Baş Dönmesi ile Başvuran Tip 2 Diabetes Mellituslu Yetişkinlerde Vestibüler ve İşitsel Değerlendirme: Anket Çalışması
Öz
Giriş: Dünya genelinde giderek artmakta olan metabolik bir hastalık olan Tip 2 Diabetes Mellitus (DM) işitme ve denge sistemini etkileyebilmektedir.
Amaç: Bu araştırmanın amacı baş dönmesi şikayeti olan Tip 2 DM’li bireylerde vestibüler semptomların, işitsel yetersizlik düzeyinin ve baş dönmesine bağlı engellilik düzeyinin değerlendirilmesidir.
Gereç ve Yöntemler: Araştırmaya en az 1 yıl süre ile DM tanısı almış olan, yaşı 20 ve üzerinde olan, nörolojik, ortopedik, psikiyatrik hastalığı olmayan bireyler dahil edildi. Tüm bireylerin işitsel ve vestibüler semptomları sorgulandı. Tüm bireylerden Baş Dönmesi Engellilik Anketini ve Amsterdam İşitsel Yetersizlik ve Engellilik Anketini doldurmaları istendi.
Bulgular: Bireylerin %50’si kadın, %50’si erkekti. Tüm bireylerin %56’sı sersemlik, %90’ı dengesizlik, %68’i bulantı-kusma, %58’i konsantrasyon bozukluğu, %50’si araç tutması, %32’si düşme, %36’sı kulakta dolgunluk, %78’i yüksek sesten rahatsızlık, %76’sı kalabalık ortamdan rahatsızlık, %92’si tinnitus şikayeti bildirdi. Baş Dönmesi Engellilik Anketine göre kadınlarda baş dönmesinin fonksiyonelliği bozacak düzeyde şiddetli engelliliğe neden olduğu, erkeklerin ise orta derecede engellilik düzeyine sahip olduğu saptandı. Amsterdam İşitsel Yetersizlik ve Engellilik Anketi sonuçları değerlendirildiğinde kadın ve erkeklerde işitsel yetersizlik olduğu görüldü (kadınların toplam skor ortalaması 50,44±10,44, erkeklerin 47,72±10,51) ve cinsiyetler arasında anlamlı fark gözlenmedi
Sonuç: Tip 2 DM’li bireylerde; işitsel ve vestibüler semptomların ve işitsel yetersizliğin görüldüğü, baş dönmesine bağlı olarak kadınlarda şiddetli, erkeklerde orta derecede engelliliğin olduğu saptandı.
Anahtar Kelimeler
Tip 2 Diabetes Mellitus baş dönmesi işitme kaybı dengesizlik.
Kaynakça
- 1. American Diabetes Assosication, Standards of medical care in diabetes. Diabetes Care 2012; 35(Supplement-1):S11–S63.
- 2. Li J, Jiang J, Zhang Y, Liu B, Zhang L. Impairment of Vestibular Function and Balance Control in Patients with Type 2 Diabetes. Audiol Neurotol. 2019; 24(3): 154-160.
- 3. Ehlers B L. Temporal resolution abilities of individuals with and without diabetes mellitus type II with normal pure tone thresholds. Department of Speech-Language Pathology and Audiology University of Pretoria 2019; PhD Thesis. University of Pretoria.
- 4. Alberti KGMM, Zimmet P. Z. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic Medicine. 1998; 15(7): 539–553.
- 5. Frisina ST, Mapes F, Kim S H, Frisina DR., Frisina RD. Characterization of hearing loss in aged type II diabetics. Hearing Research. 2006; 211(1–2): 103–113.
- 6. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of Balance and Vestibular Function in US Adults. Arch Internal Med. 2009; 169(10), 938.
- 7. Kumar P, Singh NK, Apeksha K, Ghosh V, Kumar R R, Kumar Muthaiah B. Auditory and Vestibular Functioning in Individuals with Type-2 Diabetes Mellitus: A Systematic Review. Int Arch Otorhinolaryngol. URL; https://www.thieme connect.com/products/ejournals/journal/10.1055/s-00025477. 20 July 2021.
- 8. D’Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: Contribution of the vestibular system. Phys Ther. 2016; 96(3), 400-409.
- 9. Klagenberg KF, Zeigelboim BS, Jurkiewicz AL, Martins-Bassetto J. Vestibulocochlear manifestations in patients with type I diabetes mellitus. BJORL. 2007; 73(3), 353–358.
- 10. Luxon L M. Evaluation and management of the dizzy patient. Neurology in Practice. 2004; 75(4).
- 11. Jacobson G P, Newman CW. The Development of the Dizziness Handicap Inventory. In Arch Otolaryngol Head Neck Surg. 1990; 116 (4):424-427.
- 12. Vereeck L, Truijen S, Wuyts FL, van de Heyning, kPaul H. (n.d.). The Dizziness Handicap Inventory and Its Relationship With Functional Balance Performance. Otol Neurotol. 2006; 28:87Y93.
- 13. Canbal M, Cebeci S, Duyan G, Kurtaran H, Arslan I. A Study of Reliability and Validity For the Turkish Version of Dizziness Handicap Inventory. TJFMPC. 2016; 10(1):19-24.
