A study of balance disorders in old patients

الملخص EN

Dizziness is a -well-recognized problem among old persons.

The reported prevalence old ranges from 13-38%.

It had been reported that vestibular rehabilitation can reduce the fall risk in elderly patients with vestibular loss and improve their postural stability.

We studied 50 cases and 20 control patients complaining of dizziness and balance problems.

The study also included 20 normal volunteer subjects to detect the 5lh percentile of the used score.

Each patient was diagnosed depending on history, examination and audiological and balance investigations.

Semiquantitative clinical measures of equilibrium and subjective improvement were studied in patients and control groups before and after therapy.

We found that there was statistically highly significant improvement (p<0.001) of mean score in clinical static and dynamic equilibrium after completing the vestibular rehabilitation regimen.

There was a-highly significant difference between the patient and the control .group (p<0.001) in static assessment but a non-significant difference in dynamic assessment.

We found that the static equilibrium score is more accurate than the dynamic one (p<0.001).

There was a negative correlation between age and the degree of improvement in both static and dynamic assessment in patients and control groups.

We found that the vestibular subgroup of patients showed a statistically significant better improvement than the non-vestibular and the unknown subgroups.

The benefit of vestibular rehabilitation therapy (VRT) was also found to be limited in patients with multiple medical problems.

Sixty two percent of the patients' group and 15% of the control group achieved major improvement after VRT.

We concluded that Vestibular rehabilitation therapy is a good modality in managing balance disorders.

Although old patients get less amount of VRT, yet good result could be obtained.

Even patient with central non-vestibular causes of imbalance can benefit form VRT