CoDAS最新文献

Purpose: To evaluate the usability of a device for lip strength and mobility rehabilitation, combining exercises with digital games, and to examine the influence of age, muscle tension, and the number of attempts on the performance of adults and children.

Methods: This observational, cross-sectional study included 11 adults and nine children. Participants used a device consisting of an anatomical-functional prototype for the rehabilitation of the orbicularis oris muscle, which works as a controller for digital games and is activated by the counter-resistance movement performed by the lips. Participants played a game with the device and received a score proportional to their performance. After using the game, adult participants completed the System Usability Scale (SUS) to assess the device's usability. Participants' scores were compared based on age, lip muscle tension, and the number of attempts.

Results: Usability was considered good, with a mean score of 91.1 and a standard deviation of 11 points. There was no difference in scores across different attempts or between the scores of adults under and over 22 years old or children with normal and reduced lip tension. A statistically significant difference was found between adults' and children's scores in the first attempt and the mean of the attempts.

Conclusion: The device demonstrated good usability, with age (adults vs. children) influencing participant scores.

Purpose: To analyze the results of the Central Auditory Processing Disorder. Central Auditory Processing Skill Self-Perception Scale (CAPSSPS) and compare different auditory skills in young adults with and without Central Auditory Processing Disorder (CAPD).

Methods: Cross-sectional and prospective study. Thirty-two individuals participated in the study, who were native Brazilian Portuguese speakers, non-bilingual, non-musicians, and not exposed to noise, with normal results in basic audiological assessments, no cognitive or otological complaints, with or without difficulties related to Central Auditory Processing, divided into two groups: participants without CAPD (G1) and participants with CAPD (G2). All participants underwent Anamnesis, Visual Inspection of the External Auditory Canal, Pure Tone Audiometry, Speech Audiometry, Acoustic Immittance Measures, Behavioral Tests of Central Auditory Processing, and the CAPSSPS questionnaire.

Results: There was a significant difference between the groups with and without CAPD when comparing the CAPSSPS questionnaire and the Test of Frequency Pattern (TPF) - Auditec, Masking Level Difference (MLD), and the Gaps in Noise (GIN) tests for the left ear.

Conclusions: The CAPSSPS questionnaire demonstrated the possibility of screening for other altered auditory skills, in addition to auditory closure and temporal resolution in young adult populations, including temporal ordering for frequency and binaural interaction. Furthermore, young adult individuals showed greater alterations in auditory skills of temporal resolution, temporal ordering for frequency, and poorer performance in binaural interaction skill.

Purpose: To determine whether lifestyle habits influence the self-perception of cardiac symptoms and dizziness in patients with heart failure.

Methods: This is a cross-sectional, retrospective, analytical study approved by the Research Ethics Committee (approval no. 4,462,519). The study analyzed 34 medical records of patients with a functional diagnosis of peripheral vestibular dysfunction, followed up at a cardiology outpatient clinic, collecting data on sex, age, body mass index, and lifestyle habits such as smoking, alcohol consumption, nutritional monitoring, and regular physical activity. It also analyzed scores from the Dizziness Handicap Inventory (DHI) and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). The data were subjected to inferential statistical analysis using analysis of variance (ANOVA).

Results: The patients' mean age was 55.9 years, with a predominance of males (79.41%). Statistical differences were observed between the DHI emotional and total scores and alcohol consumption, and between the MLHFQ emotional scores and balanced diet. Regular physical activity differed statistically from the DHI and MLHFQ emotional impact and the total MLHFQ scores.

Conclusion: Harmful lifestyle habits such as alcohol consumption, poor diet, and a sedentary lifestyle negatively impacted the quality of life and self-perception of cardiological and vestibular symptoms in patients with heart failure and dizziness.

Purpose: To identify whether there are differences in the amplitude and width of spread of excitation (SOE) across the apical, medial and basal regions of the cochlea.

