The Link Between Hearing Loss and Balance

With close to 16% of U.S. adults reporting balance issues, the American Speech-Language-Hearing Association (ASHA) is urging the public to learn more about dizziness, vertigo, and other balance disorders during Balance Awareness Week, Sept. 17–23, 2023. Hearing loss affects more than just our ability to perceive sound—it can also impact our sense of balance and spatial orientation. Let's explore the connection between hearing loss and balance.

The brain maintains balance using information from the eyes, the inner ear (vestibular system), and the body's sensory systems (skin, muscles, and joints). Problems with any of these body parts can result in vertigo, dizziness, and/or unsteadiness. In addition, some medications can contribute to dizziness or imbalance, so it is essential to discuss this with your primary care physician. 

The Connection Between Hearing Loss and Balance:

  • Reduced Auditory Input: When hearing loss occurs, the auditory input to the brain diminishes. This reduction in acoustic signals can impact the brain's ability to process spatial information, leading to instability and a higher risk of falls.

  • Cognitive Load: Hearing loss forces the brain to work harder to decipher sounds and speech, leaving fewer mental resources for processing balance-related sensory input. This increased cognitive load can contribute to balance issues.

  • Altered Gait and Posture: Studies have shown that individuals with hearing loss may experience changes in gait and posture. These changes can affect balance and increase the risk of falls.

  • Social Isolation: Hearing loss often leads to isolation because it reduces physical activity and social engagement opportunities. This lack of activity can further weaken muscles and coordination, affecting balance.

Treating hearing loss is vital in reducing the risk of balance issues in the broader adult population. Half of U.S. adults ages 75 and older have disabling hearing loss, but fewer than one in three people over age 70 who could benefit from wearing hearing aids have ever tried them. 

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The Link Between Hearing Loss, Dementia, and the Role of Hearing Aids