Navegando por Palavras-chave "Auditory perception"
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- ItemSomente MetadadadosAuditory behavior and auditory temporal resolution in children with sleep-disordered breathing(Elsevier Science Bv, 2017) Leite Filho, Carlos Alberto [UNIFESP]; da Silva, Fabio Ferreira; Pradella-Hallinan, Marcia [UNIFESP]; Xavier, Sandra Doria; Miranda, Monica Carolina [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]Objective: Intermittent hypoxia caused by obstructive sleep apnea syndrome (OSAS) may lead to damage in brain areas associated to auditory processing. The aim of this study was to compare children with OSAS or primary snoring (PS) to children without sleep-disordered breathing with regard to their performance on the Gaps-in-Noise (GIN) test and the Scale of Auditory Behaviors (SAB) questionnaire. Methods: Thirty-seven children (6-12 years old) were submitted to sleep anamnesis and in-lab nightlong polysomnography. Three groups were organized according to clinical criteria: OSAS group (13 children), PS group (13 children), and control group (11 children). They were submitted to the GIN test and parents answered SAB questionnaire. The Kruskal-Wallis statistical test was used to compare the groups
- ItemAcesso aberto (Open Access)Avaliação comportamental e eletrofisiológica do processamento auditivo em crianças com traumatismo cranioencefálico pré e pós terapia fonoaudiológica(Universidade Federal de São Paulo (UNIFESP), 2017-02-24) Silva, Mariane Richetto da [UNIFESP]; Gil, Daniela [UNIFESP]; Avila, Clara Regina Brandão de; http://lattes.cnpq.br/4265004102490366; http://lattes.cnpq.br/6363626867862971; http://lattes.cnpq.br/0062247550230192; Universidade Federal de São Paulo (UNIFESP)Objective: To verify the effects of a speech-language intervention program in children after traumatic brain injury (TBI) on hearing and metalinguistic abilities. Method: The study included 5 children, aged 9 to 11 years, who had moderate or Severe at least 6 months, right-handed, literate before the injury, do not present difficulties before the injury, Central Auditory Processing Disorder and Reading and Writing Change. Electrophysiological evaluation (BAEP, PEALL with TB and with complex stimulus), behavioral evaluation of central auditory processing and reading and writing evaluation were performed. Ten sessions of speech therapy intervention were carried out, in which language and hearing aspects were stimulated. After the sessions were finished, the behavioral and electrophysiological evaluations were performed. Results: A statistically significant result, post phonoaudiological intervention, in the items phonemic synthesis and phonemic awareness of phonological awareness; In the PEALL with tone burst there was improvement in the latency of the N1 left ear, P2 in both ears, N2 in both ears and P3 in the right ear; In the BAEP there was improvement in the latency of the I wave in the left ear and in the Central Auditory Processing improvement in the test of sequential memory of 3 sounds sounds verbal and the test of speech with white noise in the right ear. Conclusion: The speech-language intervention program developed is effective in children after traumatic brain injury.
- ItemAcesso aberto (Open Access)Avaliação do processamento auditivo em crianças nascidas pré-termo(Sociedade Brasileira de Fonoaudiologia, 2011-01-01) Gallo, Julia [UNIFESP]; Dias, Karin Ziliotto [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Azevedo, Marisa Frasson de [UNIFESP]; Sousa, Elaine Colombo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To verify the performance of children born preterm on auditory processing evaluation, and to correlate the data with behavioral hearing assessment carried out at 12 months of age, comparing the results to those of auditory processing evaluation of children born full-term. METHODS: Participants were 30 children with ages between 4 and 7 years, who were divided into two groups: Group 1 (children born preterm), and Group 2 (children born full-term). The auditory processing results of Group 1 were correlated to data obtained from the behavioral auditory evaluation carried out at 12 months of age. The results were compared between groups. RESULTS: Subjects in Group 1 presented at least one risk indicator for hearing loss at birth. In the behavioral auditory assessment carried out at 12 months of age, 38% of the children in Group 1 were at risk for central auditory processing deficits, and 93.75% presented auditory processing deficits on the evaluation. Significant differences were found between the groups for the temporal order test, the PSI test with ipsilateral competitive message, and the speech-in-noise test. The delay in sound localization ability was associated to temporal processing deficits. CONCLUSION: Children born preterm have worse performance in auditory processing evaluation than children born full-term. Delay in sound localization at 12 months is associated to deficits on the physiological mechanism of temporal processing in the auditory processing evaluation carried out between 4 and 7 years.
