How Your Hearing Affects Your Risk of Falling

Did you know that hearing loss can increase your risk of falling?

Studies have found that older adults with hearing loss are at an increased risk of falls. Researchers believe this happens for several reasons. Decreased hearing may limit access to important auditory cues in your environment, such as approaching footsteps, traffic, or warning sounds. These cues help us stay aware of our surroundings and react quickly when needed.


Your Ears and Balance Are Connected

The auditory system works closely with the vestibular system (balance organs in the inner ear), as well as vision and proprioception (your body’s sense of position). When hearing is reduced, this multisensory integration may become less effective, making it harder to maintain balance.

Hearing Loss Makes the Brain Work Harder

When you strain to hear, your brain must devote more energy to processing sound. This leaves fewer cognitive resources available for other tasks such as attention, walking, navigation, and maintaining postural stability.


Less Activity Can Lead to Weaker Balance

People with untreated hearing loss may avoid social or physical activities because communication becomes more difficult. Reduced activity can lead to decreased strength, flexibility, and fewer opportunities to practice balance.

Can Treating Hearing Loss Help Prevent Falls?

Research suggests that treating hearing loss may help reduce the risk of falling. One major clinical trial, known as the ACHIEVE study, followed older adults over three years. The study found that participants who received hearing aids and support from an audiologist experienced 27% fewer falls compared to those who did not receive hearing care.


Steps You Can Take

If you are over 55 or have noticed changes in your hearing, consider the following steps:

Get a hearing test. Even mild hearing loss can affect balance and increase fall risk.
Ask about hearing aids if hearing loss is identified.
Wear hearing aids consistently. Regular use allows your brain and body to adjust to improved sound input.
Stay active and alert. Combine hearing care with fall-prevention strategies such as staying physically active, checking your home for tripping hazards, and reviewing medications with your healthcare provider.


Protecting Your Hearing and Your Balance

Hearing health plays an important role in maintaining independence and safety as we age. If you or a loved one is concerned about hearing loss or falls, a professional hearing assessment is an important first step.

Our audiology team is here to help you stay connected, confident, and steady on your feet. If you have concerns about hearing or balance, contact our team at (902) 678-5550.


References

Lin, F. R., & Ferrucci, L. (2012). Hearing loss and falls among older adults in the United States. Archives of Internal Medicine, 172(4), 369–371. https://doi.org/10.1001/archinternmed.2011.728


Deal, J. A., Sharrett, A. R., Albert, M. S., et al. (2023). Association of hearing intervention with cognitive decline in older adults: The ACHIEVE randomized clinical trial. The Lancet.


World Health Organization. (2021). World report on hearing. https://www.who.int/publications/i/item/world-report-on-hearing


Written by: Shayna Swift, BA, MSc
Board-Certified Audiologist
Webster Street Hearing Boutique

 

Published: March 5, 2026

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