vertigo symptom as a possible cause of the falls. All of the subjects underwent the following clinicoinstrumental examinations: standard audiometric evaluation, vestibular tests, neurological and ophthalmic examination. Careful appraisal of the results obtained enabled us to conclude that balance disorders in the elderly patient are due to the synergetic action of three factors: aging, concomitant diseases and environmental factors. In conclusion, we can affirm that balance disorders giving rise to a fall in the elderly are attributable to the concomitance of different factors that determine a clinical state of imbalance, defined by some Authors with the term "presbivertigo". It follows that a suitable diagnostic protocol must be employed, comprising a detailed medical, pharmacological and functional history, a study both of the environmental conditions in which the patient lives and the modalities according to which the traumatic event occurred. It is, last of all, indispensable that steps be taken to improve these environmental conditions, such as choosing flooring materials, light fixtures, stairs, bathroom furnishings and suitable footwear promoting proper foot placement and support on the ground.
تواريخ الأحداث: Date Created: 20030104 Date Completed: 20030212 Latest Revision: 20151119
رمز التحديث: 20231215
PMID: 12510336
قاعدة البيانات: MEDLINE