Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200007
Sabrina Scherer, H. Lisboa, A. Pasqualotti
PURPOSE: To verify the otoneurologic diagnosis of elderly individuals with dizziness and the interference of this symptom in their quality of life. METHODS: Cross-sectional study, conducted with 56 elderly individuals with dizziness. Subjects' mean age was 71.2 years, and they were submitted to otoneurologic assessment, which involved: pure-tone, speech and impedance audiometry, balance assessment, testing for positional and positioning vertigo and nystagmus, and vectoelectronystagmography. A specific questionnaire for dizziness was used to assess the quality of life, the Dizziness Handicap Inventory (DHI), which verifies the handicap effects provoked by this symptom. RESULTS: Rotatory dizziness was reported by 29 patients (51.8%), 75% presented some hearing complaint, and 69.6% had altered results in audiometry. Patients with vestibular complaints of positional dizziness presented significant difference for the physical aspect of the DHI. Patients with vestibular complaints of imbalance showed significant difference for the functional and emotional aspects. The computerized vectoelectronystagmography was altered in 47 patients (83.9%), indicating peripheral vestibular disorder in all cases. In the post-caloric assessment, hyperreflexia was the most prevalent alteration, and the most frequent diagnosis was Deficient Peripheral Vestibular Syndrome to the Left. Regarding quality of life, the functional aspect had the highest average score among the three aspects evaluated, and there was a significant difference between the functional and emotional aspects. CONCLUSION: Most elderly patients with dizziness present alterations in audiometry and vectoelectronystagmography, which indicate a disorder in the vestibulocochlear system; they also present impaired quality of life.
{"title":"Tontura em idosos: diagnóstico otoneurológico e interferência na qualidade de vida","authors":"Sabrina Scherer, H. Lisboa, A. Pasqualotti","doi":"10.1590/S1516-80342012000200007","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200007","url":null,"abstract":"PURPOSE: To verify the otoneurologic diagnosis of elderly individuals with dizziness and the interference of this symptom in their quality of life. METHODS: Cross-sectional study, conducted with 56 elderly individuals with dizziness. Subjects' mean age was 71.2 years, and they were submitted to otoneurologic assessment, which involved: pure-tone, speech and impedance audiometry, balance assessment, testing for positional and positioning vertigo and nystagmus, and vectoelectronystagmography. A specific questionnaire for dizziness was used to assess the quality of life, the Dizziness Handicap Inventory (DHI), which verifies the handicap effects provoked by this symptom. RESULTS: Rotatory dizziness was reported by 29 patients (51.8%), 75% presented some hearing complaint, and 69.6% had altered results in audiometry. Patients with vestibular complaints of positional dizziness presented significant difference for the physical aspect of the DHI. Patients with vestibular complaints of imbalance showed significant difference for the functional and emotional aspects. The computerized vectoelectronystagmography was altered in 47 patients (83.9%), indicating peripheral vestibular disorder in all cases. In the post-caloric assessment, hyperreflexia was the most prevalent alteration, and the most frequent diagnosis was Deficient Peripheral Vestibular Syndrome to the Left. Regarding quality of life, the functional aspect had the highest average score among the three aspects evaluated, and there was a significant difference between the functional and emotional aspects. CONCLUSION: Most elderly patients with dizziness present alterations in audiometry and vectoelectronystagmography, which indicate a disorder in the vestibulocochlear system; they also present impaired quality of life.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"142-150"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342012000200007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200017
Adriana Marques de Oliveira, M. Cardoso, S. Capellini
PURPOSE: To characterize and to compare the performance of students with dyslexia, learning disabilities, and students with good academic performance in the reading processes. METHODS: Participants were 60 students of both genders attending first to fourth grades of public elementary schools, who were divided into three groups: GI - 20 students with interdisciplinary diagnosis of dyslexia; GII - 20 students with interdisciplinary diagnosis of learning disabilities; and GIII - 20 students with good academic performance, paired according to gender, age and schooling to GI and GII. Students were submitted to the application of the Brazilian adaptation of the Assessment of Reading Processes (PROLEC), which is composed by four blocks of processes: identification of letters, lexical, syntactic and semantic processes. RESULTS: Students from GIII showed superior performance in the tasks, compared to the students from GI and GII. Differences were found in tasks of punctuation and clause and text comprehension, in which GII presented lower performance when compared to GI. Regarding the classification of the results, most GI students had normal performance on the identification of letters and great difficulty on the lexical process tasks, which impaired the other processes; GII showed great difficulty in all processes. CONCLUSION: Students with dyslexia and learning disabilities have lower performance in the reading processes tasks. Students with dyslexia present difficulties in the performance of lexical, syntactic and semantic processes, and students with learning disabilities show difficulties in all processes evaluated.
