Fatima Cristina Alves Branco Barreiro
@unifesp.br
DOCENTE - DEPARTAMENTO DE FONOAUDIOLOGIA
UNIVERSIDADE FEDERAL DE SÃO PAULO
RESEARCH INTERESTS
TINNITUS, VESTIBULAR EVALUATION, VESTIBULAR REHABILITATION, AUDIOLOGY
Scopus Publications
Scopus Publications
Anna Carolina Marques Perrella de Barros, Rhayane Vitória Lopes, Daniela Gil, Andreia Cristina Feitosa do Carmo, Ektor Tsuneo Onishi, and Fátima Cristina Alves Branco-Barreiro
Elsevier BV
Fernanda Nascimento de Oliveira, Cristina Eunice Okuyama, Audrey de Souza Marquez, Karen Barros Parron Fernandes, Paulo Victor Carpaneze Dalaqua, Andréia Cristina Feitosa do Carmo, and Fátima Cristina Alves Branco-Barreiro
Elsevier BV
Carlos Alberto Leite Filho, Mônica de Oliveira Viana, Fátima Cristina Alves Branco-Barreiro, and Silvana Maria Monte Coelho Frota
MDPI AG
The Masking Level Difference (MLD) test is one of the main instruments for investigating binaural interaction. Studies with children aged 7–12 years still disagree about the influence of age on test performance and present discordant reference values. This study aimed to verify the effect of age on the performance of children aged 7–12 years in the MLD test and to establish reference values and cutoff criteria for this age group. Fifty-nine children with normal hearing were organized in three groups according to their age: 7–8 (n = 20), 9–10 (n = 20), and 11–12 (n = 19) years. The participants completed the MLD test by Auditec®. The Kruskal–Wallis statistical test was used to compare groups. Reference values were obtained by calculating mean, standard deviation, median, mode, and percentiles, while the cutoff criterion was obtained by subtracting two standard deviations from the mean. No statistically significant differences were observed between the groups regarding the MLD test measures. The mean MLD was 10.51 ± 1.84 dB and the cutoff point was set at 7 dB. Thus, reference values for the MLD test were established for children aged 7–12 years, who presented no effect of age on test performance.
Marine Raquel Diniz da Rosa, Marcelo Yugi Doi, Fátima Cristina Alves Branco-Barreiro, Patricia Simonetti, Jeanne Oiticica, and Luciana Lozza de Moraes Marchiori
Georg Thieme Verlag KG
Abstract Introduction Tinnitus affects a large portion of the world's population. There are several questionnaires being used for the evaluation of the severity of tinnitus and its impact in quality of life; however, they do not measure treatment-related changes. So, a new self-reported questionnaire was developed, the Tinnitus Functional Index (TFI), which has been translated into several languages. Objective To perform the translation, cultural adaptation and validation of the TFI questionnaire for Brazilian Portuguese. Method This is a multicenter project divided into two stages: translation and cultural adaptation; and validation and reliability. For the validation, the Brazilian Portuguese version of the TFI was correlated with the Tinnitus Handicap Inventory (THI) domains for tinnitus and quality of life and was evaluated by the Spearman ρ test. The reliability and internal consistency were evaluated by the Cronbach α test. Result The Brazilian version of the TFI was obtained through an initial translation process, synthesis of translations, backtranslation and evaluation by a committee of experts. This version was then applied in 88 patients complaining of tinnitus from speech therapy and otorhinolaryngology outpatient clinics of the three school clinics. The Brazilian version presented high reliability, as evidenced by the Cronbach α value (α = 0.870), and strong correlation (rho = 0.760 and p = 0.000). Conclusion The high reliability found in the results demonstrates that the Brazilian Portuguese version of the TFI is a valid and reliable instrument to evaluate the severity and impact of tinnitus on quality of life and changes related to its treatment.
