scholarly journals Computerized Auditory Training in Students: Electrophysiological and Subjective Analysis of Therapeutic Effectiveness

2017 ◽  
Vol 22 (01) ◽  
pp. 023-032 ◽  
Author(s):  
Ândrea Melo ◽  
Carolina Mezzomo ◽  
Michele Garcia ◽  
Eliara Pinto Biaggio
Keyword(s):  
Neural Plasticity ◽  
Therapeutic Intervention ◽  
Statistical Tests ◽  
Auditory Evoked Potential ◽  
Auditory Training ◽  
Therapeutic Effects ◽  
Phonological Acquisition ◽  
Subjective Analysis ◽  
Significant Difference ◽  
The Right

Introduction Computerized auditory training (CAT) has been building a good reputation in the stimulation of auditory abilities in cases of auditory processing disorder (APD). Objective To measure the effects of CAT in students with APD, with typical or atypical phonological acquisition, through electrophysiological and subjective measures, correlating them pre- and post-therapy. Methods The sample for this study includes14 children with APD, subdivided into children with APD and typical phonological acquisition (G1), and children with APD and atypical phonological acquisition (G2). Phonological evaluation of children (PEC), long latency auditory evoked potential (LLAEP) and scale of auditory behaviors (SAB) were conducted to help with the composition of the groups and with the therapeutic intervention. The therapeutic intervention was performed using the software Escuta Ativa (CTS Informática, Pato Branco, Brazil) in 12 sessions of 30 minutes, twice a week. For data analysis, the appropriate statistical tests were used. Results A decrease in the latency of negative wave N2 and the positive wave P3 in the left ear in G1, and a decrease of P2 in the right ear in G2 were observed. In the analysis comparing the pre- and post-CAT groups, there was a significant difference in P1 latency in the left ear and P2 latency in the right ear, pre-intervention. Furthermore, eight children had an absence of the P3 wave, pre-CAT, but after the intervention, all of them presented the P3 wave. There were changes in the SAB score pre- and post-CAT in both groups. The presence of correlation between the scale and some LLAEP components was observed. Conclusion The CAT produced an electrophysiological modification, which became evident in the effects of the effects of neural plasticity after CAT. The SAB proved to be useful in measuring the therapeutic effects of the intervention. Moreover, there were behavioral changes in the SAB (higher scores) and correlation with LLAEP.

scholarly journals Comparison of the Effectiveness of Chelleh Daghi Herbal Ointment and Piroxicam Gel on Ankle Sprains

2020 ◽  
Vol 23 (4) ◽  
pp. 450-461
Author(s):  
Alireza Amani ◽  
◽  
Ali Kamali ◽  
Bahman Sadeghi ◽  
Ali Reza Sistani ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Statistical Tests ◽  
Joint Inflammation ◽  
Ankle Injuries ◽  
Control Group ◽  
Case Group ◽  
Therapeutic Effects ◽  
Ankle Sprains ◽  
Significant Difference ◽  
The Mean

Background and Aim: Ankle injuries are among the most common musculoskeletal injuries in sports, accounting for 10% to 15% of all injuries. Since controlling pain and inflammation in ankle sprains is one of the main goals of treatment, we decided to compare the therapeutic effects of Cheleh daghi Herbal ointment with a common therapeutic gel such as piroxicam. Methods & Materials: This study was performed as a double-blinded clinical trial for 6 months from January 2019 to August 2019. After referral, all patients completed the consent form, and the patientchr('39')s details and study variables were recorded by the evaluator in the research form. To measure joint inflammation, we measured the ankle with a meter tape in the ankle area (cm) and recorded. A goniometer was also used to measure the degree of ankle movements. The symptoms of ankle ecchymosis were also checked by physical examination and observation and recorded in the checklist. Statistical analysis was performed in SPSS V. 18 using statistical tests (the Mann-Whitney U test, the Chi-square, and the independent t-test). Ethical Considerations: The Research Ethics Committee of Arak University of Medical Sciences approved the study (Code: IR.ARAKMU.REC.1396.55) and registered by the Clinical Trial (Code: IRCT2017071720258N53). Results: The Mean±SD age in the control group was 34.2±8.6 years, and in the case group was 35.4±8.9 years. There was no statistically significant difference according to the Mann-Whitney U test (P<0.05). Also, the Mean±SD height in the control group was 1.7±0.12 m and in the case group was 1.72±0.11 m. The results also showed a statistically significant difference between the two groups studied before and after the intervention regarding the mean indicators of pain, swelling, and inflammation around the joints (P<0.05). Conclusion: The results of our study showed that Cheleh daghi Herbal ointment for 3 weeks could be more effective in reducing local pain and inflammation than piroxicam gel treatment.

