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Results for “Auditory Perceptual Disorders”

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At least 721 records · Page 40Linked to original sources
PubMed2001

The human auditory brainstem response to high click rates: aging effects.

In 1999 J. Walton, M. Orlando, & R. Burkard (Hearing Research, 127, 86-94) investigated aging effects on auditory brainstem response (ABR) wave V latency using a tone-on-toneburst forward-masking paradigm. They found that at short forward-masking intervals, wave V latency shift was greater in normal-hearing older adults than in normal-hearing young adults for moderate level, high-frequency toneburst maskers and probes. It was not possible to evaluate wave I latency because stimulation and recording procedures did not produce a consistently observable wave I. In order to optimize the recording of wave I, the present study used a high-level (115 dB pSPL) click stimulus, combined with a tympanic membrane inverting electrode, and investigated the latencies and amplitudes of waves I and V across click rate. Young adults had hearing thresholds within normal limits, whereas older adults had normal hearing or mild threshold elevation. All data were collected and analyzed with a Nicolet Bravo. Using conventional recording procedures, ABRs were obtained at click rates of 11, 25, 50, and 75 Hz. Using maximum length sequences (MLSs), ABRs were obtained at 100, 200, 300, 400, and 500 Hz. Results across age groups were very similar. With increasing click rate, peak latencies increased, the I-V interval increased and peak amplitudes decreased. The most notable difference between age groups was that wave I amplitude was substantially smaller in the older subjects. It appears that changes in the ABR with increasing rate are remarkably similar in young and older adults when audiometric thresholds are normal or near-normal in both age groups.

Adult↗
PubMed1977

Automatization of correct production at two levels of articulatory acquisition.

This study investigated the assumption that children who are in the process of acquiring correct production of a misarticulated phoneme are also in the process of developing automatization of correct production. Using the McDonald Deep Test of Articulation, children's articulation was tested under two conditions: Condition 1 without masking and Condition 2 with 85 dB SLP of competing speech masking. Children were classified into one of two levels of articulatory acquisition according to their performance during Condition 1. Children scoring below 80% correct were classsified as demonstrating low acquisition. Children scoring above 80% correct were classified as demonstrating high acquisition. Only children with /s/ or /r/ misarticulations were studied. Results indicated that the correct articulation of children demonstrating low acquisition was significantly more affected by the auditory masking than the correct articulation of those children demonstrating higher levels of acquisition. There was no significant difference in the performance of the children with the /s/ or /r/ misarticulations. The results support the concept that articulatory acquisition and automatization of correct articulation relate in a predictable manner.

Age Factors↗
PubMed1984

Temporal gap detection in sensorineural and simulated hearing impairments.

The objectives of this study were to assess the effect of the configuration of a hearing loss on gap detection and to determine if hearing impairment affects temporal resolution, per se. The minimum detectable gap duration, MDG, in a low-pass (cut-off at 7 kHz) noise was measured monaurally as a function of sound pressure level in six listeners with normal hearing, seven with hearing impairments of primarily cochlear origin, and eight with impairments simulated by masking. The impaired listeners' MDGs at 80 and 90 dB vary from about 3.5 ms (equal to the normal MDG) to about 8 ms and show little correlation with their average HL. At lower levels, the MDG is enlarged for all impaired listeners owing to the decreased SL of the noise. Most of the enlargement of the MDG could be reproduced by presenting a normal listener with a masking noise spectrally shaped to simulate the impaired listener's audiogram. However, at high levels, some impaired listeners performed worse than their simulated-loss counterparts, indicating that temporal resolution per se may be reduced in some, but not all, impaired listeners.

Adult↗
PubMed2001

Auditory backward recognition masking in children with a specific language impairment and children with a specific reading disability.

The auditory backward recognition masking (ABRM) and intensity discrimination (ID) thresholds of children with a specific language impairment and poor reading (SLI-poor readers), children with an SLI and average reading (SLI-average readers), children with a specific reading disability and average spoken language skills (SRD-average language), and children with normal spoken and written language (controls) were estimated with "child-friendly" psychophysical tasks. The pattern of ABRM and ID scores suggests that a subset of children with concomitant oral language and reading impairments has poor ABRM thresholds, and that a subgroup of children with an SLI or SRD has poorer ID thresholds than controls. The latter result warns against using rapid auditory processing tasks that do not actively control for auditory discrimination ability. Further, some unusually poor ABRM scores and ID scores question the validity of extreme scores produced by children on psychophysical tasks. Finally, the poor oral language scores of many of the children who had impaired reading highlight the need to test the oral language skills of SRD samples to ascertain how homogeneous and specifically disabled they really are.

