Age-Related Vestibular Dysfunction with Motion Sensitive Vertigo and Risk of Fall in Adults

2021 ◽  
Vol 15 (10) ◽  
pp. 3054-3057
Author(s):  
Muhammad Muneeb ◽  
Iram Shafee ◽  
Sadaf Waris ◽  
Taqdees Manzoor

Background: This ageing is physiological process associated with vestibular dysfunction. The incidence of vestibular problems increases with age and can lead to drops, dropping risk, lack of confidence, pain and depression. Vestibular disorder is commonly characterized by vertigo or body discomfort (look and aggravation of postural stability) (a sense of spinning movement). In older adults with a fall history, peripheral vestibular disorders are among the most frequently known and widespread vestibular dysfunctions. Aim: To associate vestibular dysfunction and motion sensitive vertigo and risk of fall in adults. Methodology: Cross sectional study with convenient non- random sampling. For tests has been applied for screening vestibular dysfunction. If a participant shows 2 tests positive have vestibular dysfunction. SPSS 21 is used for data analysis. Results: Highly significant results between association of age with motion sensitive and age with fall efficacy scale P value is less than 5. Results are also significant between MSQ and FES-1. Conclusion: After conducting this research it has been concluded. That age-related vestibular dysfunction significantly associated with motion sensitive vertigo and risk of fall. As with the age people are more concerned about fall Keywords: vestibular dysfunction, vertigo, risk of fall in adults

Author(s):  
Carley Bowman ◽  
Aleena Jose ◽  
Martin G Rosario

Introduction: Most studies on postural deviations during single and dual tasks have been extensively studied in neuromuscular and older adult populations. Nevertheless, further research is warranted to identify whether such tasks can impose postural adaptations in young, healthy adults without sensory impairments. Aim: To assess postural stability modifications in young adults during single tasks and dual motor tasks (holding a cup filled with water) while concomitantly challenging the sensory systems. Materials and Methods: This was the cross-sectional study on 82 young adults (18-45 years old) from Texas Woman’s University (TWU) Health Science Center in Dallas, Texas, and surrounding areas. Standing postural control was measured by collecting total sway, direction of sway and velocity in the Anterior-Posterior (AP) and Medial-Lateral (ML) directions during different balance tasks. For single and dual tasks, the tests were performed with a bipedal stance on foam involving challenging the sensory input via Eyes Open (EO), Eyes Closed (EC), and head movements with eyes open (EO HUD) and closed (EC HUD). The dual motor tasks were similar to the single tasks with the addition of holding a cup full of water to split attention. Data were placed into the Statistical Package for Social Sciences (SPSS) Data Analysis 25.0 system and were analysed for repeated measures Analysis of Variance (ANOVA) analysis. Results: Eighty-two healthy young adults participated in this study (mean age of 24.6±2.7 years, 13 males and 69 females). An ANOVA analysis revealed that postural stability was considerably altered during motor tasks. Sway in the Antero-Posterior (AP) direction, and velocity of sway increased as the complexity of the tasks intensified. A substantial difference in total sway during single tasks when eyes were closed compared to eyes open (p-value <0.01) was noted. There was a significant difference in total sway (AP and ML) during eyes open (EOM) to eyes closed (ECM) and during eyes open with head moving up and down (EOM HUD) (p-value 0.001). There were significant differences in mean AP velocity during EO (0.11±0.12) compared to EC HUD (0.19±0.15), and when comparing EOM (0.07±0.04) to ECM HUD (0.13±0.08) (p=0.01) Conclusion: This study identified postural changes when comparing single and dual tasks in healthy young adults, and the outcomes of this study showed definite distinctions in postural responses during single and dual motor tasks.


Author(s):  
Ernest K. Ofori ◽  
Savitha Subramaniam ◽  
Shuaijie Wang ◽  
Tanvi Bhatt

