Dergiler / ENT Updates / 2019 / Cilt: 9 - Sayı: 3

Balance disorders and hypothyroidism: A rare cause worth remembering

Sayfa
172–179
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: 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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Temel Bulgular & Veri: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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Sonuç & Katkı:This increase in the risk of falls was associated with being hypothyroid, but not with FT4 or TSH levels or the other factors evaluated.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: 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). However, there was a slight positive correlation between the existence of paraesthetic symptoms, a history of falling, and the overall SI and HLWDI 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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Bu Makaleye Atıf Yap

KUL, A., BİLEN, A., BİLGE, N., SARIHAN, 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://ajindex.com/articles/152897

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Kaynakça (14)

  1. Penza P, Lombardi R, Camozzi F, Ciano C, Lauria G. Painful neuropathy in subclinical hypothyroidism: clinical and neuropathological recovery after hormone replacement therapy. Neurol Sci 2009;30:149-51
  2. Kotwal SK, Kotwal S, Gupta R, Singh JB, Mahajan A. Cerebellar ataxia as presenting feature of hypothyroidism. Arch Endocrinol Metab 2016;60:183-5
  3. Verghese J, Holtzer R, Lipton RB, Wang C. Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci 2009;64:896-901
  4. Duyff RF, Van den Bosch J, Laman DM, van Loon BJ, Linssen WH. Neuromuscular findings in thyroid dysfunction: a prospective clinical and electrodignostic study. J Neurol Neurosurg Psychiatry 2000;68:750-5
  5. Rybak LP. Metabolic disorders of the vestibular system. Otolaryngol Head Neck Surg 1995;112:128-32
  6. Simmons RW, Richardson C, Pozos R. Postural stability of diabetic patients with and without cutaneous sensory deficit in the foot. Diabetes Res Clin Pract 1997;36:153-60. 7. van Deursen RWM, Simoneau GG. Foot and ankle sensory neuropathy, proprioception, and postural stability. J Orthop Sports Phys Ther 1999;29:718-26
  7. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr 2012;54:429-33
  8. Unal-Cevik I, Sarioglu-Ay S, Evcik D. A comparison of the DN4 and LANSS questionnaires in the assessment of neuropathic pain: validity and reliability of the Turkish version of DN4. J Pain 2010;11:1129-35
  9. Alkan Melikoğlu M, Bağcier F. Fall Risk and Related Factors in Systemic Lupus Erythematosus. Arch Rheumatol 2017;32:216-20
  10. Özdemir O, Gökçe Kutsal Y. Fall risk assessment of elderly by using posturography. Turk J Geriatr 2009;12:177-80
  11. Jones G. Posture. In: Kandel ER, Schwartz JH, Jessel TM, editors. Principles of Neural Science. New York, NY: McGraw-Hill; 2000. p. 816-31
  12. Mustapa A, Justine M, Mohd Mustafah N, Jamil N, Manaf H. Postural Control and Gait Performance in the Diabetic Peripheral Neuropathy: A Systematic Review. Biomed Res Int 2016;2016:9305025
  13. Lord SR. Falls. In: Halter JB, Ouslander JG, Studenski S, et al, editors. Hazzard’s Geriatric Medicine and Gerontology. 7th ed. New York, NY: McGraw Hill Education; 2017. p. 1318-33
  14. Ferreira AA, Nazário JC, Pereira MJ, Azevedo NL, Barradas PC. Effects of experimental hypothyroidism on myelin function sheath structural