Joanna Majak - Academia.edu (original) (raw)
Papers by Joanna Majak
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not es... more Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not established. The aim of present study was to asses diagnostic value of classical radiologic, electronystagmographic (ENG) and transcranial doppler ultrasonographic (TCD) examinations in cervical vertigo diagnostic process. Forty patients with vertigo lasting more than 6 months with radiological evidence of cervical spondylosis participated in the study. All patients had ENG and TCD with neck rotation test. Cervical vertigo was diagnosed in patients with positive neck rotation test in: TCD examination (15% decrease of vertebral artery flow) and/or ENG examination (cervical nystagmus). We diagnosed cervical vertigo in 65% of patients. Multivariate model of logistic regression analysis showed that the best statistical predictors of cervical vertigo were: asymmetry of vertebral artery flow in TCD (OR: 92.2; 95% CI: 6,2-1381) and presence of osteophytes and discopathy in radiological examinatio...
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2006
The aim of our investigations was to characterize the relationship between basilar artery (BA) fl... more The aim of our investigations was to characterize the relationship between basilar artery (BA) flow velocity in patients with cervical spondylosis and age, grade of radiological changes, prevalence of vertigo, and decreased blood flow velocity through vertebral arteries (VA) after head rotation. A prospective, controlled study in academic neurotology was conducted. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained of positional vertigo lasting more than 6 months. Patients were examined by transcranial Doppler ultrasound with head rotations. We showed significant association between velocity flow in basilar artery after neck rotation and age, prevalence of vertigo, grade of radiological changes, and positional vertebral artery flow lesion. Spondylotic-induced VA compression may be the reason for decreased blood flow velocity in the basilar artery during head rotation, which may be of particular importance for older patients, especia...
An analysis of selected diagnostic examinations results in patients with cer An analysis of selec... more An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cervical vertigo and vical vertigo and vical vertigo and vical vertigo and vical vertigo and positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of present study was to characterize the association between prevalence of vertigo and ag... more The aim of present study was to characterize the association between prevalence of vertigo and age, grade of radiological changes and positional vertebral (VA) and basilar artery (BA) flow lesion in patients with cervical spondylosis. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained positional vertigo. Patients with neurological symptoms were excluded from the study. ENG was used to exclude patients with another causes of vertigo. TCD evaluations of the distal part of VA and the proximal part of BA were performed with a 2-MHz probe via the suboccipital window. We showed significant and independent association between prevalence of vertigo and age, grade of radiological changes, and positional vertebral and basilar artery flow lesion velocity in multivariate logistic regression model. Spondylotic-induced VA compression may be the reason of decreased blood flow velocity in the basilar artery during head rotation, causing positional ...
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not es... more Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not established. The aim of present study was to asses diagnostic value of classical radiologic, electronystagmographic (ENG) and transcranial doppler ultrasonographic (TCD) examinations in cervical vertigo diagnostic process. Forty patients with vertigo lasting more than 6 months with radiological evidence of cervical spondylosis participated in the study. All patients had ENG and TCD with neck rotation test. Cervical vertigo was diagnosed in patients with positive neck rotation test in: TCD examination (15% decrease of vertebral artery flow) and/or ENG examination (cervical nystagmus). We diagnosed cervical vertigo in 65% of patients. Multivariate model of logistic regression analysis showed that the best statistical predictors of cervical vertigo were: asymmetry of vertebral artery flow in TCD (OR: 92.2; 95% CI: 6,2-1381) and presence of osteophytes and discopathy in radiological examinatio...
OBJECTIVES The aim of the study was to assess the influence of short-term impulse noise on the si... more OBJECTIVES The aim of the study was to assess the influence of short-term impulse noise on the size and dynamics of temporary threshold shift, which precedes permanent threshold shift, i.e. noise-induced hearing loss. It was hoped to use the findings for preventive activities. MATERIALS AND METHODS The study included 80 healthy subjects (160 ears), aged 19-23 years, divided into two groups: group I comprised 40 recruit soldiers put to the shooting training, and group II consisted of 40 young male controls. All subjects had to show normal hearing with pure tone audiometric thresholds between 10-15 dB. Transient evoked otoacoustic emission (TOAE) measurements were performed by ILO 292 Echoport Otodynamics device 3-5 min before shooting and then 2 min, 1, 2 and 3 h, respectively after shooting. In group II the time intervals were similar. RESULTS It was found that the gunshot impulse noise from the kbk AKMS rifle caused temporary hearing threshold shift (TTS) at 1, 2, 3, 4 and 5 kHz fr...
