Balance Disorders in Older Adults

Clin Geriatr Med. 2018 May;34(2):175-181. doi: 10.1016/j.cger.2018.01.002. Epub 2018 Feb 24.

Abstract

Balance disorders are common in the elderly and can lead to falls, with resultant severe morbidity and even mortality. Progressive loss of vestibular function begins in middle age and is affected by multiple disease processes. Polypharmacy impacts many disease processes in the elderly, with balance function being one of the most susceptible. Evaluation of the older patient with a balance disorder is critical for the well-being of these patients, as it may drive intervention. This article reviews balance disorders often encountered in older patients and makes recommendations regarding education of nonotolaryngologists.

Keywords: Balance disorders; Dizziness; Falls; Frailty; Polypharmacy; Presbystasis; Vestibular disorders.

Publication types

  • Review

MeSH terms

  • Accidental Falls / prevention & control*
  • Aged
  • Frailty* / diagnosis
  • Frailty* / therapy
  • Humans
  • Medication Therapy Management
  • Nervous System Diseases* / diagnosis
  • Nervous System Diseases* / therapy
  • Polypharmacy
  • Postural Balance / drug effects*
  • Vestibular Diseases* / diagnosis
  • Vestibular Diseases* / therapy