{"title":"Caracterização dos processos de leitura em escolares com dislexia e distúrbio de aprendizagem","authors":"Adriana Marques de Oliveira, M. Cardoso, S. Capellini","doi":"10.1590/S1516-80342012000200017","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200017","url":null,"abstract":"PURPOSE: To characterize and to compare the performance of students with dyslexia, learning disabilities, and students with good academic performance in the reading processes. METHODS: Participants were 60 students of both genders attending first to fourth grades of public elementary schools, who were divided into three groups: GI - 20 students with interdisciplinary diagnosis of dyslexia; GII - 20 students with interdisciplinary diagnosis of learning disabilities; and GIII - 20 students with good academic performance, paired according to gender, age and schooling to GI and GII. Students were submitted to the application of the Brazilian adaptation of the Assessment of Reading Processes (PROLEC), which is composed by four blocks of processes: identification of letters, lexical, syntactic and semantic processes. RESULTS: Students from GIII showed superior performance in the tasks, compared to the students from GI and GII. Differences were found in tasks of punctuation and clause and text comprehension, in which GII presented lower performance when compared to GI. Regarding the classification of the results, most GI students had normal performance on the identification of letters and great difficulty on the lexical process tasks, which impaired the other processes; GII showed great difficulty in all processes. CONCLUSION: Students with dyslexia and learning disabilities have lower performance in the reading processes tasks. Students with dyslexia present difficulties in the performance of lexical, syntactic and semantic processes, and students with learning disabilities show difficulties in all processes evaluated.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"201-207"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200021
Fernanda Teixeira Menezes, Katia Alonso Rodrigues, Isabel Neto, Brasília Maria Chiari, Dayse Manrique, Maria Inês Rebelo Gonçalves
Case report with the aim to characterize the benefits of botulinum toxin injection into salivary glands in association with swallowing therapy in patients with severe dysphagia. The medical records of five neurological patients (four male and one female, aged between 17 and 70 years) who exclusively used alternative feeding were analyzed. Four patients were tracheostomized. Inclusion criterion was to present severe dysphagia associated to clinical manifestations of drooling and/or sialorrhea with significant aspiration of saliva, restricting the improvement in swallowing rehabilitation. Data were collected before and after intervention associated with botulinum toxin injection, regarding the following aspects: mobility and strength of oropharyngeal structures (lips, tongue and cheeks), laryngeal elevation, severity degree of dysphagia, use of alternative tube feeding and tracheostomy. After swallowing therapy, four patients showed improvement in mobility and strength of the lips, tongue, cheeks and larynx. Four patients presented functional swallowing and one of them modified had the severity degree of dysphagia changed. Therefore, most patients were able to receive exclusive oral feeding, and only one remained on mixed feeding, that is, gastrostomy and oral feeding with pasty consistence. All tracheostomized patients had the tracheostomy cannula removed. The study showed that the treatment described contributed to swallowing rehabilitation, reintroduction of oral feeding, and withdrawal of the tracheostomy cannula.