scholarly journals Potencial Evocado Auditivo de Longa Latência e Cognitivo em Adolescentes com Síndrome de Down

2017 ◽  
Vol 19 (3) ◽  
pp. 165
Author(s):  
Audrei Thayse Viegel de Ávila ◽  
Pricila Sleifer ◽  
Vanessa Onzi Rocha ◽  
Rafael Fabiano Machado Rosa ◽  
Paulo Ricardo Gazzola Zen
Keyword(s):  
Evoked Potential ◽  
Mean Amplitude ◽  
Auditory Evoked Potential ◽  
Normal Range ◽  
Important Data ◽  
Significant Difference ◽  
Minimum Age ◽  
The Mean ◽  
The Right ◽  
Brain Processing

A realização dos Potencias Evocados Auditivos de Longa Latência - PEALL em indivíduos com síndrome de Down - SD podem fornecer dados importantes sobre o processamento cerebral da audição e suas associações necessária para um bom desenvolvimento da linguagem. Analisar latências e amplitudes obtidas no registro dos componentes exógenos e endógeno dos PEALL, em adolescentes com SD, assim como correlacionar os achados entre os gêneros. Foram incluídos no estudo onze adolescentes com SD, que não apresentassem perdas auditivas, sete do gênero feminino e quatro do masculino, com idade mínima de 13 e máxima de 17 anos. Foi realizada avaliação auditiva periférica básica e pesquisa dos PEALL, incluindo o potencial cognitivo (P3). As médias encontradas para as latências dos componentes exógenos P1, N1, P2, N2 foram, respectivamente, de 110,2ms; 180,3ms; 322,2ms e 492,5ms para orelha direita e 100,2ms; 168,3ms; 323,1ms e 497,5ms para orelha esquerda. As amplitudes médias encontradas para P1N1 e N1P2 foram, respectivamente, 15,0μV e 16,0μV para orelha direita e 16,8μV e 18,7μV para orelha esquerda. A média encontrada para a latência da onda P3 foi 651,7ms e amplitude média foi 10,0μV. Houve diferença significativa entre gêneros para a latência de N1 na orelha direita (p=0,020). Na análise das ondas P1, N1, P2, N2 e P3 foi possível observar aumento das latências e amplitudes dentro dos padrões de normalidade. Foi verificada correlação significativa entre gêneros somente para as latências de N1 na orelha direita, tendo o gênero feminino latências superiores. Sugere-se a realização de estudos, que usem os procedimentos de PEALL para avaliar e monitorar, objetivamente, as intervenções e evoluções terapêuticas na SD.Palavra-chave: Audição. Eletrofisiologia. Potenciais Evocados Auditivos.AbstractThe accomplishment of Late Latency Auditory Evoked Potential - LLAEP in individuals with Down syndrome - DS can provide important data from brain processing of hearing and their associations necessary for a good language development. To evaluate latencies and amplitudes obtained from exogenous and endogenous components of LLAEP in teenagers with DS and correlate the findings between genders. This study included 11 teenagers with DS and without hearing loss, seven females and four males with minimum age 13 and maximum 17 years. Hearing evaluation and research of the LLAEP were performed, including cognitive potential (P3). The averages found for the latencies of exogenous components P1, N1, P2, N2 were respectively 110,2ms; 180,3ms; 322,2ms and 492,5ms to right ear and 100,2ms; 168,3ms; 323,1ms and 497,5ms to left ear. The averages found for the amplitudes P1N1 and N1P2 were respectively 15.00μV and 16.0 μV to right ear and 16.8μV and 18.7μV to left ear. The mean found for the latency of the P3 wave was 651.7 ms and mean amplitude 10.0μV. There was a significant difference between genders for N1 latency in the right ear (p=0.020). Analyzing P1, N1, P2, N2 and P3 waves, it was observed increased latencies and amplitudes within the normal range. Significant correlation was observed between genders only for N1 latencies for the right ear, females had higher latencies. It is suggested to carry out studies that use the LLAEP procedures to evaluate and objectively monitor the interventions and therapeutics evolutions in DS.Keywords: Hearing. Electrophysiology. Evoked Potentials, Auditory.

