COMPETÊNCIAS AUDITIVAS EM ESCOLARES E SEU IMPACTO NA APRENDIZAGEM
DOI:
https://doi.org/10.56238/arev8n3-052Palavras-chave:
Potenciais Evocados Auditivos, Processamento Espacial Visual, Percepção Auditiva, Estimulação Acústica, ReabilitaçãoResumo
Considerando a importância de avaliar intervenções auditivas para a melhoria da aprendizagem, objetivou-se investigar a eficácia de dois procedimentos terapêuticos, o Treinamento Auditivo Acusticamente Controlado (TAAC) e o Sistema de Estimulação NeuroAuditiva (SENA), analisados individualmente e combinados, a fim de verificar a influência da ordem de aplicação sobre os efeitos da estimulação. Para tanto, procedeu-se à avaliação de 30 crianças de 8 a 11 anos, igualmente distribuídas por sexo e idade, por meio de audiometria tonal, testes comportamentais de processamento auditivo (escuta dicótica TDD, escuta monótica PSI, resolução temporal GIN e ordenação temporal TPD), potenciais evocados auditivos de curta (FFR) e longa latência (P300), além da Avaliação da Percepção Visual (DTVP-2) e da Escala SAB, antes e após as intervenções. Desse modo, observou-se que, na intervenção isolada, o TAAC foi eficaz nos procedimentos eletrofisiológicos (FFR e P300), nos testes comportamentais auditivos (PSI e TPD) e na Escala SAB; enquanto o SENA apresentou efeito positivo no FFR, no teste PSI e no item 4 da Escala SAB. As intervenções combinadas evidenciaram maior eficácia, especialmente quando o TAAC foi aplicado antes do SENA, sugerindo que o SENA potencializa os efeitos do TAAC. Foi possível concluir que o uso combinado de ambos os protocolos constitui uma abordagem promissora para a reabilitação auditiva e cognitiva, ao promover avanços comportamentais e neurofisiológicos e ampliar a compreensão sobre os mecanismos de plasticidade neural e suas implicações no processo de aprendizagem.
Downloads
Referências
ACADEMIA BRASILEIRA DE AUDIOLOGIA. Encontro Internacional de Audiologia, 31., 2016, São Paulo. Recomendações e valores de referência para o protocolo de avaliação do PAC: comportamental e eletrofisiológica. São Paulo: Academia Brasileira de Audiologia, 2016.
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION. (Central) auditory processing disorders: the role of the audiologist. Rockville: American Speech-Language-Hearing Association, 2005. Disponível em: www.asha.org/policy. Acesso em: 26 fev. 2026.
AVANZI, A. M. F.; CARDOSO, A. C. V. Behavioral tests used to assess central auditory processing in children: an integrative literature review. Revista CEFAC, São Paulo, v. 25, n. 5, e5623, 2023. DOI: https://doi.org/10.1590/1982-0216/20232555623.
BALEN, S. A.; MOORE, D. R.; SAMESHIMA, K. Pitch and duration pattern sequence tests in 7-to 11-year-old children: results depend on response mode. Journal of the American Academy of Audiology, Reston, v. 30, n. 1, p. 6-15, 2019. DOI: https://doi.org/10.3766/jaaa.16132.
BELLIS, T. J.; JORGENSEN, L. E. Aging of the auditory system and differential diagnosis of central auditory processing disorder in older listeners. In: MUSIEK, F. E.; CHERMAK, G. D. (ed.). Handbook of central auditory processing disorder: auditory neuroscience and diagnosis. 2. ed. San Diego: Plural Publishing, 2014. v. 1.
BRITISH SOCIETY OF AUDIOLOGY. Position statement and practice guidance. Bathgate: British Society of Audiology, 2018. Disponível em: http://www.thebsa.org.uk/wp-content/uploads/2018/02/Position-Statement-and-Practice-Guidance-APD-2018.pdf. Acesso em: 26 fev. 2026.
BROWN, T. Developmental Test of Visual Perception. 2nd ed. Austin: Pro-Ed, 2002.
CHEN, F. et al. Development and evaluation of a 3-D virtual pronunciation tutor for children with autism spectrum disorders. PLoS One, San Francisco, v. 14, n. 1, e0210858, 2019. DOI: https://doi.org/10.1371/journal.pone.0210858.
CHERMAK, G. D.; BELLIS, T. J.; MUSIEK, F. E. Neurobiology, cognitive science, and intervention. In: CHERMAK, G. D.; MUSIEK, F. E. (ed.). Handbook of central auditory processing disorder: comprehensive intervention. 2. ed. San Diego: Plural Publishing, 2014. p. 3-38.
COLELLA-SANTOS, M. F.; PEREIRA, L. D. Escuta com Dígitos. In: PEREIRA, L. D.; SCHOCHAT, E. (ed.). Processamento Auditivo Central: manual de avaliação. São Paulo: Lovise, 1997. p. 147-150.
DE WIT, E. et al. Same or different: the overlap between children with auditory processing disorders and children with other developmental disorders: a systematic review. Ear and Hearing, Philadelphia, v. 39, n. 1, p. 1-19, 2018. DOI: https://doi.org/10.1097/AUD.0000000000000479.
