Balance in the elderly

Throughout the years, the human organism goes through natural aging, having functional and structural changes. The part responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. Aim: Thus, the present paper aims at studying the vestibular...

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Published inBrazilian journal of otorhinolaryngology Vol. 71; no. 3; pp. 298 - 303
Main Authors Ruwer, Sheelen Larissa, Rossi, Angela Garcia, Simon, Larissa Fortunato
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Elsevier Editora Ltda 01.05.2005
Elsevier
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Abstract Throughout the years, the human organism goes through natural aging, having functional and structural changes. The part responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. Aim: Thus, the present paper aims at studying the vestibular function of old people suffering from dizziness, tinnitus and hearing impairment. Study design: transversal cohort. Material and method: Eighty elderly individuals from two different groups were evaluated: group A - comprising 38 women and 2 men who belonged to an elderly group from Santa Maria, RS; and group B - comprising 35 women and 5 men with complaints of balance disorders. Results: Both groups underwent anamnesis (directed to aspects concerning dizziness, tinnitus and hearing impairment), and vestibular function evaluation (by using the computerized system of vecto-electronystagmography SCV 5.0). The results showed statistical significant difference between both groups, concerning the complaints of dizziness and tinnitus, which were more prevalent in group B. The computerized eletronystagmography revealed that most individuals had normal diagnosis; however, there was predominance of vestibular disorders in the elderly, such as Deficit Peripheral Vestibular Syndrome and Irritative Peripheral Vestibular Syndrome. Conclusion: It was concluded that vestibular disorders, according to vectoelectronystagmography, and complaints of dizziness, tinnitus and hearing impairment, were numerically similar in both studied groups.
AbstractList Throughout years, the human organism goes through natural aging, having functional and structural changes. The part which is responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. Thus, the present paper aims to study the vestibular function of old people suffering from dizziness, tinnitus and hearing impairment. Transversal cohort. 80 elderly individuals from two different groups were evaluated: group A - composed of 38 women and 2 men who belonged to an elderly group from Santa Maria, RS; and group B - composed of 35 women and 5 men with complaints of balance disorders. Both groups were undergone anamnesis (calling attention to aspects concerning the dizziness, tinnitus and the hearing impairment), and the vestibular function evaluation (by using the computerized system of vecto-electronystagmography SCV 5.0). The results displayed a statistical significant difference between both groups, concerning the complaints of dizziness and tinnitus, straightforward in group B. In the hypothetical diagnosis lead by the computerized examination, it was found that most individuals had presented normal diagnosis; however, it was found the predominance of vestibular disorders in the elderly such as Deficit Peripheral Vestibular Syndrome and Irritative Peripheral Vestibular Syndrome. It was concluded that the vestibular disorders, according to the vecto-electronystagmography, and to the complaints of dizziness, tinnitus and hearing impairment, are numerically similar in both studied groups.
UNLABELLEDThroughout years, the human organism goes through natural aging, having functional and structural changes. The part which is responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. AIMThus, the present paper aims to study the vestibular function of old people suffering from dizziness, tinnitus and hearing impairment. STUDY DESIGNTransversal cohort. MATERIAL AND METHOD80 elderly individuals from two different groups were evaluated: group A - composed of 38 women and 2 men who belonged to an elderly group from Santa Maria, RS; and group B - composed of 35 women and 5 men with complaints of balance disorders. RESULTSBoth groups were undergone anamnesis (calling attention to aspects concerning the dizziness, tinnitus and the hearing impairment), and the vestibular function evaluation (by using the computerized system of vecto-electronystagmography SCV 5.0). The results displayed a statistical significant difference between both groups, concerning the complaints of dizziness and tinnitus, straightforward in group B. In the hypothetical diagnosis lead by the computerized examination, it was found that most individuals had presented normal diagnosis; however, it was found the predominance of vestibular disorders in the elderly such as Deficit Peripheral Vestibular Syndrome and Irritative Peripheral Vestibular Syndrome. CONCLUSIONIt was concluded that the vestibular disorders, according to the vecto-electronystagmography, and to the complaints of dizziness, tinnitus and hearing impairment, are numerically similar in both studied groups.