Adolescent↗
PubMed1993

Minimal upward spread of masking: correlations with speech and auditory brainstem response masked thresholds.

Much less than predicted upward spread of masking, termed undermasking, was previously noted in three elderly listeners, who are the focus of this report. Three aspects of undermasking were studied: Reliability, facilitation of speech recognition in noise, and correlation with physiological measurements. The masker was a 90-dB-SPL 1-kHz low-pass-filtered noise. Reliability of undermasking was assessed from serial measurements made over an approximately 2-year interval. Masked speech thresholds were measured with an adaptive procedure for two types of stimuli: spondaic words and the California Consonant Test. Subjects with undermasking had substantially lower masked speech thresholds than either audiometrically matched elderly subjects or young, normal-hearing subjects. It appears that undermasking is a stable characteristic that provides the listener with exceptionally good communication abilities in noise. Finally, a strong positive correlation was observed between the masked auditory brainstem response (wave V) threshold and the masked behavioral threshold, suggesting that the mechanism producing undermasking is in the auditory periphery.

Acoustic Stimulation↗
PubMedDate not supplied

Auditory imperception.

The diagnosis, evaluation and treatment of learning disabilities involves many disciplines. The Otolaryngologist can play an important role in reducing the psychosocial-educational effects of perceptual hanicaps by being active in early diagnosis. This paper presents: 1) an overview of significant information pertaining to auditory perceptual problems and 2) suggestions for the clinican interested in identifying children with auditory perceptual defects.

Auditory Perception↗
PubMed1990

Masking level difference before and after surgery in unilateral otosclerosis.

The object of this paper was to evaluate the binaural hearing in 20 patients suffering from unilateral otosclerosis. Binaural performance was assessed at a test frequency of 500 Hz using masking level difference (MLD) before and after surgery. The postsurgical results showed abnormal MLDs in patients in whom stapedotomy had successfully corrected the threshold asymmetry. Three possible hypotheses regarding this phenomenon were investigated: (1) cochlear damage, (2) auditory deprivation and (3) a mechanical middle ear anomaly due to the surgical prosthesis or healing processes. The analyses suggest that the conductive hearing loss may effect central auditory processing resulting in poor binaural hearing (auditory deprivation theory).

Adult↗
PubMed1986

Patterns of auditory abnormality in multiple sclerosis.

This paper stresses the relatively high prevalence of auditory abnormality in multiple sclerosis. An auditory test battery consisting of the acoustic reflex (AR), the auditory brainstem response (ABR), the masking level difference (MLD) and speech audiometry (SA) was administered to 62 patients with diagnosed 'definite' multiple sclerosis. The AR showed the highest identification rate (71%). SA was next (55%), followed by the ABR (52%) and the MLD (45%). The combination of an abnormality on either AR, ABR or SA yielded a 90% identification rate. Interestingly, the combination of AR or SA or MLD yielded an 87% identification rate without any contribution from ABR.

Adult↗
PubMedDate not supplied

The use of masking level differences in the identification of children with perceptual problems.

The purpose of this investigation was to determine whether masking level differences (MLD's) could differentiate between normal children and children with suspected auditory processing problems. MLD's for speech and 500-Hz tones were measured for an experimental group consisting of 24 normal-hearing children suspected of having auditory perceptual dysfunction. Fourteen children with normal auditory processing abilities and 11 normal-hearing adults comprised the control groups. Results indicated that (1) there was no difference between MLD's for "normal" children and normal adults; (2) there was no difference between speech MLD's for the two groups of children; however, (3) tonal MLD's for the children with suspected auditory perceptual problems were significantly lower than those for the normal groups. Using a cut-off tonal MLD of 7 dB, 79% of the experimental group were positively identified whereas only 12% of the normals were identified. The tonal MLD can be a strong addition to a central test battery, especially because it can be used with nonverbal children who cannot complete many tests because of limited linguistic skills.

Acoustic Stimulation↗
PubMed2000

The perception of self-produced sensory stimuli in patients with auditory hallucinations and passivity experiences: evidence for a breakdown in self-monitoring.

