CoDAS最新文献

{"title":"Viscosity study of maternal and formula milks according to the assessment proposed by the International Dysphagia Diet Standardisation Initiative Model: a comparison with Rheological Assessment.","authors":"Ana Maria Hernandez, Maria Isabel Berto, Esther Mandelbaum Gonçalves Bianchini","doi":"10.1590/2317-1782/e20240049en","DOIUrl":"10.1590/2317-1782/e20240049en","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to investigate the behavior and the viscosity classification of liquids recommended for infants, up to six months, in Brazil, and their formulations used in Videofluoroscopy Swallowing Studies.</p><p><strong>Methods: </strong>Breast milk from different gestational and breastfeeding time, two regular infant formulas, and one anti-reflux formula were evaluated in five different formulations: pure, mixed with liquid barium sulfate, in two proportions (20 and 33%), thickened with a specific thickener for neonates and thickened and mixed with 20% liquid barium sulfate, using the International Dysphagia Diet Standardisation Initiative model. The results were compared with data obtained from a previous rheological study.</p><p><strong>Results: </strong>The breast milk samples and the infant formulas, in pure presentation, exhibited similar behavior except for the anti-reflux formula. The thickened samples with the addition of barium and the pure liquid barium sulfate exhibited the highest viscosity among the formulations. The increase in viscosity with the addition of barium occurred for all samples and for the thickened formulations, but not in linear behavior. The results showed minor differences of IDDSI classification compared to the findings obtained in the rheological study.</p><p><strong>Conclusion: </strong>The present study revealed the variability of liquid viscosity across different formulations, supporting the idea of the importance of this knowledge in videofluoroscopic assessment. It has also highlighted the risk associated with using a subjective method in preparing the stimuli offered, allowing for greater reliability in diagnosing swallowing dynamics in neonates and infants. This approach may help prevent inaccurate diagnoses and harmful interventions.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 3","pages":"e20240049"},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding difficulties in typical children, sociodemographic factors, and family perception.","authors":"Bruna Franciele Guimarães Trofino, Amélia Augusta de Lima Friche, Denise Brandão de Oliveira E Britto","doi":"10.1590/2317-1782/e20240160pt","DOIUrl":"10.1590/2317-1782/e20240160pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify the association between signs of feeding difficulties in typical children and sociodemographic and economic aspects, parental age and education level, and family perception of feeding difficulties.</p><p><strong>Methods: </strong>Observational, analytical, cross-sectional study with a probabilistic sample of 113 children aged 2 years to 5 years and 11 months, registered at the Unified Health System in a town in inland Minas Gerais, Brazil. The study applied a sample characterization questionnaire, the Brazilian Child Feeding Scale (EBAI), and the Brazilian Economic Classification Criteria (CCEB) and performed descriptive, univariate, and multivariate analyses with multiple logistic regression.</p><p><strong>Results: </strong>Children aged 2 and 3 years tended to have more feeding difficulties (p = 0.002) than older children. Preterm children were 3.64 times more likely to have feeding difficulties (p = 0.033) than their peers. Children with signs of feeding difficulties had greater difficulty in food introduction (p = 0.007), ate poorly until 2 years old (p = 0.014), and were 3.7 times more likely to have signs of sensory changes (p = 0.001) than the others.</p><p><strong>Conclusion: </strong>Children aged 2 and 3 years tend to have more feeding difficulties than older ones. Prematurity, difficulty in introducing foods, and sensory changes are associated with childhood feeding difficulties.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240160"},"PeriodicalIF":0.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thermographic analysis of the periorbital region in mouth and nasal breathing children.","authors":"Júlia Ana Soares Silva, Amanda Freitas Valentim, Yasmim Carvalho Telson, Patrícia Vieira Salles, Mariana Souza Amaral, Ana Cristina Côrtes Gama, Letícia Paiva Franco, Andréa Rodrigues Motta, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20240151pt","DOIUrl":"10.1590/2317-1782/e20240151pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify whether the breathing mode interferes with surface periorbital temperatures and propose a thermographic analysis method for this region.</p><p><strong>Methods: </strong>Exploratory, observational, cross-sectional study. Thermographic images of 14 mouth-breathing and 14 nasal-breathing children were collected and analyzed using the Visionfy program (Thermofy®, Brazil) with breast 1 color scale. The ellipse tool delimited the region of interest (periorbital region) and a customized shape subdivided the region of interest into four arcs. The study collected maximum, mean, and minimum absolute and standardized temperatures of the arcs and performed interrater and intrarater comparisons and comparative analysis of temperatures between groups. Temperatures in the group of mouth breathers were compared with pruritus, hyperemia, tearing, and ocular edema.