Purpose of Review <p>Vestibular disorders can occur across the life span, with a higher prevalence among older adults. Vestibular disorders can result from peripheral vestibular organ pathology or central nervous system pathology. Given other natural processes of aging, there are some special considerations for implementing vestibular rehabilitation in older adults to ensure optimal outcomes.</p> Recent Findings <p>Among peripheral vestibular pathologies, new canalith repositioning maneuvers better accommodate limitations in functional mobility and the cervical spine that can affect traditional maneuvers. When addressing impairments in gaze stability, new protocols have been shown to improve vestibular function and overall balance impairments by adding vergence or head-impulse exercises to conventional exercises. Several central nervous system pathologies can present with vestibular impairments, such as traumatic brain injury, cerebrovascular accident, and Parkinson’s disease. Within the traumatic brain injury population, special attention should be provided, as older adults with vestibular disorders are at a higher risk of falling and sustaining a brain injury. After the brain injury, vestibular symptoms may occur.</p> Summary <p>Vestibular rehabilitation can be easily implemented for older adults. In some instances, vestibular disorders may be under-screened, especially for benign paroxysmal positional vertigo (BPPV) or central nervous system pathologies. Still, they can be easily addressed to improve an older adult’s quality of life.</p>

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A Narrative Review of Vestibular Rehabilitation in Older Adults

  • Andrew K. Syvertsen,
  • Regan G. Harrell

摘要

Purpose of Review

Vestibular disorders can occur across the life span, with a higher prevalence among older adults. Vestibular disorders can result from peripheral vestibular organ pathology or central nervous system pathology. Given other natural processes of aging, there are some special considerations for implementing vestibular rehabilitation in older adults to ensure optimal outcomes.

Recent Findings

Among peripheral vestibular pathologies, new canalith repositioning maneuvers better accommodate limitations in functional mobility and the cervical spine that can affect traditional maneuvers. When addressing impairments in gaze stability, new protocols have been shown to improve vestibular function and overall balance impairments by adding vergence or head-impulse exercises to conventional exercises. Several central nervous system pathologies can present with vestibular impairments, such as traumatic brain injury, cerebrovascular accident, and Parkinson’s disease. Within the traumatic brain injury population, special attention should be provided, as older adults with vestibular disorders are at a higher risk of falling and sustaining a brain injury. After the brain injury, vestibular symptoms may occur.

Summary

Vestibular rehabilitation can be easily implemented for older adults. In some instances, vestibular disorders may be under-screened, especially for benign paroxysmal positional vertigo (BPPV) or central nervous system pathologies. Still, they can be easily addressed to improve an older adult’s quality of life.