Mariana L. Martins, Melyssa K.C. Galdino, Bernardino Fernández-Calvo, Fátima C.A. Branco-Barreiro, Thiago P. Fernandes, and Marine R.D. da Rosa
Georg Thieme Verlag KG
Abstract Background Psychiatric conditions are common in individuals with tinnitus. Therefore, the ways individuals cope with such conditions and personality can influence the characteristics of tinnitus. Purpose The study aims to investigate the direct and indirect effects of resilience, personality traits, and psychiatric symptoms on the tinnitus perception. Research Design This is a descriptive, cross-sectional, and observational study involving quantitative results. Study Sample Thirty-seven individuals with chronic tinnitus (for more than 6 months) sought the tinnitus care service (mean age = 44.6 years; SD = 11.7 years). Data Collection and Analysis The specific anamnesis of tinnitus, adult self-report questionnaire, resilience scale, big five inventory, Tinnitus Handicap Inventory (M = 45.0; SD = 24.1), and visual analog scale (M = 6.4; SD = 2.7) were used. Psychoacoustic measurements (loudness: M = 25.4; SD = 12.8) of tinnitus were performed to characterize the condition in terms of pitch and loudness. The study analyzed the relationship between tinnitus (annoyance, severity, and loudness), psychiatric symptoms, personality, and resilience using multiple mediations. Results Resilience did not influence tinnitus severity (BCa: -1.12 to 0.51), annoyance (BCa: -0.10 to 0.11), or loudness (BCa: -0.44 to 0.28) when mediated by anxiety and depression. Additionally, there was only a direct effect of resilience for annoyance (t = - 2.14, p = 0.03; BCa: -0.10 to 0.11). There was no direct influence of anxiety and depression on the tinnitus severity (b = 0.53, p > 0.05), annoyance (b = - 0.01, p > 0.05), or loudness (b = 0.11, p > 0.05). However, there was an association of personality traits (neuroticism) with the tinnitus severity (b = 1.16, 95% CI: 0.15–2.17; t = 2.53, p = 0.02) and annoyance (b = 0.12, 95% CI: 0.003–0.24; t = 2.09, p = 0.04). Conclusion Resilience and psychiatric symptoms did not have a direct or indirect influence on the tinnitus annoyance, severity, or loudness. However with a direct association of resilience and annoyance, and neuroticism trait with the tinnitus annoyance and severity. Our results suggest that patients with chronic tinnitus and high neuroticism should receive personalized treatment.
Silvana Maria Monte Coelho Frota, Carlos Alberto Leite Filho, Carolina Salomone Bruno, Lanna Borges Carvalho, Natalia Almeida Riegel, Sascha Ariel da Silva Rodrigues de Souza, and Fátima Cristina Alves Branco-Barreiro
FapUNIFESP (SciELO)
RESUMO Objetivo Verificar a confiabilidade teste-reteste do Masking Level Difference em estudantes universitárias normo-ouvintes. Método Estudo prospectivo descritivo com 78 adultos jovens do gênero feminino sem queixas auditivas, submetidas à versão, em compact disc, do Masking Level Difference da Auditec of Saint Louis. O Masking Level Difference foi determinado por meio da diferença entre as relações sinal-ruído nos limiares auditivos encontrados nas condições antifásica e homofásica. O teste foi aplicado pelo mesmo examinador em dois momentos (teste e reteste) com intervalo de sete a 14 dias entre eles. A análise estatística inferencial incluiu comparação das situações teste e reteste por meio do teste t de Student para amostras pareadas, cálculo do coeficiente de correlação intraclasse e dos intervalos de confiança de 95% para as relações sinal/ruído nos limiares auditivos nas condições antifásica e homofásica e para o cálculo do Masking Level Difference. Resultados A média da relação sinal-ruído no limiar auditivo na condição homofásica foi -12,59 dB e -12,46 dB nas situações teste e reteste, respectivamente, e -21,54 dB e -21,08 dB na condição antifásica. A média do Masking Level Difference foi 8,95 dB no teste e 8,74 dB no reteste. Os coeficientes de correlação intraclasse obtidos foram 0,436, 0,625 e 0,577 para as condições homofásica, antifásica e Masking Level Difference, respectivamente. Conclusão O teste Masking Level Difference mostrou grau moderado de confiabilidade teste-reteste em estudantes universitárias normo-ouvintes.