B-ENT, 2006
A comparative assessment of toxic element concentrations in serum and tissue bioptates in patient... more A comparative assessment of toxic element concentrations in serum and tissue bioptates in patients with laryngeal papilloma or cancer was performed. Examinations were conducted in 60 patients (40 men and 20 women) aged 20-88 years (average 59 +/- 05). Patients were divided into 3 groups; 20 patients with laryngeal papilloma were in group I, 20 with laryngeal cancer were in group II, and 20 with deviated nasal septums were included as a control group (III). Diagnosis of laryngeal papilloma (removed by direct microlaryngoscopy--Kleinsasser method) and laryngeal cancer (removed by the Rethi method) was histopatologically confirmed in patients from groups I and II, respectively. Patients in the control group received functional surgery to repair deviated nasal septums. Serum and tissue samples were obtained from all patients before surgery. Aluminum and lead concentrations were analysed by inductively coupled plasma atomic emission spectrometry (ICP-AES) using a Spectroflame M spectrome...
International journal of occupational medicine and environmental health, 2005
The aim of the study was to assess the influence of short-term impulse noise on the size and dyna... more The aim of the study was to assess the influence of short-term impulse noise on the size and dynamics of temporary threshold shift, which precedes permanent threshold shift, i.e. noise-induced hearing loss. It was hoped to use the findings for preventive activities. The study included 80 healthy subjects (160 ears), aged 19-23 years, divided into two groups: group I comprised 40 recruit soldiers put to the shooting training, and group II consisted of 40 young male controls. All subjects had to show normal hearing with pure tone audiometric thresholds between 10-15 dB. Transient evoked otoacoustic emission (TOAE) measurements were performed by ILO 292 Echoport Otodynamics device 3-5 min before shooting and then 2 min, 1, 2 and 3 h, respectively after shooting. In group II the time intervals were similar. It was found that the gunshot impulse noise from the kbk AKMS rifle caused temporary hearing threshold shift (TTS) at 1, 2, 3, 4 and 5 kHz frequencies of 1.07, 0.96, 1.41, 0.88 and 1...
An analysis of selected diagnostic examinations results in patients with cer An analysis of selec... more An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cervical vertigo and vical vertigo and vical vertigo and vical vertigo and vical vertigo and positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Otolaryngology - Head and Neck Surgery, 2007
The aim of the study was to assess the influence of short-term impulse noise to temporary thresho... more The aim of the study was to assess the influence of short-term impulse noise to temporary threshold shift in soldiers using hearing protectors. The study included 80 subjects with correct tympanic membrane and thresholds measured by pure-tone audiometry less than 20 dB. There were two groups: 40 soldiers protected during shooting and 40 young males who didn't shoot. TEOAE were performed by ILO 292 Echoport Otodynamics device 3 to 5 minutes before shooting and 2 minutes and 1, 2, and 3 hours after shooting. Short-term exposure to impulse noise generated by five gunshots from the rifle kbk AKMS hasn't induced temporary threshold shift of hearing for chosen frequencies in soldiers using hearing protectors. Spectral analysis for chosen frequencies revealed that measurement reproducibility, stimuli level, and probe stability appeared to be comparable and repeatable. Our results show that the use of hearing protectors safeguarded against impulse noise. The use of earmuffs is strongly recommended because they seem to sufficiently attenuate shooting noise.
Otolaryngology Head and Neck Surgery Official Journal of American Academy of Otolaryngology Head and Neck Surgery, 2007
The aim of the study was to assess the influence of short-term impulse noise to temporary thresho... more The aim of the study was to assess the influence of short-term impulse noise to temporary threshold shift in soldiers using hearing protectors. The study included 80 subjects with correct tympanic membrane and thresholds measured by pure-tone audiometry less than 20 dB. There were two groups: 40 soldiers protected during shooting and 40 young males who didn't shoot. TEOAE were performed by ILO 292 Echoport Otodynamics device 3 to 5 minutes before shooting and 2 minutes and 1, 2, and 3 hours after shooting. Short-term exposure to impulse noise generated by five gunshots from the rifle kbk AKMS hasn't induced temporary threshold shift of hearing for chosen frequencies in soldiers using hearing protectors. Spectral analysis for chosen frequencies revealed that measurement reproducibility, stimuli level, and probe stability appeared to be comparable and repeatable. Our results show that the use of hearing protectors safeguarded against impulse noise. The use of earmuffs is strongly recommended because they seem to sufficiently attenuate shooting noise.
