Functional balance associated factors in the elderly with chronic vestibular disorder.
Daily activities can be challenging for the elderly.


OBJECTIVE
To study the association between functional balance, evaluated by the Berg Balance Scale (BBS), sociodemographics, clinical and mobilility (Timed up and go test-TUGT, Dynamic Gait Index-DGI) variables in the elderly with chronic vestibular disorder.


METHODS
A series study with one hundred and twenty elderly with chronic vestibular disorder. We performed the Mann-Whitney test, the Kruskal-Wallis test followed by Dunn test and the Spearman Coefficient ([FORMULA: SEE TEXT]).


RESULTS
Statistically significant associations and correlations were observed between total BBS score and age ([FORMULA: SEE TEXT]=-0.354; p<0.001), age group (p<0.001), number off illnesses (p=0.030), number of illnesses ([FORMULA: SEE TEXT]=-0.287; p=0.001), number of medications (p=0.014), number of medications ([FORMULA: SEE TEXT]=-0.274; p=0.002), recurrent falls (p=0.010), tendency to fall (p=0.002), topographic diagnosis of central vestibular disorder (p<0.001) and periodicity of dizziness (p=0.039), TUGT ([FORMULA: SEE TEXT]=-0.709; p<0.001) and DGI ([FORMULA: SEE TEXT]=-0.748; p<0.001).


CONCLUSIONS
Functional balance in the elderly with chronic vestibular disorders evaluated by the BBS is worse when associated with aging, with a more advanced age group (80 years or more), increasing number of illnesses, presence of five or more illnesses, use of multiple medications, recurrent falls, tendency to fall, central vestibular syndromes, daily dizziness, mobility and gait impairments.
Gazzola
Juliana Maria
JM
Department of Otorhinolaryngology/Head and Neck Surgery, EPM, UNIFESP, Brazil. otoneuro@unifesp.epm.br
Perracini
Monica Rodrigues
MR
Ganança
Maurício Malavasi
MM
Ganança
Fernando Freitas
FF
D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D004244:Dizziness / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D005684:Gait / Q000502:physiology; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D004856:Postural Balance / Q000502:physiology*; D015995:Prevalence; D012307:Risk Factors; D015837:Vestibular Diseases / Q000150:complications / Q000503:physiopathology*; D014724:Vestibular Function Tests