Madde bağımlılarında vestibüler fonksiyonların değerlendirilmesi
Küçük Resim Yok
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı madde bağımlısı olan bireylerde vestibüler sistemi değerlendirmektir. Materyal ve Metot: Araştırma Malatya İnönü Üniversitesi Turgut Özal Tıp Merkezi Odyoloji kliniğinde, Ocak 2021- Kasım 2021 tarihleri arasında Psikiyatri Kliniği'ne başvuru yapan 18-40 yaş arası madde bağımlısı bireyler ile gerçekleştirilmiştir. Araştırmanın örneklemi yapılan güç analizi sonucunda her iki grup için 34 olarak belirlenmiştir. Çalışmaya katılan bireylere, Demografik Veri Formu, Baş Dönmesi Engellilik Envanteri, Bağımlılık Profil İndeksi Tarama Formu, yatak başı muayene testleri, Video Head Impulse Test, Videonistagmografi testi, Servikal Vestibüler Uyarılmış Miyojenik Potansiyeller Testi ve Oküler Vestibüler Uyarılmış Miyojenik Potansiyeller Testi uygulanmıştır. Bulgular: Çalışmaya katılan vaka grubundaki bireylerin BAPİ-T'de ki madde kullanım sıklığı, şiddetli istek ve toplam puanı ile BDEE'deki fiziksel, fonksiyonel ve toplam puan arasında orta düzeyde pozitif yönde istatistiksel olarak anlamlı ilişki saptanmıştır (p<0.05). Uygulanan tandem gait, fukuda, diadokinezi, parmak burun, gaze, sakkad, pursuit ve optokinetik sonuçlarında vaka grubu ile kontrol grubu arasında istatistiksel açıdan anlamlı farklılık bulunmuştur (p<0.05). Lateral, anterior ve posterior SSK kazanç değerlerinde, lateral, RALP, LARP asimetri değerlerinde ve sakkad görülme oranlarına göre vaka grubu ile kontrol grubu arasında istatistiksel açıdan anlamlı farklılık bulunmuştur (p<0.05). c-VEMP ve o-VEMP dalga varlığı oranlarına göre, c-VEMP testinde P1 latans, P1-N1 interlatans, P1-N1 amplitüd ve asimetri değerlerinde, o-VEMP testinde ise N1-P1 interlatans, N1-P1 amplitüd ve asimetri değerlerinde vaka grubu ile kontrol grubu arasında istatistiksel açıdan anlamlı farklılık bulunmuştur (p<0.05). Sonuç: Çalışmamız sonucunda madde kullanan bireylerde vestibüler sistem etkilenimi gözlenmiştir. Anahtar Kelimeler: Baş dönmesi, Denge, Madde bağımlılığı, Vestibüler
Aim: The aim of this study is to evaluate the vestibular system in individuals with substance abuse. Material and Method: This research was carried out with substance addicted individuals between the ages of 18-40 who applied to the Psychiatry Clinic at Malatya İnönü University Turgut Özal Medical Center Audiology Clinic between January 2021 and November 2021. The sample of the study was determined as 34 for both groups as a result of the power analysis. Demographic Data Form, Dizziness Handicap Inventory, Addiction Profile Index Screening Form, bedside examination tests, Video Head Impulse Test, Videonystagmography test, Cervical Vestibular Evoked Myogenic Potentials and Ocular Vestibular Evoked Myogenic Potentials Test were applied to the individuals participating in the study. Results: A moderately positive and statistically significant relationship was found between the frequency of substance use, cravings and total score in the BAPI-T of the individuals in the case group participating in the study and the physical, functional and total scores in the BDEE (p<0.05). A statistically significant difference was found between the case group and the control group in the tandem gait, fucuda, diadokinesia, finger nose, gaze, saccade, pursuit and optokinetic results (p<0.05). A statistically significant difference was found between the case group and the control group in terms of lateral, anterior and posterior SSC gain values, lateral, RALP, LARP asymmetry values and saccade incidence rates (p<0.05). According to c-VEMP and o-VEMP wave presence ratios, P1 latency, P1-N1 interlatency, P1-N1 amplitude and asymmetry values in the c-VEMP test, and N1-P1 interlatency, N1-P1 amplitude and asymmetry values in the o-VEMP test. A statistically significant difference was found between the group and the control group (p<0.05). Conclusion: As a result of our study, vestibular system effects were observed in individuals using substance. Keywords: Dizziness, Balance, Substance abuse, Vestibular
Aim: The aim of this study is to evaluate the vestibular system in individuals with substance abuse. Material and Method: This research was carried out with substance addicted individuals between the ages of 18-40 who applied to the Psychiatry Clinic at Malatya İnönü University Turgut Özal Medical Center Audiology Clinic between January 2021 and November 2021. The sample of the study was determined as 34 for both groups as a result of the power analysis. Demographic Data Form, Dizziness Handicap Inventory, Addiction Profile Index Screening Form, bedside examination tests, Video Head Impulse Test, Videonystagmography test, Cervical Vestibular Evoked Myogenic Potentials and Ocular Vestibular Evoked Myogenic Potentials Test were applied to the individuals participating in the study. Results: A moderately positive and statistically significant relationship was found between the frequency of substance use, cravings and total score in the BAPI-T of the individuals in the case group participating in the study and the physical, functional and total scores in the BDEE (p<0.05). A statistically significant difference was found between the case group and the control group in the tandem gait, fucuda, diadokinesia, finger nose, gaze, saccade, pursuit and optokinetic results (p<0.05). A statistically significant difference was found between the case group and the control group in terms of lateral, anterior and posterior SSC gain values, lateral, RALP, LARP asymmetry values and saccade incidence rates (p<0.05). According to c-VEMP and o-VEMP wave presence ratios, P1 latency, P1-N1 interlatency, P1-N1 amplitude and asymmetry values in the c-VEMP test, and N1-P1 interlatency, N1-P1 amplitude and asymmetry values in the o-VEMP test. A statistically significant difference was found between the group and the control group (p<0.05). Conclusion: As a result of our study, vestibular system effects were observed in individuals using substance. Keywords: Dizziness, Balance, Substance abuse, Vestibular
Açıklama
Anahtar Kelimeler
Kulak Burun ve Boğaz, Otorhinolaryngology (Ear-Nose-Throat)
