Mustafa KARABULUT, Kürşad KARAKOÇ, Banu MÜJDECİ

Sigara Kullanımının Postüral Kontrol Üzerine Etkileri

Amaç: Bu çalışmanın amacı 19-55 yaş arası bireylerde sigara kullanım süresine göre postüral kontrol fonksiyonlarının karşılaştırılmasıdır. Materyal Metot: Çalışmamıza 19-55 yaş aralığında (ort yaş 28.9±8.2 yıl) 15 erkek 15 kadın olmak üzere toplam 30 gönüllü yetişkin dahil edildi. Bireyler 3 gruba ayrıldı. 10 yıl üzerinde sigara kullanan 10 birey 1. Gruba, 10 yıl ve altında sigara kullanan 10 birey 2.gruba ve yaşamı boyunca hiç sigara kullanmamış ve pasif içici olmayan 10 birey kontrol grubuna dahil edildi. Çalışmaya dahil edilen tüm katılımcılara 6 farklı pozisyonda Tandem Yürüyüş Testi, Zamanlı Kalk Yürü Testi (ZKYT), Modifiye Denge Duyu İnteraksiyonu Kinik Testi (mCTSIB) ve Fonksiyonel Uzanma Testi (FUT) uygulandı. Bulgular: Kollar arkada gözler kapalı pozisyonda yapılan tandem yürüyüş testinde (p=0,043) ve mCITSB testi yumuşak zemin gözler kapalı pozisyonunda (Pozisyon 4) gruplar arasında istatistiksel olarak anlamlı fark saptandı (p=0,028). ZKYT testini tamamlama süreleri (p=0,001) ve FUT’da uzanma mesafesi açısından gruplar arasında istatistiksel olarak anlamlı fark elde edildi (p=0,006). Tandem yürüyüş, mCTSIB ve FUT’ta sigara kullanma süresinin, ZKYT’de ise sigara kullanmanın postüral kontrolü olumsuz etkilediği bulundu.Sonuç: Sigara kullanım süresinin artmasının, bireylerin postüral kontrolünün bozulmasında etkili olduğu saptandı.

Anahtar Kelimeler:

Postüral Kontrol, Sigara, Denge, Nikotin

The Effects of Smoking on Postural Control

Objective: The aim of this study is to compare postural control functions according to smoking duration in individuals aged 19-55. Material Method: A total of 30 volunteer adults, 15 males and 15 females, were included in our study between the ages of 19-55 (mean age 28.9±8.2 years). Participants were divided into 3 groups. 10 individuals smoking over 10 years in Group 1, 10 individuals smoking 10 years or less in group 2 and 10 non-passive smokers in their lifetime were included in the control group. All participants were subjected to the Tandem Walking, Timed Up and Go (TUG), Modified Clinical Test of Sensory Interaction in Balance(mCTSIB) and the Functional Reach Test (FRT). Results: There was a statistically significant difference between the groups in the tandem walking test (p=0.043) performed with eyes closed at the arms and behind, and in the soft floor closed eyes position (Position 4) in the mCITSB test (p=0.028). A statistically significant difference was found between the groups in terms of the time to complete the TUG test (p=0.001) and the reach distance in FUT (p=0.006). It was found that smoking duration in tandem walking, mCTSIB and FUT, and smoking in ZKYT negatively affected postural control. Conclusion: Increased smoking duration was found to be effective in impairing the postural control of individuals.

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