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Results of total deafness treatment in young pre- and postlingually deafened children.

Developing a cochlear implant program is one of the most difficult problems we need to solve concerning young children. Application of cochlear implants to this group of patients gives hope for better speech and language development than using conventional hearing aids. Children comprise approximately 40% of all implanted patients at the Institute of Physiology and Pathology of Hearing in Warsaw. They are provided with different types of cochlear implants, 16 of which are included in the international comparative study EARS (Evaluation of Auditory Responses to Speech). In this paper results are presented of auditory speech perception in pre-, peri-and postlingual children using the multichannel cochlear implant systems COMBI 40 and 40+. All the children were regularly evaluated following the EARS procedure with a number of perception tests. Monitoring of auditory perception development is fundamental and allows prognosis of speech and language development in children.

Acoustic Stimulation↗

Hearing development in classical orchestral musicians. A follow-up study.

Using pure tone audiometry in 1995, a hearing reassessment was made in 56 classical musicians who participated in Axelsson & Lindgren's study 16 years earlier, in 1979. This study focuses on hearing development in these classical orchestra musicians, active in Göteborg, Sweden. The aim of the study is to evaluate the risk of progressive hearing loss during work in a classical orchestra. Another aim is to study possible hearing differences in females and males and to compare the high frequency pure-tone average values found in the study with two normal materials. The main findings were that the male, compared to the female musicians, showed a tendency toward a more pronounced, although not significant, hearing reduction in the high frequency region and higher threshold distribution within the 90th percentile than the females. This was found most often in the left ear. The median audiogram for all females showed a notch configuration at 6 kHz, compared to the males who had a high-tone sloping configuration. When comparing high frequency pure-tone average (HFPTA) values with ISO 7029, the females are distributed around the ISO 7029 median and well within the 90th percentile. The average among the males was equal with the median. Comparison with Davis normal population "all the sample, overall occupational group" showed a more even distribution of the HFPTA values around the median for both females and males on both occasions. This follow-up study showed no extended negative progress of the pure-tone hearing threshold values in spite of an additional 16 years of musical noise exposure.

Adult↗

Perception of the duration of auditory and visual stimuli in children and adults.

This experiment investigated the effect of modality on temporal discrimination in children aged 5 and 8 years and adults using a bisection task with visual and auditory stimuli ranging from 200 to 800 ms. In the first session, participants were required to compare stimulus durations with standard durations presented in the same modality (within-modality session), and in the second session in different modalities (cross-modal session). Psychophysical functions were orderly in all age groups, with the proportion of long responses (judgement that a duration was more similar to the long than to the short standard) increasing with the stimulus duration, although functions were flatter in the 5-year-olds than in the 8-year-olds and adults. Auditory stimuli were judged to be longer than visual stimuli in all age groups. The statistical results and a theoretical model suggested that this modality effect was due to differences in the pacemaker speed of the internal clock. The 5-year-olds also judged visual stimuli as more variable than auditory ones, indicating that their temporal sensitivity was lower in the visual than in the auditory modality.

Adult↗

Evaluation of maximum-likelihood threshold estimation with tone-in-noise masking.

There has been much recent interest in the use of adaptive psychophysical procedures based on maximum-likelihood estimation (MLE) in order to minimize testing time. The speed and accuracy of MLE was compared to a standard transformed up-down algorithm in a two-interval forced-choice task. Thresholds for detecting a 2 kHz tone in either a broadband or a notched-noise were estimated in three normal-hearing listeners. The transformed up-down algorithm tracked 79% correct with either two, four, six or eight final turnarounds, whereas the MLE procedure tracked 70%, 80% or 90% correct. MLE was always quickest, but with a penalty in increased variability. Use of the MLE procedure to track 70% or 80% correct also resulted in a tendency to overestimate listeners' sensitivity. Reducing the number of turnarounds in the up-down procedure from eight to two reduced the number of trials required by nearly half and resulted in thresholds with similar magnitude and variability to those obtained using MLE to track 90% correct.