scholarly journals Mismatch Negativity in Children: Reference Values

2018 ◽  
Vol 23 (02) ◽  
pp. 142-146 ◽  
Author(s):  
Dulce Azevedo Ferreira ◽  
Claudine Devicari Bueno ◽  
Sady Selaimen de Costa ◽  
Pricila Sleifer
Keyword(s):  
Mismatch Negativity ◽  
Auditory Evoked Potential ◽  
Female Group ◽  
Active Electrode ◽  
Auditory Thresholds ◽  
Significant Difference ◽  
Potential Evaluation ◽  
Left And Right ◽  
The Mean ◽  
The Right

Introduction The Mismatch Negativity (MMN) auditory evoked potential evaluation is a promising procedure to assess objectively the ability of auditory discrimination. Objective To characterize the latency and amplitude values of MMN in children with normal auditory thresholds and without auditory complaints. Methods Children between 5 and 11 years old participated in the present study. All participants underwent acoustic immittance measurements and tonal and vocal audiometry. The MMN was recorded with the MASBE ATC Plus system (Contronic, Pelotas, RS, Brazil). The electrodes were fixed in Fz (active electrode), Fpz (ground electrode) and in M2 and M1 (references electrodes). The intensity used was 80 dBHL, the frequent stimulus was 1,000 Hz and the rare stimulus was 2,000 Hz. The stimuli were presented in both ears separately. Results For the female group, the mean latencies and amplitude of MMN were 177.3 ms and 5.01 μV in the right ear (RE) and 182.4 ms and 5.39 μV in the left ear (LE). In the male group, the mean latencies were 194.4 ms in the RE and 183.6 ms in the LE, with an amplitude of 5.11 μV in the RE and 5.83 μV in the LE. There was no statistically significant difference between ears (p = 0.867 - latency and p = 0.178 - amplitude), age (p > 0.20) and the gender of the participants (p > 0.05). Conclusion Using the described protocol, the mean latency value of MMN was 184.0 ms for RE and 182.9 ms for LE, and the amplitude was 5.05 μV and 5.56 μV for the left and right ears, respective.

scholarly journals Scale of Auditory Behaviors in the monitoring of acoustically controled auditory training

Revista CEFAC ◽  
2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Ana Carolina de Oliveira Sobreira ◽  
Daniela Gil
Keyword(s):  
Training Program ◽  
Auditory Processing ◽  
Statistical Tests ◽  
Auditory Training ◽  
P Value ◽  
Subjective Perception ◽  
Central Auditory Processing ◽  
Auditory Thresholds ◽  
Time Period ◽  
Significant Difference

