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Journals / ENT Updates / 2019 / Cilt: 9 Sayı: 3

Balance disorders and hypothyroidism: A rare cause worth remembering

Ayhan Kul0000-0003-1313-9469
Arzu Bilen0000-0001-9017-8344
Nuray Bilge0000-0002-9328-1678
Köksal Sarıhan0000-0002-5010-4591
Hülya Uzkeser0000-0002-1364-2657
Ramazan Dayanan0000-0003-0475-6203
Fatih Baygutalp0000-0002-7344-584X
Pages
172–179
Publication Date
2019-12-20
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⚡ TL;DR(Too Long; Didn't Read)

However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HL-WDI values (r>0.3 and p<0.05).

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives : This study aimed to evaluate balance disorders and potential risk factors for falling in patients with hypothyroidism, as well as postural stability and the risk of falling.
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Key Findings & Data:Methods : The participants' sex, age, body mass index (BMI), falls history in the past one year, and Falls Efficacy Scale - International (FES-I), Neuropathic Pain Diagnostic questionnaire (DN4) and clinical symptoms were recorded.
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Conclusion & Impact:However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HL-WDI values (r>0.3 and p<0.05).
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Hypothyroidism · postural balance · falling

Abstract

Objectives : This study aimed to evaluate balance disorders and potential risk factors for falling in patients with hypothyroidism, as well as postural stability and the risk of falling. Methods : The participants' sex, age, body mass index (BMI), falls history in the past one year, and Falls Efficacy Scale - International (FES-I), Neuropathic Pain Diagnostic questionnaire (DN4) and clinical symptoms were recorded. The stability index (SI), weight distribution index (WDI) and falls risk analysis were performed for postural stability by objective computerised dynamic posturography. Results : 50 patients were matched for age and sex (mean age:41.7±11 years; age range:19-61 years) with 47 healthy (euthyroid) controls (mean age:39±9.6 years; age range:23-60 years). All SI, HL-WDI and falls risk scores, except FES-I, DN4 and NO-SI, were significantly higher in the patient group. In addition, other symptoms were present at a higher rate, with the exception of morning stiffness (p<0.05). There was no significant association between sex, age, BMI, FES-I, DN4, serum FT4 and TSH levels, clinical symptoms and WDI values and the risk of falls (r<0.3 and p>0.05). However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HL-WDI values (r>0.3 and p<0.05). Conclusions: It was determined that, as postural stability is affected in cases of hypothyroidism, balance becomes disordered and the risk of falls increases. This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.

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Cite This Article

Kul, A., Bilen, A., Bilge, N., Sarıhan, K., Uzkeser, H., Dayanan, R., Baygutalp, F. (2019). Balance disorders and hypothyroidism: A rare cause worth remembering. ENT Updates, Cilt: 9 Sayı: 3, 172–179. https://doi.org/10.32448/entupdates.633311

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