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Ajouter le résultat dans votre panierHearing Assessment and Rehabilitation for People Living With Dementia / Piers Dawes in Ear and hearing, Vol. 43, n°4 (Juillet-Aout 2022)
Titre : Hearing Assessment and Rehabilitation for People Living With Dementia Type de document : Article Auteurs : Piers Dawes ; Jenna Littlejohna ; Anthea Bott ; Siobhan Brennan ; Simon Burrow ; Tammy Hopper ; Emma Scanlan Année de publication : 2022 Article en page(s) : p.1089-1102 Note générale : DOI: 10.1097/AUD.0000000000001174 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience intellectuelle ; Démence ; Perte d'auditionRésumé : Hearing impairment commonly co-occurs with dementia. Audiologists, therefore, need to be prepared to address the specific needs of people living with dementia (PwD). PwD have needs in terms of dementia-friendly clinical settings, assessments, and rehabilitation strategies tailored to support individual requirements that depend on social context, personality, background, and health-related factors, as well as audiometric HL and experience with hearing assistance. Audiologists typically receive limited specialist training in assisting PwD and professional guidance for audiologists is scarce. The aim of this review was to outline best practice recommendations for the assessment and rehabilitation of hearing impairment for PwD with reference to the current evidence base. These recommendations, written by audiology, psychology, speech-language, and dementia nursing professionals, also highlight areas of research need. The review is aimed at hearing care professionals and includes practical recommendations for adapting audiological procedures and processes for the needs of PwD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295846
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p.1089-1102[article]
Titre : The Interrelationship of Tinnitus and Hearing Loss Secondary to Age, Noise Exposure, and Traumatic Brain Injury Type de document : Article Auteurs : Royce Ellen Clifford ; Allen F. Ryan Année de publication : 2022 Article en page(s) : p. 1114-1124 Note générale : DOI: 10.1097/AUD.0000000000001222 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Déficience auditive liée à l'âge (ARHL) ; Surdité due au bruit ; Traumatismes cranioencéphaliquesRésumé : Objective: Tinnitus has been the No. 1 disability at the Veteran Administration for the last 15 years, yet its interaction with hearing loss secondary to etiologies such as age, noise trauma, and traumatic brain injuries remains poorly characterized. Our objective was to analyze hearing loss and tinnitus, including audiogram data, of the Million Veteran Program within the context of military exposures in an aging population.
Design: Health records, questionnaires, audiograms, and military data were aggregated for 758,005 Veteran participants in the Million Veteran Program 2011 to 2020, with relative risks (RR) calculated for ancestries, sex, hearing loss and military exposures such as combat, blast, and military era served. A multivariate model with significant demographic measures and exposures was then analyzed. Next, audiogram data stratified by sex were compared for those with and without tinnitus by two methods: first, mean thresholds at standard frequencies were compared to thresholds adjusted per ISO 7029:2000E age and sex formulae. Second, levels for those
Results: Tinnitus was either self-reported, diagnosed, or both in 37.5% (95% CI, 37.4 to 37.6), mean age 61.5 (95% CI, 61.4 to 61.5), range 18 to 112 years. Those with hearing loss were 4.15 times (95% CI, 4.12 to 4.15) as likely to have tinnitus. Americans of African descent were less likely to manifest tinnitus (RR 0.61, 95% CI, 0.60 to 0.61), as were women (RR 0.65, 95% CI, 0.64 to 0.65). A multivariate model indicated a higher RR of 1.73 for traumatic brain injury (95% CI, 1.71 to 1.73) and daily combat noise exposure (1.17, 95% CI, 1.14 to 1.17) than age (0.998, 95% CI, 0.997 to 0.998). Subjects 40 with new onset of tinnitus were at risk for hearing loss sooner and with greater incidence than those who were younger. The rate of hearing loss following tinnitus approached 100%. In contrast, only approximately 50% of those who self-reported hearing loss initially were at risk for later hearing loss, in contrast to ICD comparison, where those with ICD of hearing loss were more likely to sustain an ICD of tinnitus subsequently.
