PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Recruitment Detection, Audiologic”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 145 records · Page 8Linked to original sources

The SISI test: a review. Part II.

This is the second of two papers reviewing the SISI test. In this paper we discuss modifications of SISI, and the effects of contralateral masking and tone decay. We also compare SISI to other psychoacoustic site of lesion tests and discuss the implications of the results obtained in SISI. The following conclusions are drawn: (1) SISI performed at high levels appears powerful in detecting retrocochlear impairments. (2) Contralateral masking is advisable when cross-hearing cues are present. The masking level should be minimized and a noise level 10 dB below the level of the contralaterilized tone provides sufficient masking. (3) SISI remains valid despite the presence of tone decay. (4) High SISI scores in cochlearly impaired listeners do not indicate improved auditory acuity.

Audiometry, Pure-Tone↗

Psychoelectric measurements and results from cochlear implant patients.

Psychoelectric experiments, including threshold, uncomfortable loudness level, loudness growth and frequency discrimination were performed with six cochlear implant patients. All subjects used a single-channel transdermal induction coil implant system. Stimuli were presented directly to the external induction coil and not through a signal processing device. A method is reported in which current at the electrode is derived from voltage measures at the external coil. The derived thresholds were on the order of 1 to 120 microA peak-to-peak and are similar to those reported by other investigators. Loudness growth was more rapid for implant patients, being over twice that of normal listeners. Frequency difference limens were determined using both analog and 16 kHz amplitude modulated signals. Frequency discrimination was better with the analog system than with the 16 kHz amplitude modulated system. In general, below 100 Hz the patients' difference limens were essentially normal, but rapidly deteriorated until at approximately 600 Hz there was little frequency discrimination.

Cochlear Implants↗

[Hearing and equilibrium disorders in patients with neurosyphilis].

83 patients with neurosyphilis and 12 patients with latent syphilis underwent a cochleovestibular examination. Pathological changes were present in 54% of the patients with neurosyphilis. In the group of patients with latent syphilis functional changes could only be found in 25% of the patients. The greatest number of hearing disturbances occurred in persons suffering from general paresis, 65% were affected. Usually damage occurred in both ears. Specific topical diagnosis was often not possible although the results of the stapedial reflex indicated that peripheral cochlear lesions were present. In particular damage in the level of the high frequencies seemed to be prevalent. Disturbances of the vestibular system occurred in 25% of neurosyphilis patients. Most frequently lesions occurred in patients with cerebrospinal syphilis (40%). The comparison of subjective and objective symptoms of the vestibular system were very similar in most groups. As for the results presented it is suggested that a serological treponemal test should be undertaken in patients with non-specific disturbances of the vestibulo-cochlear system.

Adult↗

[Shunt evoked potentials. Objective significance for hearing aids].

A method first described in 1978, and improved since that date, is a reliable mean of assessing gain in hearing from prosthetic aids by the use of brain stem early auditory evoked potentials. The type of signal used with the prosthesis must be the click and click type with a high-pass filter, and the principle of shunt potentials must be applied.

Acoustic Stimulation↗

Relationships among speech threshold, loudness discomfort, comfortable loudness, and PB max in the elderly hearing impaired.

The purposes of this study were (1) to determine the effect of the severity of hearing loss on the most comfortable loudness level (MCL) and the loudness discomfort level (LDL), and (2) to assess the efficacy of obtaining maximum intelligibility (PB max) at MCL and/or LDL. One hundred twenty-nine ears were tested from seventy-four elderly subjects having mild to moderate sensorineural hearing losses. The results showed that mean MCLs and LDLs remained fairly constant as spondaic thresholds increased from 5 to 55 dB HTL. The data also exhibited considerable intersubject variability and indicated that MCLs and LDLs could not be closely predicted from threshold. Thus, for most clinical purposes MCL and LDL must be measured directly. This study also indicated that measuring speech intelligibility at MCL approximated PB max (+/- 12 percent) only about two-third of the time. Thus, decisions concerning auditory functioning may frequently be inaccurate if intelligibility is measured only at MCL. Neither can LDL be the single intensity at which speech intelligibility is measured, at least with elderly patients, since one in ten scores did not closely approximate PB max. Consequently, we concur with previous investigators who recommend generating an entire intelligibility function. The present findings also suggest that hearing aid users may not receive optimal benefit if their hearing aid is adjusted to MCL, and that improved intelligibility may be achieved a higher volume control settings. The hearing aid evaluation process should investigate this possibility.