Methods: Cross-sectional retrospective study approved by the Ethics Committee of the institution. The study included adults with postlingual deafness, undergoing cochlear implant (CI) surgery, with present intraoperative neural responses in which the SOE was investigated in the basal (6), medial (11) and apical (16) electrodes. Neural response telemetry thresholds, peak amplitudes (µv) of the SOE function and SOE width in millimeters were collected and grouped by the electrode array type for analysis using the Mann Whitney and Kruskal Wallis tests.

Results: Seventy-one subjects were selected, 27 with perimodiolar array and 44 with straight array. There were no significant differences in the peak amplitudes among evaluated electrodes in both groups. However, SOE width (mm) of the medial electrode was significantly wider in both arrays, followed by the width of the basal electrode.

Conclusion: Although the SOE amplitude was similar suggesting similar neural recruitment in different regions of the cochlea, wider spread was found in the medial region even in the perimodiolar array. Thus, the use of objective tests will become increasingly important to assist in CI mapping, aiming for more effective and individualized programming.

Purpose: To investigate the online search behavior of the Brazilian population for information related to hearing loss, tinnitus, and dizziness.

Methods: This ecological and infodemiological study analyzed online search behavior in Brazil for the terms "Hearing Loss," "Dizziness," and "Tinnitus" from January 2014 to May 2024, using data from Google Trends™. Normalized relative search volumes (VPR) were calculated, and correlations between the terms were analyzed using Spearman's test, trend analysis with the Mann-Kendall test, and structural breaks with a significance level of 5%.

Results: Significant correlations were found between the terms "Dizziness" and "Hearing Loss," "Tinnitus" and "Hearing Loss," and "Tinnitus" and "Dizziness." An increasing trend in VPR was observed for "Hearing Loss," "Dizziness," and "Tinnitus." Structural breaks for each search term occurred in the following periods: Hearing Loss (two breaks): February 2016 and January 2021; Dizziness (five breaks): July 2015, July 2017, February 2019, April 2020, and December 2021; and Tinnitus (five breaks): April 2015, April 2017, March 2018, April 2020, and April 2022.

Conclusion: The search behavior over the past decade reveals a growing interest in information about hearing loss, tinnitus, and dizziness, with correlated results among the three terms. Sergipe had the highest search volume for "hearing loss," Maranhão for "dizziness," and São Paulo for "tinnitus."

Purpose: To compare the communicative profile of children diagnosed with or at risk for autism spectrum disorder before and after speech-language-hearing guidance (indirect treatment).

Methods: The study included caregivers and/or parents of children aged 2 to 9 years with a diagnosis of or at risk for autism spectrum disorder, with or without speech-language-hearing therapy. Before the intervention, caregivers answered the sample characterization form and clinical history. They also sent a 10-minute audio and video recording of interaction between the child and a familiar adult for pragmatic analysis based on the ABFW Child Language Test. The intervention included online guidance meetings with slides and guidance booklets. After the intervention, a new video of child-adult interaction was collected for pragmatic analysis.

Results: There was a statistically significant increase in the number of communicative acts per minute, the number of communicative functions used, and the communicative space occupied by the children from before to after the intervention. Most children changed their preferred means of communication and increased the number of responses, although these changes were not statistically significant. After the guidance meetings, most participants reached the age-appropriate number of communicative acts.

Conclusion: Indirect treatment is a good tool to benefit the pragmatic abilities of children with autism spectrum disorder.

Purpose: To compare self-assessment of voice handicap, sleep quality, and quality of life related to coughing and swallowing before and after using a heat and moisture exchange filter in total laryngectomized patients.

Methods: This was a prospective longitudinal study whose participants completed the Voice Handicap Index (VHI), Pittsburgh Sleep Quality Index (PSQI), Leicester Cough Questionnaire (LCQ), and MD Anderson Dysphagia Inventory (MDADI) at three times: (T1) before starting to use the heat and moisture exchange filter, (T2) 2 weeks after using it, and (T3) 4 weeks after using it.