Camila L. Radunz, Cristina E. Okuyama, Fátima C.A. Branco-Barreiro, Regina M.S. Pereira, and Susana N. Diniz
Elsevier BV
INTRODUCTION
Tinnitus is defined as the perception of sound without its actual presence in the environment. It has been the subject of a great number of studies, especially considering its consequences on patient's quality of life.
OBJECTIVE
This study aimed to investigate the effect of hearing aids and/or Ginkgo biloba extract EGb 761 on tinnitus in patients with hearing loss.
METHODS
This is a trial randomized-controlled treatment, parallel, double-blind, with three-arm. Thirty-three adults subjects were divided into three groups: group 1 - subjects undergoing drug therapy with G. biloba extract EGb 761; group 2 - individuals fitted with digital hearing aids; group 3 - individuals submitted to drug therapy with G. biloba extract EGb 761 and using hearing aids. The tinnitus handicap inventory and visual analogue scale were used to evaluate self-perception of tinnitus loudness and severity before treatment and 90 days after treatment.
RESULTS
This study demonstrated a significant correlation between tinnitus handicap inventory and visual analogue scale, before and after treatment. We observed a significant improvement in self-perception of tinnitus loudness and severity after 90 days of treatment with G. biloba extract EGb 761 and/or hearing aids. No correlation was found between tinnitus onset time and self-perception of tinnitus loudness and severity. Hearing aids were more effective in patients with a shorter tinnitus onset time and G. biloba extract was effective regardless of tinnitus duration.
CONCLUSIONS
It was possible to prove the effectiveness of the hearing aids and/or G. biloba extract EGb 761 treatment, which shows success in the control of tinnitus contributing to the improvement of this symptom.
Daviany Oliveira Lima, Aline Menezes Guedes Dias de Araújo, Fátima Cristina Alves Branco-Barreiro, Cláudia da Silva Carneiro, Larissa Nadjara Alves Almeida, and Marine Raquel Diniz da Rosa
Elsevier BV
INTRODUCTION
Tinnitus is characterized by the presence of a sound in the absence of external sound stimulus. In individuals with normal audiometry, it may be associated with auditory attention difficulty, especially in those who report high tinnitus annoyance.
OBJECTIVE
To investigate auditory attention ability in individuals with tinnitus complaint.
METHODS
Cross-sectional analytical observational study. We evaluated 30 volunteers with normal hearing (up to 25dBHL): 15 with tinnitus (test group) and 15 with no complaints (control group), aged between 18 and 40 years. The volunteers answered the tinnitus handicap inventory questionnaire and a visual analog scale. Subsequently, a basic audiological evaluation (meatoscopy, tonal and vocal audiometry, and imittanciometry) and psychoacoustic measures of tinnitus (loudness and pitch) were performed. To evaluate auditory attention, the following tests were performed: auditory cognitive evoked potential (P300), central auditory processing tests (dichotic digits test and speech-in-noise test) and sustained auditory attention ability test.
RESULTS
In the tinnitus handicap inventory, individuals with tinnitus had a mean score of 37.78 (±27.05), characterized as moderate degree. In the dichotic digits test (binaural separation), a difference was observed between the groups in both ears. Moreover, there was a difference in the speech-in-noise test in both ears (RE: p=0.044; LE: p=0.019), in P300 (p=0.049) and in total sustained auditory attention ability test (p=0.032). Also, there is a negative correlation between sustained auditory attention ability test, decrease in attentiveness and binaural integration (RE: p=0.044; LE: p=0.048).
CONCLUSIONS
Individuals with tinnitus had a poorer performance compared to the control group regarding auditory attention ability. Therefore, it is inferred that tinnitus is associated with poor performance in selective and sustained auditory attention in the assessed volunteers. These aspects should be considered for the management of patients with tinnitus.
