Navegando por Palavras-chave "Hematoma Subdural Crônico"

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    Treinamento auditivo acusticamente controlado em indivíduos após hematoma subdural crônico
    (Universidade Federal de São Paulo (UNIFESP), 2019-05-17) Cibian, Aline Priscila [UNIFESP]; Gil, Daniela [UNIFESP]; http://lattes.cnpq.br/6363626867862971; http://lattes.cnpq.br/2003423468292977; Universidade Federal de São Paulo (UNIFESP)
    Introduction. The Chronic Subdural Hematoma is a neurological injury that occurs with intracranial hemorrhage. In this sense, it may compromise the central auditory nervous system and there is a need for auditory rehabilitation. The results of the intervention can generate behavioral and electrophysiological changes, which confirm the neuroplasticity of the auditory system. Objective. To characterize and compare the behavioral, electrophysiological evaluation of the auditory processing and questionnaires for self-auditory perception in subjects with chronic subdural hematoma post-drainage, submitted and not submitted to acoustically controlled auditory training. Methods. Thirteen individuals, aged 45 to 64 years, with auditory thresholds within normal range (frequencies 250 to 4000 Hz) participated, and seven of these, with a mean time of injury equal to 2.9 months, were submitted to Auditory Training and the other six, with an average time of injury equal to 19.8 months, did not perform the intervention. The evaluation and the reevaluations were composed by behavioral tests that evaluate auditory abilities of closing aural, figure-ground, resolution and temporal ordering and mechanism of binaural interaction; evaluation and electrophysiological reassessment by the P300 and questionnaires, Scale of Auditory Behaviors and Questionnaire after Formal Auditory Training. Results. In the initial evaluation, two behavioral tests were influenced by the time of injury, demonstrating that the group with the longest injury time showed better performance in these tests. In the second and third moments, the intervention group improved significantly in two and five tests, respectively. Tests that previously had similar results to the non-intervention group. As for the electrophysiological evaluation, from the first to the third moment, the non-intervention group revealed robust responses regarding the amplitude of the P300 verbal stimulus in both ears, without significant lesion effect. In the second and third moments, the non-intervention group had higher amplitudes in the P300 non-verbal stimuli in the right ear, with a significant injury time. Regarding the questionnaires, there was a significant improvement in the responses to the self-perception questionnaires, both when comparing the groups and the moments between them, being more evident for the intervention group and in Scale of Auditory Behaviors. Conclusions. There was a significant improvement in the responses of the behavioral tests for the group that performed the intervention, which were stable in the follow-up. The P300 was not a good marker to demonstrate efficacy of the intervention in this population, as it did not reveal consistent data between groups and moments, either in the latency parameter or in the amplitude parameter. In the self-perception questionnaires there was a more evident decrease of the complaints for the intervention group, when groups and moments were compared.