Challenges and opportunities in managing the dizzy older adult

Stephen J. Wetmore, David E. Eibling, Joel A. Goebel, Kim R. Gottshall, Michael E. Hoffer, Måns Magnusson, Yael Raz

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Balance disorders are common in elderly people, not only resulting in distressing sensations but also leading to reduced activity levels and quality of life. It has been estimated that 30% of elderly patients experience a balance disorder. Managing these disorders is a substantial challenge for patients and their caregivers and physicians. Moreover, abnormalities in balance are associated with falls, a major cause of morbidity and mortality for elderly people. Management is complicated by the inherent difficulties in assessing the generic complaint of dizziness, as well as the likelihood of multiple, often nonvestibular causes. The authors of this mini-seminar review both vestibular and nonvestibular causes of balance disorders in elderly people, emphasizing practical therapeutic maneuvers that can be used.

Original languageEnglish (US)
Pages (from-to)651-656
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Issue number5
StatePublished - May 2011
Externally publishedYes


  • BPPV
  • Balance
  • Benign paroxysmal positional vertigo
  • Equilibrium
  • Falls prevention
  • Geriatrics
  • Polypharmacy
  • Vestibular exercises
  • Vestibular rehabilitation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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