![]() ![]() The publication of the diagnostic criteria for presbyvestibulopathy by the Bárány Society in that year ( 10) has enabled an adequate characterization and homogenization of these patients, which has facilitated their study. However, until 2019, there was no consensus on its description, and its existence was not generally accepted. The physiological deterioration associated with aging has been referred to by various names in recent decades (including presbystasis, presbyvertigo, presbyequilibrium, and geriatric dizziness) ( 2). Lastly, aging itself may cause histologically demonstrable damage to vestibular receptors and organs ( 7– 9) which may be responsible for the symptoms of dizziness, imbalance, or instability frequently reported by elderly people. The existence of diseases that affect other systems (visual, locomotor, neurological, and cardiovascular, among others) may give rise to symptoms of dizziness or instability, which trigger (or potentiate) strictly vestibular symptoms ( 6). Various medications frequently used in older people (such as benzodiazepines and other central nervous system depressants) may slow vestibular reflexes. ![]() Exposure to drugs or other vestibulotoxic substances is more likely and has a cumulative effect on people who are older because aging increases the likelihood of exposure to these substances. Some highly prevalent clinical disorders (such as benign paroxysmal positional vertigo, BPPV) are more common in the elderly than in younger adults. The causes of vestibular symptoms in the elderly are varied ( 4, 5). Health care for these patients is a major challenge for public healthcare systems ( 3). In addition, their consequences (primarily limiting mobility and increasing the risk of falls) are especially serious in this age group, leading to social isolation, and to direct morbidity and mortality (derived from eventual fractures caused by falls) ( 2). Vestibular symptoms in the elderly are common and may result in reduced quality of life of these individuals ( 1). Unique Identifier: NCT03034655, Introduction The most influential factors are difficulties in walking, fear of falling, and obesity. This perception is substantially higher in women than in men. No significant correlation was found between DHI scores and age, time of evolution, posturographic scores, comorbidities, environment (rural or urban), or active lifestyle.Ĭonclusion: Most patients with presbyvestibulopathy show an important subjective perception of disability in relation to their symptoms. DHI scores were lower in alcohol consumers than in non-drinkers (46.6 vs. There was also a significant positive correlation between DHI score, time (Rho coefficient: 0.371, p < 0.001), and steps (Rho coefficient: 0.284, p = 0.004) used in the TUG and with the short FES-I questionnaire (a shortened version of the Falls Efficacy Scale-International) score (Rho coefficient: 0.695, p < 0.001). DHI scores were higher in women (59.8 vs. Results: Most of the DHI scores showed a moderate (46 patients, 44.7%) or severe (39 participants, 37.9%) handicap. Influence on DHI score, sex, age, time of evolution, equilibriometric parameters (posturographic scores and timed up and go test), history of falls, comorbidities (high blood pressure, diabetes, and dyslipidemia), psychotropic drug use, tobacco or alcohol use, living environment (urban or rural), and active lifestyle were analyzed. Dizziness Handicap Inventory (DHI) score was the main variable used to quantify disability. There were 103 patients who fulfilled the diagnostic criteria for presbyvestibulopathy and were included. Material and Methods: This was a cross-sectional study conducted in a tertiary university hospital. Objective: To assess the perception of disability in patients with presbyvestibulopathy and to determine the factors (demographic, balance test scores, and comorbidities) that determine higher levels of disability. 4Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.3Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.2Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.1Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.Andrés Soto-Varela 1,2 *, Marcos Rossi-Izquierdo 3, María del-Río-Valeiras 4, Isabel Vaamonde-Sánchez-Andrade 4, Ana Faraldo-García 4, Antonio Lirola-Delgado 4 and Sofía Santos-Pérez 1,2 ![]()
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