</p><p><strong>Results: </strong>the intrarater agreement indicated a satisfactory result for most analyzed temperatures. The interrater agreement, in general, was excellent for maximum, good for mean, and poor for minimum temperatures. The association between periorbital data and temperatures showed an association between ocular edema and temperatures in the upper and lower right arcs and between pruritus and the maximum temperature in the lower right arc.</p><p><strong>Conclusion: </strong>the method had satisfactory intrarater and interrater agreement for maximum and mean temperatures. Ocular edema was associated with temperatures in the group of mouth breathers. Breathing mode was not associated with periorbital temperature.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240151"},"PeriodicalIF":0.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effects of photobiomodulation on maximum tongue pressure: a randomized clinical study.","authors":"Ester Florens Guerra Gouvêa, Lorena Moreira Marra, Vanessa Mouffron Novaes Alves, Mariana Rodrigues Batista, Andréa Rodrigues Motta, Renata Maria Moreira Moraes Furlan","doi":"10.1590/2317-1782/e20240139pt","DOIUrl":"10.1590/2317-1782/e20240139pt","url":null,"abstract":"<p><strong>Purpose: </strong>To verify the immediate effects of infrared laser photobiomodulation on maximum tongue pressure.</p><p><strong>Methods: </strong>This is a randomized clinical study with 72 healthy adults of both sexes, with a mean age of 24.6 years, standard deviation of 4.6, no craniofacial anomalies, no signs or symptoms of temporomandibular disorder, no contraindications to phototherapy, and who did not continuously use muscle relaxant or anti-inflammatory medications. Participants with lingual frenulum changes were excluded from the sample. Maximum tongue pressure was measured using the Iowa Oral Performance Instrument (IOPI) before and after irradiating low-level laser at a wavelength of 808 nm on three points on the anterior portion and three on the posterior portion of the tongue. Participants were randomly allocated into four groups of 18 individuals each: G4, irradiated with 4 J per point; G7, irradiated with 7 J per point; CG, which did not receive irradiation; and PG, subjected to the same procedures as G4 and G7, but without laser activation - i.e., without irradiation.</p><p><strong>Results: </strong>no statistically significant differences were found between the maximum anterior and posterior tongue pressures when comparing pre- and post-intervention values. Although without statistical significance, the mean values increased slightly in the groups that received irradiation and decreased in the non-irradiated groups.</p><p><strong>Conclusion: </strong>no differences were found between the maximum anterior and posterior tongue pressures when comparing the pre- and post-intervention pressure values.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240139"},"PeriodicalIF":0.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the Program for Developing Oral Communication Expressiveness on university radio announcers: a pre/post intervention study.","authors":"Denis de Jesus Batista, Aline Santos da Conceição","doi":"10.1590/2317-1782/e20240122pt","DOIUrl":"10.1590/2317-1782/e20240122pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the effects of the Program for Developing Oral Communication Expressiveness on announcers of a university radio station.</p><p><strong>Methods: </strong>This is a pre/post intervention study. The Program for Developing Oral Communication Expressiveness was implemented with eight announcers in eight 2-hour meetings. Participants were evaluated before and after the program using self-perception instruments, auditory-perceptual judgment, and acoustic analysis of their voices during standardized readings. Statistical analysis included descriptive and statistical inference methods with a significance level of p < 0.05.</p><p><strong>Results: </strong>The announcers' self-perceived diction and voice improved after the program. Half of the pairs evaluated improved in the auditory-perceptual judgment of reading, emphasizing voice quality, speech, and interpretation. The acoustic analysis found reduced fundamental frequency of speech, increased articulation and elocution rate, and decreased speech intensity.</p><p><strong>Conclusion: </strong>The program considerably improved aspects of the announcers' voice and speech, highlighting the importance of specific training programs to improve radio communication skills.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240122"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of a self-perception questionnaire for screening auditory abilities in children with behavioral dysphonia.","authors":"Ana Carolina Pinto Lemos, Tamy Nathalia Tanaka, Ana Carolina Constantini, Rebecca Christina Kathleen Maunsell, Maria Isabel Ramos do Amaral","doi":"10.1590/2317-1782/e20230314pt","DOIUrl":"10.1590/2317-1782/e20230314pt","url":null,"abstract":"<p><strong>Purpose: </strong>To discuss the use of a self-perception questionnaire on auditory abilities applied to children with behavioral dysphonia and compare it with the perception of auditory and voice symptoms, as well as with performance in temporal tests of auditory processing.