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与平衡和对患有良性性发性位置的患者中跌倒恐惧相关的因素:一项受控的横截面研究

Dilek Baday-Keskin¹, Mustafa Burak Taş², Nuray Bayar-Muluk²

¹Department of Physical Medicine and Rehabilitation, Kirikkale University Faculty of Medicine, Kirikkale, Turkey.

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

|January 14, 2025

概括

较低的手握强度,较高的体重指数和女性性别与良性发性位置 (BPPV) 患者的跌倒恐惧 (FOF) 增加有关. 这些因素对于临床医生来说至关重要,在教育患者平衡和预防跌倒时要考虑这些因素.

科学领域:

神经学神经学
老年学是一门学科.
物理疗法物理治疗

背景情况:

良性性发性位置性 (BPPV) 是一种常见的前体障碍.
BPPV可以显著影响患者的平衡,并导致对跌倒的恐惧 (FOF).
了解导致BPPV平衡损失和FOF的因素对于有效管理至关重要.

研究的目的:

调查BPPV.患者的身体功能,身体组成和跌倒恐惧之间的关系.
确定与BPPV群体中平衡下降和FOF增加相关的特定因素.
为管理BPPV患者的临床医生提供见解.

主要方法:

一项受控的横截面研究,涉及31名BPPV患者和30名对照.
评估手握强度 (HGS),肌肉厚度 (MT),体重指数 (BMI),FOF (落效率量表 - FES),平衡 (伯格平衡量表 - BBS) 和身体功能 (定时起飞和起飞 - TUG).
视频头脉冲测试 (VHIT) 用于评估半圆通道功能.

主要成果:

与对照组相比,BPPV患者的BBS得分较低,FES和TUG得分较高.
较低的主导的HGS,较高的BMI和女性性别与更高的FOF (更高的FES分数) 有显著的关联.
年龄,主导的HGS,BMI和右前半圆通道 (R ASC) 功能与平衡相关 (BBS分数),而年龄与身体功能 (TUG) 相关.

结论:

手握强度降低,体重指数升高和女性是与BPPV患者跌倒恐惧增加相关的关键因素.
临床医生应该评估这些风险因素,并教育BPPV患者平衡和防摔策略.
进一步的研究可以探索有针对性的干预措施来减轻这些风险.

关键词:

这是一个平衡的平衡,平衡的平衡.良性性发性定位性头.布布布的情况是:害怕跌倒,因为害怕跌倒.手握的强度和手握的强度.肌肉的厚度肌肉的厚度

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