{"id":15160,"date":"2025-08-13T15:50:56","date_gmt":"2025-08-13T13:50:56","guid":{"rendered":"https:\/\/ivrt.de\/?p=15160"},"modified":"2026-04-29T09:18:46","modified_gmt":"2026-04-29T07:18:46","slug":"akut-bas-doenmesi-yuerueme-analizi-nedenin-belirlenmesinde-yalnizca-sinirli-oelcuede-yardimci-olur","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/akuter-schwindel-ganganalyse-hilft-nur-begrenzt-bei-der-ursachenklaerung\/","title":{"rendered":"Akut ba\u015f d\u00f6nmesi: Y\u00fcr\u00fcme analizi, nedenin belirlenmesinde yaln\u0131zca s\u0131n\u0131rl\u0131 \u00f6l\u00e7\u00fcde yard\u0131mc\u0131 olur"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Akut ba\u015f d\u00f6nmesi olan hastalarda genellikle y\u00fcr\u00fcy\u00fc\u015f bozuklu\u011fu ve ayakta durma sorunlar\u0131 g\u00f6r\u00fcl\u00fcr. Basit klinik y\u00fcr\u00fcy\u00fc\u015f ve denge testlerinin, periferik ve merkezi nedenler (\u00f6rne\u011fin inme) aras\u0131nda ayr\u0131m yapmaya yard\u0131mc\u0131 olup olmad\u0131\u011f\u0131 bug\u00fcne kadar net olarak ayd\u0131nlat\u0131lmam\u0131\u015ft\u0131.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udd17 <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12162741\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">LMU Klinikum M\u00fcnih'teki EMVERT \u00e7al\u0131\u015fmas\u0131 kapsam\u0131nda, semptom ba\u015flang\u0131c\u0131ndan ortalama 16 saat sonra 200 hasta incelenmi\u015ftir. S\u0131n\u0131fland\u0131rma \u00fc\u00e7 gruba ayr\u0131lm\u0131\u015ft\u0131r:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/labilent-enfarktuesue\/\" data-type=\"post\" data-id=\"6001\">Akut vestib\u00fcler inme<\/a> (n = 56)<\/li>\n\n\n\n<li><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">Akut unilateral vest\u00fclopati<\/a> (AUVP) (n = 52)<\/li>\n\n\n\n<li><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-migren\/\" data-type=\"post\" data-id=\"5313\">Episodik vestib\u00fcler bozukluklar<\/a> (n = 92)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Test prosed\u00fcrleri<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kalk ve Y\u00fcr\u00fc Testi<\/li>\n\n\n\n<li>Fonksiyonel Y\u00fcr\u00fcme De\u011ferlendirmesi<\/li>\n\n\n\n<li>Y\u00fcr\u00fcy\u00fc\u015f ve G\u00f6vde Ataksisi \u0130ndeksi (GTI)<\/li>\n\n\n\n<li>Mobil Post\u00fcrografi<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>AUVP hastalar\u0131, fel\u00e7 veya epizodik gruplara k\u0131yasla ortalama olarak daha k\u00f6t\u00fc TUG, FGA ve GTI de\u011ferlerine sahipti.<\/li>\n\n\n\n<li>\u0130nme ile BPPV aras\u0131ndaki ay\u0131rt edicilik (ROC) d\u00fc\u015f\u00fckt\u00fc (0,57\u20130,62) ve yaln\u0131zca ya\u015f ve cinsiyete g\u00f6re d\u00fczeltme yap\u0131ld\u0131\u011f\u0131nda iyile\u015fti (0,75\u20130,82).<\/li>\n\n\n\n<li>Posturografi, epizodik bozukluklarda en d\u00fc\u015f\u00fck v\u00fccut sal\u0131n\u0131mlar\u0131n\u0131, inme ve AUVP'de ise benzer de\u011ferleri g\u00f6sterdi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Klinik uygulama i\u00e7in sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TUG, FGA veya GTI gibi klinik y\u00fcr\u00fcme ve duru\u015f testleri, merkezi ve periferik ba\u015f d\u00f6nmesi nedenleri aras\u0131nda g\u00fcvenli bir \u015fekilde ayr\u0131m yapmak i\u00e7in yaln\u0131zca akut fazda yeterli de\u011fildir.<br>Bu nedenle her zaman \u015fu adreste bulunmal\u0131s\u0131n\u0131z: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">Anamnez, HINTS testi, g\u00f6r\u00fcnt\u00fcleme ve di\u011fer klinik bulgularla kombinasyon<\/a> yorumlanmak.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a> ve merkezi ile periferik ba\u015f d\u00f6nmesi nedenleri aras\u0131nda nas\u0131l ayr\u0131m yapabilece\u011fini?