Isabela Hoffmeister Menegotto

Correlação entre perda auditiva e resultados dos questionários Hearing Handicap Inventory for the Adults: Screening Version HHIA-S e Hearing Handicap Inventory for the Elderly - Screening Version - HHIE-S

INTRODUCAO: Os questionarios de autoavaliacao sao uteis para quantificar as consequencias emocionais e sociais/situacionais percebidas em funcao da perda de audicao, podendo ser utilizados em diversas situacoes na rotina clinica, como a triagem auditiva. OBJETIVO: Verificar a sensibilidade e a especificidade dos questionarios HHIA-S e HHIE-S na deteccao de perda auditiva e suas aplicabilidades em triagens auditivas e analisar a capacidade desses questionarios em detectar diferentes graus de comprometimento auditivo na populacao estudada. METODO: Estudo retrospectivo, 51 individuos, entre 18 e 88 anos, responderam aos questionarios Hearing Handicap Inventory for Adults Screening Version - HHIA-S e Hearing Handicap Inventory for the Elderly Screening Version - HHIE-S em sala de espera de um ambulatorio de otorrinolaringologia do SUS. RESULTADOS: Os instrumentos revelaram baixa sensibilidade (47%), nao identificando individuos com perda auditiva; porem, apresentaram alta especificidade (75%), identificando, corretamente, individuos que nao apresentavam problemas de audicao. Ainda, nao existiu associacao significativa entre o grau da perda auditiva e o grau de restricao de participacao. CONCLUSAO: Os referidos questionarios apresentaram baixa sensibilidade e alta especificidade, nao sendo eficazes para triagens auditivas em um grupo com queixas auditivas previas, e tambem nao foram capazes de detectar diferentes tipos e graus de comprometimento auditivo.

Achados na triagem imitanciométrica e de processamento auditivo em escolares

PURPOSE: to check acoustic immittance screening findings and results of the simplified evaluation of auditory processing in school children. METHOD: the subjects under this study were students from the 1st to the 4th grade, with ages ranging from seven to ten year-old, from a public school in Porto Alegre. 130 students were evaluated in the immitance screening, which consisted of a tympanometry and an ipsilateral acoustic reflex, and a simplified evaluation of auditory processing. This has also involved the tests of sonorous localization, and verbal and non-verbal sequential memory. RESULTS: in the screening immittance, 43.08% of the students passed and the type A curve was the most frequent. The acoustic reflex at 4000 Hz had a lower percentage of appearance when compared with the others. In the tests for simplified evaluation of auditory processing, 76.15% of the children passed. Moreover, it was observed that the worst performance of the evaluated students was found in the verbal sequential memory test. CONCLUSION: the type A tympanometric curve was the most frequent in this population. In the simplified evaluation of auditory processing, most subjects passed, obtaining higher frequency of correct answers in the sonorous localization test. No statistical association between the results of the immittance screening and the simplified evaluation of auditory processing was found.

Correlation between vestibular test results and self-reported psychological complaints of patients with vestibular symptoms

UNLABELLED Cognitive and emotional factors may affect balance; psychiatric conditions are a common component in patient dizziness. The treatment of patients with vertigo may be affected to a greater degree by the suffering due to this disease than by the severity of organic changes. OBJECTIVE This study aimed to investigate associations between vestibular test results and self-reported psychological complaints in patients evaluated during 2009 in an audiology unit at a hospital in Porto Alegre. METHODS We conducted a retrospective, descriptive-exploratory study of data taken from a database of the software VecWin® and VecWin® 2, developed by Neurograff®. We investigated vestibular test results, reports of psychological symptoms reported spontaneously, and information such as age, sex and the presence of vertigo and/or dizziness. This study consisted of three steps: clustering, exclusion/inclusion and quantification. CONCLUSION Age and gender and the presence or absence of vertigo and/or dizziness were not variables that influenced the outcomes of vestibular testing. There was a significant association between the presence of self-reported psychological complaints and normal vestibular test results. Thus, it is crucial that professionals pay attention to psychological issues reported by patients when the vestibular history is taken.

Expectation as a factor of influence on the success of use of hearing aids in elderly individuals

Summary Introduction: Auditory prosthesis is distinguished in function of the lesser technologies that become them each time, more powerful and efficient. The marketing can generate unreal expectations how much to the results with the amplification use, mainly in inexperienced individuals. Objective: To verify the relation between expectations and success of the process of election and adaptation of auditory prosthesis in aged. Method: Clinical and experimental study, 16 aged, inexperienced individuals with the amplification use, the election and adaptation of auditory prosthesis had been evaluated 15 days before and after. Questionnaire for evaluation of the expectations of aged the adult individual was used “/, new user of auditory prosthesis”, Hearing Handicap Inventory will be the Elderly/Screening Version, for evaluation of the perception of the restriction of participation and the International Questionnaire - Device of Amplification Sonora Individual (QI-AASI), to verify the subjective benefit with the use of the auditory prosthesis. The Percentile Index of Recognition of Sentences in Silence was determined (IPRSS), by means of the test Lists of Sentences in Portuguese to verify the objective benefit of the adaptation. The data had been analyzed by means of not-parametric test, with level of significance of 5%. Results: The entire sample presented positive expectations. Subjectively benefit for the reduction of the perception of the participation restriction and for the positive evaluation of the adaptation, evidenced for the QI-AASI was verified. Objective the improvement of the IPRSS with the use of auditory prosthesis also evidenced benefits. Conclusion: The expectation how much to the results with the amplification use, it was factor of negative influence in the success of the process of election and adaptation of auditory prosthesis, in the subjective scope.

Listas de monossílabos para teste logoaudiométrico: validação de construto

Introducao Estimulos de fala sao usados como parte da avaliacao audiologica basica, para analise do reconhecimento de fala, e materiais validados sao necessarios para este fim. Objetivo Realizar validacao de construto de novas listas de monossilabos, para uso na avaliacao logoaudiometrica. Metodos Pesquisou-se o Indice Percentual de Reconhecimento de Fala, com dois materiais: duas novas listas de monossilabos, validadas quanto ao conteudo e consideradas equivalentes e a lista de Pen e Mangabeira-Albernaz (1973), considerada padrao-ouro na rotina clinica da avaliacao logoaudiometrica, no Brasil. As novas listas foram apresentadas na forma gravada e a segunda, a viva voz, pelo mesmo locutor. Foram selecionados, por meio de um banco de dados, individuos residentes no municipio onde a pesquisa foi realizada e que possuiam perda auditiva de grau moderado a moderadamente severo em, pelo menos, uma das orelhas. Participaram 20 sujeitos destros, com idades entre 18 e 44 anos, com perda auditiva do tipo neurossensorial, mista ou condutiva. Foram correlacionados os escores obtidos, resultantes da aplicacao das listas. Os dados foram analisados por orelha, sendo entao, 18 orelhas direitas e 18 orelhas esquerdas. Resultados Nao houve diferenca significativa entre as orelhas direita e esquerda. Observou-se forte correlacao entre as novas listas previamente desenvolvidas para esta pesquisa e a lista de Pen e Mangabeira-Albernaz, nos diferentes grupos de perda auditiva. Ao comparar os pares de escores obtidos, tambem houve forte correlacao linear entre as novas listas e a lista de Pen e Mangabeira-Albernaz. Conclusao As novas listas de monossilabos foram validadas, em relacao ao construto.