- 14. Mujdeci B, Inal O, Turkyilmaz Md, Kose K. Turkish translation, reliability and validity of the amsterdam inventory for auditory disability and handicap. JISHA. 2016; 30(2):40-46.
- 15. Yolsal N, Kiyan A, Özden Y. Beslenme Durumunu Değerlendirmede Beden Kitle İndeksinin Kullanımı. In J Nutr and Diet.1998; 27 (2):43-48. 16. Özcan HŞ. Diyabetli Hastalarda Hastalığa Uyumu Etkileyen Faktörlerin Değerlendirilmesi. İstanbul Üniversitesi / Sağlık Bilimleri Enstitüsü / Hemşirelik Ana Bilim Dalı. 1999, Yüksek Lisans Tezi.
- 17. Gül Ş, Aşiret GD, Okatan C. Tip 2 Diyabetes Mellitus Hastalarının Hipoglisemi Korkusunun İncelenmesi. DEUHFED. 2021; 14(3): 179- 187.
- 18. D’Silva L J, Staecker H, Lin J, Sykes K J, Phadnis M A, McMahon T M, Connolly D, Sabus C H, Whitney S L, Kludinga P M. Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension. J Vestib Res: Equilib and Orientat. 2016; 25(5–6): 233–239.
- 19. Dsilva, L. J., Staecker, H., Lin, J., Maddux, C., Ferraro, J., Dai, H., & Kluding, P. M. Otolith Dysfunction in Persons with Both Diabetes and Benign Paroxysmal Positional Vertigo. Otology and Neurotology, 2017; 38(3), 379–385.
- 20. Rashidi M, Genç A. Tip 1 ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi. IGUSABDER 2020; 10:34-39.
- 21. Javanshir M. Tip I Ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. 2006; Yüksek Lisans Tezi.
- 22. Ren J, Zhao P, Chen L, Xu A, Brown SN, Xiao X. Hearing Loss in Middle-aged Subjects with Type 2 Diabetes Mellitus. Arch Med Res. 2009; 40(1), 18–23.
- 23. Akinpelu O v, Mujica-Mota M. Daniel SJ. Is type 2 diabetes mellitus associated with alterations in hearing? A systematic review and meta-analysis. Laryngoscope. 2014; 124 (3): 767–776.
- 24. Mitchell P, Gopinath B, McMahon CM, Rochtchina E, Wang JJ, Boyages SC, Leeder S. R. Relationship of Type 2 diabetes to the prevalence, incidence and progression of age-related hearing loss. Diabetic Medicine. 2009; 26(5): 483–488 . 25. Taylor IG, Irwin J. Some audiological aspects of diabetes mellitus. J Laryngol Otol. 1978; Feb;92(2):99-113.
Vestibular And Auditory Evaluation In Adults Wıth Type 2 Diabetes Mellitus Presenting With Diziness: A Survey Study
Öz
Introduction: Type 2 Diabetes Mellitus (DM), a metabolic disease that is increasing worldwide, can affect the hearing and balance system. Objective: This study is to evaluate the vestibular symptoms, auditory insufficiency level and vertigo-related disability level in individuals with Type 2 DM who complain of vertigo.
Materials and Methods: Individuals who were diagnosed with DM for at least 1 year, aged 20 and over, and who did not have a neurological, orthopedic or psychiatric disease were included in the study. Auditory and vestibular symptoms of all individuals were questioned. All individuals were asked to fill out the Dizziness Handicap Inventory and the Amsterdam Inventory for Auditory Disability and Handicap.
Results: 50% of the individuals were female and 50% were male. Of all individuals, 56% were dizzy, 90% imbalanced, 68% nausea-vomiting, 58% impaired concentration, 50% motion sickness, 32% falling, 36% ear fullness, 78 % of them reported discomfort from loud noise, 76% of them complained of crowded environment, and 92% of them reported tinnitus. According to Auditory Disability and Handicap; It was determined that vertigo caused severe disability in women, while men had moderate disability. When the results of Amsterdam Inventory for Auditory Disability and Handicap were evaluated, it was observed that there was auditory disability in men and women (total mean score of women 50.44±10.44, men 47.72±10.51) and no significant difference was observed between genders.
Conclusion: In individuals with type 2 DM; It was determined that auditory and vestibular symptoms and auditory disability were seen, severe disability in women and moderate disability in men due to dizziness.
Anahtar Kelimeler
Kaynakça
- 1. American Diabetes Assosication, Standards of medical care in diabetes. Diabetes Care 2012; 35(Supplement-1):S11–S63.
- 2. Li J, Jiang J, Zhang Y, Liu B, Zhang L. Impairment of Vestibular Function and Balance Control in Patients with Type 2 Diabetes. Audiol Neurotol. 2019; 24(3): 154-160.
- 3. Ehlers B L. Temporal resolution abilities of individuals with and without diabetes mellitus type II with normal pure tone thresholds. Department of Speech-Language Pathology and Audiology University of Pretoria 2019; PhD Thesis. University of Pretoria.