ABSTRACT Purpose: to identify the Scale of Auditory Behaviors perception after an acoustically controlled auditory training program. Methods: 23 individuals of both genders, aged 6 to 15 years, participated in this study. Inclusion criteria: to present auditory thresholds lower than 20 dBHL between 250 and 8000Hz, type A tympanometry and diagnosis of central auditory processing disorder confirmed by behavioral tests with indication of acoustically controlled auditory training which was performed in ten one-hour sessions. Hearing tests in progressively adverse listening conditions were used. In the first and last session of the acoustically controlled auditory training program, the individuals were submitted to the Scale of Auditory Behaviors. The appropriate statistical tests were applied considering a p-value less than 0.05. Results: questions Q1, Q2, Q4, Q7, Q8 and Q11 showed statistically significant results and improvement in behaviors after the acoustically controlled auditory training. On the other hand, questions Q3 and Q10 showed a tendency towards significance and the total score in the post time period increased in relation to the pre-moment, pointing to a statistically significant difference that represents complaint reductions. Conclusion: the subjective perception of the individuals and their family members could be identified by the application of SAB in the pre and post auditory training, revealing an improvement in auditory and attention behaviors.

scholarly journals AUDITORY BRAINSTEM RESPONSES: STIMULUS VARIATIONS

2015 ◽  
Vol 25 (3) ◽  
pp. 292 ◽  
Author(s):  
Ana Claudia Bianco Gução ◽  
Ana Carla Leite Romero ◽  
Franciny Luque Lemes ◽  
Simone Fiuza Regaçone ◽  
Vitor Engracia Valenti ◽  
...  
Keyword(s):  
Stimulus Presentation ◽  
Auditory Brainstem ◽  
Auditory Evoked Potential ◽  
Auditory Brainstem Responses ◽  
Electrophysiological Response ◽  
External Stimulation ◽  
Significant Difference ◽  
Brainstem Response ◽  
The Right ◽  
Clinical Conditions

Introduction: Auditory brainstem response is a response to external stimulation that represents the neural electrophysiological activity of the auditory system at the brainstem level. Variations due to the change in the presentation of stimuli help in the diagnosis of clinical conditions that affect the auditory nervous system. Objective: To characterize and compare the different polarity variations stimuli and presentation rates in adults with normal hearing. Methods: We investigated 20 students from a Center for Diagnosis and Rehabilitation, with no hearing impairment, all female aged 15-30 years old, who were screened for brainstem auditory evoked potential, which presented stimuli in different polarities ranges, including condensation and rarefaction in different presentation rates of 21.7, 27.7 and 47.7 stimuli per second. Results: We observed lower values of latencies of wave I in the three rates of stimulus presentation and wave V at the rate of 21.7/sec. rarefact when used, and also on the right ear and the same polarity , the gap interpeak I - III also had lower values for rates of introduction, as in the IR range the rate of 21.7/s. In overall comparison of groups in different polarities of stimulation, there was a significant difference only in rarefact. Conclusion: The understanding of the behavior of the electrophysiological response to variations of the stimulus is important and may serve as a reference for normal use of these measures in clinical practice.

scholarly journals Auditory Evoked Potential Mismatch Negativity in Normal-Hearing Adults

2016 ◽  
Vol 21 (03) ◽  
pp. 232-238 ◽  
Author(s):  
Laura Schwade ◽  
Dayane Didoné ◽  
Pricila Sleifer
Keyword(s):  
Mismatch Negativity ◽  
Statistical Difference ◽  
Normal Hearing ◽  
Auditory Evoked Potential ◽  
Female Group ◽  
Cross Sectional ◽  
Significant Statistical Difference ◽  
Left Handed ◽  
Significant Difference ◽  
The Right