</p><p><strong>Methods: </strong>17 children, aged 6-8 years, with a diagnosis of behavioral dysphonia. Individuals with peripheral hearing loss, severe visual and/or language impairments or neurodevelopmental disorders were excluded. The following instruments were applied: pediatric voice symptoms questionnaire (PVSQ, brazilian validated version); questionnaire of self-perception auditory skills (QAPAC) inserted into the online program AudBility with its self-assessment and parental versions; basic audiological evaluation and the temporal tests Random Gap Detection (RGDT), and Frequency Pattern (FPT). Parents' and children's responses were compared and Spearman's correlation measured correlation between the QAPAC and the PVSQ, as well as between questionnaires and temporal tests.</p><p><strong>Results: </strong>QAPAC self-assessment version showed a mean score of 45.5±7.4, wherein seven (41.2%) children scored below the risk criteria for Central Auditory Processing Disorder (CAPD). The mean score on the parental version was 39.5±10.5, with 11 (64.7%) responses falling below the risk criteria. Parents' mean score was statistically lower (worse) compared to that of the children (p<0.005). A strong correlation was found between the self-assessment versions of QAPAC and PVSQ (r=0.671), alongside the parental versions (r=0.722). A poorer performance of the left ear in comparison to the right ear was observed in the FPT test (p<0.005), and a moderate correlation between QAPAC and FPT in the left ear during the imitation phase was noted (r=0.597).</p><p><strong>Conclusion: </strong>The use of self-perception questionnaire on auditory abilities is a valid contribution to initial voice assessment in children with behavioral dysphonia.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20230314"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photobiomodulation on vocal training and rehabilitation: Delphi consensus based on experts.","authors":"Emerson Soares Pontes, Thays Garcia Vaiano, Roberto Sávio de Assunção Bastos, João Marcos da Trindade Duarte, Émile Rocha Santana, Leonardo Wanderley Lopes","doi":"10.1590/2317-1782/e20230356pt","DOIUrl":"10.1590/2317-1782/e20230356pt","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a consensus among speech-language pathologists who are voice specialists regarding the criteria for recommending and using photobiomodulation in the context of vocal therapy and training.</p><p><strong>Methods: </strong>Seven speech-language pathologists, experts in voice, and with experience in using photobiomodulation in vocal therapy and training participated. The Delphi technique was used to achieve consensus from a panel of experts accessed independently in two phases of collection. In Phase 1, the experts were contacted individually and participated in an interview with 12 questions to gather opinions on the use of photobiomodulation in the investigated context. The experts' responses were used to construct a questionnaire with 55 items presented as statements. The experts were asked to analyze each item and indicate their level of agreement on a five-point Likert scale. The content validity coefficient (CVC) was used to investigate the degree of agreement among the judges and to select the final items of the consensus.</p><p><strong>Results: </strong>Consensus was reached among the experts on 34 items investigated in this study, with a CVC ≥ 0.75. It was observed that 31 items achieved an excellent CVC (≥ 0.78), 14 items with a good CVC (0.60 ≥ CVC ≤ 0.77) and 10 items with a poor CVC (≤ 0.59). The total CVC was considered excellent, with a value of 0.78.</p><p><strong>Conclusion: </strong>There was a consensus among experts about the use of photobiomodulation in vocal habilitation and rehabilitation. It has the potential to improve the criteria for prescribing and using this device by speech-language pathologists. The findings may be useful to improve the criteria for prescribing and the use of this device by speech-language pathologists, in addition to subsidizing the development of future research and clinical recommendations in the area.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20230356"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of swallowing function between older people with and without clinical complaints.","authors":"Ramon Cipriano Pacheco de Araújo, Cynthia Meira de Almeida Godoy, Lidiane Maria de Brito Macedo Ferreira, Juliana Fernandes Godoy, Hipólito Magalhães","doi":"10.1590/2317-1782/e20240091pt","DOIUrl":"10.1590/2317-1782/e20240091pt","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the findings of speech-language-hearing evaluations, signs in fiberoptic endoscopic evaluation of swallowing, and nutritional risk between healthy older adults with and without self-reported swallowing difficulties and correlate the level of oral intake with the severity of pharyngeal residues and nutritional risk.</p><p><strong>Methods: </strong>This cross-sectional retrospective study included 71 older people and divided them into two groups based on the presence of swallowing complaints. Data were collected from speech-language-hearing evaluations, oral health status, and videoendoscopy signs with four food consistencies classified by the International Dysphagia Diet Standardisation Initiative (IDDSI) to compare the groups. Pharyngeal residues were analyzed and classified using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS), the level of oral intake was assessed using the Functional Oral Intake Scale (FOIS), and nutritional risk was evaluated using the Malnutrition Screening Tool (MST).