Results: 14 participants (12 men) with a mean age of 66.4 ± 5.8 years. The medians of the total VHI score at T1, T2, and T3 were, respectively, 65.5 (47.5-86.3), 55.5 (39.5-71.3), and 44.5 (39-72), p=0.085. The medians of the PSQI score at T1, T2, and T3 were, respectively, 6.5 (4.25-11.8), 4.5 (2.25-10.8), and 3.0 (2.0-5.75), p=0.010. The medians of the total MDADI score at T1, T2, and T3 were, respectively, 78.6 (69.1-92.7), 76.3 (73.3-92.6), and 85.7 (72.7-94), p=0.571. The medians of the total LCQ score at T1, T2, and T3 were, respectively, 16.7 (13.1-18.5), 19.1 (17.4-19.4), and 19.0 (17.3-19.9), p=0.002.

Conclusion: The total laryngectomized patients participating in this study self-assessed an improvement in the emotional domain of voice handicap, sleep quality, and cough-related quality of life after 2 weeks of using a heat and moisture exchange filter. They also maintained the perception of improvement after 4 weeks of using the device.

Purpose: To investigate differences in auditory thresholds and brainstem evoked response audiometry (BERA) between individuals with and without allergic rhinitis (AR).

Research strategies: Searches were conducted in PubMed, Scopus, Web of Science, Google Scholar, and Open Access Theses and Dissertations on April 2, 2024. The study protocol was registered on the Open Science Framework (https://doi.org/10.17605/OSF.IO/XUTSN).

Selection criteria: Observational studies comparing auditory outcomes between individuals with and without AR were included.

Data analysis: The Joanna Briggs Institute checklist was used to assess bias. The primary outcome was the mean difference (MD) in auditory thresholds (250Hz to 8000Hz) measured by audiometry. Secondary outcomes included latencies of waves and interpeak intervals. The meta-analysis was conducted using the inverse variance method under a random effects model.

Results: Five studies with 432 participants were included. Meta-analysis revealed higher auditory thresholds in patients with AR at 4000Hz (MD = 7.83 dB; 95% CI: 2.46 to 13.19; p = 0.004) and 8000Hz (MD = 8.66 dB; 95% CI: 2.70 to 14.62; p = 0.004). No differences were observed for frequencies <4000Hz or in BERA outcomes.

Conclusion: This meta-analysis identified significantly higher auditory thresholds at 4000Hz and 8000Hz in individuals with AR, suggesting a potential peripheral auditory effect. No consistent differences were found in BERA parameters. These findings suggest that AR may impact high-frequency hearing without affecting neural conduction at the brainstem level.

Purpose: To investigate the correlation between quality of life in communication among people with Parkinson's disease and clinical and sociodemographic variables.

Methods: Cross-sectional study that analyzed sociodemographic variables - such as sex, age, education and ethnicity - and clinical variables, including age at onset of symptoms, time since PD diagnosis, initial symptom, equivalent daily dose of levodopa, motor impairment, stage of the disease, cognition, mood disorders and quality of life. The correlation test and multiple linear regression model were used for statistical analysis.

Results: The sample consisted of 34 individuals, with a mean age of 62.42 years (±12.21), mostly male (61.76%) and with a mean score of 20.09 (±17.78) in the communication item of the PDQ-39. A significant correlation was observed between communication and disease duration, depression and anxiety levels, activities of daily living, emotional well-being, stigma, social support, cognition, bodily discomfort, disease stage (Hoehn & Yahr), as well as motor and non-motor aspects and the total score of the PDQ-39 scale. This indicates that communication is affected by many areas of life and by the progression of the disease. When analyzed together (multiple linear regression model), activities of daily living and non-motor aspects (such as emotional and cognitive problems) are the main predictors of quality of life related to communication.

Conclusion: Communication in individuals with PD is influenced by several factors related to the progression of the disease. Among them, activities of daily living and non-motor aspects stand out as the main influences on quality of life in communication.