İlker KOÇAK, Ozan GÖKLER, Esra AYDOĞAN, Işıl KARANFİL, Ömer Faruk ÜNAL

Yoga benign paroksismal pozisyonel vertigoya neden olabilir mi?

Amaç: Bu çalışmada benign paroksismal pozisyonel vertigo BPPV ile yoga arasındaki ilişki araştırıldı.Hastalar ve Yöntemler: Bu çalışmada iki grup karşılaştırıldı; grup 1 düzenli aralıklarla yoga yapan gönüllü grubu 38 kadın, 16 erkek; ort. yaş 32.3 yıl; dağılım 23-50 yıl ve grup 2 gönüllü kontrol grubu 29 kadın, 25 erkek; ort. yaş 34.6 yıl; dağılım 21-46 yıl . Tüm katılımcılara posterior semisirküler kanal BPPV tanısı için komple odyovestibüler testlerle birlikte Dix-Hallpike manevrası ve lateral semisirküler kanal BPPV tanısı için Roll manevrası yapıldı. Benign paroksismal pozisyonel vertigo tanısı konulan katılımcılar, etkilenen semisirküler kanala göre Epley veya Lempert manevrası ile tedavi edildi.Bulgular: Benign paroksismal pozisyonel vertigo kontrol grubunda bir katılımcıda %1.9 saptanırken, yoga grubunda sekiz katılımcıda %14.8 saptandı. Bu sekiz BPPV hastasının yedisinde posterior kanal tutulumu, birinde ise lateral semisirküler kanal tutulumu izlendi. Yoga yapan grupta BPPV görülme olasılığı kontrol grubuna kıyasla anlamlı olarak yüksek bulundu p=0.031 . Yoga yapma yılı ile BPPV gelişme riski arasında ilişki yokken p>0.05 , haftalık yoga yapma süresi ile BPPV gelişme riski arasında doğru orantılı ilişki saptandı p=0.009 .Sonuç: Yoga ile BPPV arasında istatistiksel olarak anlamlı bir ilişki saptandı. Dolayısıyla yoga yapmak BPPV için bir risk faktörü olabilir

Anahtar Kelimeler:

Benign paroksismal pozisyonel vertigo, Dix-Hallpike, vertigo, yoga

Can yoga cause benign paroxysmal positional vertigo?

Objectives: This study aims to investigate any correlation between benign paroxysmal positional vertigo BPPV and yoga. Patients and Methods: Two groups were compared in the study: group 1 consisting of volunteers who performed yoga at regular intervals 38 females, 16 males; mean age 32.3 years; range 23 to 50 years and group 2 as the control group 29 females, 25 males; mean age 34.6 years; range 21 to 46 years . All participants have undergone complete audio-vestibular tests and received Dix-Hallpike maneuver for the diagnosis of posterior semicircular canal BPPV and Roll maneuver for the diagnosis of lateral semicircular canal BPPV. The participants with the definitive diagnosis of BPPV were treated with Epley or Lempert maneuver, according to the affected semicircular canal. Results: Benign paroxysmal positional vertigo was diagnosed in one participant in the control group 1.9% while it was seen in eight participants in the yoga group 14.8% . We observed the posterior canal to be affected in seven out of eight BPPV patients and lateral semicircular canal was affected in the remaining one patient. We found the prevalence of BPPV to be significantly higher in the yoga group compared to the control group p=0.031 . Although there is no correlation observed between the years of yoga performance and development of BPPV p>0.05 , a positive correlation is found between weekly practice hours of yoga and development of BPPV p=0.009 . Conclusion: There is a statistically significant correlation between BPPV and yoga. Therefore, performing yoga might be a risk factor for BPPV.

Keywords:

Benign paroxysmal positional vertigo, Dix-Hallpike, vertigo, yoga,

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