Ana Dias, Marcelo Doi, Arthur Mesas, Michelle Fillis, Fatima Branco-Barreiro, and Luciana Marchiori
Georg Thieme Verlag KG
Introduction Functional disorders of the craniocervical region affect 77.78% of Brazilian teachers. Among the most common instruments used to assess craniocervical disorders in a detailed and objective way, none had been translated to Brazilian Portuguese and adapted to Brazilian culture. Objectives To translate to Brazilian Portuguese and to culturally adapt the Craniocervical Dysfunction Index (CDI). Method The first phase of the study consisted of the translation, synthesis, back-translation, and review of the contents by a committee of experts, who developed a trial version and sent all the steps to the original author. The trial version was applied to 50 teachers of an institution. The reliability and internal consistency were evaluated by Cronbach α. For the validation, the Brazilian Portuguese version of the CDI was correlated with the Visual Analogue Scale (VAS) domains for cervicalgia and evaluated by Spearman ρ. Result Some expressions were adapted to the Brazilian culture. Among the participants who did not report neck pain in the VAS, 84.21% suffered from craniocervical dysfunction acording to the CDI. Among the participants who reported neck pain in the VAS, 100% suffered from craniocervical dysfunction according to the CDI. The CDI showed good internal consistency and satisfactory reliability measured by Cronbrach α (α = 0.717). There was a strong correlation between the CDI and the VAS score (ρ = 0.735). Conclusion No difficulties were encountered in the translation and back-translation of the CDI, and no problems were observed regarding the trial version developed; therefore, the Brazilian Portuguese version of the CDI is a valid and reliable instrument to evaluate the functional alteration of the craniocervical region.
Solange Martiliano Lança, Juliana Maria Gazzola, Cristiane Akemi Kasse, Fatima Cristina Alves Branco-Barreiro, Daniela Patricia Vaz, and Renata Coelho Scharlach
Elsevier BV
UNLABELLED
Benign Paroxysmal Positional Vertigo is highly prevalent in the elderly population, triggering major changes in body balance.
OBJECTIVE
To compare the results obtained from static posturography in the elderly before and after otoliths repositioning maneuvers and 12 months after treatment onset.
DESIGN
longitudinal, descriptive and analytical study.
METHOD
Elderly patients with clinical diagnosis of BPPV submitted to Balance Rehabilitation Unit static posturography in 10 sensory conditions at three time intervals: before and after the repositioning maneuver and12 months after the treatment
RESULTS
We studied 23 subjects with a mean age of 68.74 years. Posturography revealed that the stability limit was not significantly different when the three time intervals were compared (p = 0.405). The center of pressure (CoP) showed a significant change in condition 2 (stable surface and closed eyes), because after the repositioning maneuver, the CoP significantly differed vis-à-vis the results before and 12 months after the treatment (p = 0.003). The values of body velocity sway (BVS) were significantly different in six sensory conditions in these three time intervals.
CONCLUSION
12 months after the treatment for BPPV, the static posturography showed balance abnormalities similar to those found before treatment.
Cristiane Akemi Kasse, Graziela Gaspar Santana, Fátima Cristina Alves Branco-Barreiro, Renata Coelho Scharlach, Juliana Maria Gazzola, Fernando Freitas Ganança, and Flávia Doná
SAGE Publications
Objective. To evaluate the effectiveness of a canalith-repositioning procedure in postural control of older patients with idiopathic benign paroxysmal positional vertigo (BPPV). Study Design. Prospective clinical trial. Setting. A tertiary referral center. Methods. A 9-month follow-up survey with a prospective design was conducted among 33 older patients with BPPV. Patients underwent static posturography (Balance Rehabilitation Unit [BRU]) and were administered the Dizziness Handicap Inventory (DHI) before and after the maneuver. After the treatment, they were compared with 33 healthy older subjects. The posturography parameters were the limit of stability (LOS), the center of body-pressure area (COP), and the velocity of oscillation (VOS) under conditions of visual, somatosensory, and visual-vestibular conflict. Results. One canalith-repositioning procedure relieved most patients’ complaints (54.5%), and 100% were relieved with 1 to 3 maneuvers. Total DHI score and all subscales improved after treatment (P < .01). The LOS values pretreatment (mean [SD] 134.27 [55.32] cm2) and posttreatment (181.03 [47.79] cm2) were significantly different (P < .01). Comparative analysis of COP values showed a relevant statistical difference in 8 of 10 postmaneuver conditions (P < .01). The postmaneuver VOS showed a significant difference under 7 conflict conditions. There were no differences between the healthy older subjects and treated patients for all VOS values under all conditions and for COP values under 9 conditions. Conclusion. The canalith-repositioning procedure promotes remission of symptoms, an increase in LOS, and improvement in postural control under conditions of somatosensory and visual conflict and visual-vestibular interaction.