BACKGROUND: To test the hypothesis that certain psychotic symptomatology is due to a defect in self-monitoring, we investigated the ability of groups of psychiatric patients to differentiate perceptually between self-produced and externally produced tactile stimuli. METHODS: Responses to tactile stimulation were assessed in three groups of subjects: schizophrenic patients; patients with bipolar affective disorder or depression; and normal control subjects. Within the psychiatric groups subjects were divided on the basis of the presence or absence of auditory hallucinations and/or passivity experiences. The subjects were asked to rate the perception of a tactile sensation on the palm of their left hand. The tactile stimulation was either self-produced by movement of the subject's right hand or externally produced by the experimenter. RESULTS: Normal control subjects and those psychiatric patients with neither auditory hallucinations nor passivity phenomena experienced self-produced stimuli as less intense, tickly and pleasant than identical, externally produced tactile stimuli. In contrast, psychiatric patients with these symptoms did not show a decrease in their perceptual ratings for tactile stimuli produced by themselves as compared with those produced by the experimenter. This failure to show a difference in perception between self-produced and externally produced stimuli appears to relate to the presence of auditory hallucinations and/or passivity experiences rather than to the diagnosis of schizophrenia. CONCLUSIONS: We propose that auditory hallucinations and passivity experiences are associated with an abnormality in the self-monitoring mechanism that normally allows us to distinguish self-produced from externally produced sensations.

Adult↗
PubMed2005

Abnormal electrical brain responses to pitch in congenital amusia.

Congenital amusia is a lifelong disability that prevents afflicted individuals from enjoying music as ordinary people do. The deficit is limited to music and cannot be explained by prior brain lesion, hearing loss, or any cognitive or socio-affective disturbance. Recent behavioral results suggest that this disorder is critically dependent on fine-grained pitch discrimination. Here, we present novel electrophysiological evidence that this disorder can be traced down to a right-lateralized N2-P3 response elicited by pitch changes. This abnormal brain response begins as early as 200 milliseconds after tone onset and may serve as a marker of an anomaly in music acquisition.

Acoustic Stimulation↗
PubMed1998

Reversal of vision metamorphopsia: clinical and anatomical characteristics.

BACKGROUND: Metamorphopsia is a visual illusion that distorts the size, shape, or inclination of objects. Reversal of vision metamorphopsia (RVM) is a rare transient form of metamorphopsia described as an upside-down, 180 degrees rotation of the visual field in the coronal plane. The pathophysiological characteristics of RVM remain unclear. DESIGN: Patients with RVM had a complete neurologic examination during or shortly after an episode of metamorphopsia, with particular emphasis on gaze disorders, visual fields, visually guided hand movements, and perceptual or cognitive deficits. Workup included imaging studies, visual field examinations, and brainstem auditory and visual evoked response. SETTING: Department of Neurology, Hadassah University Hospital, Hebrew University-Hadassah Medical School, Jerusalem, Israel. PATIENTS: Six consecutive patients were evaluated from 1991 to 1996. RESULTS: Five patients had parieto-occipital brain insult sparing the primary visual cortex, and 3 also had evidence of a concomitant brainstem or cerebellar syndrome. One patient had pure brainstem syndrome underlying the RVM. Three patients had complete RVM as well as oblique RVM of less than 180 degrees. CONCLUSIONS: These cases imply a possible anatomical localization of the central integrator of visual extrapersonal orientation. Our observations suggest that a separate central mechanism of visual orientation might exist in each cerebral hemisphere and that occipital and parietal lesions that spare the optic radiations may account for the oblique and complete RVM. We postulate that failure to perceive space in an allocentric coordinate frame, particularly in the coronal roll plane, is potentially the critical event underlying RVM.

Aged↗
PubMed1986

Schizotypal symptoms in patients with borderline personality disorders.

The authors assessed the frequency of schizotypal symptoms in 48 criteria-defined borderline patients. In the total sample schizotypal symptoms were surprisingly common; the average patient had more than seven symptoms and every patient at least one. Even in the "pure" DSM-III borderline subgroup, 67% of the patients had perceptual symptoms, 92% had cognitive symptoms, and 87% reported other "affective" symptoms. Visual phenomena were more prevalent than auditory ones, suggesting a possible contributing role for organic factors in borderline disorders. The results also indicate a close link between borderline and schizotypal personality disorders.

Adult↗