Falls and fear of falling in vertigo and balance disorders: A controlled cross-sectional study

Schlick, Cornelia; Schniepp, Roman; Loidl, Verena; Wuehr, Max; Heßelbarth, K.; Jahn, Klaus

doi:10.3233/ves-150564

Cited by 111 publications

(97 citation statements)

References 38 publications

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“…Thus, a cerebellar dysfunction during migraine attacks can be deduced by (i) an increased postural sway at baseline (condition 1) and (ii) the absence of increased RQs. Similarly, the lack of a firm support beneath the feet has been shown to destabilize patients with either vestibular or proprioceptive deficits . Using foam posturography, these studies demonstrated high vRQ values in patients compared to healthy controls.…”

Section: Discussionmentioning

confidence: 95%

Postural instability during attacks of migraine without aura

Anagnostou

Gerakoulis

Voskou

et al. 2018

Euro J of Neurology

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Background and purpose Migraine has long been associated with unsteadiness and dizziness but postural control has not been studied in the ictal state. Here, the stability of upright stance during migraine attacks was measured. Methods Static balance was assessed prospectively in migraine patients (n = 30) during quiet stance for 40 s on a posturographic force platform. Recordings were performed both ictally and in the pain‐free interval. Subjects were assessed under four different conditions yielding different visual and proprioceptive feedback environments. Both ictal and interictal data were compared with age‐matched healthy controls (n = 30). Results Postural instability increased significantly under all experimental conditions during migraine attacks. Whilst standing on a foam pad with eyes closed, median sway area was 353 mm2 in control subjects, 318 mm2 in migraineurs in the pain‐free period and 618 mm2 in the ictal state. However, Romberg and vestibular Romberg quotients were not altered during migraine attacks. Spectral analyses of postural sway also showed similar profiles in migraineurs and controls. The severity of headache was inversely correlated to Romberg quotients. Conclusions The demonstrated pattern of balance disorder during migraine attacks suggests a transient cerebellar dysfunction. Our findings also indicate that intense headache induces a re‐weighting of sensory processing toward less dependence on visual and proprioceptive information.

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Section: Discussionmentioning

confidence: 95%

Postural instability during attacks of migraine without aura

Anagnostou

Gerakoulis

Voskou

et al. 2018

Euro J of Neurology

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“…90 It is also an important concern for people with vestibular disorders. 91 Honaker and Kretschmer 92 conducted a qualitative study to examine how fear of falling changed after VR in individuals with vestibular and balance disorders who had a history of falling. 92 In this sample, fear of falling resulted in restricting the performance of activities of daily living.…”

Section: Fear Of Fallingmentioning

confidence: 99%

Vestibular Rehabilitation and Factors That Can Affect Outcome

2019

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This review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.

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“…u geriatrického pacienta s akútnym neurologickým ochorením a s poruchami chôdze sa riziko násobí pri pozitívnej anamnéze pádu a používaní kompenzačnej pomôcky [10]. Riziko pádu alebo samotný pád je symptómom klinického obrazu viacerých neurologických ochorení (skleróza multiplex, demencia, Parkinsonova choroba, záchvatové stavy, cievna mozgová príhoda, ochorenia vestibulárneho aparátu, periférne neuropatie), pričom mechanizmus pádu je špecifický pre každé z nich [9,14,15]. Klinické symptómy spolu s pozitívnou anamnézou pádu zaraďujú pacienta už pri prijatí na hospitalizáciu do skupiny s vysokým rizikom pádu, bez ohľadu na to, či sú prijatí s akútnou alebo chronickou neurologickou diagnózou [5,7,16,17].…”

Section: úVodunclassified

Risk factors of falling in patients with neurological diseases

Miertová

Bóriková

Tomagová

et al. 2018

Kontakt

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A B S T R A C TPurpose: The aim of the study was to perform a fall risk screening and to identify the risk factors for falling in hospitalized patients with neurological disease aged up to and over 65 years. Design: A quantitative prospective cross-sectional study. Methods: The sample consisted of 103 patients who were hospitalized in the neurological unit. Empirical data was recorded in the research protocol, which included selected fall risk factors and the Morse Fall Scale (MFS). Results: Significant fall predictors in patients older than 65 years were: secondary diagnosis (p = 0.000), poly-pharmacotherapy (p = 0.000), number of medications taken over 24 hours (p = 0.000), a vision disorder (p = 0.005), continence disorder (p = 0.008), female sex (p = 0.005), the use of an ambulatory aid (p = 0.008), sleep disorders (p = 0.025), and hearing disorders (p = 0.033). The mean MFS total fall risk was 45.7 ± 20.2. In the sample of patients at high risk of falling, there were significant predictors of the falls: disorders of gait and balance (p = 0.000), the use of an ambulatory aid (p = 0.000), a history of falling (p = 0.001), age (p = 0.004), poly-pharmacotherapy = 0.008), continence disorder (p = 0.019), and vision disorder (p = 0.027). Conclusion: The identification of fall risk factors is the basis for the implementation of targeted nursing interventions to prevent and reduce falls. S Ú h R N Cieľ: Realizovať skríning rizika pádu a identifikovať rizikové faktory pádu u hospitalizovaných pacientov s neurologickým ochorením vo veku do a nad 65 rokov. Dizajn: Kvantitatívna prospektívna prierezová štúdia. Metodika: Súbor tvorilo 103 pacientov hospitalizovaných na neurologickom oddelení. Empirické údaje boli zaznamenávané do výskumného protokolu, ktorý obsahoval vybrané rizikové faktory pádu a nástroj Morse Fall Scale (MFS). Výsledky: Signifikantné prediktory pádu u pacientov starších ako 65 rokov boli pridružená diagnóza (p = 0,000), polyfarmakoterapia (p = 0,000), počet užívaných liekov * Korespondenční autor: Mgr. Michaela Miertová, PhD., Jesseniova lekárska fakulta UK, Ústav ošetrovateľstva, Malá hora 5, (Print) • ISSN 1804-7122 (Online) Kľúčové slová: Neurológia hospitalizovaní pacienti Pády Riziko Skríning Morse Fall Scale O š e t ř O v a t e l s t v í Článek citujte takto: Miertová M, Bóriková I, Tomagová M, Žiaková K. Risk factors of falling in patients with neurological diseases. Kontakt 2018; 20(3): e217-e222; http://dx.

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Falls and fear of falling in vertigo and balance disorders: A controlled cross-sectional study

Cited by 111 publications

References 38 publications

Postural instability during attacks of migraine without aura

Postural instability during attacks of migraine without aura

Vestibular Rehabilitation and Factors That Can Affect Outcome

Risk factors of falling in patients with neurological diseases

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