DOMITZ, D. M.; SCHOW, R. L. A new CAPD battery: multiple auditory processing assessment: factor analysis and comparisons with SCAN. American Journal of Audiology, Rockville, v. 9, n. 2, p. 101-111, 2000. DOI: https://doi.org/10.1044/1059-0889(2000/012).
GEFFNER, D. Central auditory processing disorders: definition, description, and behaviors. In: GEFFNER, D.; ROSS-SWAIN, D. (ed.). Auditory processing disorders: assessment, management, and treatment. 3rd ed. San Diego: Plural Publishing, 2019.
JERGER, S.; JERGER, J. Pediatric Speech Intelligibility test: performance-intensity characteristics. Ear and Hearing, Philadelphia, v. 3, n. 6, p. 325-334, 1982.
JERGER, S.; JERGER, J.; ABRAMS, S. Speech audiometry in the young child. Ear and Hearing, Philadelphia, v. 4, n. 1, p. 56-66, 1983.
KONSTANTINIDIS, A. An integrative review of the literature on factors influencing student well-being in the learning environment. International Journal of Educational Research Open, [Amsterdam], v. 7, 100384, 2024. DOI: https://doi.org/10.1016/j.ijedro.2024.100384.
KRAUS, N.; ANDERSON, S.; WHITE-SCHWOCH, T. The frequency-following response: a window into human communication. In: KRAUS, N. et al. (ed.). The Frequency-Following Response: a window into human communication. Cham: Springer, 2017. p. 1-15.
KRAUS, N.; WHITE-SCHWOCH, T. Unraveling the biology of auditory learning: a cognitive–sensorimotor–reward framework. Trends in Cognitive Sciences, Cambridge, v. 19, n. 11, p. 642-654, 2015. DOI: https://doi.org/10.1016/j.tics.2015.08.017.
LAWRENCE, B. J. et al. Auditory and cognitive training for cognition in adults with hearing loss: a systematic review and meta-analysis. Trends in Hearing, London, v. 22, 2331216518792096, 2018. DOI: https://doi.org/10.1177/2331216518792096.
LURIA, A. R. Fundamentos de Neuropsicologia. Rio de Janeiro: Livros Técnicos e Científicos; São Paulo: EDUSP, 1981.
MARTZOG, P.; STOEGER, H.; SUGGATE, S. Relations between preschool children's fine motor skills and general cognitive abilities. Journal of Cognition and Development, Philadelphia, v. 20, n. 4, p. 443-465, 2019. DOI: https://doi.org/10.1080/15248372.2019.1607862.
MEDEIROS, G. M.; SILVA, D. P. C.; PINHEIRO, M. M. C. Estudo do potencial evocado auditivo P300 antes e após o treinamento auditivo acusticamente controlado. Research, Society and Development, Vargem Grande Paulista, v. 9, n. 10, e449108102, 2020. DOI: https://doi.org/10.33448/rsd-v9i10.8102.
MIKADZE, Y. V.; ARDILA, A.; AKHUTINA, T. V. AR Luria's approach to neuropsychological assessment and rehabilitation. Archives of Clinical Neuropsychology, Oxford, v. 34, n. 6, p. 795-802, 2019. DOI: https://doi.org/10.1093/arclin/acy095.
MUSIEK, F. E. et al. GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear and Hearing, Philadelphia, v. 26, n. 6, p. 608-618, 2005. DOI: https://doi.org/10.1097/01.aud.0000188069.80699.41.
MUSIEK, F. E.; BARAN, J. A.; PINHEIRO, M. L. Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. Audiology, Basel, v. 29, n. 6, p. 304-313, 1990. DOI: https://doi.org/10.3109/00206099009072861.
MUSIEK, F. E.; SCHOCHAT, E. Auditory training and central auditory processing disorders. Seminars in Hearing, New York, v. 19, n. 4, p. 357-366, 1998.
NARDEZ, T. M. B. et al. Adolescents' self-perception about auditory behavior: agreement with parents and central auditory processing evaluation. International Archives of Otorhinolaryngology, São Paulo, v. 26, n. 1, e38-e45, 2022. DOI: https://doi.org/10.1055/s-0040-1718966.
NEIJENHUIS, K. et al. An evidence-based perspective on "misconceptions" regarding pediatric auditory processing disorder. Frontiers in Neurology, Lausanne, v. 10, 287, 2019. DOI: https://doi.org/10.3389/fneur.2019.00287.
OPOKU-BAAH, C. et al. Visual influences on auditory behavioral, neural, and perceptual processes: a review. Journal of the Association for Research in Otolaryngology, New York, v. 22, n. 4, p. 365-386, 2021. DOI: https://doi.org/10.1007/s10162-021-00789-0.
PEÑA-CASANOVA, J. Functional organization of the brain and psychic activity: a view beyond Luria (with Luria). KnE Life Sciences, Dubai, v. 4, n. 8, p. 711-725, 2018. DOI: https://doi.org/10.18502/kls.v4i8.3329.