Otolaryngology-head and Neck Surgery - OTOLARYNGOL HEAD NECK SURG, 2006
The aim of our investigations was to characterize the relationship between basilar artery (BA) fl... more The aim of our investigations was to characterize the relationship between basilar artery (BA) flow velocity in patients with cervical spondylosis and age, grade of radiological changes, prevalence of vertigo, and decreased blood flow velocity through vertebral arteries (VA) after head rotation. A prospective, controlled study in academic neurotology was conducted. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained of positional vertigo lasting more than 6 months. Patients were examined by transcranial Doppler ultrasound with head rotations. We showed significant association between velocity flow in basilar artery after neck rotation and age, prevalence of vertigo, grade of radiological changes, and positional vertebral artery flow lesion. Spondylotic-induced VA compression may be the reason for decreased blood flow velocity in the basilar artery during head rotation, which may be of particular importance for older patients, especially complaining of vertigo. Every patient with high-grade cervical spondylosis, especially complaining of vertigo, should be examined by using TCD (transcranial Doppler) with head rotations. In case of positional blood flow reduction during head rotation, further angiographic examination should be undertaken so as to plan suitable treatment. C-4.
Pediatric Allergy and Immunology
International Journal of Occupational Medicine and Environmental Health
The aim of this study was to investigate whether the restriction in neck rotation and increased n... more The aim of this study was to investigate whether the restriction in neck rotation and increased neck muscle tension could be causally related to vertigo and dizziness. Material and Methods: Seventy-one patients reporting vertigo and/or imbalance were divided into 2 groups: 45 subjects with unilateral restriction (R+) and 26 without restriction (R-) of cervical rotation and muscle tension in the clinical flexion-rotation test. The normal caloric test was the inclusion criterion. The control group comprised 36 healthy volunteers with no history of vertigo. The vestibulo-ocular reflex (VOR) and the cervico-occular reflex (COR) were measured through the videonystagmography (VNG) sinusoidal pendular kinetic test in the conditions of not inactivated head and immobilized head, respectively. The VNG-head torsion test (VNG-HTT) nystagmus was recorded. Results: Among the reported complaints, neck stiffness, headaches and blurred vision were more frequent in the R+ group than in both the R-group and the control group. VNG revealed an increased COR gain and the presence of VNG-HTT nystagmus in the R+ group only. Similarly, only in the R+ group a positive relationship between COR and VOR was observed. Conclusions: Patients with asymmetric restriction in neck rotation and increased neck muscle tension reveal the tendency to have an increased response of the vestibular system, along with co-existing COR upregulation. Further research is needed to investigate the relationships between the activation of cervical mechanoreceptors and dizziness pathomechanisms.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of present study was to characterize the association between prevalence of vertigo and ag... more The aim of present study was to characterize the association between prevalence of vertigo and age, grade of radiological changes and positional vertebral (VA) and basilar artery (BA) flow lesion in patients with cervical spondylosis. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained positional vertigo. Patients with neurological symptoms were excluded from the study. ENG was used to exclude patients with another causes of vertigo. TCD evaluations of the distal part of VA and the proximal part of BA were performed with a 2-MHz probe via the suboccipital window. We showed significant and independent association between prevalence of vertigo and age, grade of radiological changes, and positional vertebral and basilar artery flow lesion velocity in multivariate logistic regression model. Spondylotic-induced VA compression may be the reason of decreased blood flow velocity in the basilar artery during head rotation, causing positional ...