Throughout the years, the human organism goes through natural aging, having functional and structural changes. The part responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. Aim: Thus, the present paper aims at studying the vestibular function of old people suffering from dizziness, tinnitus and hearing impairment. Study design: transversal cohort. Material and method: Eighty elderly individuals from two different groups were evaluated: group A - comprising 38 women and 2 men who belonged to an elderly group from Santa Maria, RS; and group B - comprising 35 women and 5 men with complaints of balance disorders. Results: Both groups underwent anamnesis (directed to aspects concerning dizziness, tinnitus and hearing impairment), and vestibular function evaluation (by using the computerized system of vecto-electronystagmography SCV 5.0). The results showed statistical significant difference between both groups, concerning the complaints of dizziness and tinnitus, which were more prevalent in group B. The computerized eletronystagmography revealed that most individuals had normal diagnosis; however, there was predominance of vestibular disorders in the elderly, such as Deficit Peripheral Vestibular Syndrome and Irritative Peripheral Vestibular Syndrome. Conclusion: It was concluded that vestibular disorders, according to vectoelectronystagmography, and complaints of dizziness, tinnitus and hearing impairment, were numerically similar in both studied groups.
T hroughout the years, the human organism goes through natural aging, having functional and structural changes. The part responsible for the corporal balance system also suffers from the aging process, creating great impact for the elderly. Aim : Thus, the present paper aims at studying the vestibular function of old people suffering from dizziness, tinnitus and hearing impairment. Study design : transversal cohort. Material and method : Eighty elderly individuals from two different groups were evaluated: group A - comprising 38 women and 2 men who belonged to an elderly group from Santa Maria, RS; and group B - comprising 35 women and 5 men with complaints of balance disorders. Results : Both groups underwent anamnesis (directed to aspects concerning dizziness, tinnitus and hearing impairment), and vestibular function evaluation (by using the computerized system of vecto-electronystagmography SCV 5.0). The results showed statistical significant difference between both groups, concerning the complaints of dizziness and tinnitus, which were more prevalent in group B. The computerized eletronystagmography revealed that most individuals had normal diagnosis; however, there was predominance of vestibular disorders in the elderly, such as Deficit Peripheral Vestibular Syndrome and Irritative Peripheral Vestibular Syndrome. Conclusion : It was concluded that vestibular disorders, according to vectoelectronystagmography, and complaints of dizziness, tinnitus and hearing impairment, were numerically similar in both studied groups.
Author Ruwer, Sheelen Larissa
Simon, Larissa Fortunato
Rossi, Angela Garcia
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Issue 3
Keywords balance
vestibular evaluation
elderly
Language English
Portuguese
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References Russo (bib1) 1998
Ganança, Caovilla, Ganança (bib2) 1996
Araújo (bib14) 1994; 108
Gushikem, Caovilla, Ganança (bib6) 2002; 21
Ito (bib8) 1987
Fukuda, Silva, Gushikem, Caovilla, Ganança (bib9) 2000
(bib4) 1999
National Institute of Health (EUA). Disponível em
Ganança, Caovilla (bib5) 1998
Bittar, Pedalini, Bottino, Formigoni (bib3) 2002; 14
Ganança, Caovilla, Munhoz, Silva Frazza (bib11) 1998
Sloane, Baloh (bib12) 1989; 37
Figueiredo, Fragosos, Mor, Cundari (bib13) 1985
Acesso em 31 maio 2003.