- ItemAcesso aberto (Open Access)Avaliação dos comportamentos auditivos de figura-fundo e de resolução temporal e da percepção de limitações de atividades comunicativas em crianças e adolescentes portadores de deficiência auditiva unilateral(Universidade Federal de São Paulo (UNIFESP), 2010-01-27) Vieira, Márcia Ribeiro [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose: To test the hearing behavior of figure-to-ground and temporal resolution and the self-perception of limitations on activities of children and adolescents with unilateral hearing loss. Methods: Participated 38 individuals, between the age of 8 and 19 (average 12.32), divided into: experimental group (with unilateral hearing loss) and control group (normal-hearing individuals), each one formed of 19 individuals, matched according to their gender, age and educational level. They have all been submitted to anamneses, to a complete audiology test and to the procedures of study: a self-report questionnaire of limitations on communicative activities with questions about noisy and silent situations, and sound localization. The participants have been submitted to the Gap-In-Noise and the Pediatric Speech Intelligibility tests at 0, -10 and -15 reference. The statistical analysis has been done through non-parametric tests at the significance level of 0.05. Results: In the experimental group the unilateral hearing loss has been classified as profound in most participants, having started at the pre-schooling stage, with unknown or undefined etiologies (e.g. meningitis, traumas, mumps and measles). Most individuals have presented complaints of learning difficulties, and have shown limitations on communicative activities, of moderate degree predominantly, and especially in noisy situations. The degree and the ear with unilateral hearing loss have not interfered in the severity of the limitation. The worst results, both at the thresholds of gap detection and the Pediatric Speech Intelligibility test on the good ear, have been found in the experimental group. There was no correlation between the thresholds of gap detection on the good ear and the side of the bad one. Conclusions: Individuals with unilateral hearing loss present limitations on communicative activities, especially in noisy environments which are related to worse hearing abilities of temporal resolution and figure-to-ground.
- ItemAcesso aberto (Open Access)Diagrama de desvio fonatório na clínica vocal(Universidade Federal de São Paulo (UNIFESP), 2009-02-18) Madazio, Glaucya [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Purpose: To identify which characteristics discriminates the hoarseness diagram of adult voices that are predominantly adapted, rough, breathy and strained. Method: 196 adult voice samples of the sustained vowel “ae” were analyzed. They were distributed into two groups, 163 with vocal deviation and 33 with healthy voices. Voice samples were submitted to two types of analyses: acoustic and auditory perceptual. The perceptual analyses focused on the identification of the vocal quality predominance – adapted, rough, breathy and strained and also in the degree of deviation, by using a visual analogue scale and its numeric correspondence. The acoustic analyses was performed by means of the VoxMetria software (CTS Informatica) and consisted of assessing the configuration of vocal sample distribution in the hoarseness diagram according to normality area, density, shape and location in the quadrants, and the extraction of fundamental frequency, jitter, shimmer, correlation and GNE. Results: There was a significant difference in the position of the voice samples in relation to the normality area of the diagram, meaning that 100% (33) of the adapted voices were located inside this area and 69.3% (113) of the deviated voices were outside it (p<0.001). Adapted voices presented concentrated density (78.8%, 26), which were statistically different from the deviated voices (56.4%, 92) that presented spread density (56.4%, 92). As far as voice type is concerned, all adapted voices were located at the inferior left quadrant, 45% (27) of the rough voices were at the inferior right, 52.6% (30) of the breathy voices were at the superior right and 54.3% (25) of the strained were at the inferior left. Concerning the degree of severity of vocal deviation, 93.8% of the 16 deviated voices evaluated as having a 1 degree of deviation were located at the inferior and superior right quadrants. In the other hand, 80 % (8) of the voice with a severe degree of deviation were located in the superior right quadrant. The inferior left quadrant concentrated the voices evaluated by the visual analogue scale up to 35.5mm (degree 1) and some from 35.5 to 50.5mm (degree 2). Voices with 3 degree of deviation were located in the inferior right Abstract and both superior left and right quadrants. The voices with the worse degree of deviation were located at the superior right quadrant. Jitter and shimmer differed the strained voices from the rough voices (p<0.021 e p=0.0032 respectively) and from the breathy voices (p=0.021 e p=0.005, respectively). The GNE did also differ the strained voices from the rough voices (p=0.003) and from the breathy voices (p<0.002).It also differentiated the rough from the breathy voices (p<0.001). The correlation between F0 and the other acoustic parameters was not significant and the quality of correlation was very poor: jitter (p=0.257; -8.9%), shimmer (p=0.158; -11.2%), correlation (p=0.285; 8.4%) and GNE (p=0.790; -2.1%). Conclusions: The hoarseness diagram differentiated the adapted from the deviated voices. Adapted voices were located in the normality area, and the majority of the deviated voices were outside it. There was not a relationship between type of voice, density and shape of configuration of vocal sample distribution in the diagram. The distribution of voices in the quadrants related to the type and degree of severity of voice deviation. GNE was the only acoustic parameter able to differ from the three types of deviated voices.