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not es... more Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not established. The aim of present study was to asses diagnostic value of classical radiologic, electronystagmographic (ENG) and transcranial doppler ultrasonographic (TCD) examinations in cervical vertigo diagnostic process. Forty patients with vertigo lasting more than 6 months with radiological evidence of cervical spondylosis participated in the study. All patients had ENG and TCD with neck rotation test. Cervical vertigo was diagnosed in patients with positive neck rotation test in: TCD examination (15% decrease of vertebral artery flow) and/or ENG examination (cervical nystagmus). We diagnosed cervical vertigo in 65% of patients. Multivariate model of logistic regression analysis showed that the best statistical predictors of cervical vertigo were: asymmetry of vertebral artery flow in TCD (OR: 92.2; 95% CI: 6,2-1381) and presence of osteophytes and discopathy in radiological examinatio...
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2006
The aim of our investigations was to characterize the relationship between basilar artery (BA) fl... more The aim of our investigations was to characterize the relationship between basilar artery (BA) flow velocity in patients with cervical spondylosis and age, grade of radiological changes, prevalence of vertigo, and decreased blood flow velocity through vertebral arteries (VA) after head rotation. A prospective, controlled study in academic neurotology was conducted. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained of positional vertigo lasting more than 6 months. Patients were examined by transcranial Doppler ultrasound with head rotations. We showed significant association between velocity flow in basilar artery after neck rotation and age, prevalence of vertigo, grade of radiological changes, and positional vertebral artery flow lesion. Spondylotic-induced VA compression may be the reason for decreased blood flow velocity in the basilar artery during head rotation, which may be of particular importance for older patients, especia...
An analysis of selected diagnostic examinations results in patients with cer An analysis of selec... more An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cervical vertigo and vical vertigo and vical vertigo and vical vertigo and vical vertigo and positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of present study was to characterize the association between prevalence of vertigo and ag... more The aim of present study was to characterize the association between prevalence of vertigo and age, grade of radiological changes and positional vertebral (VA) and basilar artery (BA) flow lesion in patients with cervical spondylosis. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained positional vertigo. Patients with neurological symptoms were excluded from the study. ENG was used to exclude patients with another causes of vertigo. TCD evaluations of the distal part of VA and the proximal part of BA were performed with a 2-MHz probe via the suboccipital window. We showed significant and independent association between prevalence of vertigo and age, grade of radiological changes, and positional vertebral and basilar artery flow lesion velocity in multivariate logistic regression model. Spondylotic-induced VA compression may be the reason of decreased blood flow velocity in the basilar artery during head rotation, causing positional ...
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not es... more Cervical spine spondylotic changes are known to cause vertigo, but diagnostic criteria are not established. The aim of present study was to asses diagnostic value of classical radiologic, electronystagmographic (ENG) and transcranial doppler ultrasonographic (TCD) examinations in cervical vertigo diagnostic process. Forty patients with vertigo lasting more than 6 months with radiological evidence of cervical spondylosis participated in the study. All patients had ENG and TCD with neck rotation test. Cervical vertigo was diagnosed in patients with positive neck rotation test in: TCD examination (15% decrease of vertebral artery flow) and/or ENG examination (cervical nystagmus). We diagnosed cervical vertigo in 65% of patients. Multivariate model of logistic regression analysis showed that the best statistical predictors of cervical vertigo were: asymmetry of vertebral artery flow in TCD (OR: 92.2; 95% CI: 6,2-1381) and presence of osteophytes and discopathy in radiological examinatio...
OBJECTIVES The aim of the study was to assess the influence of short-term impulse noise on the si... more OBJECTIVES The aim of the study was to assess the influence of short-term impulse noise on the size and dynamics of temporary threshold shift, which precedes permanent threshold shift, i.e. noise-induced hearing loss. It was hoped to use the findings for preventive activities. MATERIALS AND METHODS The study included 80 healthy subjects (160 ears), aged 19-23 years, divided into two groups: group I comprised 40 recruit soldiers put to the shooting training, and group II consisted of 40 young male controls. All subjects had to show normal hearing with pure tone audiometric thresholds between 10-15 dB. Transient evoked otoacoustic emission (TOAE) measurements were performed by ILO 292 Echoport Otodynamics device 3-5 min before shooting and then 2 min, 1, 2 and 3 h, respectively after shooting. In group II the time intervals were similar. RESULTS It was found that the gunshot impulse noise from the kbk AKMS rifle caused temporary hearing threshold shift (TTS) at 1, 2, 3, 4 and 5 kHz fr...