Daniela Soares de Queiroz, Teresa Maria Momensohn-Santos, and Fátima Cristina Alves Branco-Barreiro
FapUNIFESP (SciELO)
TEMA: o Teste de Detecção de Intervalo Aleatório - Random Gap Detection Test (RGDT) avalia o limiar de resolução temporal. Existem dúvidas se à medida que o sujeito envelhece, seu desempenho nesta tarefa se mantém inalterada. Ao mesmo tempo, existe a preocupação do quanto as suas dificuldades de comunicação estariam relacionadas a uma degradação da resolução temporal. OBJETIVO: determinar o limiar de resolução temporal auditiva em idosos com audição periférica normal ou perda do tipo neurossensorial, simétrica de até grau leve, e sua correlação com: gênero, idade, achados audiométricos e pontuação no Questionário de Auto-Avaliação da Comunicação - Self-Assessment of Communication (SAC). MÉTODO: 63 idosos, com idades entre 60 e 80 anos (53 mulheres e 10 homens), foram submetidos ao RGDT e ao SAC. RESULTADOS: a análise estatística da relação entre gênero e limiar do RGDT mostrou que o desempenho dos idosos do gênero feminino foi estatisticamente pior em relação ao masculino. Não houve correlação das variáveis idade e configuração audiométrica entre os sujeitos do gênero feminino e o desempenho do RGDT e no SAC. Os resultados do SAC mostraram que ambos os gêneros não apresentaram queixas significantes de dificuldade de comunicação independente do resultado do RGDT ou da configuração audiométrica. CONCLUSÃO: o limiar médio de resolução temporal para os idosos do gênero feminino foi de 104,81ms. Para o grupo do gênero feminino, não foram observadas correlação entre as variáveis idade e configuração audiométrica, tanto para os resultados do teste RGDT quanto para os resultados do questionário SAC.
Paula Érika Alves Ferreira, Fabiana Cunha, Ektor Tsuneo Onishi, Fátima Cristina Alves Branco-Barreiro, and Fernando Freitas Ganança
FapUNIFESP (SciELO)
TEMA: o zumbido pode provocar muitos prejuízos na qualidade de vida dos pacientes. A avaliação de quanto a qualidade de vida é prejudicada pelo zumbido pode ser útil para o melhor conhecimento do paciente em relação às limitações impostas por este sintoma, a programação terapêutica e a verificação da eficácia terapêutica, quando aplicado antes e após o tratamento. OBJETIVO: adaptar culturalmente o Tinnitus Handicap Inventory (THI) para aplicação na população brasileira e avaliar a sua reprodutibilidade. MÉTODO: a adaptação cultural do THI (Newman et al., 1996) seguiu as etapas indicadas por Guillemin et al. (1993), que incluem a tradução do idioma Inglês para o Português, adaptação lingüística e revisão das equivalências gramatical e idiomática. Realizou-se, também, a avaliação das reprodutibilidades inter e intra-pesquisadores deste questionário. Participaram 30 pacientes com zumbido, dos sexos feminino 19 (63,3%) ou masculino 11 (36,7%), com idade entre 39 e 79 anos (média 56,8 anos), encaminhados a partir de ambulatório específico em otoneurologia. RESULTADOS: o THI foi adaptado para ser aplicado na população brasileira, denominado THI Brasileiro. Não houve diferença estatisticamente significante quanto à reprodutibilidade inter-pesquisadores nos resultados obtidos à aplicação da versão brasileira deste questionário, bem como da reprodutibilidade intra-pesquisadores. Verificou-se prejuízo da qualidade de vida em relação aos aspectos emocionais, funcionais e/ou catastróficos em todos os pacientes avaliados. CONCLUSÃO: o THI foi traduzido e adaptado culturalmente para ser aplicado na população brasileira, mostrando-se um instrumento confiável para verificação do prejuízo causado pelo zumbido na qualidade de vida.