Uzkeser Hülya, Kul Ayhan, Arslan Yaşar
Department of Physical Medicine and Rehabilitation, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Eurasian J Med. 2022 Feb;54(1):67-71. doi: 10.5152/eurasianjmed.2022.20368.
Balance disorders and related falls can cause serious situations that affect the lives of a large number of people and may even be fatal. We have not found any studies about fall risk in Behçet's disease in the literature before. In this trial, we aimed to investigate the fall risk in patients with Behçet's disease using an objective computerized technique and evaluated the risk factors for falls in these patients.
We have included 65 patients with Behçet's disease and 50 controls in this study. Their vitamin D levels, vitamin B12 levels, and magnesium levels were also determined. The Behçet's Current Activity Index was used for evaluating disease activity. We used the Falls Efficacy Scale International to evaluate fall efficiency. Tetrax Interactive Balance System was used for posturographic evaluation to objectively determine balance and fall risk.
The Behçet's Current Activity Indices of the patients were 4.17 ± 1.99 (mean ± standard deviation). Fall anamnesis, fall risk assessment, Falls Efficacy Scale International, and visual analog scale levels in the patient group were higher than in the control group. There were also significant differences between the 2 groups for fall anamnesis, fall risk assessment, and visual analog scale values. We found a statistically significant correlation between fall risk with visual analog scale (r=0.437, P < .001) and the Behçet's Current Activity Index (r=0.366, P=.003).
Our study found that fall risk was higher in patients with Behçet's disease than in the control group after evaluation by an objective computerized technique. An increase in the risk of falling seems to be related to the activity of the disease.
平衡失调及相关跌倒可导致严重情况,影响大量人群的生活,甚至可能致命。此前我们在文献中未发现任何关于白塞病跌倒风险的研究。在本试验中,我们旨在使用客观的计算机技术调查白塞病患者的跌倒风险,并评估这些患者跌倒的风险因素。
本研究纳入了65例白塞病患者和50例对照。还测定了他们的维生素D水平、维生素B12水平和镁水平。使用白塞病当前活动指数评估疾病活动度。我们使用国际跌倒效能量表评估跌倒效能。使用Tetrax交互式平衡系统进行姿势描记评估,以客观确定平衡和跌倒风险。
患者的白塞病当前活动指数为4.17±1.99(均值±标准差)。患者组的跌倒既往史、跌倒风险评估、国际跌倒效能量表和视觉模拟量表水平高于对照组。两组在跌倒既往史、跌倒风险评估和视觉模拟量表值方面也存在显著差异。我们发现跌倒风险与视觉模拟量表(r=0.437,P<.001)和白塞病当前活动指数(r=0.366,P=.003)之间存在统计学显著相关性。
我们的研究发现,经客观计算机技术评估后,白塞病患者的跌倒风险高于对照组。跌倒风险增加似乎与疾病活动有关。