Conclusions: Evidence suggests that the occurrence of tinnitus in the military is more closely related to environmental exposures than to aging. The finding that tinnitus affects hearing frequencies across the audiogram spectrum suggests an acoustic injury independent of tonotopicity. Particularly for males >40, tinnitus may be a harbinger of audiologic damage predictive of later hearing loss.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295847
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1114-1124[article]
Titre : Age and Hearing Ability Influence Selective Attention During Childhood Type de document : Article Auteurs : Kristina M. Ward ; Tina Grieco-Calub Année de publication : 2022 Article en page(s) : p. 1125-1138 Note générale : DOI: 10.1097/AUD.0000000000001164 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Attention selective
HE Vinci
Aides auditives ; Audiologie pédiatrique ; Implants cochléairesRésumé : Objectives: The purpose of the present study was to determine whether age and hearing ability influence selective attention during childhood. Specifically, we hypothesized that immaturity and disrupted auditory experience impede selective attention during childhood.
Design: Seventy-seven school-age children (5 to 12 years of age) participated in this study: 61 children with normal hearing and 16 children with bilateral hearing loss who use hearing aids and/or cochlear implants. Children performed selective attention-based behavioral change detection tasks comprised of target and distractor streams in the auditory and visual modalities. In the auditory modality, children were presented with two streams of single-syllable words spoken by a male and female talker. In the visual modality, children were presented with two streams of grayscale images. In each task, children were instructed to selectively attend to the target stream, inhibit attention to the distractor stream, and press a key as quickly as possible when they detected a frequency (auditory modality) or color (visual modality) deviant stimulus in the target, but not distractor, stream. Performance on the auditory and visual change detection tasks was quantified by response sensitivity, which reflects children's ability to selectively attend to deviants in the target stream and inhibit attention to those in the distractor stream. Children also completed a standardized measure of attention and inhibitory control.
Results: Younger children and children with hearing loss demonstrated lower response sensitivity, and therefore poorer selective attention, than older children and children with normal hearing, respectively. The effect of hearing ability on selective attention was observed across the auditory and visual modalities, although the extent of this group difference was greater in the auditory modality than the visual modality due to differences in children's response patterns. Additionally, children's performance on a standardized measure of attention and inhibitory control related to their performance during the auditory and visual change detection tasks.
Conclusions: Overall, the findings from the present study suggest that age and hearing ability influence children's ability to selectively attend to a target stream in both the auditory and visual modalities. The observed differences in response patterns across modalities, however, reveal a complex interplay between hearing ability, task modality, and selective attention during childhood. While the effect of age on selective attention is expected to reflect the immaturity of cognitive and linguistic processes, the effect of hearing ability may reflect altered development of selective attention due to disrupted auditory experience early in life and/or a differential allocation of attentional resources to meet task demands.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295848
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1125-1138[article]
Titre : Reverberation Degrades Pitch Perception but Not Mandarin Tone and Vowel Recognition of Cochlear Implant Users Type de document : Article Auteurs : Lei Xu ; Jianfen Luo ; Dianzhao Xie ; Xiuhua Chao ; Ruijie Wang ; Pavel Zahorik ; Xin Luo Année de publication : 2022 Article en page(s) : p. 1139-1150 Note générale : DOI: 10.1097/AUD.0000000000001173 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage auditif ; Dépistage auditif du nouveau-né ; Évaluation économiqueRésumé : Objectives: The primary goal of this study was to investigate the effects of reverberation on Mandarin tone and vowel recognition of cochlear implant (CI) users and normal-hearing (NH) listeners. To understand the performance of Mandarin tone recognition, this study also measured participants' pitch perception and the availability of temporal envelope cues in reverberation.
Design: Fifteen CI users and nine NH listeners, all Mandarin speakers, were asked to recognize Mandarin single-vowels produced in four lexical tones and rank harmonic complex tones in pitch with different reverberation times (RTs) from 0 to 1 second. Virtual acoustic techniques were used to simulate rooms with different degrees of reverberation. Vowel duration and correlation between amplitude envelope and fundamental frequency (F0) contour were analyzed for different tones as a function of the RT.
