Bilateral vestibulopathy (BVP) causes chronic postural instability refractory to treatments, leading to a reduced quality of life and increased risk of falls. However, the severity of postural instability varies considerably among individuals with BVP. OBJECTIVE: This study aimed to identify clinical factors associated with postural instability in patients with BVP.
✦ The floor
Discussion
Signed responses from readers of the wire.
This scoping review maps contributing factors to postural instability in BVP but does not provide new intervention data; no immediate practice change is warranted, though findings may inform multifactorial fall-risk assessment in BVP patients.
Understanding the combined factors behind balance problems in bilateral vestibulopathy is essential for developing targeted rehabilitation strategies and reducing the significant fall burden in this population.
- 01Scoping review systematically maps factors contributing to postural instability in bilateral vestibulopathy (BVP).
- 02BVP involves loss of function in both vestibular (balance) organs, leading to chronic imbalance and elevated fall risk.
- 03Multiple patient- and environment-level factors likely interact to worsen instability outcomes.
- 04Findings highlight the impact of BVP-related postural problems on patients' quality of life.
- 05Published in Otology & Neurotology; no single intervention is evaluated or recommended.
Bilateral vestibulopathy causes chronic postural instability that negatively impacts quality of life and increases fall risk.
studysupported- PMID
- 42678823
- DOI
- 10.1097/MAO.0000000000005047.
- Journal
- Otology & Neurotology
- Publication type
- scoping_review
- Evidence level
- na
- Population
- Adults with bilateral vestibulopathy
- Intervention
- Scoping review of factors contributing to postural instability
Primary outcomes
Factors influencing postural instability; Quality of life impact; Fall risk