Hearing as a Predictor of Falls and Postural Balance in Older Female Twins

Viljanen, Anne; Kaprio, Jaakko; Pyykkö, Ilmari; Sorri, Martti; Pajala, Satu; Kauppinen, Markku; Koskenvuo, Markku; Rantanen, Taina

doi:10.1093/gerona/gln015

Cited by 178 publications

(192 citation statements)

References 25 publications

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“…Indeed, poor hearing has been associated with, for example, poorer postural balance (Agrawal, Carey, Della Santina, Schubert, & Minor, 2009;Viljanen, Kaprio, Pyykkö, Sorri, Pajala, et al, 2009), poorer lower limb performance (Chen et al, 2015;, slower walking speed (L. Li, Simonsick, Ferrucci, & Lin, 2013;Viljanen, Kaprio, Pyykkö, Sorri, Koskenvuo, et al, 2009) and perceived walking difficulties (Chen, Genther, Betz, & Lin, 2014;Viljanen, Kaprio, Pyykkö, Sorri, Koskenvuo, et al, 2009). Impaired hearing also predicts the onset of new walking difficulties and falls (Lin & Ferrucci, 2012;Viljanen, Kaprio, Pyykkö, Sorri, Koskenvuo, et al, 2009;Viljanen, Kaprio, Pyykkö, Sorri, Pajala, et al, 2009).…”

Section: Mobility (D4) -Walking (D450)mentioning

confidence: 99%

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Heinrich¹,

Gagné

Viljanen

et al. 2016

SIIW

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Successful communication is vital to active aging and well-being, yet virtually all older adults find it challenging to communicate effectively in noisy environments. The resulting discomfort and frustration can prompt withdrawal or avoidance of social situations, which, in turn, can severely limit the range of activities available to older adults and lead to a less active and satisfying lifestyle, and, in some cases, depression. Using the International Classification of Functioning, Disability and Health's (ICF) multifactorial model (WHO, 2001), we review the wider aspects of functioning and disability as they relate to hearing difficulties and communication, placing a particular emphasis on the work we, an international and interdisciplinary group of researchers, have done in the context of the ERA-NET funded interdisciplinary HEARATTN project. The ICF model is particularly fitting because it allows us to consider how physiological changes in hearing and cognition affect listening in various situations, what the consequences of these changes are for communicative abilities and social participation, and how this in turn affects life-space mobility, self-reported well-being, and, ultimately, quality of life. We will discuss how environmental conditions (both physical and social) and personal factors can affect how well older adults can communicate in the situations characteristic of everyday life. In the concluding section we discuss some behaviours, techniques and strategies that can be adopted to maintain or improve effective communication under difficult listening conditions.

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Section: Mobility (D4) -Walking (D450)mentioning

confidence: 99%

Untitled

Heinrich¹,

Gagné

Viljanen

et al. 2016

SIIW

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“…Hearing loss has been associated with self-reported falls [Lin and Ferrucci, 2012] and reduced mobility [Viljanen et al, 2009a], linked, in part, to poorer postural control [Viljanen et al, 2009b]. Studies which have directly compared postural sway in hearingimpaired subjects and those with normal hearing have shown both poorer [Kluenter et al, 2009;Huang et al, 2011] and better [Walicka-Cuprys et al, 2014] postural stability in the hearing-impaired.…”

Section: Introductionmentioning

confidence: 99%

The Contribution of Hearing and Hearing Loss to Balance Control

Vitkovic

Le²,

Lee³

et al. 2016

Audiol Neurotol

108

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This study investigated the hypothesis that a hearing ‘map' of our surroundings is used to maintain balance control. We investigated the effects of sound on postural sway using centre of pressure analysis in 50 subjects with normal hearing, 28 with hearing loss and 19 with vestibular dysfunction. The acoustic environments utilized sound cues that were either present or absent. It was found that auditory cues are utilized by subjects with normal hearing to improve postural sway. The ability to utilize sound for postural control is diminished when there is a hearing loss, but this appears to be overcome by the use of a hearing aid. Patients with additional vestibular deficits exploit auditory cues to a greater degree, suggesting that sensory weighting to enhance the use of auditory cues may be applied when there is diminished sensory redundancy.

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“…21,22 Hearing loss is a predictor of falls and postural balance problems. In one study, 23 patients with poor hearing had a 3-to 4-fold higher risk for falls than did patients with better hearing. This association has not been explained.…”

Section: Impact Of Hearing Lossmentioning

confidence: 98%

Hearing Loss in Older Critical Care Patients: Participation in Decision Making

Hardin

2012

Critical Care Nurse

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IncidenceHearing loss is the third most common chronic-condition disability Older adults with hearing loss who receive care in the noisy environment of a critical care unit can be disadvantaged in their ability to understand speech, thus limiting their participation in decision making. Providing optimal outcomes for such patients can be understood through use of the American Association of Critical-Care Nurses Synergy Model. When older adults are admitted to a critical care unit, their spouses, children, and friends are in positions to participate in the patients' care. The AACN Synergy Model patient characteristic of participation in care is useful in enhancing optimal outcomes for older patients. (Critical Care Nurse.

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Hearing as a Predictor of Falls and Postural Balance in Older Female Twins

Abstract: People with poor hearing acuity have a higher risk for falls, which is partially explained by their poorer postural control. Auditory information about environment may be important for safe mobility.

Cited by 178 publications

References 25 publications

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The Contribution of Hearing and Hearing Loss to Balance Control

Hearing Loss in Older Critical Care Patients: Participation in Decision Making

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