الفهرس 
Dizziness and risk of falls in elderlyOnly 14 pages are availabe for public view
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Abstract
Background: Falls occur accidentally when a person loses their center of gravity and makes no or inefficient efforts to regain balance. Falling is the leading cause of older adult injuries. 40% percent of traumatic injury hospitalizations are fall-related. Approximately 1,800 US seniors died from fall-related injuries. Most senior fall survivors had a lower quality of life and permanent impairment. Other aberrant lifestyle characteristics such as social isolation, hopelessness, function loss & depression in the elderly also cause dead of falls.
Aim and objectives: investigate relation of risk of falls in elderly with cognitive and vestibular function.
Subjects and methods: This cross sectional study was included patient 60 years old and older. It was conducted in vestibular clinic at El Demerdash hospital.
Result: The most frequent systemic disease in the study population was hypertension followed by DM. Nine patients in the study population had low concern about falling, six patients had moderate concern about falling and the remaining half of the study population had high concern about falling. Three patients had positive Fukuda stepping test. Number of patients with abnormal findings in MCTSIB level C3 in the study population was 6 (20). Two patients had positive Post head shake nystagmus in VNG test and only one patient had positive Positional nystagmus. Regarding FES-I score& MMSE score, there was a highly statistically significant difference between the two groups. Regarding risk of falls there was a statistically significant difference between the two studied groups.
Regarding cognitive function there was a statistically significant difference between the three studied groups in vestibular assessment tests results, Fukuda stepping test and Tandem gait.
Conclusion: it can be concluded that, Dizziness, vertigo, and falls are common in older adults. Cognitive decline is a primary factor in determining the risk of falls. A predictive tool for risk of falls in the elderly, could estimate vestibular multimodal processing decline and therefore play an important role in prevention and in assessing rehabilitation targets.