{"title":"Benefícios da aplicação de toxina botulínica associada à fonoterapia em pacientes disfágicos graves","authors":"Fernanda Teixeira Menezes, Katia Alonso Rodrigues, Isabel Neto, Brasília Maria Chiari, Dayse Manrique, Maria Inês Rebelo Gonçalves","doi":"10.1590/S1516-80342012000200021","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200021","url":null,"abstract":"Case report with the aim to characterize the benefits of botulinum toxin injection into salivary glands in association with swallowing therapy in patients with severe dysphagia. The medical records of five neurological patients (four male and one female, aged between 17 and 70 years) who exclusively used alternative feeding were analyzed. Four patients were tracheostomized. Inclusion criterion was to present severe dysphagia associated to clinical manifestations of drooling and/or sialorrhea with significant aspiration of saliva, restricting the improvement in swallowing rehabilitation. Data were collected before and after intervention associated with botulinum toxin injection, regarding the following aspects: mobility and strength of oropharyngeal structures (lips, tongue and cheeks), laryngeal elevation, severity degree of dysphagia, use of alternative tube feeding and tracheostomy. After swallowing therapy, four patients showed improvement in mobility and strength of the lips, tongue, cheeks and larynx. Four patients presented functional swallowing and one of them modified had the severity degree of dysphagia changed. Therefore, most patients were able to receive exclusive oral feeding, and only one remained on mixed feeding, that is, gastrostomy and oral feeding with pasty consistence. All tracheostomized patients had the tracheostomy cannula removed. The study showed that the treatment described contributed to swallowing rehabilitation, reintroduction of oral feeding, and withdrawal of the tracheostomy cannula.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"40 1","pages":"230-233"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200006
Cássia Hiromi Yamamoto, D. V. Ferrari
PURPOSE: To investigate the relationship between audiometric thresholds, self-perception of handicap, and time taken to seek treatment in patients treated at a public health care service. METHODS: This retrospective study analyzed the records of 152 elderly and 48 adult patients with hearing impairment. The mean ISO audiometric thresholds (500 Hz to 4 kHz) and the mean high frequencies thresholds (2 to 6 kHz), the speech recognition thresholds, and the total, social and emotional scores from the Hearing Handicap Inventory for the Adults (HHIA) and Elderly (HHIE) were compared with the time elapsed from the onset of hearing complaints and the treatment seeking. RESULTS: The mean time for seeking treatment was 7.6 years. No difference was found between adults and elderly for ISO and high frequency mean thresholds, HHIA/E scores, and time for treatment seeking. Weak but significant negative correlations were observed between auditory thresholds and time taken for treatment seeking. No relationship was found between the time taken for treatment seeking and the variables related to educational and socioeconomic levels and perception of handicap. CONCLUSION: Search for treatment seems to be influenced by auditory thresholds. Despite technological advances and changes in the access to information and treatment, the time taken for treatment seeking was similar to that reported 30 years ago.
{"title":"Relação entre limiares audiométricos, handicap e tempo para procura de tratamento da deficiência auditiva","authors":"Cássia Hiromi Yamamoto, D. V. Ferrari","doi":"10.1590/S1516-80342012000200006","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200006","url":null,"abstract":"PURPOSE: To investigate the relationship between audiometric thresholds, self-perception of handicap, and time taken to seek treatment in patients treated at a public health care service. METHODS: This retrospective study analyzed the records of 152 elderly and 48 adult patients with hearing impairment. The mean ISO audiometric thresholds (500 Hz to 4 kHz) and the mean high frequencies thresholds (2 to 6 kHz), the speech recognition thresholds, and the total, social and emotional scores from the Hearing Handicap Inventory for the Adults (HHIA) and Elderly (HHIE) were compared with the time elapsed from the onset of hearing complaints and the treatment seeking. RESULTS: The mean time for seeking treatment was 7.6 years. No difference was found between adults and elderly for ISO and high frequency mean thresholds, HHIA/E scores, and time for treatment seeking. Weak but significant negative correlations were observed between auditory thresholds and time taken for treatment seeking. No relationship was found between the time taken for treatment seeking and the variables related to educational and socioeconomic levels and perception of handicap. CONCLUSION: Search for treatment seems to be influenced by auditory thresholds. Despite technological advances and changes in the access to information and treatment, the time taken for treatment seeking was similar to that reported 30 years ago.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67594993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200004
Gezaine Priscila Gonçalves da Costa Azevedo, Amélia Augusta Lima Friche, Stela Maris Aguiar Lemos
