Estudo das relações entre habilidade atencional e o desempenho de crianças nos testes de processamento auditivo central

• Ano de defesa: 2018
• Autor(a) principal: Posenato, Adriana
• Orientador(a): Fiorini, Ana Claudia
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Fonoaudiologia
• Departamento: Faculdade de Ciências Humanas e da Saúde
• País: Brasil
• Palavras-chave em Português: Distúrbios do processamento auditivo central; Atenção auditiva sustentada; Audiologia
• Palavras-chave em Inglês: Testes auditivos; Wors deafness; Sustained Hearing Attention; Audiology; Hearing tests
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/21096

Objective: To verify the influence of the sustained auditory attention ability in the results of the central auditory processing conventional tests of students from a public school of São Paulo. Method: Observational and transversal clinical study were carried out in 49 children without any hearing loss (29 of the male and 20 females of nine years old). For the evaluation, the following tests were used: audiometry tonal and vocal, measurements of acoustic imitância, test of the ability of sustained auditory attention (THAAS), Speech test with Noise (TFR), Monótica and Dicótica Listening test with sentence identification (SSI), digit Dicótico test (TDD), masking differential threshold (MLD), Gaps in Noise (GIN), frequency pattern (PPS) and duration pattern test (DPS). Results: Of the total sample, 27 (55.1%) children presented normal results in all procedures (THAAS and central auditory processing tests) while (22 – 44.9%) showed change in at least one of the tests. The test that presented the largest number of altered cases was the THAAS (14-29%) followed by the integration TDD test (8-16.3%). In the THAAS test, the analysis of the total errors identified 35 (71%) with responses within the normality standards for age and 14 (29%) with non-compliant responses, being seven (50%) of the male gender and seven (50%) of the female. Statistically significant differences between THAAS and gender results were not observed. In the Association test Qui-square using the result of total errors of the THAAS as an outcome (normal and altered category) showed evidence of association with the tests TDD integration (P = 0.020) and TDD separation (P = 0.007). For the result of the THAAS divided into three categories (≤ 5, from 6 to 26 and ≥ 27), associations were observed with the tests TDD integration, TDD separation and MLD (P-values equal to 0.044, 0.025 and 0.027, respectively). Conclusions: The ability of sustained auditory attention has been associated with both the hearing ability of a background for verbal sounds and the ability of binaural interaction. There is also evidence of the influence of the auditory attention sustained in the results of some tests used to evaluate the cap. A criteria for the use of the test is necessary due to the fact that its demand differ among the central auditory processing tests