The Association between Hearing Loss, Postural Control, and Mobility in Older Adults: A Systematic Review

2017 ◽  
Vol 28 (06) ◽  
pp. 575-588 ◽  
Author(s):  
Maayan Agmon ◽  
Limor Lavie ◽  
Michail Doumas
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Hearing Loss ◽  
Postural Control ◽  
Large Body ◽  
Positive Association ◽  
The Elderly ◽  
Objective Measures ◽  
Significant Positive Association ◽  
Risk Of Falls

Background: Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons’ quality of life (QoL). A large body of research explored the comorbidity between the two domains. Purpose: The aim of the current review is to describe the comorbidity between HL and objective measures of postural control, to offer potential mechanisms underlying this relationship, and to discuss the clinical implications of this comorbidity. Data Collection and Analysis: PubMed and Google Scholar were systematically searched for articles published in English up until October 15, 2015, using combinations of the following strings and search words: for hearing: Hearing loss, “Hearing loss,” hearing, presbycusis; for postural control: postural control, gait, postural balance, fall, walking; and for age: elderly, older adults. Results: Of 211 screened articles, 7 were included in the systematic review. A significant, positive association between HL and several objective measures of postural control was found in all seven studies, even after controlling for major covariates. Severity of hearing impairment was connected to higher prevalence of difficulties in walking and falls. Physiological, cognitive, and behavioral processes that may influence auditory system and postural control were suggested as potential explanations for the association between HL and postural control. Conclusions: There is evidence for the independent relationship between HL and objective measures of postural control in the elderly. However, a more comprehensive understanding of the mechanisms underlying this relationship is yet to be elucidated. Concurrent diagnosis, treatment, and rehabilitation of these two modalities may reduce falls and increase QoL in older adults.

Timed up and go test and risk of falls in older adults: A systematic review

2011 ◽  
Vol 15 (10) ◽  
pp. 933-938 ◽  
Author(s):  
Olivier Beauchet ◽  
B. Fantino ◽  
G. Allali ◽  
S. W. Muir ◽  
M. Montero-Odasso ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Timed Up And Go ◽  
Risk Of Falls ◽  
Falls In Older Adults

scholarly journals Hearing Loss Treatment in Older Adults With Cognitive Impairment: A Systematic Review

2018 ◽  
Vol 61 (10) ◽  
pp. 2589-2603 ◽  
Author(s):  
Sara K. Mamo ◽  
Nicholas S. Reed ◽  
Carrie Price ◽  
Dona Occhipinti ◽  
Alexandra Pletnikova ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Hearing Loss ◽  
Cognitive Impairment ◽  
Hearing Aids ◽  
Controlled Trial ◽  
Controlled Vocabulary ◽  
Assessment Tools ◽  
Cochrane Library ◽  
Full Text Review

Purpose The purpose of this systematic review was to assess studies of treating hearing loss in older adults with cognitive impairment. Of interest to this review is identifying clinical adaptations that may be used to tailor hearing loss treatment to older adults with cognitive impairment in order to better serve this vulnerable population. Method A systematic search with controlled vocabulary and key word terms was applied to PubMed, the Cochrane Library, Embase, CINAHL, and PsycINFO. Search concepts included terms related to hearing loss and cognitive impairment. The overall search resulted in 4,945 unique references, 50 of which were eligible for full-text review and 13 of which were included in the final review. Included manuscripts were categorized according to the American Speech-Language-Hearing Association's levels of evidence and the National Institutes of Health Quality Assessment Tools. Results Only 1 study implemented a randomized controlled trial design to assess cognitive function and behavioral symptoms after treatment with hearing aids. Other quasiexperimental studies evaluated dementia-related symptoms and/or auditory function after treating hearing loss in pre/post research designs. Finally, evidence from case studies suggested that hearing loss treatment is feasible, reduces stressful communication for caregivers, and improves dementia-related behavior problems. Conclusion Based on the systematic review, evidence suggests that treating hearing loss in persons with cognitive impairment can have benefits to communication and quality of life. Because of the quasi- and nonexperimental nature of most of the evidence found in this review, further studies are necessary to understand the effect of treatment in the context of a variable and progressive disease.