PURPOSE: To evaluate the overall quality of life of adults undergoing speech-language therapy, using the WHOQOL-Bref; to investigate the self-perception and the concept of health of these individuals. METHODS:Two questionnaires were applied to 97 adult patients from an Outpatient Clinic of Speech-Language Pathology: the Instrument of Investigation about Perception of Health, composed of open and closed questions, and the WHOQOL-Bref. Content analysis was used to analyze open questions, and the scores were statistically analyzed. RESULTS:The highest score on the WHOQOL-Bref was obtained on the social domain, followed by the psychological, physical and environmental domains. There was a significant relationship between educational status and the physical, psychological and environmental domains, and the self-perception as a healthy person. There was statistical relationship between individuals' self-perception as a healthy person and both generic questions of the WHOQOL-Bref, as well as the physical, psychological and environmental domains. Regarding the concept of health, subjects' responses were related to their conception of individual's health or to its level of importance to the individual's life. Whit regards to their health needs, the categories mentioned were: Life and work conditions, Psychosocial factors, Individual behaviors, Health care, Spirituality, Quality of life. CONCLUSION: Self-perception as a healthy person was related to the individual's quality of life. Low educational status interferes on the quality of life and on the subject's own self-perception as a healthy person.
{"title":"Autopercepção de saúde e qualidade de vida de usuários de um Ambulatório de Fonoaudiologia","authors":"Gezaine Priscila Gonçalves da Costa Azevedo, Amélia Augusta Lima Friche, Stela Maris Aguiar Lemos","doi":"10.1590/S1516-80342012000200004","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200004","url":null,"abstract":"PURPOSE: To evaluate the overall quality of life of adults undergoing speech-language therapy, using the WHOQOL-Bref; to investigate the self-perception and the concept of health of these individuals. METHODS:Two questionnaires were applied to 97 adult patients from an Outpatient Clinic of Speech-Language Pathology: the Instrument of Investigation about Perception of Health, composed of open and closed questions, and the WHOQOL-Bref. Content analysis was used to analyze open questions, and the scores were statistically analyzed. RESULTS:The highest score on the WHOQOL-Bref was obtained on the social domain, followed by the psychological, physical and environmental domains. There was a significant relationship between educational status and the physical, psychological and environmental domains, and the self-perception as a healthy person. There was statistical relationship between individuals' self-perception as a healthy person and both generic questions of the WHOQOL-Bref, as well as the physical, psychological and environmental domains. Regarding the concept of health, subjects' responses were related to their conception of individual's health or to its level of importance to the individual's life. Whit regards to their health needs, the categories mentioned were: Life and work conditions, Psychosocial factors, Individual behaviors, Health care, Spirituality, Quality of life. CONCLUSION: Self-perception as a healthy person was related to the individual's quality of life. Low educational status interferes on the quality of life and on the subject's own self-perception as a healthy person.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"119-127"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342012000200004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200015
Haydée Fiszbein Wertzner, Gabriele Claudino, Daniela Galea, L. K. Patah, Márcia Mathias de Castro
PURPOSE: To compare and correlate the performance of children with and without phonological disorders (PD) according to phonological awareness (PA) abilities, Percentage of Consonants Correct - Revised (PCC-R) and Speech Inconsistency Index (SII). METHODS: Participants were 36 children with ages between 5 and 7 years divided into: Research Group (RG) - 18 children with PD; and CG - 18 typically developing children. The PCC-R was calculated, and the SII and the Phonological Sensitivity Test - Visual mode (PST-V) were applied. The PST-V consists of six tasks: equal and different alliteration (EA and DA, respectively), total alliteration (TA), equal and different rhyme (ER and DR, respectively), and total rhyme (TR). Results were statistically analyzed. RESULTS: Differences were found between groups in all indexes, with better performances of the CG. In this group there were negative correlations between SII and all PA abilities and between SII and PCC-R, except for the ER. There were positive correlations between all PST-V subtests. On the RG, positive correlations were observed between PCC-R and alliteration abilities; no correlations were found between SII and PCC-R nor between SII and PA subtests. There were correlations between PST-V abilities: EA and TA; DA and TA; DA and DR; ER and TR; DR and TR. CONCLUSION: Children with PD had worse performances. CG children develop rhyme and alliteration abilities as they stabilize their speech production. RG children are more inconsistent and tend to develop PA abilities in a more disorganized manner.
