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38. Daily Speaking Time and Voice Intensity before and after Hearing Aid Rehabilitation in Adult Patients with Hearing Loss.

Author

Cardella, Arianna, Ottaviani, Francesco, Luzi, Livio, Albera, Andrea, Schindler, Antonio, and Mozzanica, Francesco

Subjects
DATA analysis, HEARING aids, REHABILITATION, DOSIMETERS, QUESTIONNAIRES, DESCRIPTIVE statistics, PHYSIOLOGICAL aspects of speech, PRE-tests & post-tests, SPEECH evaluation, MEDICAL equipment, QUALITY of life, COMMUNICATION, STATISTICS, HUMAN voice, HEARING disorders, INTERPERSONAL relations, DATA analysis software, HEARING impaired
Abstract

Introduction: Hearing loss (HL) strongly impacts communication abilities and impairs social interactions. Moreover, it modifies the vocal parameters of affected patients. The effects of hearing rehabilitation through hearing aids (HA) on the vocal production of patients suffering from HL have not been thoroughly analyzed in the literature. The aim of this study was to use the ambulatory phonation monitor (APM), a portable vocal dosimeter, to evaluate the variations in the vocal production of a group of patients suffering from moderate-to-severe HL treated with HA and the relationship between such modifications and quality of life (QoL). Materials and Methods: Twenty-six patients suffering from a variable degree of HL and treated with HA have been enrolled. Each of them underwent an evaluation before and 4 months after rehabilitation with HA. The analysis of daily voice production was carried out with the APM, while subjective QoL data were collected through the Speech, Spatial, and Qualities questionnaire (SSQ) and the International Outcome Inventory for Hearing Aids (IOI-HA). The differences in phonatory measurements and subjective evaluations before and after HA rehabilitation were assessed using Wilcoxon signed rank test. The Spearman correlation test was used to analyze the correlation between phonatory measurements, auditory measurements, and SSQ scores. Results: Significant differences in the APM parameters before and after HA rehabilitation were found. After 4 months of HA use, we recorded a significant increase in phonation time and percentage of phonation time and a significant decrease in average amplitude in dB SPL. We also found a significant increase in the SSQ scores after HA rehabilitation. Finally, we were able to detect low but significant correlations between phonatory measurements and SSQ results. Conclusions: The APM proved to be a useful instrument in the evaluation of the benefits of HA and its measurements can be used as indicators of the participation in communication and social life of patients with HL, which are strongly related to QoL. [ABSTRACT FROM AUTHOR]

Published
2024
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44. Effects of Bilateral Dorsolateral Prefrontal Cortex High-Definition Transcranial Direct-Current Stimulation on Physiological and Performance Responses at Severe-Intensity Exercise Domain in Elite Road Cyclists.

Author

Gallo, Gabriele, Geda, Elisabetta, Codella, Roberto, Faelli, Emanuela, Panascì, Marco, Ranieri, Luis Eduardo, Pollastri, Luca, Brighenti, Stefania, Molino, Luigi, Riba, Ugo, Luzi, Livio, Ruggeri, Piero, and Filipas, Luca

Subjects
PREFRONTAL cortex, ENDURANCE sports training, ANALYSIS of variance, CYCLING, T-test (Statistics), RANDOMIZED controlled trials, TRANSCRANIAL direct current stimulation, EXERCISE, DESCRIPTIVE statistics, REPEATED measures design, BLIND experiment, ATHLETIC ability, DATA analysis software, STATISTICAL sampling
Abstract

Purpose: To investigate the effects of bilateral dorsolateral prefrontal cortex high-definition transcranial direct-current stimulation (HD-tDCS) on physiological and performance responses during exercise at the upper limit of the severe-intensity exercise domain in elite-level road cyclists. Methods: Eleven elite-level road cyclists (VO2peak: 71.8 [3.1] mL·kg−1·min−1) underwent the HD-tDCS or SHAM condition in a double-blind, counterbalanced, and randomized order. After 20 minutes of receiving either HD-tDCS on dorsolateral prefrontal cortex (F3 and F4) or SHAM stimulation, participants completed a 10-minute constant-load trial (CLT1) at 90% of the first ventilatory threshold and a 2-minute CLT (CLT2) at peak power output. Thereafter, they performed a simulated 2-km time trial (TT). Maximal oxygen uptake, respiratory exchange ratio, heart rate, and rating of perceived exertion were recorded during CLT1 and CLT2, whereas performance parameters were recorded during the TT. Results: In 6 out of 11 cyclists, the total time to complete the TT was 3.0% faster in HD-tDCS compared to SHAM. Physiological and perceptual variables measured during CLT1 and CLT2 did not change between HD‐tDCS and SHAM. Conclusions: HD-tDCS over the dorsolateral prefrontal cortex seemed to improve cycling TT performance within the upper limit of the severe-intensity exercise domain, suggesting that an upregulation of the prefrontal cortex could be critical even in this exercise intensity domain. However, the limited dimension and the high interindividual variability require further studies to test these putative ergogenic effects. [ABSTRACT FROM AUTHOR]

Published
2022
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