Authors’ Reply to Kahlaee et al: “A Systematic Review and Meta-Analyses of the Association Between Anti-hypertensive Classes and the Risk of Falls Among Older Adults”

Drugs & Aging ◽  
2018 ◽  
Vol 36 (1) ◽  
pp. 95-101
Author(s):  
Ka Keat Lim ◽  
Hui Ting Ang ◽  
Yu Heng Kwan ◽  
Chuen Seng Tan ◽  
Truls Ostbye ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Of Falls ◽  
Meta Analyses

scholarly journals Use of Music Therapy as an Audiological Rehabilitation Tool in the Elderly Population: A Mini-Review

2021 ◽  
Vol 15 ◽  
Author(s):  
Anne Sophie Grenier ◽  
Louise Lafontaine ◽  
Andréanne Sharp
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Music Therapy ◽  
Cognitive Decline ◽  
Social Participation ◽  
Cognitive Abilities ◽  
Elderly Population ◽  
Vestibular Function ◽  
The Elderly ◽  
The Impact

It is well known and documented that sensory perception decreases with age. In the elderly population, hearing loss and reduced vestibular function are among the most prevalently affected senses. Two important side effects of sensory deprivation are cognitive decline and decrease in social participation. Hearing loss, vestibular function impairment, and cognitive decline all lead to a decrease in social participation. Altogether, these problems have a great impact on the quality of life of the elderly. This is why a rehabilitation program covering all of these aspects would therefore be useful for clinicians. It is well known that long-term music training can lead to cortical plasticity. Behavioral improvements have been measured for cognitive abilities and sensory modalities (auditory, motor, tactile, and visual) in healthy young adults. Based on these findings, it is possible to wonder if this kind of multisensory training would be an interesting therapy to not only improve communication but also help with posture and balance, cognitive abilities, and social participation. The aim of this review is to assess and validate the impact of music therapy in the context of hearing rehabilitation in older adults. Musical therapy seems to have a positive impact on auditory perception, posture and balance, social integration, and cognition. While the benefits seem obvious, the evidence in the literature is scarce. However, there is no reason not to recommend the use of music therapy as an adjunct to audiological rehabilitation in the elderly when possible. Further investigations are needed to conclude on the extent of the benefits that music therapy could bring to older adults. More data are needed to confirm which hearing abilities can be improved based on the many characteristics of hearing loss. There is also a need to provide a clear protocol for clinicians on how this therapy should be administered to offer the greatest possible benefits.

scholarly journals Sedentary behaviors and psychological outcomes among older adults: a systematic review

Motricidade ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 73 ◽  
Author(s):  
André Ramalho ◽  
João Petrica ◽  
António Rosado
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Depressive Symptomatology ◽  
Well Being ◽  
The Elderly ◽  
Psychological Outcomes ◽  
Positive Effects ◽  
Sedentary Behaviours ◽  
The Relationship ◽  
Sedentary Activities

This systematic review aimed to synthesize the scientific evidence about the relationship between sedentary behaviours and various psychological outcomes in older adults. The study searches were conducted in the following databases: PubMed, PsycINFO, ISI Web of Knowledge and ScienceDirect. We selected 15 observational quantitative studies according to specific eligibility criteria. The data extraction was performed independently by different authors, including the evaluation of the risk of bias of the studies and the classification of the force of evidence. The results showed a tendency of showing no associations between the sedentary behaviours, the well-being and quality of life of the elderly. Concerning life satisfaction and perceived stress, it seems that active sedentary activities have positive effects on these indicators. Evidence has also suggested that some sedentary behaviours may help maintain some cognitive functions in the elderly population, namely in different types of memory. In other studies, it has been demonstrated a tendency that too much time in passive sedentary activities has been associated with depressive symptomatology. However, this review suggested that the evidence is not yet consistent in the relationship between the sedentary behaviours of the elderly and the indicators analysed, and more research is needed.