{"title":"Medidas fonológicas em crianças com transtorno fonológico","authors":"Haydée Fiszbein Wertzner, Gabriele Claudino, Daniela Galea, L. K. Patah, Márcia Mathias de Castro","doi":"10.1590/S1516-80342012000200015","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200015","url":null,"abstract":"PURPOSE: To compare and correlate the performance of children with and without phonological disorders (PD) according to phonological awareness (PA) abilities, Percentage of Consonants Correct - Revised (PCC-R) and Speech Inconsistency Index (SII). METHODS: Participants were 36 children with ages between 5 and 7 years divided into: Research Group (RG) - 18 children with PD; and CG - 18 typically developing children. The PCC-R was calculated, and the SII and the Phonological Sensitivity Test - Visual mode (PST-V) were applied. The PST-V consists of six tasks: equal and different alliteration (EA and DA, respectively), total alliteration (TA), equal and different rhyme (ER and DR, respectively), and total rhyme (TR). Results were statistically analyzed. RESULTS: Differences were found between groups in all indexes, with better performances of the CG. In this group there were negative correlations between SII and all PA abilities and between SII and PCC-R, except for the ER. There were positive correlations between all PST-V subtests. On the RG, positive correlations were observed between PCC-R and alliteration abilities; no correlations were found between SII and PCC-R nor between SII and PA subtests. There were correlations between PST-V abilities: EA and TA; DA and TA; DA and DR; ER and TR; DR and TR. CONCLUSION: Children with PD had worse performances. CG children develop rhyme and alliteration abilities as they stabilize their speech production. RG children are more inconsistent and tend to develop PA abilities in a more disorganized manner.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200026
P. Liberalesso
Objetivo: avaliar o impacto da privacao de sono por um periodo de 24 horas sobre o processamento auditivo central em adultos saudaveis. Metodo: foram selecionados 30 adultos saudaveis, sendo 17 (56,7%) do sexo feminino e 13 (43,3%) do sexo masculino, com idades entre 19,2 e 38,5 anos, idade media de 30,75 ± 7,14 anos. Os voluntarios foram submetidos a avaliacao audiologica pela audiometria tonal limiar, teste de limiar de reconhecimento da fala, indice percentual de reconhecimento da fala, medidas de imitância acustica, teste de escuta dicotica de dissilabos alternados (staggered spondaic words - SSW) e teste de deteccao de intervalos aleatorios de silencio (randon gap detection test - RGDT). A avaliacao do processamento auditivo central foi realizada em duas situacoes: sem privacao de sono e apos 24 horas de privacao de sono com intervalo de dois a tres meses entre as etapas. As medias dos resultados nas etapas sem privacao de sono e apos privacao de sono foram comparadas atraves do teste t de Student. Resultado: o valor medio dos resultados do RGDT antes da privacao de sono foi de 6,4 ms ± 2,8 ms e pos-privacao de sono foi de 8,0 ms ± 2,9 ms (p=0,0005) em ambos os sexos. O valor medio dos resultados do RGDT no sexo masculino, sem privacao de sono, foi de 4,7 ms ± 2,7 ms e apos privacao de sono de 6,6 ms ± 2,9 ms (p=0,0066). O valor medio dos resultados do RGDT no sexo feminino, sem privacao de sono, foi de 7,7 ms ± 2,4 ms e apos a privacao de sono foi de 9,0 ms ± 2,5 ms (p=0,0208). A media dos resultados do teste SSW para a orelha direita antes da privacao de sono foi de 98,4% ± 1,8% e pos-privacao foi de 94,2% ± 6,3% (p=0,0005) em