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关于口吃者的抑制效应和听觉加工的研究。

Research about suppression effect and auditory processing in individuals who stutter.

作者信息

Arcuri Cláudia Fassin, Schiefer Ana Maria, Azevedo Marisa Frasson de

机构信息

Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

出版信息

Codas. 2017 May 22;29(3):e20160230. doi: 10.1590/2317-1782/20172016230.

Abstract

PURPOSE

To verify the auditory processing abilities and occurrence of the suppression effect of Otoacoustic Emissions (OAE) in individuals who stutter.

METHODS

The study sample comprised 15 adult individuals who stutter, aged 18-40 years, with stuttering severity ranging from mild to severe, paired according to gender, age, and schooling with individuals without speech complaint or disorder. All participants underwent conventional clinical evaluation, specific stuttering assessment, and basic (audiometry, imitanciometry, and measurement of acoustic reflexes) and specific (auditory processing evaluation and measurement of suppression effect of OAEs) audiological assessments. Data were statistically analyzed with application of the Fisher's Exact Test and the Mann-Whitney Test.

RESULTS

The group of individuals who stutter (Study Group - SG) presented higher incidence of auditory processing disorders. The auditory processing assessments used to differentiate the groups of stutterers and non-stutterers (Control Group - CG) were the Nonverbal Dichotic Test and the Frequency Pattern Test. The SG presented higher incidence of absence of suppression effect of OAEs, indicating abnormal functioning of the efferent medial olivocochlear system.

CONCLUSION

The auditory processing abilities investigated in this study differentiate individuals who stutter from non-stutterers, with greater changes in the first. Functioning of the efferent medial olivocochlear system showed a deficit in stutterers, indicating difficulties in auditory discrimination, especially in the presence of noise.

摘要

目的

验证口吃者的听觉处理能力以及耳声发射(OAE)抑制效应的发生情况。

方法

研究样本包括15名成年口吃者,年龄在18至40岁之间,口吃严重程度从轻度到重度不等,根据性别、年龄和受教育程度与无言语主诉或障碍的个体进行配对。所有参与者均接受常规临床评估、特定的口吃评估以及基本(听力测定、声阻抗测定和声反射测量)和特定(听觉处理评估和耳声发射抑制效应测量)的听力学评估。数据采用Fisher精确检验和Mann-Whitney检验进行统计学分析。

结果

口吃者组(研究组 - SG)听觉处理障碍的发生率更高。用于区分口吃者和非口吃者组(对照组 - CG)的听觉处理评估是非言语双耳分听测试和频率模式测试。研究组耳声发射抑制效应缺失的发生率更高,表明传出性内侧橄榄耳蜗系统功能异常。

结论

本研究中所调查的听觉处理能力可区分口吃者和非口吃者,其中口吃者的变化更大。传出性内侧橄榄耳蜗系统的功能在口吃者中表现出缺陷,表明在听觉辨别方面存在困难,尤其是在有噪声的情况下。

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