Book Summary: Hyperacusis and Disorders of Sound Intolerance: Clinical and Research Perspectives is a professional resource for audiology practitioners involved in the clinical management of patients who suffer from sound tolerance concerns. The text covers emerging assessment and intervention strategies associated with hyperacusis, disorders of pitch perception, and other unusual processing deficits of the auditory system. In order to illustrate the patients perspectives and experiences with disorders of auditory processing, cases are included throughout. This collection of diagnostic strategies and tools, evidence-based clinical research, and case reports provides practitioners with avenues for supporting patient management and coping. It combines new developments in the understanding of auditory mechanisms with the clinical tools developed to manage the effects such disorders exert in daily life. Topics addressed include unusual clinical findings and features that influence a patient s auditory processing such as their perceptual accuracy, recognition abilities, and satisfaction with the perception of sound. Hyperacusis is covered with respect to its effects, its relation to psychological disorders, and its management. Hyperacusis is often linked to trauma or closed head injury and the text also considers the management of patients with traumatic brain injury as an opportunity to illustrate the effectiveness of interprofessional care in such cases. Interventions such as cognitive behavioral therapy, self-efficacy training, and hearing aid use are reported in a way that enhances clinicians' ability to weave such strategies into their own work, or into their referral system. Hyperacusis and Disorders of Sound Intolerance illuminates increasingly observed auditory-related disorders that challenge students, clinicians, physicians, and patients. The text elucidates and reinforces audiologists contributions to polytrauma and interprofessional care teams and provides clear definitions, delineation of mechanisms, and intervention options for auditory disorders.

In the clinical routine of an audiologist, it is becoming more frequent the complaints about speech misunderstanding in a noisy environment. Audiological tests which use sentences as stimulus have been object of research because, besides examining the real auditory skill of the patient, they promote a direct approximation to communicative situations and provide information that will indicate the most adequate behavior to be recommended to the patient with hearing deficits. The aim of this study was to determine sentences recognition thresholds in free field, with the presence and the absence of competitive noise, in a group of participants with neurossensorial hearing loss of a moderate level. It was examined 50 participants, 27 men and 23 women, aged between 45 and 76. Firstly, it was carried out anamnesis, meatuscopy, threshold tonal audiometry, SRT and SRPI tests. Next, using the Portuguese Sentences Lists test (PSL, 1998), SRTQ and SRTN tests were carried out, with a fixed noise level of 65 dB A. The average SRTQ was 60,90 dB A, the average SRTN in the same group was 68,20 dB A and the average S/N ratio was + 3,20 dB A. The inclusion of tests in free field using sentences as stimulus, with and without competitive noise, after the basic audiological evaluation in a patient with hearing deficits, have brought answers broader than the skills to detect the presence of pure tones and to recognize isolated words. These tests assess the patient as a whole, simulating communicative situations as well as providing data about skills and limitations of each person which determine his/her communication capacity. / Na rotina clínica do audiologista, a cada dia tornam-se mais freqüentes as queixas de dificuldade de compreensão de fala em ambiente ruidoso. Testes audiológicos que utilizam sentenças como estímulo, tem sido objeto de pesquisa, pois além de verificarem a real habilidade auditiva do paciente, proporcionam uma aproximação direta com situações de comunicação e fornecem informações que vão orientar a conduta mais adequada a ser indicada para o indivíduo com queixa de distúrbios de audição. O objetivo desta pesquisa foi determinar os limiares de reconhecimento de sentenças em campo livre, com a presença e ausência de ruído competitivo, em um grupo de indivíduos portadores de perda auditiva neurossensorial de grau moderado. Foram avaliados 50 indivíduos, sendo 27 homens e 23 mulheres, com idades entre 45 e 76 anos. Inicialmente, realizou-se anamnese, meatoscopia, audiometria tonal liminar, pesquisa do LRF e do IPRF. Posteriormente, utilizando o teste Listas de Sentenças em Português (LSP, 1998), realizou-se inicialmente a pesquisa dos LRSS e a seguir o LRSR, com um nível fixo de ruído de 65 dB A. O LRSS médio obtido foi de 60,90 dB A, o LRSR médio encontrado neste mesmo grupo foi de 68,20 dB A e a média das relações S/R encontrada foi de + 3,20 dB A. A inclusão dos testes em campo livre, utilizando sentenças como estímulo, com e sem a presença de ruído competitivo, após a avaliação audiológica básica, em indivíduo com distúrbio da audição possibilita a obtenção de respostas que vão além das habilidades para detectar a presença de tons puros e reconhecer palavras isoladas. Estes testes avaliam o indivíduo como um todo, simulando situações de comunicação, fornecendo dados sobre as habilidades e limitações de cada indivíduo, que determinam a sua capacidade de comunicação.

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