Análise crítica dos métodos de mensuração do zumbido

Azevedo, Andréia Aparecida de; Oliveira, Patrícia Mello de; Siqueira, Adriana Gomes de; Figueiredo, Ricardo Rodrigues

doi:10.1590/s0034-72992007000300019

Cited by 27 publications

(27 citation statements)

References 9 publications

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“…The evaluation that can be used to record tinnitus is acuphenometry [27], but there is still no specific test for diagnosing tinnitus [14]. However, speech therapy clinical practice relies on the patient’s perception of tinnitus, which is subjective and displays wide individual variability in self-reporting.…”

Section: Discussionmentioning

confidence: 99%

Speech recognition index of workers with tinnitus exposed to environmental or occupational noise: a comparative study

Soalheiro

Rocha

Vale

et al. 2012

Journal of Occupational Medicine and Toxicology

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IntroductionTinnitus is considered the third worst symptom affecting humans. The aim of this article is to assess complaints by workers with tinnitus exposed to environmental and occupational noise.Methodology495 workers went through an epidemiological survey at the Audiology Department of the Center for Studies on Workers’ Health and Human Ecology, from 2003 to 2007. The workers underwent tonal and vocal audiometry, preceded by a clinical and occupational history questionnaire. Two-factor ANOVA and Tukey were the statistical tests used. All the analysis set statistical significance at α=5%.FindingsThere was a higher prevalence of occupational tinnitus (73.7%), a predominance of female domestic workers (65.4%) in cases of environmental exposure, and predominance of male construction workers (71.5%) for occupational exposure. There was a significant difference in workers with hearing loss, who showed a mean speech recognition index (SRI) of 85%, as compared to healthy workers with a mean SRI greater than 93.5%. Signs and symptoms, speech perception, and interference in sound localization with the type of noise exposure (environmental versus occupational) comparisons found no significant differences.ConclusionStudied group’s high prevalence of tinnitus, major difficulties in speech recognition with hearing loss and the presence of individuals with normal hearing with both types of exposure justify the importance of measures in health promotion, prevention, and hearing surveillance. The findings highlight the importance of valuing the patients’ own perception as the first indication of tinnitus and hearing loss in order to help develop appropriate public policies within the Unified National Health System (SUS).

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Section: Discussionmentioning

confidence: 99%

Speech recognition index of workers with tinnitus exposed to environmental or occupational noise: a comparative study

Soalheiro

Rocha

Vale

et al. 2012

Journal of Occupational Medicine and Toxicology

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“…It is easily applicable and understood by most patients. However, this is a superficial assessment, impacted by cultural, intellectual and psychological aspects 6 . In 1996, Newman et al published a paper about the development of a Tinnitus Handicap Inventory (THI), through observing and studying other methods, such as Tinnitus Handicap/Support Questionnaire, Tinnitus Effect Questionnaire, Tinnitus Severity Questionnaire and Tinnitus Reaction Questionnaire.…”

Section: Introductionmentioning

confidence: 99%

Análise da correlação entre a escala visual-análoga e o Tinnitus Handicap Inventory na avaliação de pacientes com zumbido

Figueiredo¹,

Azevedo

Oliveira

2009

Rev. Bras. Otorrinolaringol.

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One of the most challenging topics in tinnitus clinicalstudies is the measuring method used. Visual Analogue Scales (VAS) and Tinnitus Handicap Inventory (THI) are frequently used in tinnitus. Aim: To verify the relationship between VAS and THI scores in tinnitus patients in a prospective study. Materials and methods: 43 patients classified their tinnitus according to VAS and THI, and both scores were compared through the Spearman's correlation coefficient test. Results: There was a correlation between the VAS and THI scores. Conclusion: There is correlation between VAS and THI scores in patients with sensorineural tinnitus.

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“…It is a fact that often, in the case of individuals who complain of tinnitus, there is no standardization regarding the procedures that are effectively included in clinical practice, despite the extensive description of psychoacoustic methods for the objective measurement of the symptom and number of instruments available for identifying complaints and its impact on daily life (1,10) . The difficulty in measuring tinnitus, in addition to limiting a better understanding of this symptom and its relationship with other factors such as hearing loss, for instance, makes it difficult to evaluate the results of drug therapy and other types of treatment.…”

Section: Introductionmentioning

confidence: 99%

Perfil clínico e implicações do zumbido em indivíduos com e sem perda auditiva

Bozza

Magni

et al. 2019

CoDAS

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RESUMO Objetivo comparar as características clínicas do zumbido e interferência na qualidade de vida em indivíduos com e sem perda auditiva associada, bem como discutir a associação de mensurações quantitativas e instrumentos qualitativos de avaliação. Método estudo quantitativo, descritivo e de corte transversal aprovado pelo Comitê de Ética em pesquisa (nº 973.314/2016 CAEE: 41634815.3.0000.0106). Foram comparadas as respostas da avaliação psicoacústica do zumbido (pesquisa de intensidade, frequência, nível mínimo de mascaramento e limiar de desconforto para tom puro e fala), bem como questionário Tinnitus Handicap Inventory (THI) e escala visual analógica (EVA) de 15 sujeitos portadores de zumbido e perda auditiva periférica (grupo GI) e 16 indivíduos normo-ouvintes (grupo GII). Resultados O escore médio na EVA e THI no GI foi, respectivamente, de 5,1(+1,5) e 42,3(+18) e no GII de 5,7(+2.6) e 32,7(+25), sugerindo incômodo moderado no GI e moderado/leve no GII (p>0,005). Verificou-se correlação moderada entre o THI e EVA apenas no GII. Na avaliação psicoacústica, observaram-se diferenças significantes entre os grupos referentes à medida da loudness (*p=0,013) e ao nível mínimo de mascaramento (*p=0,001). Conclusão a perda auditiva parece não se constituir em um fator determinante para o maior ou menor impacto do zumbido na qualidade de vida do sujeito. Já as diferenças encontradas entre os grupos, referentes às medidas psicoacústicas, podem ser justificadas pela presença do dano coclear em si. A mensuração objetiva do zumbido, independentemente da presença ou não da perda auditiva periférica, caracteriza-se como um importante instrumento complementar às medidas de auto avaliação.

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Análise crítica dos métodos de mensuração do zumbido

Cited by 27 publications

References 9 publications

Speech recognition index of workers with tinnitus exposed to environmental or occupational noise: a comparative study

Speech recognition index of workers with tinnitus exposed to environmental or occupational noise: a comparative study

Análise da correlação entre a escala visual-análoga e o Tinnitus Handicap Inventory na avaliação de pacientes com zumbido

Perfil clínico e implicações do zumbido em indivíduos com e sem perda auditiva

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