Costa Wildna Sharon Martins da, Araújo Lucas Barbosa de, Bedaque Henrique de Paula, Ferreira Lidiane Maria de Brito Macedo, Ribeiro Karyna Myrelly Oliveira Bezerra de Figueiredo
Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Natal, RN, Brazil.
Universidade Federal do Rio Grande do Norte, Departamento de Cirurgia, Natal, RN, Brazil.
Braz J Otorhinolaryngol. 2025 Mar-Apr;91(2):101542. doi: 10.1016/j.bjorl.2024.101542. Epub 2024 Dec 11.
To assess the impact of the somatosensory influence on annoyance and quality of life of individuals with tinnitus.
This cross-sectional study included individuals with tinnitus of both sexes, aged ≥18 years, recruited from a specialized otolaryngology outpatient, and evaluated by a multidisciplinary team (otorhinolaryngologists, physical therapists, and audiologists). An evaluation adapted from the Diagnostic Criteria of Somatosensory Tinnitus (ST) was performed to verify the influence of the somatosensory system on the cause of tinnitus. The intensity of discomfort from tinnitus was assessed by the Numerical Rating Scale, the impact on quality of life by the Tinnitus Handicap Inventory (THI), and factors of exacerbation of tinnitus were self-reported. Individuals were divided into ST and non-ST groups. Unpaired t-test and Chi-Square were used for group comparisons; Cohen's d and Phi measured effect sizes.
A total of 100 individuals were evaluated: 46 from the ST group and 54 from the non-ST group. The ST group demonstrated greater discomfort from tinnitus (p < 0.01); stress was identified as a factor of exacerbation 82.6 (p < 0.01), and sleep disturbance as a consequence of tinnitus 63% (p = 0.04). Additionally, the ST group presented a greater impact on quality of life in the functional domain (p = 0.03) and total THI score (p = 0.05) than the non-ST group.
Individuals with ST reported greater discomfort from tinnitus and a more significant impact on the quality of life.
评估躯体感觉对耳鸣患者烦恼程度及生活质量的影响。
这项横断面研究纳入了年龄≥18岁的耳鸣患者,男女不限,从专门的耳鼻喉科门诊招募,并由多学科团队(耳鼻喉科医生、物理治疗师和听力学家)进行评估。采用改编自躯体感觉性耳鸣(ST)诊断标准的评估方法,以验证躯体感觉系统对耳鸣病因的影响。通过数字评定量表评估耳鸣引起的不适强度,通过耳鸣致残量表(THI)评估对生活质量的影响,并让患者自行报告耳鸣加重的因素。将患者分为ST组和非ST组。采用独立样本t检验和卡方检验进行组间比较;使用科恩d值和Phi系数测量效应大小。
共评估了100名患者:ST组46例,非ST组54例。ST组耳鸣引起的不适更严重(p < 0.01);压力被确定为82.6%的患者耳鸣加重的因素(p < 0.01),63%的患者因耳鸣出现睡眠障碍(p = 0.04)。此外,与非ST组相比,ST组在功能领域对生活质量的影响更大(p = 0.03),THI总分更高(p = 0.05)。
ST患者报告耳鸣引起的不适更严重,对生活质量的影响更显著。