Tinnitus evaluation: relationship between pitch matching and loudness, visual analog scale and tinnitus handicap inventory

Nascimento, Islan da Penha; Almeida, Anna Alice; Martins, Mariana Leonel; Freitas, Thaís Mendonça Maia Wanderley Cruz de; Rosa, Marine Raquel Diniz da

doi:10.1016/j.bjorl.2018.05.006

Cited by 34 publications

(35 citation statements)

References 34 publications

(40 reference statements)

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“…Regarding the psychoacoustic measures researched, the data from both groups did not differ and corroborate the greater occurrence of high-pitched tinnitus, as well as the region of hearing loss in the case of GI subjects (21) . Although a recent study demonstrated similar pitch perception results around the 6000Hz frequency (25) , the fact that the high frequencies were not included in the present research may justify the fact that the mean value found here, in both groups, is considered lower compared to other works, ranging from 10 to 14000Hz (26) .…”

Section: Discussioncontrasting

confidence: 56%

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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Section: Discussioncontrasting

confidence: 56%

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

Bozza

Magni

et al. 2019

CoDAS

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“…It is conceivable that subjective tinnitus loudness might influence some of the obtained results. Unfortunately, there is not an agreement on whether the THI score used in our work may serve as an index of subjective tinnitus loudness: some studies have shown that tinnitus loudness judgments correlate well with self-rated annoyance and THI (e.g., Newman et al, 1994; Degeest et al, 2016), other studies found no correlation between subjective tinnitus ranking or THI and matched loudness (Meikle et al, 1984; Nascimento et al, 2018). Future work is hence needed to fully clarify this issue.…”

Section: Discussionmentioning

confidence: 78%

Speech Comprehension and Its Relation to Other Auditory Parameters in Elderly Patients With Tinnitus

Bureš

Profant

Svobodová

et al. 2019

Front. Aging Neurosci.

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Deteriorated speech comprehension is a common manifestation of the age-related decline of auditory functions (presbycusis). It could be assumed that when presbycusis is accompanied by tinnitus, general hearing functions, and particularly comprehension of speech in quiet and speech in noise (SIN), will be significantly affected. In this study, speech comprehension ability and other parameters of auditory function were assessed in elderly subjects with (T, n = 25) and without (NT, n = 26) tinnitus, aiming for examination of both peripheral and central auditory processing. Apart from high-frequency audiograms in quiet and in background noise, speech recognition thresholds in silence or in competitive babble noise, and the ability to understand temporally gated speech (GS), we measured also sensitivity to frequency modulation (FM) and interaural delay, gap detection thresholds (GDT), or the difference limens of intensity. The results show that in elderly participants matched by age (mean ages around 68 years), cognitive status (median MoCA scores around 27), and hearing thresholds [median pure-tone averages (PTA) around 16 dB hearing loss (HL)], tinnitus per se has little influence on speech comprehension. The tinnitus patients also show similar GDT, sensitivity to interaural intensity difference, and sensitivity to FM as the NT subjects. Despite these similarities, nevertheless, significant differences in auditory processing have been found in the tinnitus participants: a worse ability to detect tones in noise, a higher sensitivity to intensity changes, and a higher sensitivity to interaural time differences. Additional correlation analyses further revealed that speech comprehension in the T subjects is dependent on the sensitivity to temporal modulation and interaural time delay (ITD), while these correlations are weak and non-significant in the NT subjects. Therefore, despite similarities in average speech comprehension and several other parameters of auditory function, elderly people with tinnitus exhibit different auditory processing, particularly at a suprathreshold level. The results also suggest that speech comprehension ability of elderly tinnitus patients relies more on temporal features of the sound stimuli, especially under difficult conditions, compared to elderly people without tinnitus.

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“…It is worth noting that, in our study, we found a significant, negative correlation between the level of vitamin D and the impact of tinnitus measured with THI and VAS scales, but not with tinnitus pitch and loudness. Indeed, many studies show that the VAS scale for tinnitus loudness does not correspond to psychoacoustic measures of tinnitus loudness, and there is no correlation between THI and pitch and loudness matching measurements [ 63 , 64 ]. The reason for this discrepancy is that psychoacoustic measurements do not assess reactions to tinnitus, and self-reported tinnitus loudness is more a measure of tinnitus reactions than perception [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

The role of vitamin D in subjective tinnitus—A case-control study

et al. 2021

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Regarding the high prevalence of vitamin D (25(OH)D) deficiency in the population and its possible association with ear diseases, we aimed to investigate the 25(OH)Dserum level in patients with subjective, nonpulsating tinnitus and its effect on tinnitus severity. The study included 201 tinnitus patients and 99 controls. Patient clinical information, including tinnitus characteristics and severity according to Tinnitus Handicap Inventory (THI), loudness assessed by Visual Analogue Scale (VAS), audiometry, and the blood level of vitamin D, was recorded. The level of 25(OH)D in tinnitus patients was significantly decreased compared with the controls (19.86 ± 7.53 and 27.43 ± 8.85 ng/ml, respectively; P value < 0.0001). More patients in the tinnitus group were deficient in vitamin D, compared with the controls (50.7% vs. 22.2% respectively, p < 0.0001). Tinnitus patients with a lower serum level of 25(OH)D (≤15 ng/dl) were significantly younger, had a higher degree of tinnitus severity measured with THI and VAS scales, had higher triglyceride and TSH levels, and a lower HDL level compared with individuals who had higher 25(OH)D level (>15 ng/dl). There was a strong correlation between the 25(OH)D level and THI. Our findings suggest that a large proportion of tinnitus patients suffers from vitamin D deficiency and that the vitamin D level correlates with tinnitus impact. We recommend a vitamin D assessment for all tinnitus patients.

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Tinnitus evaluation: relationship between pitch matching and loudness, visual analog scale and tinnitus handicap inventory

Cited by 34 publications

References 34 publications

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

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

Speech Comprehension and Its Relation to Other Auditory Parameters in Elderly Patients With Tinnitus

The role of vitamin D in subjective tinnitus—A case-control study

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