Identifying mechanisms between hearing loss and falls

识别听力损失和跌倒之间的机制

基本信息

批准号：
10733757
负责人：
Kristal Mills Riska
金额：
$ 66.89万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-01 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10733757
关键词：
Accidents Address Area Audiology Auditory Awareness Caring Case/Control Studies Cessation of life Cognitive Communities Cues Diagnosis Dose Elderly Enrollment Equation Equilibrium Event Fall prevention Fatigue Functional disorder Gait Goals Health Healthcare Hearing Hearing Aids High Prevalence Individual Intervention Link Measures Mediating Modeling Morbidity - disease rate Musculoskeletal Equilibrium National Institute on Deafness and Other Communication Disorders Otolaryngology Outcome Study Participant Pathway interactions Patients Perception Performance Peripheral Physiological Prevalence Prevention program Psychosocial Factor Public Health Questionnaires Rehabilitation therapy Research Research Design Risk Factors Rotation Safety Sampling Vestibular loss Work age related care burden cost disability fall risk falls hearing impairment hearing loss treatment improved innovation mortality novel patient population programs prospective psychosocial public health relevance rehabilitation strategy response targeted treatment treatment strategy vestibular reflex

项目摘要

ABSTRACT Falls result in substantial morbidity, mortality, and disability among older adults. Recently, hearing loss and hearing handicap have been identified as independent risk factors for falls. It is unclear the factors that mediate the association between hearing loss and falls. The long-term goal is to to develop novel interventions that will modify falls risk in the hearing impaired patient population. The current objective is to identify and understand the auditory and vestibular related factors that explain the association between falls and hearing loss and to characterize performance on these candidate factors. To that end, our proposal aims to examine the vestibular- related factors, centrally mediated auditory factors (spatial hearing and listening effort), cognitive, and psychosocial factors in an older adult patient population of fallers and non-fallers. The current proposal is innovative as the work will characterize the extent to which key theoretical factors explain the link between falls and hearing loss and specifically the extent to which unrecognized vestibular dysfunction may explain the association. These contributions will be significant, as they will inform strategies to implement targeted rehabilitation programs to reduce falls and falls-risk in this patient population.

抽象的跌倒导致老年人的大量发病，死亡率和残疾。最近，听力损失和听力障碍已被确定为跌倒的独立风险因素。目前尚不清楚调解的因素听力损失与跌倒之间的关联。长期目标是制定新的干预措施在听力障碍患者人群中修改跌倒风险。当前的目标是识别和理解听觉和前庭相关因素，解释了跌倒与听力损失之间的关联以及表征这些候选因素的表现。为此，我们的建议旨在检查前庭相关因素，中央介导的听觉因素（空间听力和听力工作），认知和老年人堕落者和非男人群体中的大型心理因素。当前的建议是创新的工作将表征关键理论因素解释瀑布之间的联系的程度和听力损失，特别是未识别的前庭功能障碍的程度可能解释协会。这些贡献将是重要的，因为它们将告知策略以实施目标在该患者人群中减少跌倒和跌倒风险的康复计划。