B-ENT, 2006
A comparative assessment of toxic element concentrations in serum and tissue bioptates in patient... more A comparative assessment of toxic element concentrations in serum and tissue bioptates in patients with laryngeal papilloma or cancer was performed. Examinations were conducted in 60 patients (40 men and 20 women) aged 20-88 years (average 59 +/- 05). Patients were divided into 3 groups; 20 patients with laryngeal papilloma were in group I, 20 with laryngeal cancer were in group II, and 20 with deviated nasal septums were included as a control group (III). Diagnosis of laryngeal papilloma (removed by direct microlaryngoscopy--Kleinsasser method) and laryngeal cancer (removed by the Rethi method) was histopatologically confirmed in patients from groups I and II, respectively. Patients in the control group received functional surgery to repair deviated nasal septums. Serum and tissue samples were obtained from all patients before surgery. Aluminum and lead concentrations were analysed by inductively coupled plasma atomic emission spectrometry (ICP-AES) using a Spectroflame M spectrome...
International journal of occupational medicine and environmental health, 2005
The aim of the study was to assess the influence of short-term impulse noise on the size and dyna... more The aim of the study was to assess the influence of short-term impulse noise on the size and dynamics of temporary threshold shift, which precedes permanent threshold shift, i.e. noise-induced hearing loss. It was hoped to use the findings for preventive activities. The study included 80 healthy subjects (160 ears), aged 19-23 years, divided into two groups: group I comprised 40 recruit soldiers put to the shooting training, and group II consisted of 40 young male controls. All subjects had to show normal hearing with pure tone audiometric thresholds between 10-15 dB. Transient evoked otoacoustic emission (TOAE) measurements were performed by ILO 292 Echoport Otodynamics device 3-5 min before shooting and then 2 min, 1, 2 and 3 h, respectively after shooting. In group II the time intervals were similar. It was found that the gunshot impulse noise from the kbk AKMS rifle caused temporary hearing threshold shift (TTS) at 1, 2, 3, 4 and 5 kHz frequencies of 1.07, 0.96, 1.41, 0.88 and 1...
An analysis of selected diagnostic examinations results in patients with cer An analysis of selec... more An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cer An analysis of selected diagnostic examinations results in patients with cervical vertigo and vical vertigo and vical vertigo and vical vertigo and vical vertigo and positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test positive neck rotation test
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Otolaryngology - Head and Neck Surgery, 2007
The aim of the study was to assess the influence of short-term impulse noise to temporary thresho... more The aim of the study was to assess the influence of short-term impulse noise to temporary threshold shift in soldiers using hearing protectors. The study included 80 subjects with correct tympanic membrane and thresholds measured by pure-tone audiometry less than 20 dB. There were two groups: 40 soldiers protected during shooting and 40 young males who didn't shoot. TEOAE were performed by ILO 292 Echoport Otodynamics device 3 to 5 minutes before shooting and 2 minutes and 1, 2, and 3 hours after shooting. Short-term exposure to impulse noise generated by five gunshots from the rifle kbk AKMS hasn't induced temporary threshold shift of hearing for chosen frequencies in soldiers using hearing protectors. Spectral analysis for chosen frequencies revealed that measurement reproducibility, stimuli level, and probe stability appeared to be comparable and repeatable. Our results show that the use of hearing protectors safeguarded against impulse noise. The use of earmuffs is strongly recommended because they seem to sufficiently attenuate shooting noise.
Otolaryngology Head and Neck Surgery Official Journal of American Academy of Otolaryngology Head and Neck Surgery, 2007
The aim of the study was to assess the influence of short-term impulse noise to temporary thresho... more The aim of the study was to assess the influence of short-term impulse noise to temporary threshold shift in soldiers using hearing protectors. The study included 80 subjects with correct tympanic membrane and thresholds measured by pure-tone audiometry less than 20 dB. There were two groups: 40 soldiers protected during shooting and 40 young males who didn't shoot. TEOAE were performed by ILO 292 Echoport Otodynamics device 3 to 5 minutes before shooting and 2 minutes and 1, 2, and 3 hours after shooting. Short-term exposure to impulse noise generated by five gunshots from the rifle kbk AKMS hasn't induced temporary threshold shift of hearing for chosen frequencies in soldiers using hearing protectors. Spectral analysis for chosen frequencies revealed that measurement reproducibility, stimuli level, and probe stability appeared to be comparable and repeatable. Our results show that the use of hearing protectors safeguarded against impulse noise. The use of earmuffs is strongly recommended because they seem to sufficiently attenuate shooting noise.