Introduction Mismatch Negativity (MMN) corresponds to a response of the central auditory nervous system. Objective The objective of this study is to analyze MMN latencies and amplitudes in normal-hearing adults and compare the results between ears, gender and hand dominance. Methods This is a cross-sectional study. Forty subjects participated, 20 women and 20 men, aged 18 to 29 years and having normal auditory thresholds. A frequency of 1000Hz (standard stimuli) and 2000Hz (deviant stimuli) was used to evoked the MMN. Results Mean latencies in the right ear were 169.4ms and 175.3ms in the left ear, with mean amplitudes of 4.6µV in the right ear and 4.2µV in the left ear. There was no statistically significant difference between ears. The comparison of latencies between genders showed a statistically significant difference for the right ear, being higher in the men than in women. There was no significant statistical difference between ears for both right-handed and left-handed group. However, the results indicated that the latency of the right ear was significantly higher for the left handers than the right handers. We also found a significant result for the latency of the left ear, which was higher for the right handers. Conclusion It was possible to obtain references of values for the MMN. There are no differences in the MMN latencies and amplitudes between the ears. Regarding gender, the male group presented higher latencies in relation to the female group in the right ear. Some results indicate that there is a significant statistical difference of the MMN between right- and left-handed individuals.

scholarly journals Middle latency auditory evoked potential in child population

2016 ◽  
Vol 26 (3) ◽  
pp. 368 ◽  
Author(s):  
Anna Caroline Silva de Oliveira ◽  
Simone Fiuza Regaçone ◽  
Ana Claudia Figueiredo Frizzo
Keyword(s):  
Evoked Potentials ◽  
Auditory Evoked Potentials ◽  
Evoked Potential ◽  
Auditory Evoked Potential ◽  
Electrode Position ◽  
Potential System ◽  
Significant Difference ◽  
Left And Right ◽  
Middle Latency ◽  
The Right

Introduction: The middle-latency auditory evoked potential is used to evaluate any abnormality that might impair the central auditory pathways, which are situated between the brain stem and the primary auditory cortex. Objective: To analyse the middle-latency auditory evoked potentials in children. Methods: This is a descriptive and cross-sectional study. Pure-tone audiometry was performed, and if no change was detected, Biologic’s portable Evoked Potential System (EP) was used to measure auditory evoked potentials. The identification of the responses was performed using electrodes positioned at C3 and C4 (left and right hemispheres) in reference to ears A1 and A2 (left and right earlobe). These were ipsilaterally and contralaterally paired and landed at Fpz (forehead), in two steps, with alternating stimulation of the right and left ears. Results: In this study, there was 100% detectability of the Na, Pa, and Nb components and interamplitude Na–Pa. This study compared different electrode leads, and there was no significant difference between the different electrode positions studied for the right and left ears in the studied population. Conclusion: It was concluded that the examination of middle-latency evoked potential is steady and feasible for the studied age group regardless of electrode position.

Suicidal Ideation and Self-Determination in Institutionalized Elderly

Crisis ◽  
2001 ◽  
Vol 22 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Andrée Fortin ◽  
Sylvie Lapierre ◽  
Jacques Baillargeon ◽  
Réal Labelle ◽  
Micheline Dubé ◽  
...  
Keyword(s):  
Self Determination ◽  
Current Debate ◽  
Elderly Persons ◽  
Rational Suicide ◽  
Institutionalized Elderly ◽  
Significant Difference ◽  
Social Subscale ◽  
Civil Status ◽  
The Right ◽  
Taking Action

The right to self-determination is central to the current debate on rational suicide in old age. The goal of this exploratory study was to assess the presence of self-determination in suicidal institutionalized elderly persons. Eleven elderly persons with serious suicidal ideations were matched according to age, sex, and civil status with 11 nonsuicidal persons. The results indicated that suicidal persons did not differ from nonsuicidal persons in level of self-determination. There was, however, a significant difference between groups on the social subscale. Suicidal elderly persons did not seem to take others into account when making a decision or taking action. The results are discussed from a suicide-prevention perspective.