ambos os sexos. A media dos resultados do teste SSW para a orelha esquerda antes da privacao de sono foi de 96,7% ± 3,1% e pos-privacao foi de 92,1% ± 6,1% (p=0,0000) em ambos os sexos. O valor medio dos resultados do SSW no sexo masculino, pre-privacao de sono, para orelha direita, foi de 98,5% ± 1,3% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0080). O valor medio dos resultados do SSW no sexo masculino, pre-privacao de sono, para orelha esquerda, foi de 96,5% ± 2,9% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0076). O valor medio dos resultados do SSW no sexo feminino, pre-privacao de sono, para orelha direita, foi de 98,4% ± 2,2% e apos a privacao de sono foi de 94,4% ± 7,3% (p=0,0143). O valor medio dos resultados do SSW no sexo feminino, pre-privacao de sono, para orelha esquerda, foi de 96,9% ± 3,4% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0010). Conclusao: os resultados demonstram piora estatisticamente significativa nos resultados do teste RGDT e do teste SSW quando voluntarios adultos saudaveis sao privados de sono por um periodo de 24 horas
{"title":"Efeitos da privação aguda de sono sobre o processamento auditivo central em adultos saudáveis","authors":"P. Liberalesso","doi":"10.1590/S1516-80342012000200026","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200026","url":null,"abstract":"Objetivo: avaliar o impacto da privacao de sono por um periodo de 24 horas sobre o processamento auditivo central em adultos saudaveis. Metodo: foram selecionados 30 adultos saudaveis, sendo 17 (56,7%) do sexo feminino e 13 (43,3%) do sexo masculino, com idades entre 19,2 e 38,5 anos, idade media de 30,75 ± 7,14 anos. Os voluntarios foram submetidos a avaliacao audiologica pela audiometria tonal limiar, teste de limiar de reconhecimento da fala, indice percentual de reconhecimento da fala, medidas de imitância acustica, teste de escuta dicotica de dissilabos alternados (staggered spondaic words - SSW) e teste de deteccao de intervalos aleatorios de silencio (randon gap detection test - RGDT). A avaliacao do processamento auditivo central foi realizada em duas situacoes: sem privacao de sono e apos 24 horas de privacao de sono com intervalo de dois a tres meses entre as etapas. As medias dos resultados nas etapas sem privacao de sono e apos privacao de sono foram comparadas atraves do teste t de Student. Resultado: o valor medio dos resultados do RGDT antes da privacao de sono foi de 6,4 ms ± 2,8 ms e pos-privacao de sono foi de 8,0 ms ± 2,9 ms (p=0,0005) em ambos os sexos. O valor medio dos resultados do RGDT no sexo masculino, sem privacao de sono, foi de 4,7 ms ± 2,7 ms e apos privacao de sono de 6,6 ms ± 2,9 ms (p=0,0066). O valor medio dos resultados do RGDT no sexo feminino, sem privacao de sono, foi de 7,7 ms ± 2,4 ms e apos a privacao de sono foi de 9,0 ms ± 2,5 ms (p=0,0208). A media dos resultados do teste SSW para a orelha direita antes da privacao de sono foi de 98,4% ± 1,8% e pos-privacao foi de 94,2% ± 6,3% (p=0,0005) em ambos os sexos. A media dos resultados do teste SSW para a orelha esquerda antes da privacao de sono foi de 96,7% ± 3,1% e pos-privacao foi de 92,1% ± 6,1% (p=0,0000) em ambos os sexos. O valor medio dos resultados do SSW no sexo masculino, pre-privacao de sono, para orelha direita, foi de 98,5% ± 1,3% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0080). O valor medio dos resultados do SSW no sexo masculino, pre-privacao de sono, para orelha esquerda, foi de 96,5% ± 2,9% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0076). O valor medio dos resultados do SSW no sexo