Algorithms↗

The effect of high-pass filtering on TEOAE in 2-month-old infants.

The aim of the present study was to investigate the effect of high-pass filtering on TEOAE obtained from 2-month-old infants as a function of filter cut-off frequency, activity states and pass/fail status of infants. Two experiments were performed. In Experiment 1, 100 2-month-old infants (200 ears) in five activity states (asleep, awake but peaceful, sucking a pacifier, feeding, restless) were tested by use of TEOAE technology. Five different filter conditions were applied to the TEOAE responses post hoc. The filter conditions were set at 781 Hz (default setting), 1.0, 1.2, 1.4 and 1.6 kHz. Results from this experiment showed that TEOAE parameters such as whole-wave reproducibility (WR) and signal-to-noise ratio (SNR) at 0.8 kHz and 1.6 kHz, changed as a function of the cut-off frequency. The findings suggest that the 1.6 kHz and 1.2 kHz filter conditions are optimal for WR and SNR pass/fail criteria, respectively. Although all infant recordings appeared to benefit from the filtering, infants in the noisy states seemed to benefit the most. In Experiment 2, the high-pass filtering technique was applied to 23 infants (35 ears) who apparently failed the TEOAE tests on initial screening but were subsequently awarded a pass status based on the results from a follow-up auditory brainstem response (ABR) assessment. The findings showed a significant decrease in noise contamination of the TEOAE with a corresponding significant increase in WR. With high-pass filtering at 1.6 kHz, 21/35 ears could be reclassified into the pass category.

Acoustic Stimulation↗

Aging impairs the ability to ignore irrelevant information in frequency discrimination tasks.

Age effects on the ability to ignore irrelevant auditory information were studied using frequency discrimination threshold (FDT) tasks. FDTs were determined in an unmasked condition with target tones in isolation, and in two backward-masked conditions with a nontarget masking tone presented 20 to 240 ms after the target. One masked condition included irrelevant variability in the masker frequency, but the other did not. The no-variability condition yielded more masking in older than in young adults. Masker variability induced large FDT elevations in both groups; however, the improvement in FDTs with training was large in young but only minimal in older adults.

Acoustic Stimulation↗

Monaural and binaural perception of approaching and withdrawing auditory images in humans.

Radial motion of the auditory image (approach or withdrawal) was modeled with the help of two loud-speakers placed at different distances from the listener in the anechoic chamber. The thresholds of sound duration for image motion and differential thresholds for its velocity at various azimuthal angles were studied. At azimuthal angles of 0 degrees, 30 degrees, 45 degrees, and 60 degrees, the threshold values of the stimulus durations were 150-200 ms. At an azimuthal angle of 90 degrees from the head midline, it increased by about 25-30% as compared to other angles. In the case of monaural listening to the signals by unilaterally deaf subjects, the threshold durations of the sound signals were two to three times higher as compared to healthy subjects. Differential thresholds for calculated velocity of the radial motion have been measured within the range 0.4-1.0 m/s, increasing with increase of the standard velocity from 3.4 to 6.9 m/s.

Adult↗

Development of an auditory test battery for young children: a pilot study.

This article describes the development and results of a pilot study with a recently developed auditory test battery for 4-6-year-old Dutch children. The test battery consisted of a sustained auditory attention (SAA) test, a dichotic words (DW) test, a binaural masking-level difference (BMLD) test, an auditory word discrimination (AWD) test, a gap detection (GD) test and a test of phonemic awareness, the Lindamood Auditory Conceptualization (LAC) test. Our results show that this test battery can be administered successfully to children aged 4 years and older. Most tests showed a clear effect of chronological age; the strongest age effects were found for the DW test and the LAC test. The BMLD test was the only test for which no significant age effect was found in this group of children. A small, but significant right-ear advantage was found on the DW test, for the 4- and the 6-year-olds. Correlations between subtests were in general rather high, suggesting that several tests in this test battery may be tapping into similar auditory abilities.

