Clinical Rheumatology

, Volume 38, Issue 11, pp 3261–3268 | Cite as

Evaluation of the relationship between osteoporosis, balance, fall risk, and audiological parameters

  • Ejder BerkEmail author
  • Tuba Tülay Koca
  • Saime Sağıroğlu Güzelsoy
  • Vedat Nacitarhan
  • Adnan Demirel
Original Article


The aim of the study is to investigate the factors such as balance and audiology parameters and bone mineral density (BMD), which were thought to be associated with the increased risk of fall in osteoporotic patients. Ninety-nine female patients between the ages of 40 and 75 were included in the study. Noise exposure, tinnitus, and vertigo were investigated. BMD measurement, Berg Balance Scale (BBS), Timed Up and Go (TUG), and stabilometry tests were applied to the patients. Patients were divided into three groups according to BMD measurements. Patients with a T score of − 1 and below were considered normal (control) (group 1), those with a T score of − 1 to − 2.5 were considered osteopenic (group 2), and those with a T score of − 2.5 and above were considered osteoporotic (OP) (group 3). BBS was 42.06 ± 5.00, 47.74 ± 5.18, and 51.65 ± 3.64 in groups1, 2, and 3, respectively. The difference between the groups was statistically significant (p = 0.001). OP patients had higher oscillation values in all measurements compared with the control group. However, the difference was statistically significant especially on mobile platforms (p < 0.05). Mean tones of pure tone thresholds at 500–8000 Hz for ears were significantly different in patients with OP compared with controls (p < 0.05 for 500–2000 Hz, p < 0.01 for 4000–8000 Hz). This study demonstrated that BMD reduction was correlated with balance parameters and audiological measurements. Therefore, it can be concluded that OP may affect the risk of fracture occurrence not only by decreasing BMD but also by increasing the risk of falling.

Key points

In the present study, the effects of balance and audiology parameter measurements on osteoporosis (OP) were investigated. In addition, the associations between vertigo, tinnitus, history of falling, body made index, vitamin D, and calcium values and osteoporosis were evaluated.

We determined that bone mineral density (BMD) reduction was related to balance and audiological parameters. It can be speculated that OP may affect the risk of fracture occurrence not only by decreasing BMD but also by increasing the risk of falling. We think that early diagnosis, appropriate treatment, and rehabilitation of hearing loss and OP may decrease the incidence of falling and improve the quality of life of the affected individuals.


Audiological parameters Balance Falling Osteoporosis 


Compliance with ethical standards



Ethics committee approval

The study was approved by the Clinical Research Ethics Committee of Sütçü Imam University School of Medicine.


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Copyright information

© International League of Associations for Rheumatology (ILAR) 2019

Authors and Affiliations

  • Ejder Berk
    • 1
    Email author
  • Tuba Tülay Koca
    • 1
  • Saime Sağıroğlu Güzelsoy
    • 2
  • Vedat Nacitarhan
    • 1
  • Adnan Demirel
    • 3
  1. 1.Department of Physical Medicine and RehabilitationSütçü Imam University School of MedicineKahramanmaraşTurkey
  2. 2.Department of OtorhinolaryngologySütçü Imam University School of MedicineKahramanmaraşTurkey
  3. 3.Department of Physical Medicine and RehabilitationAnatolia Private HospitalElazığTurkey

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