Balance performance and self-perceived handicap among dizzy patients in primary health care

Hansson, Eva Ekvall; Månsson, Nils-Ove; Håkansson, Anders

doi:10.1080/02813430500287299

Cited by 35 publications

(27 citation statements)

References 24 publications

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“…We measured self-perceived handicap because of dizziness with DHI. Our study group had similar median values on DHI and on clinical balance measures to those of another study, including elderly patients with multisensory dizziness [17].…”

Section: Discussionsupporting

confidence: 52%

“…The inventory has been translated into Swedish and the Swedish version has been tested for reliability [25] and has proved to be appropriate for use in primary health care [17]. The inventory comprises 25 items, organized in three different dimensions: functional, emotional and physical.…”

Section: Self-perceived Handicapmentioning

confidence: 99%

“…All patients were assessed with four different balance measures, which have been shown in previous studies to be relevant for assessing elderly dizzy patients in primary health care [17].…”

Section: Clinical Balance Assessementmentioning

confidence: 99%

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Classification of Chronic Dizziness in Elderly People and Relation with Falls

Yang¹,

Lee²,

Oh³

et al. 2018

Res Vestib Sci

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Background: Dizziness is the most common symptom in elderly patients and has been identified as a risk factor for falls. While BPPV is the most common cause of dizziness among elderly, multisensory deficits is the second, with visual, vestibular and proprioceptive reduced function. Asymmetric vestibular function is overrepresented in elderly persons with hip fractures and wrist fractures and can be accessed for screening. The objective was to study if vestibular asymmetry, vibration sense, balances performance, postural sway in quiet stance and self-perceived handicap because of dizziness could predict falls among elderly, dizzy patients.

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Section: Discussionsupporting

confidence: 52%

Section: Self-perceived Handicapmentioning

confidence: 99%

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Classification of Chronic Dizziness in Elderly People and Relation with Falls

Yang¹,

Lee²,

Oh³

et al. 2018

Res Vestib Sci

View full text Add to dashboard Cite

show abstract

“…a very low fear of falling. The FES scale assesses selfperceived balance [36], whereas other measures, such as Berg Balance scale or Dynamic Gait Index [33], assess balance using direct observation. Importantly, FES is a simple and quick test that may be usefully undertaken in busy clinical settings to predict future walking outcomes.…”

Section: Discussionmentioning

confidence: 99%

Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke – a preliminary study

Rosa

Marques

Demain

et al. 2014

Disability and Rehabilitation

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“…The secondary outcome measures used for dynamic balance were walking heel to toe on a line [23], where steps outside the line were counted, walking as fast as possible for 30 m with one turn after 15 m, when time in seconds was measured [23], and five times sit-to-stand test [27,28], where the patient sits on a stool and rises and sits down five times while the time is measured. These tests have been shown to be relevant for assessing dizziness in elderly patients in primary health care in previous studies [19,29]. …”

Section: Methodsmentioning

confidence: 99%

Vestibular Rehabilitation Affects Vestibular Asymmetry among Patients with Fall-Related Wrist Fractures - A Randomized Controlled Trial

2014

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Background: Fall-related fractures are an increasing problem for society. Dizziness is identified as a risk factor for falls and vestibular asymmetry is often found among patients with fall-related fractures. An option to prevent fall-related fractures may be to identify patients with vestibular asymmetry and to improve their balance and asymmetry by exercise. Objective: To examine whether vestibular rehabilitation improves vestibular function, balance and self-rated health among patients with fall-related wrist fractures. Methods: Sixty-eight persons (65 women) with fall-related wrist fractures, mean age 72 years (54-89) participated in this randomized controlled trial. The following tests and measurements were performed: head shake test to evaluate vestibular asymmetry as primary outcome measure, five clinical balance measures, a force plate to measure postural sway, a tuning fork to measure vibration and the EQ5D questionnaire to measure self-rated health. The intervention comprised group-based vestibular rehabilitation sessions conducted twice a week for 9 weeks. Results: Nystagmus occurred in the head shake test in 65% (44 of 68) of the patients, indicating vestibular asymmetry. More patients in the intervention group (6 of 21) than in the control group (0 of 23) changed from having nystagmus in the head shake test at baseline (indicating vestibular asymmetry) to not having nystagmus at follow-up, and more patients in the control group (3 of 9) than in the intervention group (0 of 3) changed from not having nystagmus at baseline to have nystagmus at follow-up (p < 0.00). No other changes occurred between the two groups between baseline and follow-up. At baseline, patients with vestibular asymmetry had more balance deficits and increased postural sway compared to patients without (p = 0.00-0.05). Conclusion: Group sessions with vestibular rehabilitation twice a week for 9 weeks affected the occurrence of vestibular asymmetry positively among patients having vestibular asymmetry. Patients with vestibular asymmetry had more balance deficits and increased postural sway than patients without vestibular asymmetry. Vestibular assessment is important, and, in patients with diagnosed vestibular asymmetry, vestibular rehabilitation may prove beneficial on balance and possibly reduce the risk of future falls.

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Balance performance and self-perceived handicap among dizzy patients in primary health care

Cited by 35 publications

References 24 publications

Classification of Chronic Dizziness in Elderly People and Relation with Falls

Classification of Chronic Dizziness in Elderly People and Relation with Falls

Fast gait speed and self-perceived balance as valid predictors and discriminators of independent community walking at 6 months post-stroke – a preliminary study

Vestibular Rehabilitation Affects Vestibular Asymmetry among Patients with Fall-Related Wrist Fractures - A Randomized Controlled Trial

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