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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Aging, Vestibular Function, and Balance: Proceedings of a National Institute on Aging/National Institute on Deafness and Other Communication Disorders Workshop
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Aging, Vestibular Function, and Balance: Proceedings of a National Institute on Aging/National Institute on Deafness and Other Communication Disorders Workshop

机译：老化，门厅职能和平衡：国家老龄化学院学会和国家耳聋和其他通信障碍研讨会的诉讼程序

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摘要

Balance impairment and falls are among the most prevalent and morbid conditions affecting older adults. A critical contributor to balance and gait function is the vestibular system; however, there remain substantial knowledge gaps regarding age-related vestibular loss and its contribution to balance impairment and falls in older adults. Given these knowledge gaps, the National Institute on Aging and the National Institute on Deafness and Other Communication Disorders convened a multidisciplinary workshop in April 2019 that brought together experts from a wide array of disciplines, such as vestibular physiology, neuroscience, movement science, rehabilitation, and geriatrics. The goal of the workshop was to identify key knowledge gaps on vestibular function and balance control in older adults and develop a research agenda to make substantial advancements in the field. This article provides a report of the proceedings of this workshop. Three key questions emerged from the workshop, specifically: (i) How does aging impact vestibular function?; (ii) How do we know what is the contribution of age-related vestibular impairment to an older adult's balance problem?; and more broadly, (iii) Can we develop a nosology of balance impairments in older adults that can guide clinical practice? For each of these key questions, the current knowledge is reviewed, and the critical knowledge gaps and research strategies to address them are discussed. This document outlines an ambitious 5- to 10-year research agenda for increasing knowledge related to vestibular impairment and balance control in older adults, with the ultimate goal of linking this knowledge to more effective treatment.
机译：平衡障碍和跌倒是影响老年人的最常见和最病态的疾病之一。前庭系统是平衡和步态功能的关键因素；然而，关于老年人与年龄相关的前庭功能丧失及其对平衡障碍和跌倒的影响，仍存在大量的知识缺口。鉴于这些知识差距，国家老龄研究所和国家耳聋及其他沟通障碍研究所于2019年4月召开了一次多学科研讨会，来自前庭生理学、神经科学、运动科学、康复和老年医学等多个学科的专家参加了研讨会。研讨会的目标是确定老年人前庭功能和平衡控制方面的关键知识差距，并制定研究议程，在该领域取得实质性进展。本文提供了本次研讨会的会议记录。研讨会提出了三个关键问题，具体来说：（i）衰老如何影响前庭功能？；（ii）我们如何知道与年龄相关的前庭损伤对老年人平衡问题的影响？；更广泛地说，（iii）我们能否开发老年人平衡障碍的病因学，以指导临床实践？对于每一个关键问题，都会回顾当前的知识，并讨论关键的知识差距和解决这些问题的研究策略。本文件概述了一个雄心勃勃的5至10年研究议程，旨在增加有关老年人前庭损伤和平衡控制的知识，最终目标是将这些知识与更有效的治疗联系起来。

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