帕金森病常见的功能性听力障碍:试点研究的启示

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Clinical Neurology and Neurosurgery Pub Date : 2024-09-02 DOI:10.1016/j.clineuro.2024.108524
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引用次数: 0

摘要

导言:帕金森病(PD)患者的听力障碍在过去受到的关注有限,这可能是因为帕金森病患者通常不会报告听力障碍,但听力障碍的负面影响可能会加重交流困难和社会退缩。方法:在一家三级运动障碍诊所招募帕金森病患者。收集了人口统计学、听力学、神经精神病学和生活质量数据。结果共有 29 名参与者(平均年龄:65.8±8.3 岁,男:女= 1.6:1,平均病程 5.2 ± 4.0 年)完成了研究。所有评估均在开启状态下进行。19/29(65.5%)名参与者的声调测听结果与年龄相符;但根据 HINT,17/29(58.6%)名参与者存在功能性听力损失。65%(11/17)的患者病程为 4 年。大多数(72.4%)功能性听力较差的患者没有感觉到任何听力障碍。听力缺陷与非运动症状(NMS)(包括认知或其他生活质量指标)并无相关性。功能性听力损失对认知、交流和生活质量的潜在影响需要进一步调查和有针对性的治疗。
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Functional hearing impairment common in Parkinson’s disease: Insights from a pilot study

Introduction

Hearing impairments in Parkinson’s Disease (PD) have received limited attention in the past, possibly because PD patients often report no perceived hearing disability, yet negative consequences of hearing impairment might aggravate communication difficulties and social withdrawal.

Objective

Our aim was to investigate functional hearing (speech in noise recognition) in PD and evaluate its relationship to neuropsychiatric symptoms, cognition and quality of life.

Methods

Participants with PD were recruited in a tertiary movement disorder clinic. Demographic, audiological, neuropsychiatric and quality of life data were collected. Participants underwent pure tone audiometry (PTA) and Hearing in Noise test (HINT) as a part of their audiological evaluation.

Results

A total of 29 participants (mean age: 65.8±8.3 years, M:F= 1.6:1, mean disease duration 5.2 ± 4.0 years) completed the study. All assessments were done in the ON state. 19/29 (65.5 %) participants had normal tone audiometry for age; functional hearing loss, however, was present in 17/29 (58.6 %) according to the HINT. 65 % (11/17) of the affected participants had a disease duration of <4 years. The majority (72.4 %) with poor functional hearing did not perceive any hearing impairment. Hearing deficits did not correlate with non-motor symptoms (NMS), including cognition or other quality of life measures.

Conclusions

Functional hearing loss is common in PD, often presents early in the disease and the majority of PD patients are unaware of their functional hearing loss. Its potential impact on cognition, communication and quality of life requires further investigation and tailored treatment.

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来源期刊
Clinical Neurology and Neurosurgery
Clinical Neurology and Neurosurgery 医学-临床神经学
CiteScore
3.70
自引率
5.30%
发文量
358
审稿时长
46 days
期刊介绍: Clinical Neurology and Neurosurgery is devoted to publishing papers and reports on the clinical aspects of neurology and neurosurgery. It is an international forum for papers of high scientific standard that are of interest to Neurologists and Neurosurgeons world-wide.
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