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Falls and Balance in the Elderly Adult Population

Falls and Balance in the Elderly Adult Population. The problem. Falls are: A common health issue Often have bad outcomes Can be avoided with change. The cost. Creates a substantial burden on the healthcare system. The cause…. Vestibular pathology Visual deficit

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Falls and Balance in the Elderly Adult Population

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  1. Falls and Balance in the Elderly Adult Population

  2. The problem . . . • Falls are: • A common health issue • Often have bad outcomes • Can be avoided with change

  3. The cost . . . • Creates a substantial burden on the healthcare system

  4. The cause… • Vestibular pathology • Visual deficit • Muscle weakness • Cognitive impairment • Lack of attention to surroundings

  5. Psychological Consequences… • Fear • Decreased quality of life • Self-imposed restriction of activities • Social isolation • Depression

  6. What sets us apart from other programs? • Multidisciplinary approach to falls prevention • Audiologists perform diagnostic testing • Physical Therapists perform vestibular rehabilitation as needed • State of the art diagnostic testing to provide patients and physicians with the most comprehensive balance and falls risk assessment available: • Computerized Dynamic Posturography (CDP) • Videonystagmography (VNG) • Rotary Chair

  7. What sets us apart from other programs? • Using the information gathered through assessment and testing, a comprehensive rehabilitation program is created that includes: • Postural Training • Re-train the balance system • Strengthen muscles • Restore stability • Symptom management • Increase tolerance for changes in position • Education • Fall prevention and safety

  8. The Results • To date we have evaluated close to 350 patients (83% of which were age 60 and above) • Over 75% had symptoms that indicated a need for Vestibular Rehabilitation • Of those completing the full course of Vestibular Rehabilitation with PT: • 65% demonstrated significant improvement according to the Dizziness Handicap Index (DHI) • Almost all patients experienced some improvement in their DHI score

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