APLICAÇÕES DA ESPECTROSCOPIA FUNCIONAL EM INFRAVERMELHO PRÓXIMO (FNIRS) PARA AVALIAÇÃO DO ZUMBIDO: UMA REVISÃO DE ESCOPO
DOI:
https://doi.org/10.47820/recima21.v6i5.6398Palavras-chave:
Zumbido, Espectroscopia em Infravermelho, Mapeamento Cerebral, Neuroimagem Funcional, Revisão de Literatura, AudiologiaResumo
OBJETIVO: identificar as aplicações da fNIRS na avaliação do zumbido e verificar as variações nos níveis de oxihemoglobina e desoxihemoglobina entre estudos empíricos envolvendo indivíduos com zumbido. MÉTODOS: A presente revisão de escopo envolveu uma pesquisa sistemática de periódicos revisados por pares, foco em estudos empíricos, participantes humanos com zumbido avaliados por meio da fNIRS. Foram combinados os termos Near-Infrared Spectroscopy e Tinnitus. Foram pesquisados bancos de dados, PubMed, Medline, Web of Science, Scopus, Cochrane Library, LILACS, Biblioteca Virtual em Saúde e EMBASE, abrangendo artigos publicados até 21 de julho de 2023. Dois pesquisadores independentes realizaram a seleção inicial, com discrepâncias resolvidas por um terceiro. RESULTADOS: Dez estudos foram incluídos. Quatro compararam as mudanças da oxi-hemoglobina em participantes com zumbido e controles. Um adaptou uma sonda no canal auditivo externo para uso no equipamento de fNIRS, enquanto outro avaliou sua eficácia funcional. A fNIRS avaliou a melhora da função do córtex auditivo por meio da estimulação transcraniana por corrente contínua no zumbido crônico. Estudos longitudinais empregaram a fNIRS para avaliar a eficácia da estimulação magnética transcraniana, da terapia notched e da acupuntura no tratamento do zumbido. Cinco desenhos experimentais abrangeram projetos de avaliação em bloco, três desenvolveram experimentos de estado de repouso e dois estudos utilizaram ambos. Estes exploraram as mudanças na atividade cerebral usando estímulos de tons puros e ruído de mascaramento.
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