TY - CHAP M1 - Book, Section TI - Physical Therapy Management of the Older Person with Vestibular Dysfunction A1 - Whitney, Susan L. A1 - Marchetti, Gregory F. A2 - Herdman, Susan J. A2 - Clendaniel, Richard A. PY - 2014 T2 - Vestibular Rehabilitation AB - The complaint of dizziness is one of the most common reasons that older adults visit the doctor's office.1 The incidence of dizziness increases with age and accounts for 1.3% of all visits to internists in people 45 to 64 years old, 2.9% in people older than 65, and 3.8% in people older than 75. Although dizziness can be caused by many different medical conditions, it is estimated that as many as 45% of cases are a result of vestibular disorders.2 Aktas and colleagues3 have reported that in 31% of their subjects with hip fracture, vestibular disease was a comorbidity. In 80% of their patients with falls of unknown cause, Pothula and associates4 found symptoms of vestibular dysfunction. In a recent report of persons who reported dizziness who were over the age of 40 (n = 5,086), there was a 12-fold increase in their odds of falling within the last year.5 The vestibular insult or injury may be the same as in a younger individual, but the functional consequences may be very different because of the person's comorbid health status. Older adults with vestibular disorders, therefore, often present with very different problems from those of their younger counterparts. This chapter provides information about the normal changes in the vestibular, visual, and somatosensory systems with aging as well as the pathological changes that can occur in each system. Practical suggestions are made as to how older adults may be treated differently because of their age. SN - PB - F. A. Davis Company CY - New York, NY Y2 - 2024/03/29 UR - fadavispt.mhmedical.com/content.aspx?aid=1135016999 ER -