USE OF HIP STRATEGY IN PATIENTS WITH VESTIBULAR DISORDER: A RETROSPECTIVE STUDY

Authors : Oğuz YILMAZ, Kerem ERSİN, Şeyma Tuğba ÖZTÜRK, Mustafa Bülent ŞERBETÇİOĞLU

Pages : 43-54

View : 14 | Download : 8

Publication Date : 2023-04-30

Article Type : Research Paper

Abstract :The three main postural strategies used to adjust posture and movement are ankle, hip and stepping strategies. While normal individuals use ankle strategy when center of gravity insert ignore into journalissuearticles values(COG); is within the limits of stability, they transition to hip strategy when COG approaches or exceeds the limits of stability. The aim of this study is to investigate which strategy is dominantly used by people with vestibular disorders whilst adjusting their posture and which strategy is used when they fall. Twenty patients with diagnosed vestibular dysfunction and nineteen healthy individuals evaluated between the years 2014-2019 were included in the study. The participants were assessed for balance with the computer dynamic posturography. Participants` sensory organization test insert ignore into journalissuearticles values(SOT); scores were collected for evaluation. The collected data were analyzed for normal distribution via One-Sample Kolmogorov-Smirnov test, while Mann Whitney U was used to determine significant difference. Use of ankle strategy was superior in normal individuals in comparison to individuals with vestibular disorders using SOT 5th and 6th conditions insert ignore into journalissuearticles values(p<0.05);. Significant difference was observed between the strategies used by the participants in situations where they did and did not fall insert ignore into journalissuearticles values(p<0.05);. While a statistically significant difference was observed in the comparison of falls within 5th condition, a significant difference was not observed in 6th condition. Due to the impairment of the vestibular system leading to the usage of the ankle strategy in challenging conditions, patients with vestibular defects fall more frequently. During the planning of vestibular rehabilitation for such patients, improving the hip strategy should be considered essential.
Keywords : POSTÜR, DÜŞME, HAREKET, KALÇA, AYAK BİLEĞİ