PEÑA-CASANOVA, J.; SIGG-ALONSO, J. Functional systems and brain units beyond Luria: anatomical aspects. Lurian Journal, Ekaterinburg, v. 1, n. 1, p. 49-53, 2020. DOI: https://doi.org/10.15826/Lurian.2020.1.1.6.
PIRES, M. M.; SCHOCHAT, E. The effectiveness of an auditory temporal training program in children who present voiceless/voiced-based orthographic errors. PLoS One, San Francisco, v. 14, n. 5, e0216782, 2019. DOI: https://doi.org/10.1371/journal.pone.0216782.
RAMOS-GALARZA, C. et al. Escala de observação clínica para valorar a terceira unidade funcional da teoria de Luria: EOCL-1. Revista Ecuatoriana de Neurología, Guayaquil, v. 28, n. 2, p. 83-85, 2019.
RIGGINS, T.; SCOTT, L. S. P300 development from infancy to adolescence. Psychophysiology, Malden, v. 57, n. 7, e13346, 2020. DOI: https://doi.org/10.1111/psyp.13346.
ROSS, B.; TREMBLAY, K. L.; ALAIN, C. Simultaneous EEG and MEG recordings reveal vocal pitch elicited cortical gamma oscillations in young and older adults. NeuroImage, Orlando, v. 204, 116253, 2020. DOI: https://doi.org/10.1016/j.neuroimage.2019.116253.
SCHOCHAT, E. Avaliação Eletrofisiológica da Audição. In: FERREIRA, L. P.; BEFI-LOPES, D. M.; LIMONGI, S. O. (ed.). Tratado de Fonoaudiologia. São Paulo: Roca, 2004. p. 656-669.
SCHOCHAT, E. et al. Effect of auditory training on the middle latency response in children with (central) auditory processing disorder. Brazilian Journal of Medical and Biological Research, Ribeirão Preto, v. 43, n. 8, p. 777-785, 2010. DOI: https://doi.org/10.1590/S0100-879X2010007500069.
SENA SYSTEM. Sistema de Estimulação Neuroauditiva. Brasil: SENA, c2022. Disponível em: https://www.senasystem.com/. Acesso em: 28 nov. 2025.
SHARMA, M.; CUPPLES, L.; PURDY, S. C. Predictors of reading skills in children with listening concerns. Ear and Hearing, Philadelphia, v. 40, n. 2, p. 243-252, 2019. DOI: https://doi.org/10.1097/AUD.0000000000000608.
SKOE, E.; KRAUS, N. Auditory brain stem response to complex sounds: a tutorial. Ear and Hearing, Philadelphia, v. 31, n. 3, p. 302-324, 2010. DOI: https://doi.org/10.1097/AUD.0b013e3181cdb272.
SOWNDHARARAJAN, K. et al. Application of the P300 event-related potential in the diagnosis of epilepsy disorder: a review. Scientia Pharmaceutica, Basel, v. 86, n. 2, 10, 2018. DOI: https://doi.org/10.3390/scipharm86020010.
STROPAHL, M.; BESSER, J.; LAUNER, S. Auditory training supports auditory rehabilitation: a state-of-the-art review. Ear and Hearing, Philadelphia, v. 41, n. 4, p. 697-704, 2020. DOI: https://doi.org/10.1097/AUD.0000000000000806.
SUGAHARA, C. et al. The role of the second brain functional unit II on the memory's process: a neuropsychological Luria's perspective. Research, Society and Development, Vargem Grande Paulista, v. 10, n. 9, e27010917957, 2021. DOI: https://doi.org/10.33448/rsd-v10i9.17957.
VELLOZO, F. F. et al. Pediatric test of speech intelligibility with ipsilateral competitive message: narrative review about its applicability. Revista CEFAC, São Paulo, v. 17, n. 5, p. 1604-1609, 2015. DOI: https://doi.org/10.1590/1982-021620151752315.
VIACELLI, S. N. A. et al. Percepção dos pais sobre os efeitos do treinamento auditivo acusticamente controlado em crianças. Distúrbios da Comunicação, São Paulo, v. 30, n. 3, p. 542-550, 2018. DOI: https://doi.org/10.23925/2176-2724.2018v30i3p-542-550.
WHITE-SCHWOCH, T. et al. Case studies in neuroscience: subcortical origins of the frequency-following response. Journal of Neurophysiology, Bethesda, v. 122, n. 2, p. 844-848, 2019. DOI: https://doi.org/10.1152/jn.00112.2019.
WHITE-SCHWOCH, T.; KRAUS, N. The Janus face of auditory learning: how life in sound shapes everyday communication. In: KRAUS, N. et al. (ed.). The Frequency-Following Response: a window into human communication. Cham: Springer International Publishing, 2017. p. 121-158.
ZILIOTTO, K. N.; GIL, D. Treinamento Auditivo Acusticamente Controlado (TAAC): princípios e prática. São Paulo: BookToy, 2011.
ZILIOTTO, K. N.; KALIL, D. M.; ALMEIDA, C. I. R. PSI em Português. In: PEREIRA, L. D.; SCHOCHAT, E. (ed.). Processamento Auditivo Central: manual de avaliação. São Paulo: Lovise, 1997. p. 113-128.