Therapeutic Effects of Hab Shabyar on Open-Angle Glaucoma: A Double-Blinded, Randomized, Placebo-Controlled Trial

2019 ◽  
Vol 8 ◽  
pp. 1218
Author(s):  
Ebrahim Khalil BaniHabib ◽  
Ali Mostafai ◽  
Seyyed Mohammad Bagher Fazljou ◽  
Ghadir Mohammdi
Keyword(s):  
Placebo Group ◽  
Intraocular Pressure ◽  
Open Angle Glaucoma ◽  
Controlled Trial ◽  
Intervention Group ◽  
Therapeutic Effects ◽  
Open Angle ◽  
The Mean ◽  
The Right ◽  
Double Blinded

Background: Open-angle glaucoma (OAG) is one of the leading causes of blindness worldwide. This study evaluates the therapeutic effects of hab shabyar in patients with open-angle glaucoma. Materials and Methods: In this clinical randomized controlled trial, 50 patients with OAG were randomized into two groups. The intervention group was received a drop of timolol plus 500 mg of hab shabyar every 12 hours. The placebo group was received a drop of timolol every 12 hours plus 500 mg of wheat germ as a placebo. The intraocular pressure in patients with OAG was measured in each group and compared at before the intervention (t1), one month (t2), and two months (t3) after the intervention. Results: The mean decrease in intraocular pressure for the right eye at three times in the intervention group was statistically significant, but the mean decrease in the placebo group was not significant. Similar results were obtained for the left eye at t1 when compared to t3. The patients in the intervention group expressed more satisfaction than the patients in the placebo group (P≤0.001). Conclusion: Our study demonstrated that consumption of timolol plus hab shabyar instead of consuming of timolol alone was probably more effective for reducing intraocular pressure in patients with OAG.[GMJ.2019;In press:e1218]

DeVega versus ring annuloplasty in severe functional tricuspid insufficiency and their impact on the right ventricle

2019 ◽  
Vol 1 (4) ◽  
pp. 133-139
Author(s):  
Yasser Hamdy ◽  
Mohammed Mahmoud Mostafa ◽  
Ahmed Elminshawy
Keyword(s):  
Right Ventricular ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Early Postoperative Period ◽  
Tricuspid Valve Repair ◽  
Ring Annuloplasty ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
The Right

Background: Functional tricuspid valve regurgitation secondary to left-sided valve disease is common. DeVega repair is simple, but residual regurgitation with subsequent impairment of the right ventricular function is a concern. This study aims to compare tricuspid valve repair using DeVega vs. ring annuloplasty and their impact on the right ventricle in the early postoperative period and after six months. Methods: This is a prospective cohort study of 51 patients with rheumatic heart disease who underwent tricuspid valve repair for secondary severe tricuspid regurgitation. Patients were divided into two groups: group A; DeVega repair (n=34) and group B; ring annuloplasty repair (n=17). Patients were assessed clinically and by echocardiography before discharge and after six months for the degree of tricuspid regurgitation, right ventricular diameter and tricuspid annular plane systolic excursion (TAPSE). Results: Preoperative echocardiographic assessment showed no difference in left ventricular end-systolic diameter, end-diastolic diameter, ejection fraction and right ventricular diameter, however; group A had significantly better preoperative right ventricular function measured by TAPSE (1.96 ± 0.27 vs1.75 ± 0.31 cm; p=0.02). Group B had significantly longer cardiopulmonary bypass time (127.65 ± 13.56 vs. 111.74 ± 18.74 minutes; p= 0.003) and ischemic time (99.06 ± 11.80 vs. 87.15 ± 16.01 minutes; p= 0.009). Pre-discharge, there was no statistically significant difference in the degree of tricuspid regurgitation, but the right ventricular diameter was significantly lower in group B (2.66 ± 0.41 and 2.40 ± 0.48 cm; p=0.049). After six months of follow up, the degree of tricuspid regurgitation (p= 0.029) and the right ventricular diameter were significantly lower in the ring annuloplasty group (2.56 ± 0.39 and 2.29 ± 0.44 cm; p=0.029). Although there was a statistically significant difference in preoperative TAPSE, this difference disappeared after six months. Conclusion: Both DeVega and ring annuloplasty techniques were effective in the early postoperative period, ring annuloplasty was associated with lesser residual regurgitation and better right ventricular remodeling in severe functional tricuspid regurgitation than DeVega procedure after 6-months of follow up.

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