Vestibular perception, balance impairment, and fall risk in community-dwelling older adults.
Background Vestibular complaints are common in older adults and are linked to imbalance and falls. Some older adults show impaired vestibular perception despite preserved peripheral-reflex ['vestibular agnosia (VA)']. Yet it remains unclear if VA is independently linked to imbalance and falls in oth...
| Publicado en: | Age & Ageing Vol. 55; no. 7; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195867371&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195867371 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2026 vid: 55 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195867371 10.1093/ageing/afag216 ppf: 1 ppct: 11 formats: tig: atl: Vestibular perception, balance impairment, and fall risk in community-dwelling older adults. aug: au: Li, Yuxiao Hadi, Zaeem Smith, Rebecca M Seemungal, Barry M Ellmers, Toby Jack affil: Department of Brain Sciences, Centre for Vestibular Neurology, Imperial College London, London, W6 8RF, UK su: Sensory perception Anxiety Mental depression Old age Risk assessment Independent living Research funding T-test (Statistics) Multiple regression analysis Descriptive statistics Multivariate analysis Mann Whitney U Test Chi-squared test Vestibular apparatus diseases Accidental falls Postural balance sug: subj: Sensory perception Anxiety Mental depression Old age Risk assessment Independent living Research funding T-test (Statistics) Multiple regression analysis Descriptive statistics Multivariate analysis Mann Whitney U Test Chi-squared test Vestibular apparatus diseases Accidental falls Postural balance keyword: aged agnosia balance impairment community copyrightHolder:British Geriatrics Society copyrightYear:2026 eye fall risk fall risks https://dx.doi.org/10.1093/ageing/afag216 inLanguage:en older people perception postural sway postural sway when standing publisher:Oxford University Press reflex sameAs:https://pubmed.ncbi.nlm.nih.gov/42525828/ vestibular agnosia vestibular perceptual thresholds vestibulo-ocular vestibulo-ocular reflex yaws aged agnosia balance impairment community copyrightHolder:British Geriatrics Society copyrightYear:2026 eye fall risk fall risks https://dx.doi.org/10.1093/ageing/afag216 inLanguage:en older people perception postural sway postural sway when standing publisher:Oxford University Press reflex sameAs:https://pubmed.ncbi.nlm.nih.gov/42525828/ vestibular agnosia vestibular perceptual thresholds vestibulo-ocular vestibulo-ocular reflex yaws ab: Background Vestibular complaints are common in older adults and are linked to imbalance and falls. Some older adults show impaired vestibular perception despite preserved peripheral-reflex ['vestibular agnosia (VA)']. Yet it remains unclear if VA is independently linked to imbalance and falls in otherwise healthy older adults. We therefore investigated the prevalence of VA in community-dwelling older adults, and examined its association to balance and prospective falls. Methods Vestibular perceptual thresholds were measured during yaw-plane rotational chair testing. Postural sway and instrumented Timed-Up-and-Go were assessed using wearable sensors, and falls were recorded prospectively over six-months. VA was identified using K -means clustering. Multivariable regressions examined associations between perceptual thresholds and balance outcomes; logistic and negative binomial regressions evaluated associations with prospective falls. Results Among 166 participants (75.4 years; 81.9% female), 18.7% were classified as having VA. These individuals had worse cognition and somatosensation, and higher anxiety. Elevated (i.e. worse) vestibular perceptual thresholds were independently associated with greater sway velocity when standing on foam with eyes-open (adjusted β = 0.002, P = .03). Associations with other balance outcomes were attenuated after adjustment. Vestibular perceptual thresholds were not associated with prospective falls (odds of ≥1 fall: adjusted OR = 0.99, P = .65; fall counts: adjusted IRR = 1.02, P = .35). Conclusions Approximately one-fifth of healthy older adults exhibit VA. While elevated perceptual thresholds are independently associated with poorer balance, they did not predict falls. Further research is needed to determine whether vestibular perceptual testing provides additional information beyond standard balance assessments for fall-risk prediction in community-dwelling healthy older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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