Yıl 2019, Cilt 9 , Sayı 3, Sayfalar 172 - 179 2019-12-20

Balance disorders and hypothyroidism: A rare cause worth remembering

Ayhan KUL [1] , Arzu BİLEN [2] , Nuray BİLGE [3] , Köksal SARIHAN [4] , Hülya UZKESER [5] , Ramazan DAYANAN [6] , Fatih BAYGUTALP [7]


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.

Hypothyroidism, postural balance, falling
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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Makaleler
Yazarlar

Orcid: 0000-0003-1313-9469
Yazar: Ayhan KUL (Sorumlu Yazar)

Orcid: 0000-0001-9017-8344
Yazar: Arzu BİLEN

Orcid: 0000-0002-9328-1678
Yazar: Nuray BİLGE

Orcid: 0000-0002-5010-4591
Yazar: Köksal SARIHAN

Orcid: 0000-0002-1364-2657
Yazar: Hülya UZKESER

Orcid: 0000-0003-0475-6203
Yazar: Ramazan DAYANAN

Orcid: 0000-0002-7344-584X
Yazar: Fatih BAYGUTALP

Tarihler

Başvuru Tarihi : 14 Haziran 2019
Kabul Tarihi : 27 Ekim 2019
Yayımlanma Tarihi : 20 Aralık 2019

Bibtex @araştırma makalesi { entupdates633311, journal = {ENT Updates}, issn = {2149-7109}, eissn = {2149-6498}, address = {}, publisher = {Sürekli Eğitim ve Bilimsel Araştırmalar Derneği}, year = {2019}, volume = {9}, pages = {172 - 179}, doi = {10.32448/entupdates.633311}, title = {Balance disorders and hypothyroidism: A rare cause worth remembering}, key = {cite}, author = {KUL, Ayhan and BİLEN, Arzu and BİLGE, Nuray and SARIHAN, Köksal and UZKESER, Hülya and DAYANAN, Ramazan and BAYGUTALP, Fatih} }
APA 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 , 9 (3) , 172-179 . DOI: 10.32448/entupdates.633311
MLA KUL, A , BİLEN, A , BİLGE, N , SARIHAN, K , UZKESER, H , DAYANAN, R , BAYGUTALP, F . "Balance disorders and hypothyroidism: A rare cause worth remembering". ENT Updates 9 (2019 ): 172-179 <https://dergipark.org.tr/tr/pub/entupdates/issue/50773/633311>
Chicago KUL, A , BİLEN, A , BİLGE, N , SARIHAN, K , UZKESER, H , DAYANAN, R , BAYGUTALP, F . "Balance disorders and hypothyroidism: A rare cause worth remembering". ENT Updates 9 (2019 ): 172-179
RIS TY - JOUR T1 - Balance disorders and hypothyroidism: A rare cause worth remembering AU - Ayhan KUL , Arzu BİLEN , Nuray BİLGE , Köksal SARIHAN , Hülya UZKESER , Ramazan DAYANAN , Fatih BAYGUTALP Y1 - 2019 PY - 2019 N1 - doi: 10.32448/entupdates.633311 DO - 10.32448/entupdates.633311 T2 - ENT Updates JF - Journal JO - JOR SP - 172 EP - 179 VL - 9 IS - 3 SN - 2149-7109-2149-6498 M3 - doi: 10.32448/entupdates.633311 UR - https://doi.org/10.32448/entupdates.633311 Y2 - 2019 ER -
EndNote %0 ENT Updates Balance disorders and hypothyroidism: A rare cause worth remembering %A Ayhan KUL , Arzu BİLEN , Nuray BİLGE , Köksal SARIHAN , Hülya UZKESER , Ramazan DAYANAN , Fatih BAYGUTALP %T Balance disorders and hypothyroidism: A rare cause worth remembering %D 2019 %J ENT Updates %P 2149-7109-2149-6498 %V 9 %N 3 %R doi: 10.32448/entupdates.633311 %U 10.32448/entupdates.633311
ISNAD KUL, Ayhan , BİLEN, Arzu , BİLGE, Nuray , SARIHAN, Köksal , UZKESER, Hülya , DAYANAN, Ramazan , BAYGUTALP, Fatih . "Balance disorders and hypothyroidism: A rare cause worth remembering". ENT Updates 9 / 3 (Aralık 2019): 172-179 . https://doi.org/10.32448/entupdates.633311
AMA KUL A , BİLEN A , BİLGE N , SARIHAN K , UZKESER H , DAYANAN R , BAYGUTALP F . Balance disorders and hypothyroidism: A rare cause worth remembering. ENT Updates. 2019; 9(3): 172-179.
Vancouver KUL A , BİLEN A , BİLGE N , SARIHAN K , UZKESER H , DAYANAN R , BAYGUTALP F . Balance disorders and hypothyroidism: A rare cause worth remembering. ENT Updates. 2019; 9(3): 179-172.