feminino, pre-privacao de sono, para orelha direita, foi de 98,4% ± 2,2% e apos a privacao de sono foi de 94,4% ± 7,3% (p=0,0143). O valor medio dos resultados do SSW no sexo feminino, pre-privacao de sono, para orelha esquerda, foi de 96,9% ± 3,4% e apos a privacao de sono foi de 93,9% ± 5,2% (p=0,0010). Conclusao: os resultados demonstram piora estatisticamente significativa nos resultados do teste RGDT e do teste SSW quando voluntarios adultos saudaveis sao privados de sono por um periodo de 24 horas","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"239-239"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-06-01DOI: 10.1590/S1516-80342012000200022
B. Zeigelboim
Durante muito tempo acreditou-se que o sistema nervoso central (SNC), apos seu desenvolvimento, tornava-se uma estrutura rigida que nao poderia ser modificada e que lesoes seriam permanentes, pois suas celulas nao poderiam ser re-constituidas ou reorganizadas. Hoje, sabe-se que o SNC possui grande adaptabilidade e que mesmo em um cerebro adulto ha evidencias de plasticidade na tentativa de regeneracao
{"title":"Balance Rehabilitation Unit (BRU TM) posturography in relapsing-remitting multiple sclerosis","authors":"B. Zeigelboim","doi":"10.1590/S1516-80342012000200022","DOIUrl":"https://doi.org/10.1590/S1516-80342012000200022","url":null,"abstract":"Durante muito tempo acreditou-se que o sistema nervoso central (SNC), apos seu desenvolvimento, tornava-se uma estrutura rigida que nao poderia ser modificada e que lesoes seriam permanentes, pois suas celulas nao poderiam ser re-constituidas ou reorganizadas. Hoje, sabe-se que o SNC possui grande adaptabilidade e que mesmo em um cerebro adulto ha evidencias de plasticidade na tentativa de regeneracao","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"234-235"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67595699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.1590/S1516-80342012000100003
G. Borin, E. C. R. Corrêa, Ana Maria Toniolo da Silva, Jovana de Moura Milanesi
PURPOSE: To assess the effect of acupuncture on the electromyographic activity of masticatory muscles in patients with temporomandibular disorder (TMD). METHODS: Forty women, from 20 to 40 years old, with TMD diagnosis were assessed using the electromyography of the masseter and temporal (anterior fascicle) muscles. Participants were distributed into study group (SG), which received acupuncture treatment soon after the first assessment, and control group (CG), which received the treatment five weeks after this assessment. The electromyography was accomplished at the first evaluation (Av), immediately after one session of acupuncture (R1), and after ten sessions (R10) in the SG. The CG was evaluated at the beginning (Av) and after five weeks (R10), while waiting for the treatment. The acupuncture was carried out twice a week, for five uninterrupted weeks. Results were statistically analyzed. RESULTS: At the rest mandibular position, the SG showed a significant decrease in the left temporal muscle activity in R1, and in the right and left temporal muscles in R10. In the CG, the activity increased in the left temporal muscle after five weeks (R10). During chewing, the activity decreased in the right masseter in the SG. CONCLUSION: Acupuncture reduced the temporal muscles activity at rest mandibular position, providing better muscular balance between these and masseter muscles. There was not a uniform effect of the acupuncture on the assessed muscles assessed during maximal intercuspal position and chewing, showing no improvement in the quality of their activity.
