TY  - JOUR
TI  - Postural Stability and Risk of Fall in Vitamin B12 Deficiency
AB  - Objective: We aimed to evaluate postural stability andrisk of fall in patients with asymptomatic vitamin B12 deficiency.Material and Methods: Fifty patients (34 women, 16 men; mean age± SD: 35±12 years; age range: 18-58 years) who applied to physicalmedicine and rehabilitation outpatient clinic due to complaints ofupper extremity with vitamin B12 deficiency (<200 pq/dl) and without neuropathy according to electromyography results were includedin the study. In addition, a total of 49 healthy control subjects (meanage 34±8 years; range 24 to 60 years), 35 females and 14 males withsimilar age and sex, were included. Gender, age, body mass index(BMI) values and fall history in the last year of the participants wererecorded. Fear of falling was evaluated with the Falls Efficacy ScaleInternational (FES-I). With the Tetrax interactive balance system,which is an objective computerized method, posturographic evaluation of the participants was made. In the evaluation of postural stability; the stability index (SI) based on the displacement of the centerof gravity and weight distribution index (WDI) on 4 platforms wereused. On the other hand, the fall risk results were determined as a numerical value between 0-100. Postural stability and fall risk analyseswere evaluated according to the results of the posturographic examination. Results: In the patient group, fall history, FES-I score, someSI values and the risk of falling were significantly higher (p<0.05).There was no significant relationship between FES-I and gender, age,BMI, and history of fall, while there was a weak negative correlationbetween some SI values and fall risk (r=0.03 and p<0.05). However,there was no correlation between the severity of vitamin B12 deficiency and the risk of falling. Conclusions: It was found that postural stability is affected, and the risk of fall is increased in patients withasymptomatic vitamin B12 deficiency. This increase in risk of fallwas found to be associated with vitamin B12 deficiency but not withthe severity of the deficiency.
AU  - UZKESER, Hülya
AU  - Alkan Melikoglu, Meltem
AU  - KUL, Ayhan
AU  - BAYGUTALP, Fatih
AU  - BİLGE, NURAY
AU  - SARIHAN, Köksal
DO  - 10.31609/jpmrs.2019-72113
PY  - 2020
JO  - Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi
VL  - 23
IS  - 3
SN  - 1309-3843
SP  - 144
EP  - 151
DB  - TRDizin
UR  - http://search/yayin/detay/368283
ER  -