Cahali, Reis, Romano, Bittar, Formigoni (bib10) 2000; 4
Ito (10.1016/S1808-8694(15)31326-4_bib8) 1987
Ganança (10.1016/S1808-8694(15)31326-4_bib2) 1996
Fukuda (10.1016/S1808-8694(15)31326-4_bib9) 2000
Cahali (10.1016/S1808-8694(15)31326-4_bib10) 2000; 4
Sloane (10.1016/S1808-8694(15)31326-4_bib12) 1989; 37
(10.1016/S1808-8694(15)31326-4_bib4) 1999
Bittar (10.1016/S1808-8694(15)31326-4_bib3) 2002; 14
Figueiredo (10.1016/S1808-8694(15)31326-4_bib13) 1985
10.1016/S1808-8694(15)31326-4_bib7
Russo (10.1016/S1808-8694(15)31326-4_bib1) 1998
Ganança (10.1016/S1808-8694(15)31326-4_bib11) 1998
Araújo (10.1016/S1808-8694(15)31326-4_bib14) 1994; 108
Ganança (10.1016/S1808-8694(15)31326-4_bib5) 1998
Gushikem (10.1016/S1808-8694(15)31326-4_bib6) 2002; 21
References_xml – volume: 37
  start-page: 1031
  year: 1989
  end-page: 1038
  ident: bib12
  article-title: Persistent dizziness in geriatric patients.
  publication-title: Journal American Geriatrics Society
  contributor:
    fullname: Baloh
– volume: 14
  start-page: 119
  year: 2002
  end-page: 128
  ident: bib3
  article-title: Síndrome do desequilíbrio no idoso.
  publication-title: Pró-fono, Revista de Atualização Científica
  contributor:
    fullname: Formigoni
– year: 1998
  ident: bib5
  article-title: Desequilíbrio e reequilíbrio.
  publication-title: Vertigem tem cura
  contributor:
    fullname: Caovilla
– year: 2000
  ident: bib9
  article-title: Avaliação otoneurológica em indivíduos idosos: achados clínicos audiológicos e vestibulares.
  publication-title: 35
  contributor:
    fullname: Ganança
– volume: 108
  start-page: 5
  year: 1994
  end-page: 12
  ident: bib14
  article-title: Vertigem no idoso.
  publication-title: Folha Med
  contributor:
    fullname: Araújo
– year: 1985
  ident: bib13
  article-title: Avaliação otoneurológica em pacientes geriátricos: um estudo da queixa e da vecto-eng.
  publication-title: 6
  contributor:
    fullname: Cundari
– year: 1999
  ident: bib4
  publication-title: Portaria n. 1.395/GM de 10 de dezembro de
– year: 1998
  ident: bib11
  article-title: A contribuição da equilibriometria.
  publication-title: Vertigem tem cura
  contributor:
    fullname: Silva Frazza
– year: 1996
  ident: bib2
  publication-title: Como lidar com a vertigem no idoso.
  contributor:
    fullname: Ganança
– volume: 4
  start-page: 75
  year: 2000
  end-page: 80
  ident: bib10
  article-title: Eletronistagmografia do paciente idoso: avaliação retrospectiva de 35 casos.
  publication-title: @rquivos da Fundação Otorrinolaringologia
  contributor:
    fullname: Formigoni
– year: 1987
  ident: bib8
  publication-title: Avaliação da função vestibular em indivíduos idosos normais de setenta a oitenta anos de idade (Tese de Doutorado).
  contributor:
    fullname: Ito
– volume: 21
  year: 2002
  ident: bib6
  article-title: Avaliação otoneurológica em idosos com tontura.
  publication-title: Disponível em: Acta AWHO
  contributor:
    fullname: Ganança
– start-page: 30
  year: 1998
  end-page: 34
  ident: bib1
  article-title: A prevenção da enfermidade e a promoção da saúde: o envelhecimento com êxito.
  publication-title: Atual Geriatr
  contributor:
    fullname: Russo
– volume: 14
  start-page: 119
  issue: 1
  year: 2002
  ident: 10.1016/S1808-8694(15)31326-4_bib3
  article-title: Síndrome do desequilíbrio no idoso.
