APLICACIONES DE LA ESPECTROSCOPÍA FUNCIONAL DEL INFRARROJO CERCANO (FNIRS) PARA LA EVALUACIÓN DE TINNIS: UNA REVISIÓN DEL ALCANCE
DOI:
https://doi.org/10.47820/recima21.v6i5.6398Palabras clave:
Tinnitus, espectroscopia de infrarrojo cercano, mapeo cerebral, neuroimagen funcional, revisión de la literatura, audiologíaResumen
OBJETIVO: identificar las aplicaciones de fNIRS en la evaluación del tinnitus y verificar variaciones en los niveles de oxihemoglobina y desoxihemoglobina entre estudios empíricos que involucran individuos con tinnitus. MÉTODOS: La presente revisión de alcance implicó una búsqueda sistemática de revistas revisadas por pares, centrándose en estudios empíricos, participantes humanos con tinnitus evaluados mediante fNIRS. Se combinaron los términos espectroscopia de infrarrojo cercano y tinnitus. Se buscaron en bases de datos, PubMed, Medline, Web of Science, Scopus, Cochrane Library, LILACS, Biblioteca Virtual em Saúde y EMBASE, cubriendo artículos publicados hasta el 21 de julio de 2023. Dos investigadores independientes realizaron la selección inicial, con discrepancias resueltas por un tercero. RESULTADOS: Se incluyeron diez estudios. Cuatro compararon los cambios de oxihemoglobina en participantes con tinnitus y controles. Uno adaptó una sonda en el canal auditivo externo para su uso en equipos fNIRS, mientras que otro evaluó su eficacia funcional. fNIRS evaluó la mejora de la función de la corteza auditiva mediante estimulación transcraneal de corriente directa en el tinnitus crónico. Los estudios longitudinales han utilizado fNIRS para evaluar la eficacia de la estimulación magnética transcraneal, la terapia con muescas y la acupuntura en el tratamiento del tinnitus. Cinco diseños experimentales abarcaron diseños de evaluación en bloques, tres desarrollaron experimentos en estado de reposo y dos estudios utilizaron ambos. Estos exploraron cambios en la actividad cerebral utilizando estímulos de tonos puros y ruidos enmascarantes.
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