Institutional Frail Elderly
Conditions
Brief summary
The overall objective of the research is to identify the prevalence and incidence of BPPV and the impact on balance problems, fall risk and inactivity in frail elderly. The investigators will demonstrate the importance of early diagnosis and treatment in this patient group.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Institutionalized in a nursing home for at least 3 months * Able to understand and follow simple instructions * Able to stand independently for 30 seconds * Willing to participate in the study
Exclusion criteria
* diagnosis of progressive neurological diseases (such as Amyotrophic Lateral Sclerosis) resulting in a fast decline within 3 months * Rehabilitating for a neurological or orthopaedic incident such as knee prosthesis, stroke,… ) * Contra-indication for Hallpike and Epley maneuver
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dizziness Handicap Inventory (DHI) | baseline | — |
| outcome of the vestibular bedside testing | baseline | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) |
| static and dynamic balance using the Mobility lab (APDM-sensors) | baseline | static and dynamic balance using the Mobility lab (APDM-sensors): iSway (COP sway area and velocity with and without vision), iTUG |
| Four Test Balance Scale (4TBS) | baseline | — |
| Functional Ambulation categories (FAC) | baseline | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| fear of falling | baseline | fear of falling: Falls Efficacy Scale |
| depression | baseline | depression: Geriatric depression scale |
| ambulatory activity level | baseline | ambulatory activity level: the StepWatch Activity Monitor (SAM) |
| Fall incidents | baseline | — |
Countries
Belgium