- ItemAcesso aberto (Open Access)Habilidades auditivas centrais em indivíduos com queixas de dificuldades escolares e sua relação com a vantagem da orelha direita em escuta dicótica(Universidade Federal de São Paulo (UNIFESP), 2017-02-24) Palacios, Thilie [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; http://lattes.cnpq.br/0546134611213515; http://lattes.cnpq.br/3943587612165572; Universidade Federal de São Paulo (UNIFESP)Propouse: such the association between central auditory skills and the presence or absence of the right ear advantage in dichotic hearing in individuals with schooler. Methodology: difficulties. The population of 121 individuals, public or private school in the city of São Paulo, with the control group (SQ) 52 children (29 public schools and 23 private schools) without learning difficulties and advantage of the right ear (VOD) study group 1 (CQ) 51 children (26 public schools and 25 private schools) with learning difficulties and VOD; and Study Group 2 (CQE) with 18 children, all public school with learning difficulties and lack of VODOs inclusion criteria: have at least elementary school (to be literate), has no other obvious impairments that hinder the development of language and / or speech, such as neurological and / or psychiatric disorders, and does not have serious visual disorders such as glaucoma and / or low vision. Process: To evaluate the detection of a sound in the presence of binaural auditory masking with a change of phase to one ear is used MLD test; to check the temporal resolution of behavior will use the GIN test; to check the temporal ordering behavior will be used TPD test; to check the monotic behavior with sentences will use the SSI-MCI test; to check the dichotic listening behavior syllables will be used TDCV test. Data for each procedure will be compared considering the variable group, presence and absence of school difficulties complaints, and presence and absence of the right ear advantage in dichotic hearing. Result: In subjects with central auditory processing disorder, the ability to release binaural masking was found to be lacking in association between the group and the adequacy reference coefficient, nor between gender and CR criteria of adequacy of performance in the test. For the temporal resolution ability the individuals of the CQ group showed worse performance than the SQ group. For the temporal ordering ability of successive, brief and different durations, it was observed that the group is associated with CR and not with gender. The difference between the means of the SQ and CQ groups is significant. For figure-background ability in monotonous listening with sentences, the data to the right ear were associated with the presence of a complaint of school difficulty rather than gender, while the left ear showed no interaction between gender or group. The ability of figure-background in dichotic listening with syllables was shown with association between group and CR. The amplitude of the right ear advantage, abbreviated as ILOD, was shown with interaction between group, gender and CR in the SQ group, but in the CQ group the same association was not observed, and a significant difference was also observed between the groups. Conclusion: There is impairment of central auditory skills in individuals with school difficulties. The amplitude of the advantage of the right ear is lower in the group with school difficulties.
- ItemAcesso aberto (Open Access)Influência do transtorno fonológico sobre os transtornos de leitura e da escrita(Academia Brasileira de Audiologia, 2013-01-01) Silva, Monique Cantelli Da [UNIFESP]; Ávila, Clara Regina Brandão de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To investigate the influence of phonological disorder, present at school age on performance on tasks of reading, writing, phonological and auditory processing and the relationships between these variables. METHODS: A total of 28 children regularly enrolled in 4th and 5th grade of elementary schools were divided: Experimental Group 1, Experimental Group 2, and Control Group. The following skills were assessed: reading, writing, phonological and auditory processing. The data were statistically analyzed. RESULTS: Control Group showed better results in reading, writing and processings. Experimental Groups were similar in terms of phonological awareness and phonological short-term memory. Experimental Group 1 showed lower values of performances compared to Experimental 2, with or without statistical significance. Auditory processing was similar among three groups, with the exception of Sequential Verbal Memory task. The three groups showed different patterns of correlations between variables. CONCLUSION: The phonological disorder was associated with worse performance on reading, spelling and phonological processing. The different groups showed different patterns of correlations between reading, writing, listening and phonological processing, which corroborated the results of the comparisons.
- ItemAcesso aberto (Open Access)A influência dos aspectos cognitivos e dos processos auditivos na aclimatização das próteses auditivas em idosos(Sociedade Brasileira de Fonoaudiologia, 2012-01-01) Pinheiro, Maria Madalena Canina [UNIFESP]; Iorio, Maria Cecilia Martinelli [UNIFESP]; Miranda, Elisiane Crestani [UNIFESP]; Dias, Karin Ziliotto [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de Santa Catarina; Universidade Federal de São Paulo (UNIFESP); Santa Casa de São Paulo Faculdade de Ciências MédicasPURPOSE: To verify the speech recognition processes in a monoaural task and in a binaural integration task with dichotic listening, and to compare them to the cognitive processing in elderly subjects pre and post hearing aid acclimatization. METHODS: Participants were 60 elderly subjects of both genders, ranging in age from 61 to 85 years. They were evaluated for cognitive aspects by means of the Mini-Mental State Examination (MMSE) and the Alzheimer's Disease Assessment Scale (ADAS-Cog). To evaluate speech processes in a monoaural task and in a binaural integration task with dichotic listening, the Percentage Index of Speech Recognition Test (PISR) and the Dichotic Digits Test (DDT) were completed before and after using the hearing aid. Data was descriptively presented and compared with non-parametric tests. RESULTS: Speech recognition at the PISR was low (mean 69.6%) and the DDT presented better digit recognition on the right ear (mean 74.1%) than on the left ear (mean 61.1%). The sample presented improved performance on speech tests after the use of hearing aids, with relevant difference between the means of the first and the second evaluations. The PISR was not correlated with cognitive aspects. The DDT was associated with both cognitive tests, especially for the left ear. CONCLUSION: All subjects were acclimatized, because there was improvement in speech recognition following the use of hearing aids. Subjects with cognitive problems present poorer performance in speech recognition processes with dichotic listening.
