Research Article
Year 2020,
Volume: 8 Issue: 2, 152 - 157, 23.08.2020
Abstract
Amaç: Çalışmamızın amacı manyetik rezonans görüntüleme (MRG) çekimi sırasında güçlü manyetik alana maruz kalan hastalarda meydana gelebilecek olası postural stabilite değişikliklerinin Biodeks denge sistemi ile (BDS) ile kantitatif olarak değerlendirilmesidir.
Materyal ve Metod: Çalışmaya alınan hastalar Radyoloji kliniğine beyin MRG tetkiki için başvuran hastalar arasından seçildi. Postural stabilitede bozukluğa sebep olabilecek herhangi bir ortopedik, nörolojik, görsel, işitsel ve sistemik hastalığı olan kişiler ve MR çekimi sonrasında kranial bir patoloji saptananlar çalışma dışı bırakıldı. Postural stabilite, hem statik hem dinamik değerlendirme yapılabilen hem de kantitatif ölçüm imkanı veren BDS ile değerlendirildi. Ölçümler MRG çekiminin öncesinde ve hemen sonrasında yapıldı. BDS ile mediolateral, anteroposterior ve genel stabilite indeksleri ile düşme riski indeksi değerleri ölçüldü. MRG çekimi öncesi ve sonrası değerler arasında istatistiksel açıdan anlamlı farklılık olup olmadığı değerlendirildi.
Bulgular: Çalışmaya toplam 40 hasta dahil edildi. Hastaların 18 tanesi kadın, 22 tanesi erkekti. Ortalama yaş: 41,3±17,3 idi. MRG çekimi öncesi ve sonrası denge ölçüm değerleri karşılaştırıldığında mediolateral stabilite ve düşme riski indeksi değerlerinde anlamlı bir artış bulundu (p değerleri sırasıyla p=0,03, p=0,01). Genel stabilite ve anteroposterior stabilite indeks değerleri arasında ise anlamlı bir fark elde edilmedi (p>0,05).
Sonuç: Beyin MRG çekimi ile yüksek manyetik alana maruz kalan hastalarda postural stabilitenin kantitatif olarak değerlendirilmesinde mediolateral stabilite ve düşme riski indeksi parameterlerinde artış meydana gelmektedir. Kranial MRG çekimi öncesi özellikle yüksek riskli hastaları postural stabilitenin bozulabileceği yönünde uyarmanın faydalı olacağı kanaatindeyiz.
References
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Year 2020,
Volume: 8 Issue: 2, 152 - 157, 23.08.2020
Abstract
References
- 1. van Nierop LE, Slottje P, Kingma H, Kromhout H. MRI-related static magnetic stray fields and postural body sway: a double-blind randomized crossover study. Magn Reson Med. 2013;70:232-40. 2. Acri G, Inferrera P, Denaro L, Sansotta C, Ruello E, Anfuso C, et al. dB/dt Evaluation in MRI Sites: Is ICNIRP Threshold Limit (for Workers) Exceeded? Int J Environ Res Public Health. 2018;21:15(7). pii: E1298. 3. Heilmaier C, Theysohn JM, Maderwald S, Kraff O, Ladd ME, Ladd SC. A large-scale study on subjective perception of discomfort during 7 and 1.5 T MRI examinations. Bioelectromagnetics. 2011;32:610-9. 4. Korkmaz H, Akbulut M. Vasküler Stentli Hastalarda Manyetik Rezonans Görüntüleme Güvenliği. Fırat Tıp Dergisi 2010;15(4): 164-7 5. Levine GN, Gomes AS, Arai AE, Bluemke DA, Flamm SD, Kanal E, et al. Safety of magnetic resonance imaging in patients with cardiovascular devices: an American Heart Association scientific statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention: endorsed by the American College of Cardiology Foundation, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance. Circulation 2007; 116: 2878-91. 6. Magnetic resonance diagnostic device; panel recommendation and report on petitions for magnetic resonance reclassification and codification of reclassification-FDA. Final rule. Fed Regist 1989;54:5077-8. 7. Mian, O.S, Li, Y, Antunes A, Glover PM, Day, BL. On the vertigo due to static magnetic fields. PLoS One 2013;8:e78748. 8. Inanır A, Okan S, Filiz B. Evaluation of Postural Stability and Fall Risk in Patients with with Ankylosing Spondylitis. Cukurova Med J 2013;38:86-91. 9. Baldwin SL, Van Arnam TW, Ploutz-Snyder LL. Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults. Med Sci Sport Exerc. 2004;36:530. 10. Aydog ST, Aydog EC, Akci A, Doral MN. Reproducibility of postural stability score in blind athletes. Isokinetic Exerc Sci. 2004;12:229–32. 11. Hinman MR. Factors affecting reliability of the Biodex balance system: a summary of four studies. J Sport Rehabil. 2000;9(3):240‐252. 12. Glover PM, Cavin I, Qian W, Bowtell R, Gowland PA. Magnetic-field-induced vertigo: a theoretical and experimental investigation. Bioelectromagnetics. 2007;28:349–61 13. Roberts DC, Marcelli V, Gillen JS, Carey JP, Della Santina CC, Zee DS MRI magnetic field stimulates rotational sensors of the brain. Curr Biol. 2011;21:1635–40 14. Glover PM, Li Y, Antunes A, Mian OS, Day BL. A dynamic model of the eye nystagmus response to high magnetic fields. Phys Med Biol. 2014;59:631-45. 15. Otero-Millan J, Zee DS, Schubert M, Roberts DC, Ward BK. Three-dimensional eye movement recordings during magnetic vestibular stimulation. J Neurol. 2017;264(Suppl 1):7-12. 16. Zigmund AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983;67:361-370. 17. Aydemir Ö, Güvenir T, Küey L. Validity and realibility of Turkish version of Hospital Anxiety and Depression Scale. Turkish Journal of Psychiatry. 1997;8:280-7. 18. Cachupe JCW, Shifflet B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Meas Phys Edu Exerc Sci.2001;5:97-108 19. Aydog E, Bal A, Aydog ST, Cakci A. Evaluation of dynamic postural balance using the biodex stability system in rheumatoid arthritis patients. Clin. Rheumatol.2006;25:462–7. 20. İnanır A, Okan S, Filiz B, Kuyucu E. Hemiplejili hastalarda konvansiyonel rehabilitasyon tedavisinin postüral denge ve klinik üzerine etkinliği. Cukurova Medical Journal. 2013;38:446-55. 21. Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehab Med. 1997;29:1-6 22. Wu SH, Huang HT, Lin CF, Chen MH. Effects of a program on symmetrical posture in patients with hemiplegia: a single-subject design. Am J Occup Ther. 1996;50:17-23 23. Cakar E, Durmus O, Tekin L, Dincer U, Kiralp MZ. The ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients. Eur J Phys Rehabil Med. 2010;46:363-8. 24. İnanır A, Okan S, Filiz B, Kuyucu E. Evaluation of Postural Stability and Fall Risk in Patients with Ankylosing Spondylitis Cukurova Medical Journal. 2013;38:86-91
There are 1 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Orginal Article |
| Authors | |
| Publication Date | August 23, 2020 |
| Published in Issue | Year 2020 Volume: 8 Issue: 2 |