Age Factors↗

Estimations of auditory sensitivity for young cochlear implant candidates using the ASSR: preliminary results.

This paper presents preliminary results obtained with the use of the auditory steady-state response (ASSR) technique as part of a cochlear implant candidacy assessment protocol for infants Fifteen infants (30 ears), between 10 and 60 months of age, with severe-to-profound hearing loss participated in the study. ASSR measurements were performed for 0.5, 1, 2 and 4kHz at intensities up to 120-128dB HL. The ASSR thresholds were obtained in 74%, of the measurements, and exceeded the maximum auditory brainstem response (ABR) intensity output in 91% of cases and the maximum free-field behavioral intensity output in 84% of cases. Eighty-seven per cent of ASSR threshold measurements were measured at intensities of 100dB HL or higher, and almost half (47%) were measured at intensities of 115 dB HL and higher. Preliminary results indicate that absent ABR and behavioral thresholds do not preclude the possibility of residual hearing, making the ASSR a primary source of information regarding profound levels of hearing loss.

Auditory Perception↗

Influence of ear canal occlusion and static pressure difference on bone conduction thresholds: implications for mechanisms of bone conduction.

The effect of air pressure change on bone conduction (BC) hearing thresholds in the occluded ear was investigated. The pump manometer system of an impedance bridge was used to change the air pressure in the ear canal of twenty-two normally hearing subjects. BC thresholds were measured with: (1) open ear; (2) the ear canal occluded with a probe tube and application of 0 daPa air pressure; and (3) the ear canal occluded with a probe tube and application of 350 daPa air pressure. Thresholds were lower in condition 2 than in condition 1, the difference decreasing from 27 dB at 2500 Hz to 4.5 dB at 2000 Hz. Thresholds were higher in condition 3 than in condition 2. The results are interpreted in terms of changes in the relative contribution of the three routes of transmission for BC sound produced by occlusion and by a static pressure difference.

Acoustic Impedance Tests↗

A comparison of 40 Hz auditory steady-state response (ASSR) and cortical auditory evoked potential (CAEP) thresholds in awake adult subjects.

Evoked potential thresholds using the 40 Hz auditory steady-state response (ASSR) and cortical auditory evoked potential (CAEP) were recorded at 500 Hz and 4000 Hz test frequencies in 36 subjects with normal acuity, and 30 subjects with sensorineural hearing loss. ASSR threshold sensation levels (SLs) were lower in ears with greater degrees of hearing loss, and for the 500 Hz stimulus. Mean SLs (maximum duration of a single recording: 89 seconds) were as follows at 500 Hz and 4000 Hz respectively: normal hearing group, 16.9+/-10.3 dB and 42.4+/-14.4 dB; mild-moderate group, 10.6+/-8.8 dB and 23.8+/-8.1 dB; severe-profound group, 10.0+/-13.2 dB and 21.5+/-18.9 dB. CAEP SLs showed no change with hearing level and CAEP/behavioural differences were similar at each test frequency. Mean SLs for CAEP threshold (single recording duration: 84 seconds) at 500 Hz and 4000 Hz respectively were: normal hearing group, 10.3+/-6.4 dB and 11.5+/-3.8 dB; mild-moderate group, 8.4+/-7.4 dB and 13.2+/-12.4 dB; severe-profound group, 11.0+/-6.6 dB and 15.9+/-16.4 dB. The results of this study suggest that while both 40 Hz ASSR and CAEP can reflect the behavioural audiogram, CAEPs may provide a more reliable estimate of hearing in awake adults.

Acoustic Stimulation↗

Frequency selective effects of alcohol on auditory detection and frequency discrimination thresholds.

In the first of two experiments, the effects of ethyl alcohol on monaural and binaural thresholds for pure tones were measured for a range of frequencies. The results showed a frequency-specific effect in which low frequencies were more severely affected than higher ones. Also, monaural thresholds tended to be more affected by alcohol than binaural ones. The second experiment extended this exploration by measuring frequency discrimination at several different frequencies. In this case, we also obtained a frequency-dependent effect: the increase in discrimination thresholds above 1000 Hz was three times greater than that for lower frequencies. The data suggest that the choice of stimuli may influence the ability to detect changes in auditory performance after alcohol and may account in part for the differences among earlier studies. The results are consistent with the hypothesis that alcohol is acting centrally, at the level of mechanisms involved in the temporal and binaural summation of auditory signals, rather than influencing peripheral structures.