- ItemAcesso aberto (Open Access)Percepção de fala em idosos: análise dos erros(Universidade do Estado do Rio Janeiro, 2010-12-01) Calais, Lucila Leal [UNIFESP]; Russo, Iêda Chaves Pacheco; Borges, Alda Christina Lopes de Carvalho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de São Paulo Departamento de Clínica FonoaudiológicaOBJECTIVE: To analyze the errors made in a speech test in the presence of background noise for the elderly. METHOD: We performed a retrospective study with data collected from medical records of 55 elderly patients divided into control group (CG) and study group (SG), considering the tests Percentage Index of Speech Recognition (PISR) and Speech in Noise (S/R). RESULT: articulatory exchanges were more frequent test in the SG and in the /R test. Overall, there were more omissions of phonemes in initial position (/p/ and /b/) and final (/s/) of words, especially with the noise. There were omissions of words only in the SG. The words more exchanged in the CG were rir, dil, lhe, faz and rol, and in the SG, rir, dil, lhe, faz, pus and rol. CONCLUSION: the presence of normal pure tone thresholds did not prevent errors that occur in speech recognition and noise interfered negatively in this recognition, especially in the elderly with hearing loss. The phonemes / p /, / b / and / s / were most frequently omitted, especially in the presence of noise. The words rir, dil, lhe, faz and rol were the most confused in the groups, mainly in the presence of noise.
- ItemAcesso aberto (Open Access)Percepção de limitações de atividades comunicativas, resolução temporal e figura-fundo em perda auditiva unilateral(Sociedade Brasileira de Fonoaudiologia, 2011-12-01) Vieira, Márcia Ribeiro [UNIFESP]; Nishihata, Regiane [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To evaluate the hearing behavior of figure-to-ground and temporal resolution, and the self-perception of limitations on communicative activities of children and adolescents with unilateral hearing loss. METHODS: Participants were 38 individuals, with ages between 8 and 19 years, divided into: experimental group (with unilateral hearing loss) and control group (normal-hearing individuals), each comprising 19 individuals, matched according to gender, age and educational level. All subjects carried out anamnesis, audiological evaluation, and the procedures of study: a self-report questionnaire of limitations on communicative activities, and the auditory processing tests Gaps-in-Noise and Pediatric Speech Intelligibility Test. Statistical analysis was conducted using non-parametric tests. RESULTS: In the experimental group the unilateral hearing loss was profound in most participants, having started during the pre-school stage, with unknown or identified etiologies (e.g. meningitis, traumas, mumps and measles). Most subjects presented learning difficulties complaints, and showed predominantly moderate limitations on communicative activities, mainly in noisy situations. The worst results were observed in the experimental group, both for the thresholds of gap detection and the Pediatric Speech Intelligibility Test carried out in the normal ear. There was no significant correlation between the thresholds of gap detection on the normal ear and the side of the ear with hearing loss. CONCLUSION: Individuals with unilateral hearing loss present limitations on communicative activities, especially in noisy environments, associated with worse auditory processing abilities of temporal resolution and figure-to-ground.
- ItemSomente MetadadadosPerceptual Error Analysis of Human and Synthesized Voices(Mosby-Elsevier, 2017) Englert, Marina [UNIFESP]; Madazio, Glaucya; Gielow, Ingrid; Lucero, Jorge; Behlau, Mara [UNIFESP]Objective/ Hypothesis. To assess the quality of synthesized voices through listeners' skills in discriminating human and synthesized voices. Study Design. Prospective study. Methods. Eighteen human voices with different types and degrees of deviation (roughness, breathiness, and strain, with three degrees of deviation: mild, moderate, and severe) were selected by three voice specialists. Synthesized samples with the same deviations of human voices were produced by the VoiceSim system. The manipulated parameters were vocal frequency perturbation (roughness), additive noise (breathiness), increasing tension, subglottal pressure, and decreasing vocal folds separation (strain). Two hundred sixty-nine listeners were divided in three groups: voice specialist speech language pathologists (V-SLPs), general clinician SLPs (G-SLPs), and naive listeners (NLs). The SLP listeners also indicated the type and degree of deviation. Results. The listeners misclassified 39.3% of the voices, both synthesized (42.3%) and human (36.4%) samples (P = 0.001). V-SLPs presented the lowest error percentage considering the voice nature (34.6%)
- ItemSomente MetadadadosPerceptual Error Identification of Human and Synthesized Voices(Mosby-Elsevier, 2016) Englert, Marina [UNIFESP]; Madazio, Glaucya; Gielow, Ingrid; Lucero, Jorge; Behlau, Mara [UNIFESP]Objectives/Hypothesis. To verify the discriminatory ability of human and synthesized voice samples. Study Design. This is a prospective study. Methods. A total of 70 subjects, 20 voice specialist speech-language pathologists (V-SLPs), 20 general SLPs (G-SLPs), and 30 naive listeners (NLs) participated of a listening task that was simply to classify the stimuli as human or synthesized. Samples of 36 voices, 18 human and 18 synthesized vowels, male and female (9 each), with different type and degree of deviation, were presented with 50% of repetition to verify intrarater consistency. Human voices were collected froma vocal clinic database. Voice disorders were simulated by perturbations of vocal frequency, jitter (roughness), additive noise (breathiness) and by increasing tension and decreasing separation of the vocal folds (strain). Results. The average amount of error considering all groups was 37.8%, 31.9% for V-SLP, 39.3% for G-SLP, and 40.8% for NL. V-SLP had smaller mean percentage error for synthesized (24.7%), breathy (36.7%), synthesized breathy (30.8%), and tense (25%) and female (27.5%) voices. G-SLP and NL presented equal mean percentage error for all voices classification. All groups together presented no difference on the mean percentage error between human and synthesized voices (P value = 0.452). Conclusions. The quality of synthesized samples was very high. V-SLP presented a lower amount of error, which allows us to infer that auditory training assists on vocal analysis tasks.