Background: Recent studies demonstrate improvements in both postural stability and mobility among aging populations and those with stroke who are exposed to dance-based exergaming (DBExG). However, age-related deficits and aging with cortical pathology may lead to distinct movement adaptation patterns during DBExG, which could impact therapeutic outcomes.Aim: The aim of this study was to examine the movement kinematics (postural stability and mobility) of healthy older adults, older adults with stroke, and young adults for different paces of dance during DBExG. Method: The study included 33 particpants (11 participant from each group of healthy older adults, older adults with chronic stroke, and healthy young adults) who performed the DBExG using slow- (SP), medium- (MP), and fast-paced (FP) songs with movements in the anteroposterior (AP) and mediolateral (ML) directions. Center of mass (CoM) sway area, excursion (Ex), and peaks as well as hip, knee, and ankle joint excursions were computed. Results: Results of the study revealed that CoM sway areas and Exs were greater for healthy young adults than for older adults with stroke for the SP dance (p < 0.05) and that there were significantly more AP CoM peaks for young adults than for healthy older adults and those with stroke for the FP dance (p < 0.05). Young adults also exhibited greater hip and ankle Exs than older adults with stroke (p < 0.05) for all song paces. Similarly, knee and ankle Exs were greater for healthy older adults than for older adults with stroke for all song paces (p < 0.05). Conclusion: The quantitative evaluation and comparison of the movement patterns presented for the three groups could provide a foundation for both assessing and designing therapeutic DBExG protocols for these populations.


2017 ◽  
Vol 6 (01) ◽  
pp. 53
Author(s):  
Fathia Larasati ◽  
Titi Moertolo ◽  
Kirana Anggraeni

Introduction: Flat feet or flatfeet are the postures that have a low medial longitudinal arch. The prevalence ofFlat feet was 10-25% of adults population. The lower feet arch might have an impact on body sway have duringstanding posture. Furthermore, increasing of the postural sway could have the higher risk of fall in elderly, thathas a prevalence of 30-50%. The aim study to find the correlation between the Flat feet posture with posturalstability, to prevent the risk of fall in the elderly.Method: This design was observational cross-sectional study. The study conducted in the elderly nursing home.The posture was examined by ink feet print on white paper. The Tinetti Balance Assessment assessed the posturalstability.Result: The subjects were 84 elderly, mostly were 60-74 years old, and 46 (54,8%) were female. The mostprevalence of the postural stability was the low risk of fall (59,5%). The frequency of Flat feet was 26 (31%).There was a relationship between Flat feet with postural stability in elderly (p = 0,020).Conclusion: There was a correlation between the Flat feet and the postural stability on elderly in the nursinghome.Keywords: Flat feet, postural stability, elderly


2021 ◽  
Author(s):  
Mohamad Gholizade ◽  
Akram Farhadi ◽  
Maryam Marzban ◽  
Mehdi Mahmudpour ◽  
Iraj Nabipour ◽  
...  

Abstract Background Sarcopenia is a progressive age-related skeletal muscle disorder associated with harmful impacts on health. The present study aimed to investigate the relation between sarcopenia, platelet (PLT), white blood cell (WBC), and PLT to WBC ratio (PWR) due to the importance of early sarcopenia diagnosis. Methods This cross-sectional study was conducted based on the second stage of the Bushehr Elderly Health (BEH) Program. Sarcopenia was defined based on the revised edition of the European Working Group on Sarcopenia in Older People (EWGSOP2) in accordance with the Iranian cut-off point. Univariate and adjusted multivariate logistic regression and linear regression were used to evaluate the associations. Results The prevalence of sarcopenia among participants was 35.73 %. PLT count and PWR were statistically higher in severe sarcopenic participants, while no differences were seen in WBC. In crude analysis, sarcopenia was not associated with quartiles of PLT, WBC, and PWR, while after adjusting for age, marital status, and sex, the association was seen in the fourth quartile of PLT and PWR [OR (95%CI) = 1.40 (1.08 to 1.81), p-value = 0.009 for PLT; OR (95%CI) = 1.55 (1.20 to 2.00), p-value = 0.001 for PWR]. This association remained significant in the fully adjusted model [OR (95%CI) = 1.92 (1.25 to 2.95), p-value = 0.003 for PLT; OR (95%CI) = 1.64 (1.06 to 2.52), p-value = 0.024 for PWR]. Among sarcopenia parameters, PLT count was more likely to be associated with handgrip strength and muscle mass. After stratifying the participants by gender, sarcopenia parameters were no longer statistically significant in men. Conclusion This study showed that PLT and PWR were associated with sarcopenia after considering confounding factors, while this association was not seen in WBC. Moreover, results showed that gender had an important impact on sarcopenia parameters.