Aged↗

[A contribution to binaural impulse modulaton (author's transl)].

The reported investigations shall detect possiblilties for using binaural impulse modulation with an interaural loudness difference to differentiate between normal and pathological hearing. The different curves between modulation and pure tone thresholds indicate cochlear lesions (recruitment) as well as such within the binaural pathways.

Audiometry, Pure-Tone↗

[Critical review of the SISI-test (author's transl)].

For the last twenty years since the first publication the SISI-test (Jerger et al. 1959) is used as a standard test in audiometry, although the clinical utility has been doubted by many audiologists. The aim of this study is to show essential test-theoretical mistakes which exist--apart from the bad clinical results--in the SISI-test. The most important fault is, that the diagnosis of clinical groups is established by means of the comparison of different test-stimuli (different main intensities).

Diagnosis, Differential↗

Representation of multiple sound sources in the owl's auditory space map.

The barn owl's inferior colliculus contains a retina-like map of space on which a sound generates a focus of activity whose position corresponds to the location of the sound source. When there is more than one source of sound, the sound waves sum and may generate spurious binaural cues that degrade the auditory image. We investigated the signal conditions under which neurons in the owl's auditory space map are able to resolve two simultaneously active sound sources. We recorded from space map neurons responding to sounds from a pair of speakers separated in azimuth by 45 degrees and mounted on a rotatable arm. Stimuli consisted of a sum of sinusoids or pseudorandom noise bursts emitted simultaneously and at equal overall levels. The characteristics of the sounds in each speaker were varied, and the neuron's response was plotted as a function of the speaker pair's position. When the speakers emitted different sets of summed sinusoids, the cells responded to each speaker separately; that is, the cells were able to resolve two separate targets. However, when the speakers emitted identical summed sinusoids generating binaural cues that were identical to those of a single phantom source between the two speakers, the neurons responded when the speakers were on either side of their receptive fields. By manipulating the amplitude at which each speaker emitted the various frequencies, we could control the position, number, and size of the phantom sources detected by the cell. The cells also resolved two separate sources when they emitted noise bursts that were statistically independent or temporally reversed versions of one another. Since the overall spectra of such waveforms are identical, we suggest that the space map relies on differences between noise bursts that exist over brief time spans.

Animals↗

Spectral analysis of auditory brain stem responses in perceptive hearing loss.

The Fourier analysis of auditory brain stem responses in 45 patients aged 19 to 56 treated because of perceptive hearing loss in Cracow ORL Clinic was carried out. The group consisted of: 15 patients with sudden deafness, 15 patients with Menier's disease and 15 cases with retrocochlear hearing impairment. In cases with recruiting cochlear hearing loss considerable and significantly extension of frequency range in brain stem responses was observed. Moreover, responses induced by stimulus intensity causing recruitment are identical for both ears as far as their shape and power spectrum is concerned, despite wide variety of responses caused by stimulus of different intensity. It is assumable that Fourier analysis of auditory brain stem responses gives possibility of objective evaluation of subjectively determined recruitment syndrome.

Acoustic Stimulation↗

[Diagnostic value of the peripheral and central vestibular recruitment and decruitment].

The subject of our investigation was the diagnostic value of the distinguish of peripheral and central type of the vestibular recruitment and decruitment. The examination was performed in the healthy subjects and in the two groups of the peripheral and central vestibular pathology cases. For the definition of the presence of peripheral or central type of the recruitment/decruitment phenomenon we used Ghosh and Kacker method for the labyrinth irritation. The results of this study show that for more detail topographic diagnosis of the vestibular disorders one must search the type of recruitment and decruitment.

Adult↗