- ItemSomente MetadadadosThe Phonatory Deviation Diagram: A Novel Objective Measurement of Vocal Function(Karger, 2011-01-01) Madazio, Glaucya [UNIFESP]; Leao, Sylvia [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Ctr Estudos VozAim: To identify the discriminative characteristics of the phonatory deviation diagram (PDD) in rough, breathy and tense voices. Methods: One hundred and ninety-six samples of normal and dysphonic voices from adults were submitted to perceptual auditory evaluation, focusing on the predominant vocal quality and the degree of deviation. Acoustic analysis was performed with the VoxMetria (CTS Informatica). Results: Significant differences were observed between the dysphonic and normal groups (p < 0.001), and also between the breathy and rough samples (p = 0.044) and the breathy and tense samples (p < 0.001). All normal voices were positioned in the inferior left quadrant, 45% of the rough voices in the inferior right quadrant, 52.6% of the breathy voices in the superior right quadrant and 54.3% of the tense voices in the inferior left quadrant of the PDD. in the inferior left quadrant, 93.8% of voices with no deviation were located and 72.7% of voices with mild deviation; voices with moderate deviation were distributed in the inferior and superior right quadrants, the latter ones containing the most deviant voices and 80% of voices with severe deviation. Conclusion: the PDD was able to discriminate normal from dysphonic voices, and the distribution was related to the type and degree of voice alteration. Copyright (C) 2011 S. Karger AG, Basel
- ItemAcesso aberto (Open Access)Porcentagem de Consoantes Corretas (PCC) em crianças com e sem deficiência auditiva(Sociedade Brasileira de Fonoaudiologia, 2011-01-01) Zanichelli, Larissa [UNIFESP]; Gil, Daniela [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To compare the Percentage of Consonants Correct (PCC) index of children with and without hearing loss, and to verify whether the time using hearing aids, the time in therapy, and the time spent until hearing loss was diagnosed influence the performance of deaf children. METHODS: Participants were 30 children, 15 with hearing impairment and 15 with normal hearing, paired by gender and age. The PCC index was calculated in three different tasks: picture naming, imitation and spontaneous speech. The phonology tasks of the ABFW - Teste de Linguagem Infantil were used in the evaluation. RESULTS: Differences were found between groups in all tasks, and normally hearing children had better results. PCC indexes presented by children with hearing loss characterized a moderately severe phonological disorder. Children enrolled in therapy for a longer period had better PCC indexes, and the longer they had been using hearing aids, the better their performances on the imitation task. CONCLUSION: Children with hearing loss have lower PCC indexes when compared to normally hearing children. The average performance and imitation are influenced by time in therapy and time using hearing aids.