</p><p><strong>Results: </strong>Differences were found in speech-language-hearing evaluations, as well as signs of posterior oral spillage and pharyngeal residues with levels 0, 2, and 4 consistencies and laryngeal penetration with level 0 consistency. The level of oral intake was moderately negatively correlated with the severity of pharyngeal residues and nutritional risk.</p><p><strong>Conclusion: </strong>The group of older adults with complaints had differences in speech-language-hearing evaluations, posterior oral spillage, and pharyngeal residues with levels 0, 2, and 4 consistencies, and laryngeal penetration with level 0 consistency. The correlation indicated that the lower the level of oral intake, the greater the severity of pharyngeal residues and nutritional risk in the sample.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240091"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Presentation of an Auditory Training Protocol Applied in Children with Central Auditory Processing Disorder.","authors":"Nádia Giulian de Carvalho, Mariana Venâncio Silveira Pereira, Maria Francisca Colella-Santos","doi":"10.1590/2317-1782/e20240022pt","DOIUrl":"10.1590/2317-1782/e20240022pt","url":null,"abstract":"<p><strong>Purpose: </strong>To present an auditory training protocol in children with Central Auditory Processing Disorder (CAPD).</p><p><strong>Methods: </strong>The study included nine children aged from 9 to 12, with five females and four males. Only children with auditory thresholds within the normal range and bilateral type A tympanometric curves were selected. Initially, a behavioral assessment of Central Auditory Processing (CAP) was conducted, and a self-perception questionnaire was administered. Subsequently, eight sessions of auditory training were conducted following a defined protocol with four specific activities per session, aimed at training distinct auditory skills. In a third phase, a new CAP behavioral assessment was carried out, and the questionnaire was reapplied.</p><p><strong>Results: </strong>The quantitative analysis of the pre- and post-training behavioral tests showed statistically significant improvements in the Left Dichotic Digit Test (DDT), the Left Competing Dissyllable Test (SSW), the Left Synthetic Sentence Identification with Ipsilateral Competing Message Test (SSI), and the Random Gap Detection Test (RGDT). An improvement in auditory behavioral perception of the participants was also observed, as indicated by the self-perception questionnaire responses.</p><p><strong>Conclusion: </strong>Although the auditory training protocol did not result in complete normalization in the Central Auditory Processing (CAP) Behavioral Assessment tests, an improvement in the auditory skills of binaural integration, figure-ground and temporal resolution of participants was observed, as well as in their personal perception of these abilities.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240022"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DPOAE growth function in schoolchildren with impaired temporal ordering skills.","authors":"Patricia Kimiko Kumagai, Seisse Gabriela Gandolfi Sanches, Renata Mota Mamede Carvallo","doi":"10.1590/2317-1782/e20240071pt","DOIUrl":"10.1590/2317-1782/e20240071pt","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether the cochlear responses of a group of children with normal temporal ordering tests would be different from those children with abnormal results in the same tests.</p><p><strong>Methods: </strong>25 children aged 8 to 13 years participated in the study, all with normal range pure-tone audiometry thresholds, type A tympanometry and distortion product otoacoustic emissions (DPOAE) present in both ears. Of these, 13 children formed the Study Group and 12 the Control Group. The Study Group differed from the Control Group by presenting changes in temporal auditory tests. In addition to the tests to verify the inclusion criteria, the DPOAE growth function were recorded for three different f2 frequencies, respectively 2002, 3003 and 4004 Hz. The stimuli were presented at level f2 (L2) from 20 to 65 dB SPL in steps of 5 dB and the stimulus level f1 (L1) followed the formula: L1=0.4L2+39 dB. The data were analyzed statistically, adopting a significance level of 5%.</p><p><strong>Results: </strong>The groups did not differ in relation to conventional DPOAE values (DP-Gram). The Study Group differed from the Control Group by exhibiting both the threshold (p=0.034) and the higher slope (p=0.043) in the 2000 Hz DPOAE growth.</p><p><strong>Conclusion: </strong>Children with alterations in temporal ordering tests require greater intensity to reach the DPOAE threshold at a frequency of 2000 Hz when compared to children without complaints, also presenting a more linear cochlear amplification at this same frequency, indicated by the increase in the value of slope.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"37 2","pages":"e20240071"},"PeriodicalIF":0.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}