Results: Vowel durations of different tones significantly increased with longer RTs. Amplitude-F0 correlation remained similar for the falling Tone 4 but greatly decreased for the other tones in reverberation. NH listeners had robust pitch-ranking, tone recognition, and vowel recognition performance as the RT increased. Reverberation significantly degraded CI users' pitch-ranking thresholds but did not significantly affect the overall scores of tone and vowel recognition with CIs. Detailed analyses of tone confusion matrices showed that CI users reduced the flat Tone-1 responses but increased the falling Tone-4 responses in reverberation, possibly due to the falling amplitude envelope of late reflections after the original vowel segment. CI users' tone recognition scores were not correlated with their pitch-ranking thresholds.
Conclusions: NH listeners can reliably recognize Mandarin tones in reverberation using salient pitch cues from spectral and temporal fine structures. However, CI users have poorer pitch perception using F0-related amplitude modulations that are reduced in reverberation. Reverberation distorts speech amplitude envelopes, which affect the distribution of tone responses but not the accuracy of tone recognition with CIs. Recognition of vowels with stationary formant trajectories is not affected by reverberation for both NH listeners and CI users, regardless of the available spectral resolution. Future studies should test how the relatively stable vowel and tone recognition may contribute to sentence recognition in reverberation of Mandarin-speaking CI users.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295849
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1139-1150[article]
Titre : Development and Evaluation of a Language-Independent Test of Auditory Discrimination for Referrals for Cochlear Implant Candidacy Assessment Type de document : Article Auteurs : Teresa Y.C. Ching ; Harvey Dillon ; Sanna Hou ; Mark Seeto ; Ana Sodan ; Nicky Chong-White Année de publication : 2022 Article en page(s) : p. 1151-1163 Note générale : DOI: 10.1097/AUD.0000000000001166 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Test de discrimination auditive
HE Vinci
Dépistage auditif ; Implants cochléairesRésumé : Objectives: The purpose of this study was to (1) develop a Language-independent Test of Auditory Discrimination (LIT-AD) between speech sounds so that people with hearing loss who derive limited speech perception benefits from hearing aids (HAs) may be identified for consideration of cochlear implantation and (2) examine the relationship between the scores for the new discrimination test and those of a standard sentence test for adults wearing either HAs or cochlear implants (CIs).
Design: The test measures the ability of the listener to correctly discriminate pairs of nonsense syllables, presented as sequential triplets in an odd-one-out format, implemented as a game-based software tool for self-administration using a tablet computer. Stage 1 included first a review of phonemic inventories in the 40 most common languages in the world to select the consonants and vowels. Second, discrimination testing of 50 users of CIs at several signal to noise ratios (SNRs) was carried out to generate psychometric functions. These were used to calculate the corrections in SNR for each consonant-pair and vowel combination required to equalize difficulty across items. Third, all items were individually equalized in difficulty and the overall difficulty set. Stage 2 involved the validation of the LIT-AD in English-speaking listeners by comparing discrimination scores with performance in a standard sentence test. Forty-one users of HAs and 40 users of CIs were assessed. Correlation analyses were conducted to examine test-retest reliability and the relationship between performance in the two tests. Multiple regression analyses were used to examine the relationship between demographic characteristics and performance in the LIT-AD. The scores of the CI users were used to estimate the probability of superior performance with CIs for a non-CI user having a given LIT-AD score and duration of hearing loss.