- ItemAcesso aberto (Open Access)Processamento auditivo e musical em cantores populares com dificuldade em melodias(Universidade Federal de São Paulo (UNIFESP), 2021-01-26) Abreu, Sarah Maiumi Ido de [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; http://lattes.cnpq.br/0546134611213515; http://lattes.cnpq.br/2987107610311909; Universidade Federal de São Paulo (UNIFESP)Objetivo: Analisar a relação entre a ocorrência de queixas de dificuldade com melodias novas em cantores profissionais e a presença de alteração do processamento auditivo. Método: Estudo observacional do tipo caso-controle, aprovado pelo CEP institucional (3.688.995). A amostra foi selecionada após um convite feito em plataforma de comunicação online da rede social de conveniência da pesquisadora. Aceitaram participar voluntariamente do estudo, seis cantores populares, profissionais há no mínimo 10 anos, adultos de 25 a 52 anos, sendo quatro mulheres e dois homens. Destes, três indivíduos com dificuldade em reprodução de melodia e com diagnóstico de TPAC (denominado Grupo 1), e três indivíduos sem essa queixa, sendo 2 com TPAC (Grupo 2) e um indivíduo normal na avaliação de PAC (grupo 3). Foram submetidos a: - uma entrevista ;- questionário Escala de Funcionamento Auditivo - Scale of Auditory Behaviors (SAB-Q), validado em 2013; avaliação do processamento auditivo composta por: teste dicótico de dígitos e ao teste dicótico consoante-vogal para avaliar a percepção de fala dicótica; ao teste de fala com ruído, e o teste SSI para avaliar a escuta monótica de baixa redundância; ao teste de padrão de frequência e ao teste de padrão de duração para avaliar a ordenação temporal de sons breves e sucessivos; e ao teste RGDT para avaliar a resolução temporal; - Bateria Montreal de Avaliação de Amusia (Montréal Battery of Evaluation of Amusia) – validada para o português do Brasil em 2010; - teste eletroacústico de emissões otoacústicas e seu efeito de supressão. Resultados: Da amostra total (6 cantores), 83% apresentaram diagnóstico de TPAC e desses, a maioria (60%) com queixa na reprodução de melodia. No teste de triagem para a amusia (MBEA), nenhum dos participantes falhou. No entanto, chamou a atenção: - um indivíduo do G1 que apresentou resultados abaixo da média em um dos testes melódicos e um dos testes rítmicos; - e um indivíduo do grupo 2 que apresentou resultado em um dos testes rítmicos abaixo da média. Ambos os indivíduos com desempenho inferior na MBEA em relação aos demais cantores avaliados. Na avaliação do processamento auditivo verificou-se que: no Grupo 1, os três participantes mostraram alteração na fala dicótica; na ordenação temporal de duração; na escuta monótica de baixa redundância (teste SSI) e normalidade na resolução temporal e teste de fala com ruido. Indicando uma coocorrência entre queixas de dificuldade de reprodução de melodias em cantores profissionais e alteração do processamento temporal e fala dicótica. No grupo 2, ambos indivíduos mostram alteração em fala dicótica, em escuta monótica de baixa redundância (teste de fala com ruido) e normalidade de resolução temporal, e a ordenação temporal foi alterada em um dos indivíduos. Indicando que a escuta monótica de baixa redundância para o teste de fala com ruido esteve alterada somente no grupo 2, isto é, sem queixa de dificuldade de reprodução rítmica e com TPAC. Na escala SAB-Q os participantes apresentaram escore bruto final mínimo de 36 e máximo de 51 pontos. Nos indivíduos do Grupo 1 e do grupo 2, o valor de SAB-Q indicou risco de TPAC que foi confirmado. O indivíduo do grupo 3 apresentou pontuação do SAB-Q de baixo risco de TPAC e apresentou avaliação normal. Assim, a escala SAB-Q se mostrou um bom instrumento de triagem de PAC nesta população. Na avaliação do efeito de supressão das emissões otoacústicas, que foi realizada em quatro indivíduos desta amostra, foi observada alteração em três indivíduos. Nos três indivíduos do Grupo 1 as EOAT foram presentes bilateralmente No entanto, dois deles apresentaram ausência do efeito de supressão. Em um dos dois indivíduos do grupo 2, a EOAT esteve presente com ausência do efeito de supressão. Os dois indivíduos restantes da amostra não realizaram a EOAT e pertencem ao grupo sem queixa melódica, sendo um com TPAC e o outro sem. Nesses indivíduos com ausência do efeito de supressão, há uma indicação de alteração na ativação do efeito inibitório da via eferente auditiva por estímulo clique. Conclusão. Na amostra avaliada, verificou-se cantores com alteração de processamento auditivo e queixa de dificuldade de reprodução melódica. Apresentar alterações nas habilidades auditivas de ordenação temporal de duração e desempenho reduzido nos testes rítmicos e melódicos do MBEA parecem estar relacionadas com relatos de alguma dificuldade com melodias novas em cantores experientes. Um viés do estudo pode ter sido que somente pessoas com alguma dificuldade auditiva se voluntariaram para fazer essa avaliação.
