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    Disruption of kinesthesia and position sense in the ankle joint is an independent predictor of falls in elderly patients undergoing hemodialysis
    (2025) Bentli, Recep; Ulutaş, Özkan; Berber, Ilhami; Ulutas, Nihal Sumeyye
    Aim: Patients receiving HD are more prone to accidental falls than elderly individuals not undergoing HD, leading to higher morbidity and mortality in this group. In this study, we hypothesized that senior HD patients with a history of falls may have impaired ankle kinesthetic position sense. Materials and Methods: This study included 63 hemodialysis patients aged 65 and older. Baseline Timed Up and Go (TUG) test durations and ankle joint inclinometric deviation measurements were assessed in all participants, who were then monitored for fall events over a 12-month period. Patients who experienced one or more falls were classified as the faller group, while the rest were categorized as the non-faller group. Demographic data, laboratory values, TUG test durations, and ankle joint inclinometric deviations were compared between the two groups. Results: Among the 63 patients, 25 (39.7%) were classified as fallers. The mean inclinometric deviation for the entire study population was 4.1±1.9 degrees. Notably, patients in the faller group had a significantly higher deviation (5.5±1.9) compared to those in the non-faller group (3.1±1.2, p=0.000). Age, serum albumin levels, TUG test duration, inclinometric deviation of patients have been included in the logistic regression analysis. Of these parameters, only inclinometric deviation (OR=2.627, p=0.003) was determined as an independent predictor of falls. Conclusion: Falls are prevalent among elderly hemodialysis patients, and impairment of ankle kinesthetic position sense is evident in those who have experienced falls.
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    Evaluation of auditory brainstem responses i̇n individuals diagnosed with speech delay
    (2025) Demir, İsmail; Ulutas, Nihal Sumeyye; Şimşek, Agit; Koç, Aysel
    Disruption of language skills at any stage of life can negatively affect an individual’s psychosocial development, similar to other disability groups. In some cases, even if peripheral hearing is within normal limits, language development may still be delayed. This retrospective study included 104 children aged 12 to 72 months presenting with speech delay. The Turkish Early Language Development Test (TEDIL) was used to diagnose speech delay in children whose receptive and expressive language skills were below chronological age. Auditory Brainstem Response (ABR) testing was performed to record the latencies and amplitudes of waves I, III, and V. Absolute latencies and interpeak latencies (I–III, III–V, I–V) were statistically analyzed. Statistical analysis revealed significant differences in wave latencies of the right and left ears for children aged 15–24 months when compared to normative values (p<0.05). In children aged 25–36 months, both wave and interpeak latencies were significantly different from normative values (p<0.05). Similar significant differences were observed in children older than 36 months (p<0.05). However, no significant difference was found in wave I of the left ear and in the interpeak latencies between waves III–V in either ear (p>0.05). The study demonstrated latency delays in waves I, III, and V in individuals diagnosed with speech delay. These delays in auditory brainstem responses may be indicative of underlying cognitive processing deficits contributing to delayed language development.