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Öğe Evaluation of the efferent auditory system in COVID-19 adult patients(Taylor & Francis Ltd, 2022) Emekci, Tugba; Dundar, Mehmet Akif; Kirazli, Gulce; Kilinc, Fatma Men; Cengiz, Deniz Ugur; Karababe, Ercan; Inceoglu, FeyzaBackground The short- and long-term effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on the medial olivocochlear reflex and outer hair cells in the cochlea remain largely unclear. Aims The aim of this study was to investigate the efferent auditory system effects in adult patients with COVID-19. Materials and methods The study included 18-50 years old 44 volunteers: 26 individuals (52 ears) with COVID-19 in the study group and 18 healthy individuals (36 ears) in the control group. Otolaryngological examination, immitancemetric evaluation, distortion product otoacoustic emission (DPOAE), contralateral acoustic stimulation with DPOAE, audiometric evaluation, and high frequency audiometric evaluation were performed in all individuals participating in the study. Results In our study, patients with COVID-19 had significantly lower DPOAE results with or without broadband noise at only 6 kHz frequency and contralateral suppression results at all frequencies compared to healthy individuals. A statistically significant difference was found between the study and control groups according to whether the participants had a response in the high frequency audiometry at 12 and 16 kHz frequencies. Conclusions COVID-19 affects many systems in the body. As a result of the findings obtained in the present study, it is shown that the auditory efferent system may also be affected.Öğe An evaluation of the test-retest reliability of the functional head impulse test in healthy young adults(Springer, 2023) Kirazli, Gulce; Emekci, Tugba; Inceoglu, Feyza; Akmese, Pelin Pistav; Celebisoy, NeseAimTo determine the test and retest reliability of the functional head impulse test (fHIT) in healthy young adults.Materials and methodsThirty-three healthy participants (17 women, 16 men) aged 18-30 years were included in the study. Each participant underwent the fHIT twice, 1 week apart, by the same experienced clinician. Intraclass correlation coefficients (ICCs) were used to determine test-retest reliability.ResultsThere was no statistically significant difference between the results of total percentage of correct answer (CA%) of the fHIT obtained in session 1 and session 2 measurements in the lateral, anterior, and posterior semicircular canals (SCCs) (p > 0.05). ICC values for test-retest reliability were found to range from 0.619 to 0.665 for the three semicircular canals (SCCs).ConclusionThe test-retest reliability of the fHIT device was moderate. Attention, cognition, and fatigue may be the factors reducing reliability. In the diagnosis, follow-up, and rehabilitation processes of vestibular diseases in clinics, changes in the fHIT CA% can be used to assess vestibulo-ocular reflex (VOR) functionality.Öğe vHIT results with the synapsis system according to clinicians' dominant hand use(Ios Press, 2023) Emekci, Tugba; Dundar, Mehmet Akif; Kirazli, Gulce; Inceoglu, Feyza; Cengiz, Deniz Ugur; Kilinc, Fatma Men; Karababa, ErcanBACKGROUND/OBJECTIVE: There exists limited information in the literature on dominant hand preference in relation with vHIT applications. The present study aimed to examine the relationship between the clinician's dominant use of rightor left-hand and vHIT results. METHODS: A Synapsys vHIT Ulmer device was used in the study. The tests were administered by 3 clinicians experienced in vHIT, 2 of whom were right-handed and 1 left-handed. The test was applied to the 94 participants three times, one week apart. RESULTS: In this study, the correlation between right-handed clinicians and left-handed clinicians was examined, and in all SCCs, namely RA, LA, RL, LL, RP and LP, a moderate positive significant correlation was found between right-handed1 and right-handed2, between right-handed1 and left-handed, and between right-handed2 and left-handed. CONCLUSIONS: In this study, these findings suggested that measures were reliable across test sessions regardless of hand dominancy (right or left). Based on the vHIT results we obtained with three different right- or left-handed clinicians, the clinician should evaluate the results according to the dominant side. Keywords: Hand-dominance, left-hand dominance, right-hand dominance,