Audiology - Communication Research
https://www.audiolcommres.org.br/article/doi/10.1590/2317-6431-2025-3101pt
Audiology - Communication Research
Artigo Original

Avaliação da função vestibular em indivíduos com perda auditiva com e sem queixa de tontura: estudo observacional transversal

Vestibular function assessment in individuals with hearing loss with and without dizziness: a cross-sectional observational study

Alaiz Alves da Costa; Thamara Suzi dos Santos; Marlon Bruno Nunes Ribeiro; Patrícia Cotta Mancini

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Resumo

Objetivo: avaliar o equilíbrio funcional e a função dos canais semicirculares em indivíduos com perda auditiva, com e sem queixa de tontura.

Métodos: estudo observacional, transversal e analítico com 59 participantes (27–79 anos) atendidos no Centro Especializado em Reabilitação de Contagem, Minas Gerais. Dentre eles, 42 apresentavam queixa de tontura e 17 não tinham a queixa. Foram realizados os seguintes procedimentos: anamnese, aplicação de questionários que avaliam o grau de desvantagem auditiva e da tontura, Escala de Equilíbrio de Berg e Timed Up and Go Test. Para avaliação da função dos canais semicirculares, foi realizado o Teste do Impulso Cefálico por vídeo (Video Head Impulse Test - v-HIT) em 33 participantes (25 com tontura, oito sem tontura). Os dados foram analisados descritivamente e comparados entre grupos por meio do teste Qui-quadrado de Pearson, considerando p < 0,05.

Resultados: a queixa de zumbido (88,1%) e o desconforto a sons intensos (66,1%) foram significativamente mais comuns entre indivíduos com tontura (p=0,008 e p=0,049, respectivamente). O uso de medicamentos antivertiginosos e inibidores centrais também foi mais frequente nesse grupo (p=0,031). Dos 33 indivíduos avaliados com o Teste do Impulso Cefálico por vídeo, 17 (51,5%) apresentaram resultado normal e 16 (48,5%) apresentaram alteração dos canais semicirculares, predominantemente no grupo com tontura, mas sem diferenças significativas entre os grupos (p=0,224).

Conclusão: em indivíduos com perda auditiva, a disfunção dos canais semicirculares pode ocorrer independentemente da presença de queixa de tontura. Destaca-se a relevância da avaliação vestibular nessa população, mesmo na ausência de sintomas relacionados ao equilíbrio.

 

Palavras-chave

Perda auditiva; Tontura; Testes de função vestibular; Adultos; Idosos; Teste do impulso da cabeça

Abstract

Purpose: To evaluate functional balance and semicircular canal function in individuals with hearing loss, with and without dizziness.

Methods: Observational, cross-sectional, analytical study with 59 participants (27–79 years old) treated at the Specialized Rehabilitation Center in Contagem, Minas Gerais, Brazil. Among them, 42 had dizziness and 17 did not. The following procedures were performed: medical history survey, application of questionnaires to assess the degree of hearing impairment and dizziness, Berg Balance Scale, and Timed Up and Go Test. The Video Head Impulse Test was performed on 33 participants (25 with dizziness, eight without dizziness) to assess semicircular canal function. Data were analyzed descriptively and compared between groups using Pearson’s chi-square test, considering p<0.05.

Results: Complaints of tinnitus (88.1%) and discomfort with loud sounds (66.1%) were significantly more common among individuals with dizziness (p=0.008 and p=0.049, respectively). The use of antivertigo and central inhibitor medications was also more frequent in this group (p=0.031). Of the 33 individuals evaluated with the video Head Impulse Test, 17 (51.5%) had normal results and 16 (48.5%) had semicircular canal dysfunction, predominantly in the dizziness group, but without significant differences between the groups (p=0.224).

Conclusion: In individuals with hearing loss, semicircular canal dysfunction can occur independently of dizziness complaints. The study highlights the relevance of vestibular evaluation in this population, even in the absence of balance-related symptoms.

Keywords

Hearing loss; Dizziness; Vestibular function tests; Adults; Elderly; Head impulse test

Referências

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Submetido em:
08/09/2025

Aceito em:
03/12/2025

69d3f542a9539560081d92e4 acr Articles
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