Results: The LIT-AD comprises 81 pairs of vowel-consonant-vowel syllables that were equalized in difficulty to discriminate. The test can be self-administered on a tablet computer, and it takes about 10 min to complete. The software automatically scores the responses and gives an overall score and a list of confusable items as output. There was good test-retest reliability. On average, higher LIT-AD discrimination scores were associated with better sentence perception for users of HAs (r = -0.54, p Conclusions: The LIT-AD could increase access to CIs by screening for those who obtain limited benefits from HAs to facilitate timely referrals for CI candidacy evaluation. The test results can be used to provide patients and professionals with practical information about the probability of potential benefits for speech perception from cochlear implantation. The test will need to be evaluated for speakers of languages other than English to facilitate adoption in different countries.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295850
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1151-1163[article]
Titre : Predictive Sentence Context Reduces Listening Effort in Older Adults With and Without Hearing Loss and With High and Low Working Memory Capacity Hunter, Cynthia R.1; Humes, Larry E.2 Type de document : Article Auteurs : Cynthia Hunter ; Larry E. Humes Année de publication : 2022 Article en page(s) : p. 1164-1177 Note générale : DOI: 10.1097/AUD.0000000000001192 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age
HE Vinci
Capacité cognitive ; Double tâche ; Effort d'écoute ; Mémoire à court terme ; Perception de la paroleRésumé : Objectives: Listening effort is needed to understand speech that is degraded by hearing loss, a noisy environment, or both. This in turn reduces cognitive spare capacity, the amount of cognitive resources available for allocation to concurrent tasks. Predictive sentence context enables older listeners to perceive speech more accurately, but how does contextual information affect older adults' listening effort? The current study examines the impacts of sentence context and cognitive (memory) load on sequential dual-task behavioral performance in older adults. To assess whether effects of context and memory load differ as a function of older listeners' hearing status, baseline working memory capacity, or both, effects were compared across separate groups of participants with and without hearing loss and with high and low working memory capacity.
Design: Participants were older adults (age 60-84 years; n = 63) who passed a screen for cognitive impairment. A median split classified participants into groups with high and low working memory capacity. On each trial, participants listened to spoken sentences in noise and reported sentence-final words that were either predictable or unpredictable based on sentence context, and also recalled short (low-load) or long (high-load) sequences of digits that were presented visually before each spoken sentence. Speech intelligibility was quantified as word identification accuracy, and measures of listening effort included digit recall accuracy, and response time to words and digits. Correlations of context benefit in each dependent measure with working memory and vocabulary were also examined.
Results: Across all participant groups, accuracy and response time for both word identification and digit recall were facilitated by predictive context, indicating that in addition to an improvement in intelligibility, listening effort was also reduced when sentence-final words were predictable. Effects of predictability on all listening effort measures were observed whether or not trials with an incorrect word identification response were excluded, indicating that the effects of predictability on listening effort did not depend on speech intelligibility. In addition, although cognitive load did not affect word identification accuracy, response time for word identification and digit recall, as well as accuracy for digit recall, were impaired under the high-load condition, indicating that cognitive load reduced the amount of cognitive resources available for speech processing. Context benefit in speech intelligibility was positively correlated with vocabulary. However, context benefit was not related to working memory capacity.
Conclusions: Predictive sentence context reduces listening effort in cognitively healthy older adults resulting in greater cognitive spare capacity available for other mental tasks, irrespective of the presence or absence of hearing loss and baseline working memory capacity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295851
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1164-1177[article]
Titre : Parameter-Specific Morphing Reveals Contributions of Timbre to the Perception of Vocal Emotions in Cochlear Implant Users Type de document : Article Auteurs : Celina von Eiff ; Verena Skuk ; Romi Zaske ; Christine Nussbaum ; Sascha Fruhholz ; Ute Feuer ; Orlando Guntinas-Lichius Année de publication : 2022 Article en page(s) : p. 1178-1186 Note générale : DOI: 10.1097/AUD.0000000000001181 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Qualité de vie ; Reconnaissance des émotions ; Timbre vocalRésumé : Objectives: Research on cochlear implants (CIs) has focused on speech comprehension, with little research on perception of vocal emotions. We compared emotion perception in CI users and normal-hearing (NH) individuals, using parameter-specific voice morphing.
Design: Twenty-five CI users and 25 NH individuals (matched for age and gender) performed fearful-angry discriminations on bisyllabic pseudoword stimuli from morph continua across all acoustic parameters (Full), or across selected parameters (F0, Timbre, or Time information), with other parameters set to a noninformative intermediate level.