2011 ◽  
Vol 18 (01) ◽  
pp. 89-92
Author(s):  
NAVEED SHARIF ◽  
NAZIR AHMED ◽  
FAWAD HAMEED ◽  
Nosheen Rehan ◽  
Jawad Khan

Objective: To study the age related radiological finding in pulmonary tuberculosis. Study design: A cross sectional study. Place and duration of study: From January 2009 to December 2009 pulmonary department of Bahawal Victoria Hospital Bahawal Pur. Patients and method: The cases diagnosed as pulmonary tuberculosis of either gender above age of 12 years were included in the study. Patients suffering from extra pulmonary tuberculosis, treatment failure, relapse, drug resistant tuberculosis and HIV sero-positive patients were excluded from the study. Patients were divided into groups according to the age. Group 1 consist of patients having age ≥ 50years while group 2 consist of patients having <50 years. Data was recorded on the Proforma and was analyzed statistically on SPSS 11. Results: this study consists of 106 patients and divided into two groups. It has been found that apical zone of lung involvement was more common in patients younger than 50 years while involvement of lower zone was more common in patients with age ≥50years. No significant difference was found regarding the involvement of middle zone, multiple zones and the type of lesions as the p-value was >0.05. Conclusions: the elderly patients with pulmonary tuberculosis have predominant involvement of lower zones. So, lower zone involvement of radiological lesions should be evaluated for pulmonary tuberculosis to start the treatment earlier and to minimize the risk of missing the diagnosis.


2017 ◽  
Vol 2 (4) ◽  
Author(s):  
Saleh Mohammad Sulaiman Harun ◽  
Mounkaila Noma ◽  
Zeinab Yahia El Roubi

Introduction: Age-Related Macular Degeneration (AMD or ARMD), also known as Macular Degeneration, is an eye disorder that slowly destroys sharp, central vision. The causal factors of ARMD remain a controversy. The proposed study aimed to participate in controversy in focusing on the magnitude of ARMD in tertiary hospital in Khartoum state.  Methods: A hospital-based retrospective cross sectional study design was implemented in Makkah Eye Complex. Data on ARMD was derived from an electronic data based made available to the researcher. The data in excel format was uploaded in the SPSS version 21. All the 79 cases of ARMD was retained and summarized through descriptive statistics to produce graphics and frequency tables to address the research objectives and chi square test was performed to assess the association between ARMD and gender and age. A decision role was set prior to the test to reject the null hypothesis that there was no association whenever the p value is < 0.05.Results: During the period covered by the study a total of 86,788 patients attended Makkah Eye Complex, 79 patients among those was diagnosed as Age Related Macular Degeneration disease. This represents a prevalence of Age Related Macular Degeneration (ARMD) of 0.09 % (79/86,788).Discussion: Regarding age, our findings confirmed that the condition is related to aging. It occurred earlier in our research contrary to the commonly reported years of occurrence. However, the limited data available to us indicates the need to establish an electronic patient registry to enable to describe patients sociodemographic characteristics, the disease risk factors and patient management and related outcomes.


2020 ◽  
Vol 7 (2) ◽  
pp. 47-57
Author(s):  
Refad A. Azeez

Age related hearing loss is one of the most common chronic health conditions affecting the elderly people. With aging, risk of Presbycusis and hyperlipidemia increases. Although most studies do reach some sort of agreement, the evidence supporting a relationship between presbycusis and hyperlipidemia remains questionable. The objective of this study is to determine the association between age related hearing loss and hyperlipidemia and assess the severity of hearing loss in hyperlipidemic patients. This cross sectional analytic study was carried out at ENT Out Patient Clinic at Al Sader teaching Hospital from March 2019 to December 2019. A cross‑sectional study on 52 patients with Hyperlipidemia and 42 non Hyperlipidemic patients was carried out during March 2019 to December 2019. All patients were evaluated for hearing loss by subjecting to pure tone audiometry, blood investigations were done in form of lipid profile, blood sugars, thyroid function test, blood urea and serum creatinine levels. Group A consisted of 22 (42.3%) males and 30 (57.7%) female while group B consisted of 23 (54.8%) male and 19 (45.2%) female individuals. Audiological assessment by PTA was show that the prevalence of presbycusis among hyperlipidemic group more than non hyperlipidemic with significant statistical difference (P value <0.05). Prevalence was 76.9%. In conclusion; there is statistically significant association between presbycusis and hyperlipidemia especially those with hyercholestrolemia.


