Carvalho Nádia Giulian de, Ubiali Thalita, Amaral Maria Isabel Ramos do, Colella-Santos Maria Francisca
Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Centro de Investigação em Pediatria (CIPED), Campinas, SP, Brazil.
Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Centro de Investigação em Pediatria (CIPED), Campinas, SP, Brazil.
Braz J Otorhinolaryngol. 2019 May-Jun;85(3):319-328. doi: 10.1016/j.bjorl.2018.02.004. Epub 2018 Mar 22.
Central auditory processing screening in schoolchildren has led to debates in literature, both regarding the protocol to be used and the importance of actions aimed at prevention and promotion of auditory health. Defining effective screening procedures for central auditory processing is a challenge in Audiology.
This study aimed to analyze the scientific research on central auditory processing screening and discuss the effectiveness of the procedures utilized.
A search was performed in the SciELO and PUBMed databases by two researchers. The descriptors used in Portuguese and English were: auditory processing, screening, hearing, auditory perception, children, auditory tests and their respective terms in Portuguese.
original articles involving schoolchildren, auditory screening of central auditory skills and articles in Portuguese or English.
studies with adult and/or neonatal populations, peripheral auditory screening only, and duplicate articles. After applying the described criteria, 11 articles were included.
At the international level, central auditory processing screening methods used were: screening test for auditory processing disorder and its revised version, screening test for auditory processing, scale of auditory behaviors, children's auditory performance scale and Feather Squadron. In the Brazilian scenario, the procedures used were the simplified auditory processing assessment and Zaidan's battery of tests.
At the international level, the screening test for auditory processing and Feather Squadron batteries stand out as the most comprehensive evaluation of hearing skills. At the national level, there is a paucity of studies that use methods evaluating more than four skills, and are normalized by age group. The use of simplified auditory processing assessment and questionnaires can be complementary in the search for an easy access and low-cost alternative in the auditory screening of Brazilian schoolchildren. Interactive tools should be proposed, that allow the selection of as many hearing skills as possible, validated by comparison with the battery of tests used in the diagnosis.
对学童进行中枢听觉处理筛查在文献中引发了诸多争论，涉及所采用的方案以及旨在预防和促进听觉健康的行动的重要性。为中枢听觉处理定义有效的筛查程序是听力学领域的一项挑战。
本研究旨在分析关于中枢听觉处理筛查的科学研究，并讨论所采用程序的有效性。
两名研究人员在SciELO和PubMed数据库中进行了检索。葡萄牙语和英语使用的描述词为：听觉处理、筛查、听力、听觉感知、儿童、听觉测试及其葡萄牙语对应词。
涉及学童的原创文章、中枢听觉技能的听觉筛查以及葡萄牙语或英语文章。
针对成人和/或新生儿群体的研究、仅进行外周听觉筛查的研究以及重复文章。应用所述标准后，纳入了11篇文章。
在国际层面，所使用的中枢听觉处理筛查方法有：听觉处理障碍筛查测试及其修订版、听觉处理筛查测试、听觉行为量表、儿童听觉表现量表和费瑟中队测试。在巴西的情况中，所采用的程序是简化听觉处理评估和扎伊丹测试组。
在国际层面，听觉处理筛查测试和费瑟中队测试组作为对听力技能最全面的评估脱颖而出。在国家层面，使用评估超过四项技能且按年龄组进行标准化的方法的研究较少。简化听觉处理评估和问卷的使用在为巴西学童进行听觉筛查寻找易于获取且低成本的替代方法时可起到补充作用。应提出交互式工具，允许尽可能多地选择听力技能，并通过与诊断中使用的测试组进行比较来验证。
