Assessment of Falling Risk in Patients with Unilateral Peripheral Vestibular Disorders

Mutlu B., Torun Topçu M., Cesur S., Kalcıoğlu M. T.

8.Ulusal Otoloji Nörootoloji Kongresi, Ankara, Turkey, 26 - 27 June 2021, pp.47

  • Publication Type: Conference Paper / Summary Text
  • City: Ankara
  • Country: Turkey
  • Page Numbers: pp.47


Objective: The aim of this study is to determine the relationship between functional and perceptual findings in determining the falling risk of patients with unilateral peripheral vestibular disorders with imbalance.
Materials and Methods: Sixty-five patients and 23 healthy controls were included in this study. The participants were administered Dizziness Handicap Inventory (DHI), Falls Efficacy Scale (FES), Dynamic Gait Index (DGI), and static posturography tests. Multiple linear regression models were created to predict the FES score dependent variable using DHI, DGI, and static posturography tests independent variables

Results: In this study, patients with Meniere’s disease (7 male, 14 female, age: 45.42±11.41 years), BPPV (7 male, 15 female, age: 57.68±7.47 years), vestibular neuritis (10 male, 12 female, age: 56.22±11.63 years), and healthy controls (8 male, 15 female, age: 49.73±9.5 years) were evaluated. Three regression models were created in which DHI, DGI, and age significantly predicted FES in patients with Meniere’s disease (F(3, 17)=112.511, .001, Radjust-=.942), BPPV (F(3, 18)=6.348, p=.004, R=.435), and vestibular ed adjusted neuritis (F(3, 18)=2.73, p=.047, R=.322). Significant regression adjusted models in which limits of stability, fall risk, and body sway independent variables predicted the FES dependent variable could only be created in the Meniere’s disease group. Accordingly, it was found that all risk (F(12, 8)=31.372, .001, R=.948), limits of sta- adjusted ability (F(8,12)=7.594, p=.001, R=.725), and body sway (F(11, adjusted 9)=11.103, p=.001, R=.847) results significantly affected the FES score.

Conclusions: The relationship between static posturography findings and fear of falling in the Meniere’s disease group may be related to in- complete central compensation due to repeated attacks in this group. In determining the risk of falling in pathologies affecting symmetrical vestibular input, it is important to evaluate the static balance with the perceptual methods, to establish an appropriate rehabilitation program.