Abstract

Dizziness, vertigo, and falls are common in older adults. Data suggest that cochlear implant candidates are no different and could be argued to be at elevated risk due to the presence of hearing loss and likely vestibular involvement. Perspectives contextualizes current testing and screening paradigms for vestibular deficits and fall risk and suggests a protocol suitable for use in developing country settings.

Highlights

  • Falls are common events in older adults with one in four falling each year [1]

  • One important risk factor for falls is the presence of dizziness and vertigo, which are common complaints in older adults [4] and, along with subjective imbalance, increase the odds ratio 12-fold [5]

  • Researchers are urged to use a standardized definition of falls, such as the one promulgated by the Prevention of Falls Network Europe (PRoFaNE), which has been widely adopted by the scientific community [10, 11]

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Summary

Christine Rogers*

Reviewed by: Luca Verrecchia, Karolinska Institutet (KI), Sweden Dario Andres Yacovino, Dr César Milstein Hospital, Argentina. Vertigo, and falls are common in older adults. Data suggest that cochlear implant candidates are no different and could be argued to be at elevated risk due to the presence of hearing loss and likely vestibular involvement. Perspectives contextualizes current testing and screening paradigms for vestibular deficits and fall risk and suggests a protocol suitable for use in developing country settings

INTRODUCTION
Fall Risk CI Candidates
IN OLDER ADULT CI CANDIDATES
Case History
Clinical Vestibular Screening Tests
Tests of Static and Dynamic Balance
Findings
NEXT STEPS

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