EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME

Avcu, Mustafa; KOÇAK, Can; soyalıç, harun; İNÖNÜ KÖSEOĞLU, Handan; tuna, elvan evrim; INANIR, AHMET

EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME

Harun SOYALIÇ, (Ahi Evran Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, Kırşehir, Turkey)

Handan İNÖNÜ KÖSEOĞLU, (Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Tokat, Turkey)

Mustafa AVCU, (Ahi Evran Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, Kırşehir, Turkey)

Can KOÇAK, (Gaziosmanpaşa Üniversitesi, Tıp Fakültesi, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Tokat, Türkiye)

Ahmet İNANIR, (Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Fizik Tedav i ve Rehabilitasyon Anabilim Dalı, Tokat, Turkey)

Evrim Ünsal TUNA (Ahi Evran Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, Kırşehir, Turkey)

KBB-Forum

3 1

Yıl: 2017 Cilt: 16 Sayı: 3 Sayfa Aralığı: 83 - 88 Metin Dili: İngilizce İndeks Tarihi: 29-11-2018

EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME

Öz:

Objectives: To evaluate patients with obstructive sleep apnea syndrome (OSAS) for fall risk and postural stability using the BiodexBalance System.Methods: The study involved the examination of 95 individuals. Twenty-five of these individuals were healthy controls (13 male, 12female) whose apnea hypopnea index (AHI) was below 5. In addition, 35 of them were patients with mild OSAS (17 male, 18 female); and35 of them were patients with moderate-severe OSAS (19 male, 16 female). OSAS patients and healthy controls were examined for posturalstability and fall risk using the Biodex Balance System.Results: No statistically significant difference was observed between groups regarding sex, age, height, weight, Overall Stability Index,Antero-Posterior Stability Index, or Medio-Lateral Stability Index (p>0.05). The mean body mass index (BMI) in the control group did notshow a significant difference in comparison to the mild OSAS or moderate-severe OSAS groups (p>0.05). Interestingly, the mean BMI ofthe mild OSAS group (27.11±2.35 kg/m2) was lower compared to the moderate-severe OSAS group (28.72±2.98 kg/m2) (p=0.039).Furthermore, a significant difference was observed between the groups for Fall Risk Index (FRI) (p<0.001). The moderate-severe OSASgroup had a significantly higher FRI compared to both the mild OSAS group and the control group (p=0.044, p<0.001, respectively).Conclusion: Postural instability and fall risk in patients with severe OSAS that engage in activities that require attention-balance can beassessed using the Biodex Balance System.

Anahtar Kelime:

Konular: Kulak, Burun, Boğaz

OBSTRÜKTİF UYKU APNESİ OLAN HASTALARDA POSTURAL DENGE VE DÜŞME RİSKİNİN DEĞERLENDİRİLMESİ

Öz:

Giriş: Biodeks Denge Sistemini kullanarak obstrüktif uyku apneli hastalarda postural dengenin ve düşme riskinin (Postural Stability and Fall Risk) değerlendirilmesidir. Yöntem ve Gereçler: Çalışmaya 95 birey dahil edildi. Bireylerin 25'i AHI'si 5 in altında olan sağlıklı kontrol grubundan (13 erkek, 12 kadın ), 35’i hafif dereceli OUAS 'lı hastalardan (17 erkek, 18 kadın), 35'i de orta -ağır OUAS'lı hastalardan (19 erkek,16 kadın) oluşmaktaydı. OUAS 'lı hastalar ve sağlıklı kontrol grubu bireyler denge ve düşme riski açısından test edildi. Denge ve düşme riski Biodex Denge Sistemi ile değerlendirildi. Bulgular: Grupların cinsiyet, yaş, boy, kilo, Genel Stabilite İndeksi (GSİ), Antero-Posterior Stabilite İndeksi (APSİ) ve Medio-Lateral Stabilite İndeksi (MLSİ) arasında karşılaştırma yapıldığında istatistiksel olarak anlamlı bir farklılık saptanmadı (p>0,05). Kontrol grubu ile hafif OUAS ve orta- ağır OUAS gruplarının VKİ ortalamaları arasında anlamlı bir fark saptanmaz iken (p>0,05) hafif OUAS grubunun VKİ ortalaması (27,11±2,35) orta-ağır ağır OUAS grubunun VKİ ortalamasından (28,72±2,98) anlamlı derecede daha düşüktü (p=0,039). Gruplar Düşme Riski İndeksine (DRİ) göre karşılaştırıldığında gruplar arasında istatistiksel olarak anlamlı bir farkılık saptandı (p<0,001). Orta-ağır OUAS grubunun ortalama Düşme Riski İndeksi, hafif OUAS grubunun ortalama Düşme Riski İndeksi ve kontrol grubunun ortalama Düşme Riski İndeksi değerinden istatistiksel olarak anlamlı derecede daha büyüktü. (sırayla p=0,044; p<0,001). Sonuç: Özellikle ağır derecede obstrüktif uyku apnesi olan ve dikkat-denge gerektiren aktiviler gerçekleştiren hastalardaki dengesizlik ve düşme riski Biodeks Denge Sistemi ile belirlenebilir.

Anahtar Kelime:

Konular: Kulak, Burun, Boğaz

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	soyalıç h, İNÖNÜ KÖSEOĞLU H, Avcu M, KOÇAK C, INANIR A, tuna e (2017). EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. , 83 - 88.
Chicago	soyalıç harun,İNÖNÜ KÖSEOĞLU Handan,Avcu Mustafa,KOÇAK Can,INANIR AHMET,tuna elvan evrim EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. (2017): 83 - 88.
MLA	soyalıç harun,İNÖNÜ KÖSEOĞLU Handan,Avcu Mustafa,KOÇAK Can,INANIR AHMET,tuna elvan evrim EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. , 2017, ss.83 - 88.
AMA	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. . 2017; 83 - 88.
Vancouver	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. . 2017; 83 - 88.
IEEE	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e "EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME." , ss.83 - 88, 2017.
ISNAD	soyalıç, harun vd. "EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME". (2017), 83-88.

APA	soyalıç h, İNÖNÜ KÖSEOĞLU H, Avcu M, KOÇAK C, INANIR A, tuna e (2017). EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. KBB-Forum, 16(3), 83 - 88.
Chicago	soyalıç harun,İNÖNÜ KÖSEOĞLU Handan,Avcu Mustafa,KOÇAK Can,INANIR AHMET,tuna elvan evrim EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. KBB-Forum 16, no.3 (2017): 83 - 88.
MLA	soyalıç harun,İNÖNÜ KÖSEOĞLU Handan,Avcu Mustafa,KOÇAK Can,INANIR AHMET,tuna elvan evrim EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. KBB-Forum, vol.16, no.3, 2017, ss.83 - 88.
AMA	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. KBB-Forum. 2017; 16(3): 83 - 88.
Vancouver	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME. KBB-Forum. 2017; 16(3): 83 - 88.
IEEE	soyalıç h,İNÖNÜ KÖSEOĞLU H,Avcu M,KOÇAK C,INANIR A,tuna e "EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME." KBB-Forum, 16, ss.83 - 88, 2017.
ISNAD	soyalıç, harun vd. "EVALUATION OF POSTURAL STABILITY AND FALL RISK IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA SYNDROME". KBB-Forum 16/3 (2017), 83-88.