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Predictors of static and dynamic balance control in kidney transplant recipients

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Summary

Background

We aimed to evaluate balance control and lower extremity muscle strength in kidney transplant recipients (KTRs) including a comparison to a healthy control group and determine the predictors of static and dynamic balance control after kidney transplantation.

Methods

In this study 40 KTRs and 40 healthy controls were included. Balance control was assessed using the Biodex balance system. The static postural stability test (SPST) and clinical test of sensory integration and balance (CTSIB) were used to assess static balance control whereas the dynamic postural stability test (DPST) and limits of stability test (LOST) were used for dynamic balance control. Lower extremity muscle strength was measured with a hand-held dynamometer. Renal functions and laboratory findings of KTRs were recorded.

Results

All the stability index scores of SPST and sway index in CTSIB were significantly higher in KTRs compared to healthy controls. The right anteroposterior stability index score in DPST and the reaction time in LOST were significantly higher whereas overall score in LOST and lower extremity muscle strength were significantly lower in KTRs. The linear regression analysis revealed that hemoglobin was the predictor of static balance control accounting for 11% of the variance and body weight was the predictor of dynamic balance control accounting for 34% of the variance.

Conclusion

Balance control, both static and dynamic, are impaired in KTRs as well as lower extremity muscle strength. Hemoglobin level is a predictor of static balance control whereas body weight is a predictor of dynamic balance control after kidney transplantation.

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Author information

Authors and Affiliations

  1. Graduate School of Health Sciences, Dokuz Eylul University, Izmir, Turkey

    Hatice Nihan Bozkurt

  2. Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Mithatpaşa Street, Number: 56/15 Balçova, 35340, Izmir, Turkey

    Hatice Nihan Bozkurt & Meriç Yıldırım

  3. Division of Nephrology, Department of Internal Medicine, Dokuz Eylul University, Izmir, Turkey

    Ali Çelik & Serkan Yıldız

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  1. Hatice Nihan Bozkurt
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  2. Meriç Yıldırım
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  4. Serkan Yıldız
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Correspondence to Hatice Nihan Bozkurt.

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Conflict of interest

H.N. Bozkurt, M. Yıldırım, A. Çelik and S. Yıldız declare that they have no competing interests.

Ethical standards

The study was conducted in accordance with ethical standards of Helsinki Declaration and was approved by Institutional Non-invasive Research Ethics Board (approval number: 2018/11-03 and date: 03.05.2018). Informed consent was obtained from all patients for being included in the study.

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Bozkurt, H.N., Yıldırım, M., Çelik, A. et al. Predictors of static and dynamic balance control in kidney transplant recipients. Wien Klin Wochenschr (2023). https://doi.org/10.1007/s00508-023-02292-3

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