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Heart & BalanceCardiovascular disorders such as blood pressure, heart failure and arrhythmia are recognized as risk factors for falls in older plications such as hypertension or hyperlipemia were significantly associated with recurrence of BPPV.Diseases such as depression, heart failure, or hypertension may increase fall risk but so can the medications used to treat them.Cardiovascular medications may contribute to dizziness and fallsTriptans are a class of migraine drugs that have circulated for almost three decades. From our growing understanding of migraine pathophysiology, we’ve learned that these drugs mostly address cerebrovascular symptoms secondary to the condition. While they can bring some relief from migraines, most cardiovascular conditions contraindicate their prescription. A child’s spatial orientation skills are critical to their development. Understanding where you are in space and how you relate to your surroundings can empower a young person to exercise. And better spatial orientation ability is also correlated with better academic performance in school-aged children. Treatment of vascular conditions like heart attacks and strokes relies on rapid and accurate identification of the underlying problem. Traditional stroke symptoms certainly disrupt motor skills and a patient’s movement. It is not uncommon for stroke patients to present to an emergency department with symptoms that appear vestibular. Therapists have plenty of exercises in their arsenal for patients during a course of vestibular rehabilitation therapy (VRT). While tailoring a routine for your balance patients, keep in mind that some exercises can be adapted to include a cardiovascular component. Transient vertigo is not always recognized as a symptom of a transient ischemic attack (TIA). But more and more data has shown that these mini-strokes are capable of bringing on vertigo, even independent of other neurological symptoms. Conditions that affect blood flow throughout the body routinely put patients at higher risk for Benign Paroxysmal Positional Vertigo. These conditions include some all too common diagnoses; migraine, hypertension, heart disease, and diabetes. Vestibular rehabilitation therapy can be a cognitive and physical challenge. Patients need to have energy for the duration of a therapy session to get the most out of it. Work with the patient and the other members their care team to ensure their heart health won’t interfere with balance training. Stride length is a strong predictor of fall risk. Under the supervision of a therapist, treadmill gait training can help a patient grow their strength and confidence. Conveniently, it also serves as a mild cardiovascular workout. The organs of the inner ear are incredibly sensitive. Your audio-vestibular system is home to the smallest bones in your body, as well as one of the lowest volumes of blood supply. It follows that the system is sensitive to disturbances in circulation that are common with heart disease, high blood pressure, and diabetes. The American Heart Association (AHA) says that a healthy workout routine includes four different kinds of exercise; strength, endurance, flexibility, and balance. Check out the AHA’s site for recommended exercises and activities. Motion sickness drugs are popular, but do not ultimately address the underlying causes of dizziness or vertigo. What’s more, they can become dangerous when they interact with other drugs, like MAOIs. Taken together, motion sickness drugs and antidepressants can seriously elevate blood pressure. The vestibular system interacts with the circulatory system to properly distribute blood throughout the body as when we change position. Circulatory problems, however, can overpower the correction mechanisms, and lead to orthostatic hypotension. Messages for the Patient:Cardiovascular conditions can contraindicate medication for vestibular related conditions, like migraine. Better motor coordination can help young people participate in heart healthy physical activity, and has been linked to better scores in school too. Make sure your body is warm and your heart is pumping before you start the routine your therapist prescribed for you. Some brisk walking or a reclined bicycle do the trick. Poor circulation is just one potential cause of dizziness. If you have dizziness or vertigo, it is worth seeing a professional who can identify the origin of your problem. If you are in the midst of a vestibular rehabilitation therapy regimen, look at your training sessions as opportunities for light cardiovascular exercise.Balance training can help you stay mobile as you get older. But a proper exercise training regimen is not limited to one form of exercise. Use your confidence and strength as you condition your cardiovascular system too. TIAs are transient ischemic attacks, or mini strokes. During a TIA, the brain does not receive proper blood flow. Transient vertigo can be a symptom of a TIA. The body’s equilibrium is sensitive to trauma; sport-related concussions can impact your vestibular system, as well as your cardiovascular system. ................
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