  publication-title: Pró-fono, Revista de Atualização Científica
  contributor:
    fullname: Bittar
– year: 1998
  ident: 10.1016/S1808-8694(15)31326-4_bib11
  article-title: A contribuição da equilibriometria.
  contributor:
    fullname: Ganança
– volume: 108
  start-page: 5
  year: 1994
  ident: 10.1016/S1808-8694(15)31326-4_bib14
  article-title: Vertigem no idoso.
  publication-title: Folha Med
  contributor:
    fullname: Araújo
– year: 1987
  ident: 10.1016/S1808-8694(15)31326-4_bib8
  contributor:
    fullname: Ito
– ident: 10.1016/S1808-8694(15)31326-4_bib7
– year: 1996
  ident: 10.1016/S1808-8694(15)31326-4_bib2
  contributor:
    fullname: Ganança
– volume: 21
  issue: 1
  year: 2002
  ident: 10.1016/S1808-8694(15)31326-4_bib6
  article-title: Avaliação otoneurológica em idosos com tontura.
  publication-title: Disponível em: Acta AWHO
  contributor:
    fullname: Gushikem
– volume: 37
  start-page: 1031
  year: 1989
  ident: 10.1016/S1808-8694(15)31326-4_bib12
  article-title: Persistent dizziness in geriatric patients.
  publication-title: Journal American Geriatrics Society
  doi: 10.1111/j.1532-5415.1989.tb06916.x
  contributor:
    fullname: Sloane
– year: 1998
  ident: 10.1016/S1808-8694(15)31326-4_bib5
  article-title: Desequilíbrio e reequilíbrio.
  contributor:
    fullname: Ganança
– year: 2000
  ident: 10.1016/S1808-8694(15)31326-4_bib9
  article-title: Avaliação otoneurológica em indivíduos idosos: achados clínicos audiológicos e vestibulares.
  publication-title: 35o Congresso Brasileiro de Otorrinolaringologia, Natal
  contributor:
    fullname: Fukuda
– year: 1985
  ident: 10.1016/S1808-8694(15)31326-4_bib13
  article-title: Avaliação otoneurológica em pacientes geriátricos: um estudo da queixa e da vecto-eng.
  contributor:
    fullname: Figueiredo
– year: 1999
  ident: 10.1016/S1808-8694(15)31326-4_bib4
– start-page: 30
  issue: 15
  year: 1998
  ident: 10.1016/S1808-8694(15)31326-4_bib1
  article-title: A prevenção da enfermidade e a promoção da saúde: o envelhecimento com êxito.
  publication-title: Atual Geriatr
  contributor:
    fullname: Russo
– volume: 4
  start-page: 75
  issue: 2
  year: 2000
  ident: 10.1016/S1808-8694(15)31326-4_bib10
  article-title: Eletronistagmografia do paciente idoso: avaliação retrospectiva de 35 casos.
  publication-title: @rquivos da Fundação Otorrinolaringologia
  contributor:
    fullname: Cahali
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Throughout years, the human organism goes through natural aging, having functional and structural changes. The part which is responsible for the corporal...
UNLABELLEDThroughout years, the human organism goes through natural aging, having functional and structural changes. The part which is responsible for the...
T hroughout the years, the human organism goes through natural aging, having functional and structural changes. The part responsible for the corporal balance...
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SubjectTerms Age Factors
Aged
Aging - physiology
balance
Brazil
Dizziness - physiopathology
elderly
Electronystagmography
Epidemiologic Methods
Exercise
Female
Humans
Leisure Activities
Male
Middle Aged
Nystagmus, Pathologic - physiopathology
Original
Postural Balance - physiology
Tinnitus - physiopathology
Vestibular Diseases - physiopathology
vestibular evaluation
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Title Balance in the elderly
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