- ItemSomente MetadadadosProcessamento auditivo em idosos(Universidade Federal de São Paulo (UNIFESP), 2004) Pinheiro, Maria Madalena Canina [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]Objetivo: Caracterizar o aspecto da interacao de sons verbais e nao verbais em idosos com e sem perda auditiva por meio dos testes de Fusao Binaural (FB), Localizacao Sonora em Cinco Direcoes (LS), Lateralizacao Temporal (LT) e do Teste Pediatrico de Inteligibilidade da Fala em escuta Monotica (Pediatric Sentence Identification-PSIMCI),levando em conta cada procedimento, grau e configuracao da perda auditiva. Metodos: 110 idosos, 88 do sexo feminino e 22 do sexo masculino, na faixa etaria dos 60 a 85 anos com audicao normal ou com perda auditiva neurossensorial de grau ate moderadamente-severo, simetrica foram incluidos neste estudo. Os audiogramas possibilitaram a classificacao em grupos quanto ao grau e quanto a configuracao audiometrica da perda auditiva. O comportamento auditivo comum a todos os testes selecionados foi denominado de interacao. A analise foi feita por procedimento isolado, combinado e por grupos do grau e da configuracao audiometrica. Resultados: Ocorreram mais individuos com inabilidade no teste de FB do que no teste de LS. Ao aumentarmos a intensidade da competicao o desempenho do idoso piora no teste PSIMCI. Os resultados por orelha sao semelhantes do teste de LT, entretanto ocorreu uma tendencia da tecnica ascendente apresentar um indice de lateralizacao menor do que a descendente. No estudo combinado dos procedimentos houve uma dependencia estatisticamente significante entre o teste de LS com o de LT e entre o teste de FB com o teste PSI-MCI. Os procedimentos que apresentaram uma dependencia estatisticamente significante com os grupos do grau foram o teste de LS, teste LT e PSI-MCI (-10). O teste de LS apresentou dependencia estatisticamente significante com os grupos da configuracao audiometrica. O grupo com perda auditiva apenas em frequencias altas (GFA) foi o que apresentou menores indices de lateralizacao e se diferenciou estatisticamente dos demais grupos da configuracao Conclusao: Idosos apresentam dificuldade no processo de interacao binaural quando a informacao auditiva nao esta completa. O grau da perda auditiva interferiu principalmente nos comportamentos auditivos de localizacao e lateralizacao. A configuracao audiometrica interferiu no comportamento auditivo de localizacao. Ainda, para o indice de lateralizacao temporal houve interferencia da configuracao com perda auditiva em frequencias baixas e medias
- ItemAcesso aberto (Open Access)Processamento temporal, localização e fechamento auditivo em portadores de perda auditiva unilateral(Sociedade Brasileira de Fonoaudiologia, 2012-01-01) Nishihata, Regiane [UNIFESP]; Vieira, Márcia Ribeiro [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To assess the behaviors of temporal resolution and temporal ordering, sound localization, and auditory closure, and to investigate possible associations with complaints of learning, communication and language difficulties in individuals with unilateral hearing loss. METHODS: Participants were 26 individuals with ages between 8 and 15 years, divided into two groups: Unilateral hearing loss group; and Normal hearing group. Each group was composed of 13 individuals, matched by gender, age and educational level. All subjects were submitted to anamnesis, peripheral hearing evaluation, and auditory processing evaluation through behavioral tests of sound localization, sequential memory, Random Detection Gap test, and speech-in-noise test. Nonparametric statistical tests were used to compare the groups, considering the presence or absence of hearing loss and the ear with hearing loss. RESULTS: Unilateral hearing loss started during preschool, and had unknown or identified etiologies, such as meningitis, traumas or mumps. Most individuals reported delays in speech, language and learning developments, especially those with hearing loss in the right ear. The group with hearing loss had worse responses in the abilities of temporal ordering and resolution, sound localization and auditory closure. Individuals with hearing loss in the left ear showed worse results than those with hearing loss in the right ear in all abilities, except in sound localization. CONCLUSION: The presence of unilateral hearing loss causes sound localization, auditory closure, temporal ordering and temporal resolution difficulties. Individuals with unilateral hearing loss in the right ear have more complaints than those with unilateral hearing loss in the left ear. Individuals with hearing loss in the left ear have more difficulties in auditory closure, temporal resolution, and temporal ordering.