Adult↗

Congenital amusia: a group study of adults afflicted with a music-specific disorder.

The condition of congenital amusia, commonly known as tone-deafness, has been described for more than a century, but has received little empirical attention. In the present study, a research effort has been made to document in detail the behavioural manifestations of congenital amusia. A group of 11 adults, fitting stringent criteria of musical disabilities, were examined in a series of tests originally designed to assess the presence and specificity of musical disorders in brain-damaged patients. The results show that congenital amusia is related to severe deficiencies in processing pitch variations. The deficit extends to impairments in music memory and recognition as well as in singing and the ability to tap in time to music. Interestingly, the disorder appears specific to the musical domain. Congenital amusical individuals process and recognize speech, including speech prosody, common environmental sounds and human voices, as well as control subjects. Thus, the present study convincingly demonstrates the existence of congenital amusia as a new class of learning disabilities that affect musical abilities.

Adult↗

Absence of auditory 'global interference' in autism.

There has been considerable recent interest in the cognitive style of individuals with Autism Spectrum Disorder (ASD). One theory, that of weak central coherence, concerns an inability to combine stimulus details into a coherent whole. Here we test this theory in the case of sound patterns, using a new definition of the details (local structure) and the coherent whole (global structure). Thirteen individuals with a diagnosis of autism or Asperger's syndrome and 15 control participants were administered auditory tests, where they were required to match local pitch direction changes between two auditory sequences. When the other local features of the sequence pairs were altered (the actual pitches and relative time points of pitch direction change), the control participants obtained lower scores compared with when these details were left unchanged. This can be attributed to interference from the global structure, defined as the combination of the local auditory details. In contrast, the participants with ASD did not obtain lower scores in the presence of such mismatches. This was attributed to the absence of interference from an auditory coherent whole. The results are consistent with the presence of abnormal interactions between local and global auditory perception in ASD.

Acoustic Stimulation↗

The effects of rate, sequencing, and memory on auditory processing in the elderly.

Auditory sequencing, rate, and memory were evaluated in three age groups with a series of subtests that require the identification of tones (Repetition Test; Tallal & Piercy, 1973). The older elderly group (M age = 80), but not the younger elderly group (M age = 70), performed significantly (p less than .05) poorer than the young adult group (M age = 25) when auditory memory of 4 and 5 tones was required and when the interstimulus interval was decreased. Performance was not related to hearing sensitivity, thus suggesting that changes in the auditory mechanism that occur with age may encompass more than a loss of hearing sensitivity. Moreover, performance on the Repetition Test did correlate with memory for digits, which indicates a relationship between auditory processing and higher cortical functions.

Acoustic Stimulation↗

Effects of aging on processing of novel musical structure.

Musical processing involves long-term memory representations of invariant properties of auditory patterns and working memory representations of patterns heard in the present moment. Musical scales are formalized sets of pitches on which much of musical composition and improvisation is based, and frequency relations among scale notes are invariant within categorical boundaries. Studies of young adults have indicated that adjustments of frequency relations are better detected when melodies are based on culturally familiar scales than on culturally unfamiliar scales. A proposed account for this finding has been that knowledge about musical frequency relations is stored in long-term memory. In the present study, old and young adults performed equivalently well in detection of frequency relation adjustments in a culturally familiar scale context, but young adults performed better than old adults in culturally unfamiliar scale contexts. The performance of old adults in a culturally unfamiliar scale context was correlated with high-frequency (8 kHz) hearing sensitivity. These findings suggest that influences of aging on processing of auditory events involve relations of auditory cognition and hearing sensitivity.

Acoustic Stimulation↗