@article{
author = "Adamović, Tatjana and Ribarić-Jankes, Ksenija and Sovilj, Mirjana",
year = "2011",
abstract = "This paper examines the correlation between vestibular and
cochlear responses, obtained in newborns immediately after birth,
for the purpose of improving procedures of early detection of possible
hearing and vestibular impairment. A group of reflexes which indicate
whether the vestibular apparatus is already realizing its function were
tested in 100 healthy, full-term newborns from regular pregnancies,
on the third day upon birth. At the same time, hearing ability in all
newborns was examined by transient otoacoustic emission (TEOAE).
Testing each reflex in newborns, was carried out in three attempts by
trained medical staff, whereas the examiner performed instructing,
observation and data recording. The obtained data were recorded by
means of a digital camera, then scored and statistically and descriptively
processed. For each examinee in the sample, data on gender and body
size on birth, body weigh (BW), body length (BL) and head circumference
(HC), were recorded. Research results indicate that 91% of babies have
normal TEOAE finding bilaterally, whereas in 9% of newborns TEOAE
was absent on both sides or just on one ear (bilaterally 3%, on the left side 4% and on the right side 2%). In the examined sample, maximal
presence of reflexes in total (MOR+ATRV+VOR+LRIG) was established
in 7% of newborns, while minimal presence was recorded just in 1%.
Absence of these four reflexes together, was not established in any of
the newborns. Reflexes in total were significantly more developed in
babies with normal TEOAE results bilaterally, then in babies whose
TEOAE findings were bilaterally or unilaterally absent (p<0.01). It
was also confirmed that a significant part of variance (13.8%) about
presence of reflexes in total, can be established on the basis of TEOAE
results. Absence of these four reflexes together, was not established in
any of the newborns. BW, BL, HC and gender of infants, do not have
significant influence on the presence of reflexes in total, regardless of
the fact whether it is an isolated influence of the mentioned variables,
their reciprocal interaction, or their interaction with TEOAE results.
Giving instructions for recognition and further monitoring of
newborns with delayed maturation of vestibular pathways is of special
significance in practice. This is particularly important because of the
possible associated disturbance of vestibular and cochlear function., U radu se ispituje povezanost vestibularnih i kohlearnih odgovora
dobijenih kod beba neposredno po rođenju, u cilju usavršavanja procedure
rane detekcije mogućeg oštećenja slušne i vestibularne funkcije.
Kod stotinu zdrave, terminske novorođenčadi iz urednih trudnoća,
trećeg dana po rođenju, ispitana je grupa refleksa koji ukazuju da li
vestibularno čulo već ostvaruje svoju funkciju. Istovremeno, funkcija
kohlee kod novorođenčadi ispitana je putem tranzijentne otoakustičke
emisije (TEOAE). Testiranje refleksa kod beba izvodilo je iz tri pokušaja
obučeno medicinsko osoblje, dok je ispitivač vršio instruiranje,
opservaciju i beleženje podataka. Dobijeni podaci su dokumentovani
digitalnom kamerom, potom bodovani, statistički i deskriptivno obrađeni.
Za svakog ispitanika iz uzorka, uzeti su podaci o polu kao i o telesnoj
težini (TT), telesnoj dužini (TD) i obimu glave (OG) na rođenju.
Rezultati istraživanja su ukazali da je obostrana prolaznost na TEOAE
testu unutar ispitanog uzorka, utvrđena kod 91% novorođenčadi. Kod
3% beba TEOAE odgovor je obostrano izostao, dok je 6% ispitanika
palo TEOAE test samo sa jedne strane (4% levo i 2% desno). Maksimalna
prisutnost refleksa ukupno (MOR+ATRV+VOR+LRIG) utvrđena
je kod 7% novorođenčadi, dok je samo 1% ispitanika ove reflekse imalo
minimalno prisutne. Odsutnost sva četiri refleksa, nije utvrđena
ni kod jednog novorođenčeta. Svi refleksi su značajno prisutniji kod
beba koje su imale obostrano uredan nalaz TEOAE u odnosu na bebe
kod kojih TEOAE odgovora obostrano ili samo sa jedne strane nije bilo
(p<0.01). Takođe, utvrđeno je da se značajan deo varijanse (13.8%) o
prisutnosti refleksa ukupno, može odrediti na osnovu rezultata TEOAE testa. Pol, TT, TD i OG novorođenčadi nemaju značajan uticaj na
prisutnost ispitivanih refleksa, bilo da se radi o pojedinačnom uticaju
tih varijabli, o njihovoj međusobnoj interakciji ili interakciji sa rezultatima
TEOAE testa. Poseban značaj za praksu je u uputstvima prema
kojima bi se novorođenčad sa zakasnelom maturacijom vestibularnih
puteva, izdvajala i pratila zbog mogućnosti postojanja udružene smetnje
vestibularne i kohlearne funkcije.",
publisher = "Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju/ University of Belgrade – Faculty of Special Education and Rehabilitation",
journal = "Specijalna edukacija i rehabilitacija",
title = "Correlation between vestibular and cochlear function in newborns, Korelacija vestibularne i kohlearne funkcije kod novorođenčadi",
pages = "572-551",
number = "4",
volume = "10",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_4167"
}