- 4. Alberti KGMM, Zimmet P. Z. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic Medicine. 1998; 15(7): 539–553.
- 5. Frisina ST, Mapes F, Kim S H, Frisina DR., Frisina RD. Characterization of hearing loss in aged type II diabetics. Hearing Research. 2006; 211(1–2): 103–113.
- 6. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of Balance and Vestibular Function in US Adults. Arch Internal Med. 2009; 169(10), 938.
- 7. Kumar P, Singh NK, Apeksha K, Ghosh V, Kumar R R, Kumar Muthaiah B. Auditory and Vestibular Functioning in Individuals with Type-2 Diabetes Mellitus: A Systematic Review. Int Arch Otorhinolaryngol. URL; https://www.thieme connect.com/products/ejournals/journal/10.1055/s-00025477. 20 July 2021.
- 8. D’Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: Contribution of the vestibular system. Phys Ther. 2016; 96(3), 400-409.
- 9. Klagenberg KF, Zeigelboim BS, Jurkiewicz AL, Martins-Bassetto J. Vestibulocochlear manifestations in patients with type I diabetes mellitus. BJORL. 2007; 73(3), 353–358.
- 10. Luxon L M. Evaluation and management of the dizzy patient. Neurology in Practice. 2004; 75(4).
- 11. Jacobson G P, Newman CW. The Development of the Dizziness Handicap Inventory. In Arch Otolaryngol Head Neck Surg. 1990; 116 (4):424-427.
- 12. Vereeck L, Truijen S, Wuyts FL, van de Heyning, kPaul H. (n.d.). The Dizziness Handicap Inventory and Its Relationship With Functional Balance Performance. Otol Neurotol. 2006; 28:87Y93.
- 13. Canbal M, Cebeci S, Duyan G, Kurtaran H, Arslan I. A Study of Reliability and Validity For the Turkish Version of Dizziness Handicap Inventory. TJFMPC. 2016; 10(1):19-24.
- 14. Mujdeci B, Inal O, Turkyilmaz Md, Kose K. Turkish translation, reliability and validity of the amsterdam inventory for auditory disability and handicap. JISHA. 2016; 30(2):40-46.
- 15. Yolsal N, Kiyan A, Özden Y. Beslenme Durumunu Değerlendirmede Beden Kitle İndeksinin Kullanımı. In J Nutr and Diet.1998; 27 (2):43-48. 16. Özcan HŞ. Diyabetli Hastalarda Hastalığa Uyumu Etkileyen Faktörlerin Değerlendirilmesi. İstanbul Üniversitesi / Sağlık Bilimleri Enstitüsü / Hemşirelik Ana Bilim Dalı. 1999, Yüksek Lisans Tezi.
- 17. Gül Ş, Aşiret GD, Okatan C. Tip 2 Diyabetes Mellitus Hastalarının Hipoglisemi Korkusunun İncelenmesi. DEUHFED. 2021; 14(3): 179- 187.
- 18. D’Silva L J, Staecker H, Lin J, Sykes K J, Phadnis M A, McMahon T M, Connolly D, Sabus C H, Whitney S L, Kludinga P M. Retrospective data suggests that the higher prevalence of benign paroxysmal positional vertigo in individuals with type 2 diabetes is mediated by hypertension. J Vestib Res: Equilib and Orientat. 2016; 25(5–6): 233–239.
- 19. Dsilva, L. J., Staecker, H., Lin, J., Maddux, C., Ferraro, J., Dai, H., & Kluding, P. M. Otolith Dysfunction in Persons with Both Diabetes and Benign Paroxysmal Positional Vertigo. Otology and Neurotology, 2017; 38(3), 379–385.
- 20. Rashidi M, Genç A. Tip 1 ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi. IGUSABDER 2020; 10:34-39.
- 21. Javanshir M. Tip I Ve Tip 2 Diyabetli Hastaların Diyabet Tutumlarının Değerlendirilmesi. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü. 2006; Yüksek Lisans Tezi.
- 22. Ren J, Zhao P, Chen L, Xu A, Brown SN, Xiao X. Hearing Loss in Middle-aged Subjects with Type 2 Diabetes Mellitus. Arch Med Res. 2009; 40(1), 18–23.
- 23. Akinpelu O v, Mujica-Mota M. Daniel SJ. Is type 2 diabetes mellitus associated with alterations in hearing? A systematic review and meta-analysis. Laryngoscope. 2014; 124 (3): 767–776.
- 24. Mitchell P, Gopinath B, McMahon CM, Rochtchina E, Wang JJ, Boyages SC, Leeder S. R. Relationship of Type 2 diabetes to the prevalence, incidence and progression of age-related hearing loss. Diabetic Medicine. 2009; 26(5): 483–488 . 25. Taylor IG, Irwin J. Some audiological aspects of diabetes mellitus. J Laryngol Otol. 1978; Feb;92(2):99-113.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 15 Ocak 2024 |
| Yayımlanma Tarihi | 1 Ocak 2024 |
| Gönderilme Tarihi | 30 Ocak 2022 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 10 Sayı: 1 |