{"title":"Avaliação eletromiográfica dos músculos da mastigação de indivíduos com desordem temporomandibular submetidos a acupuntura","authors":"G. Borin, E. C. R. Corrêa, Ana Maria Toniolo da Silva, Jovana de Moura Milanesi","doi":"10.1590/S1516-80342012000100003","DOIUrl":"https://doi.org/10.1590/S1516-80342012000100003","url":null,"abstract":"PURPOSE: To assess the effect of acupuncture on the electromyographic activity of masticatory muscles in patients with temporomandibular disorder (TMD). METHODS: Forty women, from 20 to 40 years old, with TMD diagnosis were assessed using the electromyography of the masseter and temporal (anterior fascicle) muscles. Participants were distributed into study group (SG), which received acupuncture treatment soon after the first assessment, and control group (CG), which received the treatment five weeks after this assessment. The electromyography was accomplished at the first evaluation (Av), immediately after one session of acupuncture (R1), and after ten sessions (R10) in the SG. The CG was evaluated at the beginning (Av) and after five weeks (R10), while waiting for the treatment. The acupuncture was carried out twice a week, for five uninterrupted weeks. Results were statistically analyzed. RESULTS: At the rest mandibular position, the SG showed a significant decrease in the left temporal muscle activity in R1, and in the right and left temporal muscles in R10. In the CG, the activity increased in the left temporal muscle after five weeks (R10). During chewing, the activity decreased in the right masseter in the SG. CONCLUSION: Acupuncture reduced the temporal muscles activity at rest mandibular position, providing better muscular balance between these and masseter muscles. There was not a uniform effect of the acupuncture on the assessed muscles assessed during maximal intercuspal position and chewing, showing no improvement in the quality of their activity.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342012000100003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.1590/S1516-80342012000100009
Ana Karina Lima Buriti, Simone Helena dos Santos Oliveira
PURPOSE: To evaluate the adaptation to hearing aids by users attended by the Brazilian public health system (SUS), and to propose educational actions, based on the users' needs. METHODS: Descriptive quantitative research, which evaluated 32 adults with hearing loss during the adaptation of hearing aids provided by the Unified Health System (SUS). Two structured questionnaires with closed questions were applied, and the data received descriptive analysis. RESULTS: Moderate limitations and restrictions were observed, as well as reduced time of daily use, limiting the benefit of amplification. Regarding use and handling, it was observed that 70.8% put on and take off the device by themselves, 79.2% take it off to bathe, 87.5% do not perform daily hygiene, and 37.5% have allergies or pain attributed to the use of the mold. CONCLUSION: Users present difficulties in the use and handling of hearing aids, which negatively influence their adaptation to it. Actions to promote hearing health are necessary, with the aim to minimize these difficulties and facilitate hearing aid adaptation.
{"title":"Adaptação à prótese auditiva em usuários assistidos pelo Sistema Único de Saúde","authors":"Ana Karina Lima Buriti, Simone Helena dos Santos Oliveira","doi":"10.1590/S1516-80342012000100009","DOIUrl":"https://doi.org/10.1590/S1516-80342012000100009","url":null,"abstract":"PURPOSE: To evaluate the adaptation to hearing aids by users attended by the Brazilian public health system (SUS), and to propose educational actions, based on the users' needs. METHODS: Descriptive quantitative research, which evaluated 32 adults with hearing loss during the adaptation of hearing aids provided by the Unified Health System (SUS). Two structured questionnaires with closed questions were applied, and the data received descriptive analysis. RESULTS: Moderate limitations and restrictions were observed, as well as reduced time of daily use, limiting the benefit of amplification. Regarding use and handling, it was observed that 70.8% put on and take off the device by themselves, 79.2% take it off to bathe, 87.5% do not perform daily hygiene, and 37.5% have allergies or pain attributed to the use of the mold. CONCLUSION: Users present difficulties in the use and handling of hearing aids, which negatively influence their adaptation to it. Actions to promote hearing health are necessary, with the aim to minimize these difficulties and facilitate hearing aid adaptation.","PeriodicalId":21204,"journal":{"name":"Revista Da Sociedade Brasileira De Fonoaudiologia","volume":"17 1","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1590/S1516-80342012000100009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67594496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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