Author(s):  
Vatsala Vats ◽  
Manisha Gupta ◽  
Shantanu Aggarwal

Background: Cataractogenesis is associated with alteration in the nature of lens epithelium. How a change in morphology of cataract relates to axial length and IOL power is an interesting area to explore. The aim of the study was to evaluate the association between axial length and age-related cataracts, and intra ocular lens (IOL) power in eyes undergoing cataract surgery.Methods: A cross sectional study was conducted from 2019 to 2020 on 550 eyes with age related cataract for morphology of cataract and axial length of eye. Data was analyzed using statistical software One-way ANOVA and Post HOC test.Results: Out of a total 550 eyes, 122 (22.2%) were Nuclear, 79 (14.4%) were PSC, and 349 (63.5%) were of Mixed morphology. Mean age of patients with PSC was 56.41±14.55 years, 58.52±14.16 years with Nuclear, and 62.88±9.86 years in Mixed morphology. This difference was found to be statistically significant with p value of 0.001. In this study, the mean axial length in eyes with only Nuclear, only PSC, and Mixed morphology, was measured to be 23.19±1.29, 23.26±0.91, 23.24±1.47 respectively. This was found to be statistically insignificant with p=0.92. The mean power intraocular lens 20.96±3.03 D in Nuclear Cataract, 21.25±2.39 D in PSC, and 21.25±2.60 D in Mixed cataract, and was statistically insignificant with p value of 1.Conclusions: This study suggests no impact of morphology of cataract on axial length or IOL power.  


2018 ◽  
Vol 08 (04) ◽  
pp. 254-257
Author(s):  
Daud Mirza ◽  
Saima Mazhar ◽  
Sameer Quraeshi ◽  
Usman Mahmood ◽  
Nasir Jamal Baig ◽  
...  

Objective: The aim of this study was to determine the frequency and shape of torus palatinus and to assess its gender and age-related differences in the population of Karachi, the metropolitan city of Pakistan. Methodology: This was a cross sectional study with non-probability convenience sampling method conducted at Bahria University Medical & Dental College (BUMDC), Karachi. The presence of tori was observed by clinical examination and palpation. The shape was also investigated by presence or absence and classified as flat, spindle and nodular shaped tori. The data was analyzed by using Statistical Package for Social Science version 23. The Chi-square test was used to test for group differences of sex and age association with the prevalence of tori. Difference between groups with P <0.05 was considered significant. Results: A total of 1203 patients were screened in which torus palatinus was found in 141 (11.7%) patients. Present study findings showed torus palatinus was more prevalent in males 76 (53.9%). It was dominant in 31-60 years of age group (47.5%) with significant P=0.000. Shapes of torus palatinus were compared with gender in which flat shape was more frequent in both male and female with significant P-value of 0.015. Conclusion: Torus Palatinus is a rare bony exostosis of the oral cavity. Even though, it is an asymptomatic anatomical variation it expresses itself in unique shapes and patterns. The prevalence varies with respect to age and gender.


2020 ◽  
Vol 7 (2) ◽  
pp. 49-57
Author(s):  
Refad Abdul Azeez ◽  
Ahmed Al Ansary ◽  
BThenoon Yasin

"Age related hearing loss is one of the most common chronic health conditions affecting the elderly people. With aging, risk of Presbycusis and hyperlipidemia increases. Although most studies do reach some sort of agreement, the evidence supporting a relationship between presbycusis and hyperlipidemia remains questionable. The objective of this study is to determine the association between age related hearing loss and hyperlipidemia and assess the severity of hearing loss in hyperlipidemic patients. This cross sectional analytic study was carried out at ENT Out Patient Clinic at Al Sader teaching Hospital from March 2019 to December 2019. A cross‑sectional study on 52 patients with Hyperlipidemia and 42 non Hyperlipidemic patients was carried out during March 2019 to December 2019. All patients were evaluated for hearing loss by subjecting to pure tone audiometry, blood investigations were done in form of lipid profile, blood sugars, thyroid function test, blood urea and serum creatinine levels. Group A consisted of 22 (42.3%) males and 30 (57.7%) female while group B consisted of 23 (54.8%) male and 19 (45.2%) female individuals. Audiological assessment by PTA was show that the prevalence of presbycusis among hyperlipidemic group more than non hyperlipidemic with significant statistical difference (P value <0.05). Prevalence was 76.9%. In conclusion; there is statistically significant association between presbycusis and hyperlipidemia especially those with hyercholestrolemia.


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