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Learning to restore balance

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THIS STORY APPEARED IN
Boston Articles
January 16, 2012|By Kay Lazar
  • Linda Victor of Lexington suffers from balance problems but still commutes to work with the use of a cane.
Linda Victor of Lexington suffers from balance problems but still commutes… (josh reynolds for The Boston…)

Linda Victor is what some doctors call a perfect patient - perfect because the balance problems that crept up on Victor over the past few years vividly illustrate the typical hurdles many older adults face in maintaining their stability.

Victor, a 70-year-old Lexington resident, used to love to walk. But that enthusiasm dried up after one serious fall while commuting to work six years ago was followed by another during a lunch break. Left in their wake is a general feeling of unsteadiness, especially while walking outside on uneven surfaces.

“Inside I feel like I am 40 years old but my body is going through these weird changes,’’ said Victor, who still works and commutes to her job via the train, but with the help of a cane. “I have adjusted my whole approach to how I maneuver.’’

At any given time, an estimated 6.2 million Americans report a chronic problem of balance, dizziness or both, according to federal data. The problem tends to increase with age, and with the aging population, specialists say the ranks of the unsteady are sure to grow.

The looming numbers of balance-challenged elders have inspired researchers in Massachusetts and Oregon to develop two different styles of belts that will either vibrate or beep and alert the wearer that he or she is tilting to one side and may potentially fall. The belts are expected to be marketed next year, initially to physical therapists who work with people with balance problems.

A person’s sense of balance relies on an exquisite interplay of three regions, your vision, a maze-like structure in the inner ear which includes microscopic cells that resemble little hairs, and the muscles and joints running from your feet, up through your spine, that sense your body’s position.

All three areas send signals to your brain, which processes the information, and helps give you a sense of spatial orientation - your balance.

As we age, eyesight fades, as do our muscles’ ability to sense surroundings. Meanwhile, the hair cells in the inner ear die off and do not regenerate. These declines combine to throw off the signals to your brain about your balance.

Victor only recently realized that the combination of advancing arthritis in her ankles, knees, and hips, and her gradual hearing loss, were likely related to her balance problems. Specialists believe hearing loss mirrors the degeneration of inner ear hair cells.

“All these things I took as separate issues,’’ she said.

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