- ItemAcesso aberto (Open Access)Qualidade vocal e processamento auditivo em indivíduos com e sem prática musical(Universidade Federal de São Paulo (UNIFESP), 2017-06-29) Paoliello, Karla Barbosa Guarda [UNIFESP]; Behlau, Mara Suzana [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; http://lattes.cnpq.br/0546134611213515; http://lattes.cnpq.br/2274436726620746; http://lattes.cnpq.br/0801816123717692; Universidade Federal de São Paulo (UNIFESP)INTRODUCTION: The relationship between voice and auditory processing is complex and has aroused greater scientific interest in the last decades. However, little is known about the relationship between vocal quality and auditory processing in individuals with and without musical practice. OBJECTIVES: To verify the vocal quality and the physiological mechanisms of selective attention and temporal ordering in individuals with and without musical practice. METHODS: 136 individuals were divided into three groups: G1 = singers, G2 = instrumentalists and G3 = without musical practice, non-singers and non-instrumentalists; The G1 group was subdivided into G1.1 = instrumentalist singers and G1.2 = singers only. The subjects underwent vocal evaluation through auditory perceptual analysis (APA) of the recording of their spoken voices, categorizing them and self - assessment of a possible voice problem through the Vocal Symptom Scale - VoiSS. The participants had their central auditory processing evaluated by the following tests: Pattern Frequency Test (FPT), Random Gap Detection Test (RGDT), Staggered Spondaic World (SSW), Speech in Noise and Synthetic Sentence Identification (SSI). The correlation between voice and auditory abilities was studied. RESULTS: The majority of individuals in all the groups studied did not present vocal deviation, which when it occurred was of a discrete degree; (G1.1 = 46.15% and G2 = 18.18%) and 1 (G1.1 = 46.15% and G2 = 75%). There was no statistically significant association between the various APA levels and the sexes evaluated. G1 reported more vocal symptoms than the other groups with averages above 16 points in the ESV, with G1.2 presenting a mean of 23.86 and G1.1 of 21.70; Women had higher scores on total ESV (20.55) and Limitation (11.25). The G1.1 subgroup showed higher auditory temporal ordering ability in the TPF, both in Humming (OD = 100% and OE = 99.75%), and in Nomination (OD = 96.89% and EO = 97.77 %), with G3 showing the lowest averages; males were better in both TPF (Humming OD = 97.74% and EO = 97.66%, ND = 94.15% and EO = 94.60%), as in RGDT (4.48). Only negligible strength correlations were found between the different central auditory processing tests, the general degree of vocal deviation in the auditory perceptual analysis of vocal quality, and the different scores of the Signals and Vocal Symptoms Scale protocol. CONCLUSION: The vocal quality of musicians and non-musicians correlated with their auditory processing, although with negligible strength. It was found that the singers reported more vocal symptoms in relation to the other groups, due to the probable awareness of their instrument, as well as the women when compared to the men. As for auditory processing, there was great variation in all groups. However, musicians, mainly instrumental singers, demonstrated a better auditory ability of temporal ordering, suggesting that the study and musical experience can be responsible for this performance. For this same aspect, regarding the influence of gender on the auditory abilities, it was verified that the men have better results in the tests of ordering and temporal resolution.
- ItemAcesso aberto (Open Access)Queixas e preocupações otológicas e as dificuldades de comunicação de indivíduos idosos(Sociedade Brasileira de Fonoaudiologia, 2008-03-01) Calais, Lucila Leal [UNIFESP]; Borges, Alda Christina Lopes de Carvalho [UNIFESP]; Baraldi, Giovana dos Santos [UNIFESP]; Almeida, Laís Castro de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hospital CEMAs; Laboratório Delboni Auriemo Medicina DiagnósticaPURPOSE: To investigate the otological complaints and concerns of aged individuals, as well as the communication difficulties they face. METHODS: Fifty elderly subjects (eight men and 42 women) with ages ranging from 61 to 90 years were evaluated. All of them carried out an anamnesis and hearing tests, and presented symmetrical descending audiometric configuration. In this study, anamnesis data and the correlations between otological complaints and the degrees of hearing loss were presented and discussed. RESULTS: Hearing loss complaint was present in 70% of the sample and was associated to the concern about one's own hearing loss, with complaints of communication difficulties and also with the number situations in which the difficulty is observed (presence of background noise was the most cited aspect). Tinnitus complaint (52%) presented an association with concern involving this same aspect, whereas dizziness (38%), besides similar correlation, revealed an association with communication difficulty. There was a significant statistical association among degree of hearing loss in both low and middle frequencies and complaints of hearing loss and dizziness. In high frequencies, these correlations also occurred, along with a significant statistical association between degree of the hearing loss and complaint of communication difficulty. CONCLUSIONS: Of the otological complaints, hearing loss complaint was predominant among the elderly subjects of this study. Age and gender had no influence on the otological complaints and concerns. Degree of hearing loss influenced otological complaints of hearing loss, dizziness and communication difficulty.
- ItemAcesso aberto (Open Access)Scale of Auditory Behaviors e testes auditivos comportamentais para avaliação do processamento auditivo em crianças falantes do português europeu(Sociedade Brasileira de Fonoaudiologia, 2013-01-01) Nunes, Cristiane Lima; Pereira, Liliane Desgualdo [UNIFESP]; Carvalho, Graça Simões De; Universidade do Minho Instituto de Educação Centro de Investigação em Estudos da Criança; Universidade Federal de São Paulo (UNIFESP)PURPOSE: The objective of this research was to assess the auditory abilities of Portuguese children and compare such abilities to the score of the Scale of Auditory Behaviors (SAB). METHODS: Fifty-one children were evaluated with audiometry, speech audiometry, acoustic immittance measures, and eight behavioral tests involving dichotic listening, monotic listening, temporal processing, and sound localization. Their parents filled in the SAB questionnaire adapted to European A. SAB scores and auditory tests scores were submitted to Pearson's correlation coefficient. RESULTS: There is significant correlation between the score on SAB questionnaire and the auditory processing tests. The greatest coefficient was observed in temporal processing test (p=0.000). CONCLUSION: There was correlation between the score of SAB and the performance in auditory processing tests, suggesting that the SAB may be used for auditory processing screening.