Department of Otolaryngology - Head and Neck Surgery

  1. Baylor College of Medicine
  2. Departments
  3. Otolaryngology - Head and Neck Surgery
  4. Research
  5. Balance Pathophysiology

Balance Pathophysiology

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What is the Vestibular System?

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Helen S. Cohen, EdD, OTR, FAOTA, professor at the Department of Otolaryngology - Head and Neck Surgery at Baylor College of Medicine, describes the vestibular system and its various functions.

For over three decades, BCM investigators have pioneered the diagnosis and management of sensorimotor pathophysiology and to rehabilitation protocols for communicative disorders.  Active research efforts, coupled to intensive clinical diagnostic and rehabilitative protocols have impacted thousands of patients in the Houston community and continue to expand investigations of balance disorders in both the adult and pediatric patient populations.

Recent Publications: 

Oddsson LIE, Bisson T, Cohen HS, et al.  Extended effects of a wearable sensory prosthesis on gait, balance function and falls after 26 weeks of use in persons with peripheral neuropathy and high fall risk-The walk2Wellness trial.  Front Aging Neurosci. 2022;  doi: 10.3389/fnagi.2022.931048. eCollection 2022. PMID 36204554.

Friello P, Silver N, Sangi-Haghpeykar H, Cohen HS. Screening for balance in children and adults in a community science education setting: Normative data, influence of age, sex, and body mass index, and feasibility.  PLoS One. 2022; 17(5): eCollection 2022. PMID 35584130.

Cohen HS, Lincoln CM, Pavlik VN, Sangi-Haghpeykar H.  Changes in Measures of Vestibular and Balance Function and Hippocampus Volume in Alzheimer’s Disease and Mild Cognitive Impairment.  Otol Neurotol. 2022; 43(6): e663-e670.  PMID 35761460.

Hall CD, Herdman SJ, Whitney SL, Anson ER, Carender WJ, Hoppes CW, Cass SP, Christy JB, Cohen HS, et al.  Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association.  J Neurol Phys Ther. 2022; 46(2): 118-177.  PMID: 34864777.

Cohen HS, Sangi-Haghpeykar H, Plankey MW.  Subjective Versus Objective Tests of Dizziness and Vestibualr Funciton in Epidemiologic Screening Research.  J Vestib Res. 2022; 32(1): 7-14.  PMID 34151879.

Cohen HS, Plankey MW, Sangi-Haghpeykar H.  Vestibular Impairments on Objective Diagnostic Tests in HIV+ Women and Control Men and Women.  Laryngoscope. 2021; 131(7): E2318-E2322.  PMID 33645629.

Cohen HS, Haghpeykar-Sangi H, Watts M, Sweeney AD, Peng AS. Usefulness of exam questions and vital signs for predicting the outcome of objective vestibular tests.  The Laryngoscope.  2021; 131(6): 1382-1385.  PMID 33635545. 

Oddsson LIE, Bisson T, Cohen HS, et al.  Extended effects of a wearable sensory prosthesis on gait, balance function and falls after 10 weeks of use in persons with peripheral neuropathy and high fall risk-The walk2Wellness trial.  Front Aging Neurosci. 2020; doi: 10.3389/fnagi.2020.592751. eCollection 2020. PMID 33240077.