At the Study Group Meet Up, we were able to discuss vestibular dysfunction in the elderly and bilateral vestibular hypofunction.
Here are some take aways from the Meet Up:
- The aging vestibular system displays reduced saccade frequency, amplitude, peak velocity, and mean velocity. Meaning, it is important to conduct a thorough evaluation of our geriatric patients vestibular system. Visual and oculomotor changes can be a major contribution to fall risk.
- As our patients age they may demonstrate Decreased VOR function. The VOR becomes less accurate with increasing age which may cause problems with spatial orientation and reduced visual acuity. Remember, every patient is a vestibular patient!
- Vestibulotoxicity is a common cause of Bilateral vestibular hypofunction (BVH). It causes damage to the motion sensitive hairs (sterocilia), making them unable to respond to motion, an effect that can be minimal to severe.
- Patient susceptibility to vestibulotoxicity can be dependent on total dose and potentiating medications.
- Clinical examination for BVH can include balance assessment, Dynamic Visual Acuity Test, and Head Impulse Test.
The best part about the Vestibular Study Group Meet Up was the collaboration between clinicians. It was great to bounce ideas off of everyone. Having a diversity of clinicians really added to the group discussion. After the Study Group, I always feel a rush of excitement to get back to the clinic on Monday.
So, what excites you about the future of vestibular rehab?
Is it the updates in research, patient outcomes, or complex diagnoses?
If you have any questions about our vestibular study groups feel free to comment or email us!
Steven Tijerina, PT, DPT
Course Liaison/Lab Instructor
P.s. Feel free to download our presentation for more information on
- BPPV in the elderly, BPPV screening and treatment modifications for the Elderly
- Vestibulotoxic Drugs
- BVH assessment and treatment