scholarly journals Influence of the length of institutionalization on older adults' postural balance and risk of falls: a transversal study

2014 ◽  
Vol 22 (4) ◽  
pp. 645-653 ◽  
Author(s):  
Wagner Oliveira Batista ◽  
Edmundo de Drummond Alves Junior ◽  
Flávia Porto ◽  
Fabio Dutra Pereira ◽  
Rosimere Ferreira Santana ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Postural Balance ◽  
Center Of Pressure ◽  
Berg Balance Scale ◽  
Clinical Tests ◽  
Risk Of Falls ◽  
Elliptical Area ◽  
Professional Model ◽  
Transversal Study

OBJECTIVE: to ascertain the influence of the length of institutionalization on older adults' balance and risk of falls.METHOD: to evaluate the risk of falls, the Berg Balance Scale and the Timed Get Up and Go test were used; and for measuring postural balance, static stabilometry was used, with acquisition of the elliptical area of 95% and mean velocities on the x and y axes of center of pressure displacement. Parametric and nonparametric measures of association and comparison (α<0.05) were used.RESULTS: there was no significant correlation between the length of institutionalization and the tests for evaluation of risk of falling, neither was there difference between groups and within subgroups, stratified by length of institutionalization and age. In the stabilometric measurements, there was a negative correlation between the parameters analyzed and the length of institutionalization, and difference between groups and within subgroups.CONCLUSION: this study's results point to the difficulty of undertaking postural control tasks, showing a leveling below the clinical tests' reference scores. In the stabilometric behavior, one should note the reduction of the parameters as the length of institutionalization increases, contradicting the assumptions. This study's results offer support for the development of a multi-professional model for intervention with the postural control and balance of older adults living in homes for the aged.

scholarly journals Manual tracking impairs postural stability in older adults

2017 ◽  
Vol 80 (9) ◽  
pp. 539-548
Author(s):  
Anna Rossiter ◽  
Matthew J Allsop ◽  
Rachael K Raw ◽  
Lindsay Howard ◽  
Raymond J Holt ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Postural Sway ◽  
Tracking Error ◽  
Task Demands ◽  
Falls Prevention ◽  
Cognitive Capacity ◽  
Risk Of Falls ◽  
The Relationship ◽  
Manual Performance

Introduction Older adults show increased postural sway and a greater risk of falls when completing activities with high cognitive demands. While dual-task approaches have clarified an association between cognitive processes and postural control, it is unclear how manual ability, which is also required for the successful completion of cognitively demanding tasks (such as putting a key into a lock), affects this relationship. Method Kinematic technology was used to explore the relationship between postural sway and manual control in healthy younger and older adults. Participants ( n = 82) remained standing to complete a visual-motor tracking task on a tablet computer. Root mean square tracking error measured manual performance, and a balance board measured deviations in centre of pressure as a marker of postural sway. Results Older adults displayed poorer manual accuracy and increased postural sway across all testing conditions. Conclusions Cognitive capacity can interact with multiple task demands, and in turn affect postural sway in older adults. Improving our understanding of factors that influence postural control will assist falls-prevention efforts and inform clinical practice.

A Systematic Review and Meta-Analyses of the Association Between Anti-Hypertensive Classes and the Risk of Falls Among Older Adults

Drugs & Aging ◽  
2018 ◽  
Vol 35 (7) ◽  
pp. 625-635 ◽  
Author(s):  
Hui Ting Ang ◽  
Ka Keat Lim ◽  
Yu Heng Kwan ◽  
Pui San Tan ◽  
Kai Zhen Yap ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Risk Of Falls ◽  
Meta Analyses
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