Yaşlanmanın vestibüler sistem üzerine etkisi
Küçük Resim Yok
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Araştırma, yaşlanmanın vestibüler sistem fonksiyonları üzerindeki etkilerinin incelenmesi amacıyla yapılmıştır. Materyal ve Metot: Araştırmaya 18 yaş ve üzerinde dâhil edilme kriterlerine uyan sağlıklı bireyler alındı. Araştırmanın örneklemi, yapılan güç analizi sonucunda 18-40 yaş (1. Grup), 41-60 yaş (2. Grup) ve 61 yaş ve üzeri (3. Grup) olmak üzere her üç yaş grubu için 28 olarak belirlendi. Araştırmaya dâhil edilen tüm bireylere VNG, vHIT, c-VEMP, o-VEMP ve Berg Denge Ölçeği uygulandı. Bulgular: Berg Denge Ölçeği puanları açısından yaş grupları arasında istatistiksel olarak anlamlı farklılık saptandı (p<0.05). VNG test sonuçlarının tümü, 1. ve 2. Grupta normal saptandı. 3. Gruptaki bireylerin 8'inde sakkad testi, 9'unda optokinetik testi patolojik saptandı. Sakkad testinde doğruluk parametresi açısından yaş grupları arasında farklılık saptanmadı (p>0.05). Sakkad testinin diğer parametreleri ile smooth pursuit ve optokinetik testlerinin değerlendirme parametreleri açısından 3. Grup, 1. ve 2. Gruba göre anlamlı farklılık gösterdi (p<0.05). vHIT'te lateral kanalların ortalama kazanç asimetrisi açısından yaş grupları arasında farklılık saptanmadı (p>0.05). vHIT'in diğer değerlendirme parametreleri açısından yaş grupları arasında anlamlı farklılık saptandı (p<0.05). Lateral kanal değerlendirmesinde 1. Grupta sakkad gözlenmezken, 2. Gruptaki bireylerin 1'inde overt, 1'inde covert-overt sakkadlar; 3. Gruptaki bireylerin ise 2'sinde covert, 11'inde overt, 1'inde covert-overt sakkadlar gözlendi. c-VEMP'te P1-N1 interlatans ve asimetri oranı açısından yaş grupları arasında farklılık saptanmadı (p>0.05). c-VEMP'in diğer parametreleri ile o-VEMP'in değerlendirme parametreleri açısından yaş grupları arasında anlamlı farklılık saptandı (p<0.05). Sonuç: Yaşın artışıyla birlikte test parametrelerinde gözlemlenen değişikliklerin kliniklerde uygulanan değerlendirmelerde dikkate alınması önemlidir. Ayrıca araştırmanın bulguları, etkilenen vestibüler fonksiyonlara özgü rehabilitatif yaklaşımların uygulanması için yol gösterici olabilir. Anahtar Kelimeler: Denge, Vestibüler Fonksiyon, Vestibüler Sistem, Yaşlanma
Aim: To examine the effects of aging on vestibular system functions. Material and Method: Healthy individuals aged 18 years and older who met the inclusion criteria were included in the study. As a result of the power analysis, the sample size of the study was determined as 28 for each age groups, namely, 18-40 years (Group 1), 41-60 years (Group 2), and 61 years and over (Group 3). VNG, vHIT, c-VEMP, o-VEMP, and the Berg Balance Scale were administered in all individuals included in the study. Results: There was a statistically significant difference between age groups in terms of Berg Balance Scale scores (p<0.05). VNG test results were normal in Groups 1 and 2. Saccade test and optokinetic test were found pathological in 8 of the individuals in Group 3. There was no difference between age groups in terms of accuracy parameter in the saccade test (p>0.05). In terms of other parameters of the saccade test and evaluation parameters of the smooth pursuit and optokinetic tests, Group 3 differed significantly from Groups 1 and 2 (p<0.05). There was no difference between age groups in terms of mean gain asymmetry of the lateral channels in vHIT (p>0.05). There was a significant difference between age groups in terms of other evaluation parameters of vHIT (p<0.05). In the lateral canal evaluation, saccades were not observed in Group 1, while 1 overt and 1 covert-overt saccades were observed in Group 2. In Group 3, covert saccades were observed in 2 individuals, overt in 11 individuals, and covert-overt saccades in 1 individual. In c-VEMP, there was no difference between age groups in terms of P1-N1 interlatency and asymmetry rate (p>0.05). There was a significant difference between groups in terms of the other parameters of the c-VEMP and evaluation parameters of o-VEMP (p<0.05). Conclusion: It is important to consider the changes observed in test parameters with increasing age in clinical evaluations. In addition, the findings of the study may guide the application of rehabilitative approaches specific to the affected vestibular functions. Keywords: Balance, Vestibular Function, Vestibular System, Aging
Aim: To examine the effects of aging on vestibular system functions. Material and Method: Healthy individuals aged 18 years and older who met the inclusion criteria were included in the study. As a result of the power analysis, the sample size of the study was determined as 28 for each age groups, namely, 18-40 years (Group 1), 41-60 years (Group 2), and 61 years and over (Group 3). VNG, vHIT, c-VEMP, o-VEMP, and the Berg Balance Scale were administered in all individuals included in the study. Results: There was a statistically significant difference between age groups in terms of Berg Balance Scale scores (p<0.05). VNG test results were normal in Groups 1 and 2. Saccade test and optokinetic test were found pathological in 8 of the individuals in Group 3. There was no difference between age groups in terms of accuracy parameter in the saccade test (p>0.05). In terms of other parameters of the saccade test and evaluation parameters of the smooth pursuit and optokinetic tests, Group 3 differed significantly from Groups 1 and 2 (p<0.05). There was no difference between age groups in terms of mean gain asymmetry of the lateral channels in vHIT (p>0.05). There was a significant difference between age groups in terms of other evaluation parameters of vHIT (p<0.05). In the lateral canal evaluation, saccades were not observed in Group 1, while 1 overt and 1 covert-overt saccades were observed in Group 2. In Group 3, covert saccades were observed in 2 individuals, overt in 11 individuals, and covert-overt saccades in 1 individual. In c-VEMP, there was no difference between age groups in terms of P1-N1 interlatency and asymmetry rate (p>0.05). There was a significant difference between groups in terms of the other parameters of the c-VEMP and evaluation parameters of o-VEMP (p<0.05). Conclusion: It is important to consider the changes observed in test parameters with increasing age in clinical evaluations. In addition, the findings of the study may guide the application of rehabilitative approaches specific to the affected vestibular functions. Keywords: Balance, Vestibular Function, Vestibular System, Aging
Açıklama
Anahtar Kelimeler
Kulak Burun ve Boğaz, Otorhinolaryngology (Ear-Nose-Throat)
