O uso do teste dicótico de dÃgitos como método de triagem
The use of the dichotic digit test as a screening method
Júlia de Oliveira Bresola; Fernanda Yasmin Odila Maestri Miguel Padilha; Joel de Braga Junior; Maria Madalena Canina Pinheiro
Resumo
Objetivo: Analisar o uso do teste dicótico de dÃgitos (TDD) como método de triagem e comparar seu desempenho com questionário de autopercepção e demais testes comportamentais do processamento auditivo central (PAC). Método: Estudo do tipo transversal, retrospectivo e com análise de prontuários. Foram analisados 66 prontuários de crianças com idade de 8 a 11 anos, sendo as mesmas divididas em grupo controle (G1), constituÃdo por 34 crianças que não apresentaram alteração no TDD e o grupo estudo (G2), por 32 crianças que apresentaram alteração no TDD. Foi utilizado o questionário Scale of Auditory Behaviors (SAB). Além de testes comportamentais que avaliaram as habilidades auditivas de localização, fechamento, figura-fundo, ordenação e resolução temporal. Resultados: Os indivÃduos do G2 apresentaram maiores percentuais de alteração em todos os instrumentos, com exceção do teste fala com ruÃdo. Houve associação estatisticamente significante entre as categorias de desempenho do TDD com as categorias do questionário SAB (p-valor 0,022) e da Avaliação simplificada do PAC (p-valor<0,001).O TDD apresentou correlação significante com o questionário SAB e com todos os testes do PAC utilizados, em pelo menos uma das orelhas analisadas. Conclusão: Conclui-se o TDD pode ser utilizado como método triagem do transtorno do processamento auditivo central na avaliação audiológica básica, uma vez que houve associação no seu desempenho com o questionário de autopercepção SAB.Além de correlação, especialmente na orelha esquerda, com os testes comportamentais aplicados para realizar o diagnóstico do transtorno do PAC.
Palavras-chave
Abstract
Purpose: To analyze the use of the Dichotic Digit Test (DDT) as a screening method and to compare its performance with a self-perception questionnaire and other Central Auditory Processing (CAP)behavioral tests. Methods: Cross-sectional, retrospective study with analysis of medical records. The study analyzed 66 medical records of children aged 8 to 11 years, and divided them into control group (G1), consisting of 34 children who did not show changes in the DDT, and the study group (G2) with 32 children who showed changes in the DDT. The Scale of Auditory Behaviors (SAB) questionnaire was used in addition to behavioral tests that assessed the auditory abilities of localization, closure, figure-ground, temporal ordering and resolution. Results: Individuals in G2 showed higher percentages of changes in all instruments, except for the speech-in-noise test. There was a statistically significant association between the DDT performance categories with the categories of the SAB questionnaire (p-value 0.022) and the simplified CAP assessment (p-value<0.001). The DDT showed a significant correlation with the SAB questionnaire and with all CAP tests used in at least one of the analyzed ears. Conclusion: In conclusion, the DDT can be used as a screening method for central auditory processing disorder in basic audiological assessment as there was an association in its performance with the self-perception in the SAB questionnaire, in addition to correlation, especially in the left ear, with behavioral tests applied to diagnose CAPD.
Keywords
Referencias
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Submitted date:
27/09/2020
Accepted date:
29/11/2020
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