RISK ASSESSMENT AND PREVENTION

Diagnostic Evaluation

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Understanding a balance problem is needed to help resolve it. After a person has been screened by computerized dynamic posturography and, if found to have a balance problem, diagnostic testing is the next step.   Accurate diagnosis is essential in developing an effective care plan. A complete audiometric assessment should be performed as part of the evaluation.   The presence of a sensorineural hearing loss is the single strongest incriminating factor in identifying a balance problem.        We can perform a complete hearing and balance test battery.   Testing services by BEFORE THE FALL Centers can in most cases be billed to Medicare, Aetna, Blue Cross/Blue Shield and Keystone East, Keycare 65, or other applicable insurance carriers.    Dizziness as a factor The incidence of Benign Paroxysmal Positional Vertigo (BPPV) has been estimated to be 50% or more of those older adults seen at some otology clinics with a complaint of dizziness or instability.  By identifying those with benign paroxysmal positional vertigo (BPPV), a vestibular rehabilitation program can be recommended.           Vestibular rehabilitation    Vestibular rehabilitation is the most common form of treatment for the chronic balance-disorder patient.   With such a program about 90% of those with Benign Paroxysmal Positional Vertigo (BPPV) can have their symptoms lessened or eliminated.   This may help to avoid the catastrophic results of a serious fall, along with its immense emotional and financial cost. We can help coordinate rehabilitation care with physical therapists, medical specialists and other health care professionals who have experience in improving vestibular function with treatment and exercises.   In all cases,  your screening, evaluation, test results and a comprehensive report will be sent to your primary care physician to keep him informed and allow him to coordinate treatment if you have a balance problem. Remediation of vestibular problems Once specific risk factors that may lead to future falls have been identified, the audiologist will discuss options to consider to prevent such falls.  This information will be sent to the primary care physician who is most familiar with all the health aspects of the individual’s health.  Recommendations for remediation may include a visit to another healthcare professional (optometrist, physical therapist, occupational therapist, primary care physician, neurologist, cardiologist or an ear, nose, and throat physician), suggestions for improvements in your home or daily routine and/or just utilizing the present assistive devices appropriately.