<\/strong><br>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Yaln\u0131zca y\u00fcr\u00fcy\u00fc\u015f ve ayakta durma testleri, ba\u015f d\u00f6nmesinin nedenini bulmak i\u00e7in genellikle yeterli de\u011fildir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara\u015ft\u0131rmac\u0131lar, ani ve \u015fiddetli ba\u015f d\u00f6nmesi \u00e7eken hastalarda basit y\u00fcr\u00fcme ve ayakta durma testlerinin, inme ile denge organ\u0131 rahats\u0131zl\u0131\u011f\u0131n\u0131 birbirinden ay\u0131rmaya yard\u0131mc\u0131 olup olamayaca\u011f\u0131n\u0131 bulmak istedi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcc4 <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12162741\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ne incelendi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">200 hasta, semptomlar\u0131n ba\u015flamas\u0131ndan ortalama 16 saat sonra klinikte de\u011ferlendirildi. Birka\u00e7 test yapt\u0131lar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Timed Up and Go (TUG): Bir ki\u015finin ne kadar h\u0131zl\u0131 ve g\u00fcvenli bir \u015fekilde aya\u011fa kalkt\u0131\u011f\u0131n\u0131, k\u0131sa bir mesafe y\u00fcr\u00fcd\u00fc\u011f\u00fcn\u00fc ve tekrar oturdu\u011funu \u00f6l\u00e7er.<\/li>\n\n\n\n<li>Fonksiyonel Y\u00fcr\u00fcme De\u011ferlendirmesi (FGA): Y\u00fcr\u00fcrken dengeyi ne kadar iyi korudu\u011funu test eder.<\/li>\n\n\n\n<li>Y\u00fcr\u00fcy\u00fc\u015f ve G\u00f6vde Ataksisi \u0130ndeksi (GTI): Y\u00fcr\u00fcrken \u00fcst g\u00f6vdenin ve bacaklar\u0131n ne kadar iyi uyum i\u00e7inde \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 de\u011ferlendirir.<\/li>\n\n\n\n<li>Mobil Post\u00fcrografi: Ayakta dururken veya y\u00fcr\u00fcrken ne kadar dengeli oldu\u011funuzu kaydeder.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ne sonu\u00e7 \u00e7\u0131kt\u0131?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Baz\u0131 hastalar bir <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-nevrit\/\" data-type=\"post\" data-id=\"7427\">Vestib\u00fcler n\u00f6rit<\/a> testlerde daha k\u00f6t\u00fc sonu\u00e7lar elde etti <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/labilent-enfarktuesue\/\" data-type=\"post\" data-id=\"6001\">\u0130nme hastalar\u0131<\/a>.<\/li>\n\n\n\n<li>Yine de sadece bu testlerle bunun bir fel\u00e7 mi yoksa denge siniri iltihab\u0131 m\u0131 oldu\u011funu g\u00fcvenilir bir \u015fekilde s\u00f6ylemek m\u00fcmk\u00fcn de\u011fildi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ani ba\u015f d\u00f6nmesinde her zaman kesin ve kapsaml\u0131 bir <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\">\u0130nceleme <\/a>\u2013 Y\u00fcr\u00fcme ve ayakta durma testleri faydal\u0131d\u0131r, ancak yeterli de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle sonu\u00e7lar her zaman t\u0131bbi ge\u00e7mi\u015fle birlikte, ba\u015f d\u00f6nmesinin nedenlerini ay\u0131rt etmek i\u00e7in geli\u015ftirilmi\u015f \u00f6zel testlerle (s\u00f6zde HINTS test bataryas\u0131), MR gibi olas\u0131 g\u00f6r\u00fcnt\u00fclemelerle ve di\u011fer t\u0131bbi bulgularla birlikte incelenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f t\u00fcm IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapistleri<\/strong>, Denge bozukluklar\u0131n\u0131z\u0131 profesyonel bir \u015fekilde de\u011ferlendirebilecek ve tedavi edebilecek uzmanlar\u0131, ... arac\u0131l\u0131\u011f\u0131yla bulabilirsiniz. <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Patient:innen mit akutem Schwindel zeigen oft Gangunsicherheit und Standprobleme. Ob einfache, klinische Gang- und Standtests helfen, zwischen peripheren und zentralen Ursachen (z. B. Schlaganfall) zu unterscheiden, war bislang nicht eindeutig gekl\u00e4rt. \ud83d\udd17 Originalstudie auf PubMed Studiendesign: Im Rahmen der EMVERT-Studie (LMU Klinikum, M\u00fcnchen) wurden 200 Patient:innen innerhalb von durchschnittlich 16 Stunden nach Symptombeginn [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18002,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":271,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[215],"tags":[],"class_list":["post-15160","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=15160"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15160\/revisions"}],"predecessor-version":[{"id":17492,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/15160\/revisions\/17492"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18002"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=15160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=15160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=15160"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}