Otolaryngology-head and Neck Surgery - OTOLARYNGOL HEAD NECK SURG, 2006
The aim of our investigations was to characterize the relationship between basilar artery (BA) fl... more The aim of our investigations was to characterize the relationship between basilar artery (BA) flow velocity in patients with cervical spondylosis and age, grade of radiological changes, prevalence of vertigo, and decreased blood flow velocity through vertebral arteries (VA) after head rotation. A prospective, controlled study in academic neurotology was conducted. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained of positional vertigo lasting more than 6 months. Patients were examined by transcranial Doppler ultrasound with head rotations. We showed significant association between velocity flow in basilar artery after neck rotation and age, prevalence of vertigo, grade of radiological changes, and positional vertebral artery flow lesion. Spondylotic-induced VA compression may be the reason for decreased blood flow velocity in the basilar artery during head rotation, which may be of particular importance for older patients, especially complaining of vertigo. Every patient with high-grade cervical spondylosis, especially complaining of vertigo, should be examined by using TCD (transcranial Doppler) with head rotations. In case of positional blood flow reduction during head rotation, further angiographic examination should be undertaken so as to plan suitable treatment. C-4.
Pediatric Allergy and Immunology
International Journal of Occupational Medicine and Environmental Health
The aim of this study was to investigate whether the restriction in neck rotation and increased n... more The aim of this study was to investigate whether the restriction in neck rotation and increased neck muscle tension could be causally related to vertigo and dizziness. Material and Methods: Seventy-one patients reporting vertigo and/or imbalance were divided into 2 groups: 45 subjects with unilateral restriction (R+) and 26 without restriction (R-) of cervical rotation and muscle tension in the clinical flexion-rotation test. The normal caloric test was the inclusion criterion. The control group comprised 36 healthy volunteers with no history of vertigo. The vestibulo-ocular reflex (VOR) and the cervico-occular reflex (COR) were measured through the videonystagmography (VNG) sinusoidal pendular kinetic test in the conditions of not inactivated head and immobilized head, respectively. The VNG-head torsion test (VNG-HTT) nystagmus was recorded. Results: Among the reported complaints, neck stiffness, headaches and blurred vision were more frequent in the R+ group than in both the R-group and the control group. VNG revealed an increased COR gain and the presence of VNG-HTT nystagmus in the R+ group only. Similarly, only in the R+ group a positive relationship between COR and VOR was observed. Conclusions: Patients with asymmetric restriction in neck rotation and increased neck muscle tension reveal the tendency to have an increased response of the vestibular system, along with co-existing COR upregulation. Further research is needed to investigate the relationships between the activation of cervical mechanoreceptors and dizziness pathomechanisms.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatme... more The aim of the study was to assess the effectiveness of kinesitherapy in cervical vertigo treatment. Thirty two patients with cervical vertigo, aged 20 to 75, were examined. The patients performed kinesitherapy exercises three times a day for four weeks. The effects of therapy were assessed by everyday task self-control cards and ENG examinations. In the present study, objective improvement was noticed in 18,7% patients. Subjective improvement assessed by the patients everyday task self-control cards reached 62.5%. Kinesitherapy seems to be the good method of treating neck-related vertigo, but it should be confirmed in further study on the large group of patients.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego, 2005
The aim of present study was to characterize the association between prevalence of vertigo and ag... more The aim of present study was to characterize the association between prevalence of vertigo and age, grade of radiological changes and positional vertebral (VA) and basilar artery (BA) flow lesion in patients with cervical spondylosis. We examined 80 patients with radiological evidence of cervical spondylosis. Forty patients complained positional vertigo. Patients with neurological symptoms were excluded from the study. ENG was used to exclude patients with another causes of vertigo. TCD evaluations of the distal part of VA and the proximal part of BA were performed with a 2-MHz probe via the suboccipital window. We showed significant and independent association between prevalence of vertigo and age, grade of radiological changes, and positional vertebral and basilar artery flow lesion velocity in multivariate logistic regression model. Spondylotic-induced VA compression may be the reason of decreased blood flow velocity in the basilar artery during head rotation, causing positional ...