TY  - JOUR
T1  - Balance disorders and hypothyroidism: A rare cause worth remembering
AU  - Kul, Ayhan
AU  - Bilen, Arzu
AU  - Bilge, Nuray
AU  - Sarıhan, Köksal
AU  - Uzkeser, Hülya
AU  - Dayanan, Ramazan
AU  - Baygutalp, Fatih
PY  - 2019
DA  - December
Y2  - 2019
DO  - 10.32448/entupdates.633311
JF  - ENT Updates
PB  - AVES YAYINCILIK
WT  - DergiPark
SN  - 2149-7109
SP  - 172
EP  - 179
VL  - 9
IS  - 3
LA  - en
AB  - Objectives: This study aimed to evaluate balance disorders andpotential risk factors for falling in patients with hypothyroidism, as well aspostural 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 symptomswere recorded. The stability index (SI), weight distribution index (WDI) andfalls risk analysis were performed for postural stability by objectivecomputerised dynamic posturography. Results: 50 patients were matched for age and sex (meanage: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 riskscores, except FES-I, DN4 and NO-SI, were significantly higher in the patientgroup. In addition, other symptoms were present at a higher rate, with the exceptionof morning stiffness (p<0.05). There was no significant association betweensex, age, BMI, FES-I, DN4, serum FT4 and TSH levels, clinical symptoms and WDIvalues and the risk of falls (r<0.3 and p>0.05). However, there was aslight positive correlation between the existence of paraesthetic symptoms, ahistory of falling, and the overall SI and HL-WDI values (r>0.3 andp<0.05).Conclusions: It was determined that, as postural stability isaffected in cases of hypothyroidism, balance becomes disordered and the risk offalls increases. This increase in therisk of falls was associated with being hypothyroid, but not with FT4 or TSHlevels or the other factors evaluated.
KW  - Hypothyroidism
KW  - postural balance
KW  - falling
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UR  - https://doi.org/10.32448/entupdates.633311
L1  - https://dergipark.org.tr/en/download/article-file/894917
ER  -