Limits of stability among patients with Chronic Maxillary Sinusitis: A Cross-sectional Comparative study

Limits of stability among patients with Chronic Maxillary Sinusitis: A Cross-sectional Comparative study Veena Kirthika S. MPT (Phd), Vice Principal/Professor, Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute, Maduravoyal, Chennai – 600095. Nabeena N. BPT Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute, Maduravoyal, Chennai – 600095. Padmanabhan K. MPT, MBBS, (PhD) Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute, Maduravoyal, Chennai – 600095. Selvaraj Sudhakar MPT, (PhD) Faculty of Physiotherapy, Dr. M.G R. Educational and Research Institute, Maduravoyal, Chennai – 600095. Jibi Paul PhD Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute, Maduravoyal, Chennai – 600095. Senthil Selvam P. PhD School of Physiotherapy, Vels Institute of Science, Technology and Advanced Studies, Chennai, Tamil Nadu.

Background: Sinusitis also known as Rhino sinusitis is the inflammation of sinuses that involves one or more cavities that could be due to bacterial or viral infection or even due to allergies. The patients may experience pain and tenderness around eyes, cheeks, nose and forehead, facial swelling, headache may be severe with nasal congestion. The secretions could have an impact on the vestibular apparatus which possibly may cause balance impairment. This study is intended to analyze the effect of chronic maxillary sinusitis (CMS) on balance. Objective: The aim of the study is to analyze the impact of CMS on the limits of stability. Materials and Methods: Thirty participants within the age group 20-40 were selected. Group A consisted of 15 patients with chronic maxillary sinusitis (CMS). Group B were matched controls (n=15) with the same age group, as that of the sinusitis group. Both male and female subjects within the age group of 20-40 years were included. Subjects with any other illness like trigeminal neuralgia, tension type headache, cervicogenic headache and other types of sinusitis were excluded. Functional Reach Test (FRT) between two groups were analysed Results: The mean FRT in patient with CS is 32.5 ± 9.5 cm. While in matched controls is 36.8 ± 7.9 cm. There exists significance difference (p=0.002) between them. Conclusion: Patient with chronic maxillary sinusitis has less functional reaching capability and thereby decreased limits of stability when compared to the matched peers.
5 26 2021 5 26 2021 2840 2842 10.52711/0974-360X.2021.00500 https://rjptonline.org/AbstractView.aspx?PID=2021-14-5-84 10.1177/0194599815574247 Rosenfeld RM, Piccirillo JF, Chandrasekhar SS, Brook I, Kumar KA, Kramper M, et al. Clinical practice guideline (update): Adult Sinusitis Executive Summary. Otolaryngol Head Neck Surg 2015;152: 598-609. 10.1016/0091-6749(92)90169-3 Gwaltney JMJ, Scheld WM, Sande MA, Sydnor A. The microbial etiology and antimicrobial therapy of adults with acute community-acquired sinusitis: a fifteen-year experience at the University of Virginia and review of other selected studies. J Allergy Clin Immunol 1992;90: 457-61; discussion 462. 10.1016/s0895-4356(97)00117-0 de Bock GH, Dekker FW, Stolk J, Springer MP, Kievit J, van Houwelingen JC. Antimicrobial treatment in acute maxillary sinusitis: a meta-analysis. J Clin Epidemiol 1997;50: 881-90. Chester AC. Chronic sinusitis. Am Fam Physician 1996;53: 877-887. 10.1016/s0194-5998(97)70002-0 Hadley JA, Schaefer SD. Clinical evaluation of rhinosinusitis: history and physical examination. Otolaryngol Head Neck Surg 1997;117: S8-11. 10.1016/s0194-5998(96)70131-6 Downey LL, Jacobs JB, Lebowitz RA. Anosmia and chronic sinus disease. Otolaryngol Head Neck Surg 1996;115: 24-28. 10.1001/archotol.1988.01860200040012 Havas TE, Motbey JA, Gullane PJ. Prevalence of incidental abnormalities on computed tomographic scans of the paranasal sinuses. Arch Otolaryngol Head Neck Surg 1988;114: 856-59. 10.1007/bf00464441 Stammberger H. An endoscopic study of tubal function and the diseased ethmoid sinus. Arch Otorhinolaryngol 1986;243: 254-59. 10.1097/01.mlg.0000157332.17291.fc Brook I. Microbiology of acute and chronic maxillary sinusitis associated with an odontogenic origin. Laryngoscope 2005;115: 823-25. 10.1097/00005537-199712000-00002 Gold SM, Tami TA. Role of middle meatus aspiration culture in the diagnosis of chronic sinusitis. Laryngoscope 1997;107: 1586-89. 10.1177/000348949610500910 Takahashi H, Miura M, Honjo I, Fujita A. Cause of eustachian tube constriction during swallowing in patients with otitis media with effusion. Ann Otol Rhinol Laryngol 1996;105: 724-28. Bozkus F, Bozan N, Iynen I, Sakin YF, Kiris M. Analysis of sinonasal, pharyngeal and allergy-related risk factors for chronic suppurative otitis media. Acta Medica Mediterr 2013; 29:47-52. 10.1001/jama.2013.281053 World Health Organisation. Declaration of Helsinki World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. J Am Med Assoc 2013;310: 2191-94. Ballenger J. Chronic rhinitis and nasal obstruction. In: Otorhinolaryngology head and neck surgery, 15th edn. Williams and Wilkins Co; 1996: 129-34.sssss