Balance

Grandfather with childDizzi­ness or loss of bal­ance is the sec­ond most com­mon com­plaint heard in doc­tors’ offices. National Insti­tute of Health sta­tis­tics indi­cate dizzi­ness will occur in 70 per­cent of the nation’s pop­u­la­tion at some point in their lives. Acute or chronic prob­lems with equi­lib­rium may indi­cate seri­ous health risks or limit a person’s every­day living.

Equi­lib­rium dis­or­ders fall into two cat­e­gories. The first cat­e­gory is dizzi­ness, ver­tigo, or motion intol­er­ance that may occur in acute or sharp attacks last­ing any­where from a few sec­onds to sev­eral hours. This con­di­tion may be caused or wors­ened by rapid head move­ments, turn­ing too quickly, walk­ing or rid­ing. The sec­ond cat­e­gory is a per­sis­tent sense of imbal­ance, unsteadi­ness, or what some peo­ple refer to as a loss of surefootedness.

Good news is diag­no­sis and treat­ment options have become more effec­tive over the past 10 years. There is hope for many indi­vid­u­als who once thought there might be no relief.

Loss of Bal­ance
Many peo­ple believe loss of bal­ance and unsteadi­ness are a nat­ural result of aging. In fact, fear of falling is the num­ber one health con­cern of indi­vid­u­als in their later years. This fear appears to not be unfounded as National Insti­tute of Health sta­tis­tics indi­cate balance-related falls account for half of the acci­den­tal deaths in the pop­u­la­tion over 65. In addi­tion, nearly 300,000 hip frac­tures and $3 bil­lion dol­lars in med­ical expenses result from balance-related falls every year.

Human equi­lib­rium is a com­plex inter­ac­tion that requires cor­rect input from the inner ear, vision and somatosen­sory (con­tact with the earth as per­ceived by our feet, mus­cles and joints). All three sig­nals must then be cor­rectly received by our cen­tral ner­vous sys­tem. Then the cere­bel­lum, which is the motor con­trol por­tion of the brain, must exe­cute the cor­rect move­ment of our mus­cu­loskele­tal sys­tem so we main­tain our cen­ter of grav­ity. If any one or sev­eral com­po­nents of this com­pli­cated sys­tem do not work prop­erly, then a loss of sure­foot­ed­ness or move­ment coor­di­na­tion can take place

The nat­ural aging process may affect any one or all of these senses as well as the cen­tral ner­vous system’s abil­ity to inter­pret and react to them quickly. It is very com­mon to hear from some­one who has fallen that they saw the curb or step, but were not able to react fast enough or to keep their balance.

With proper diag­no­sis and ther­a­peu­tic exer­cises, known as Bal­ance Retrain­ing, many older adults can return to a more active lifestyle.
Did you know?

  • Ver­tigo, dizzi­ness or imbal­ance will affect 90 mil­lion Amer­i­cans some­time dur­ing their lifetime.
  • Each year, over nine mil­lion peo­ple con­sult with their doc­tors with com­plaints of dizzi­ness, the num­ber one mal­ady for those over 70.
  • Bal­ance related falls account for more than one-half of the acci­den­tal deaths in the elderly and cause over 300,000 hip frac­tures a year in indi­vid­u­als over 65 years of age.
  • Some forms of inner ear dis­or­ders, such as Meniere’s Dis­ease, benign posi­tional ver­tigo, per­i­lymph fis­tula, and endolym­phatic hydrops, have symp­toms that are vir­tu­ally indis­tin­guish­able to most peo­ple. Since imbal­ance and ver­tigo can affect a person’s abil­ity to stand and walk, see clearly, read, watch tele­vi­sion, make deci­sions, and think clearly, these con­di­tions are often mis­di­ag­nosed as mul­ti­ple scle­ro­sis and clin­i­cal depression.
  • Chil­dren with treat­able vestibu­lar dis­or­ders are some­times incor­rectly diag­nosed as learn­ing dis­abled, dyslexic, or psy­cho­log­i­cally disturbed.
  • Blows to the head and whiplash are fre­quent causes of dizziness.
  • Ear infec­tions, such as oti­tis media, can also lead to vestibu­lar disorders.

Audigy Group is proud to part­ner with The Amer­i­can Insti­tute of Bal­ance™ for the cer­ti­fi­ca­tion of pro­fes­sion­als, devel­op­ment of clin­i­cal pro­to­cols and con­tin­u­ing edu­ca­tion. The Insti­tute is nation­ally and inter­na­tion­ally known for its exper­tise in test­ing and reha­bil­i­ta­tion, help­ing thou­sands of patients who were told “learn to live with it” to return to nor­mal lives. The Institute’s eval­u­a­tion pro­to­cols and ther­apy pro­grams are used by physi­cians, audi­ol­o­gists, ther­a­pists, clin­ics, and hos­pi­tals worldwide.

If you are expe­ri­enc­ing some of these symp­toms, our audi­ol­ogy staff can per­form ini­tial test­ing to deter­mine whether or not the symp­toms are related to a hear­ing prob­lem and if nec­es­sary refer you to an appro­pri­ate specialist.

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