Results: Unsurprisingly, CI users as a group showed lower performance in vocal emotion perception overall. Importantly, while NH individuals used timbre and fundamental frequency (F0) information to equivalent degrees, CI users were far more efficient in using timbre (compared to F0) information for this task. Thus, under the conditions of this task, CIs were inefficient in conveying emotion based on F0 alone. There was enormous variability between CI users, with low performers responding close to guessing level. Echoing previous research, we found that better vocal emotion perception was associated with better quality of life ratings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295852
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1178-1186[article]
Titre : Apical Reference Stimulation: A Possible Solution to Facial Nerve Stimulation Hanekom, Tania; Hanekom, Johan J. Type de document : Article Auteurs : Jacques van der Westhuizen ; Tania Hanekom ; Johan J. Hanekom Année de publication : 2022 Article en page(s) : p. 1189-1197 Note générale : DOI: 10.1097/AUD.0000000000001170 Langues : Anglais (eng) Descripteurs : HE Vinci
Aide auditive implantable ; Besoin spécifique ; Implants cochléaires ; Nerf facial ; SUIVI POST IMPLANTMots-clés : Apical reference stimulation mode Résumé : Objectives: Postimplantation facial nerve stimulation is a common side-effect of intracochlear electrical stimulation. Facial nerve stimulation occurs when electric current intended to stimulate the auditory nerve, spread beyond the cochlea to excite the nearby facial nerve, causing involuntarily facial muscle contractions. Facial nerve stimulation can often be resolved through adjustments in speech processor fitting but, in some instances, these measures exhibit limited benefit or may have a detrimental effect on speech perception. In this study, apical reference stimulation mode was investigated as a potential intervention to facial nerve stimulation. Apical reference stimulation is a bipolar stimulation strategy in which the most apical electrode is used as the reference electrode for stimulation on all the other intracochlear electrodes.
Design: A person-specific model of the human cochlea, facial nerve and electrode array, coupled with a neural model, was used to predict excitation of auditory and facial nerve fibers. These predictions were used to evaluate the effectiveness in reducing facial nerve stimulation using apical reference stimulation. Predictions were confirmed in psychoacoustic tests by determining auditory comfort and threshold levels for the apical reference stimulation mode while capturing electromyography data in two participants.
Results: Models predicted a favorable outcome for apical reference stimulation, as facial nerve fiber thresholds were higher and auditory thresholds were lower, in direct comparison to conventional monopolar stimulation. Psychophysical tests also illustrated decreased auditory thresholds and increased dynamic range during apical reference stimulation. Furthermore, apical reference stimulation resulted in lower electromyography energy levels, compared to conventional monopolar stimulation, which suggests a reduction in facial nerve stimulation. Subjective feedback corroborated that apical reference stimulation alleviated facial nerve stimulation.
Conclusion: Apical reference stimulation may be a viable strategy to alleviate facial nerve stimulation considering the improvements in dynamic range and auditory thresholds, complemented with a reduction in facial nerve stimulation symptoms.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295957
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1189-1197[article]
Titre : Hearing Features and Cochlear Implantation Outcomes in Patients With PathogenicMYO15AVariants : a Multicenter Observational Study Type de document : Article Auteurs : Pey-Yu Chen ; Cheng-Yu Tsai ; Che-Ming Wu ; Jiunn-Liang Wu ; Yi-Lu Li ; Kuang-Chao Chen ; Chung-Feng Hwang ; Hung-Ching Lin ; Yen-Fu Cheng ; Hung-Pin Wu ; Ming-Yu Lo ; Tien-Chen Liu ; Ting-Hua Yang ; Pei-Lung Chen ; Chuan-Jen Hsu ; Chen-Chi Wu Année de publication : 2022 Article en page(s) : p. 1198-1207 Note générale : DOI: 10.1097/AUD.0000000000001171 Langues : Anglais (eng) Descripteurs : HE Vinci
Génotype ; Implants cochléaires ; Phénotype
Autres descripteurs
Deficience auditive progressiveMots-clés : MYO15A Résumé : Objectives: Recessive variants in theMYO15Agene constitute an important cause of sensorineural hearing impairment (SNHI). However, the clinical features ofMYO15A-related SNHI have not been systemically investigated. This study aimed to delineate the hearing features and outcomes in patients with pathogenicMYO15Avariants.
Design: This study recruited 40 patients with biallelicMYO15Avariants from 31 unrelated families. The patients were grouped based on the presence of N-terminal domain variants (N variants). The longitudinal audiological data and for those undergoing cochlear implantation, the auditory and speech performance with cochlear implants, were ascertained and compared between patients with different genotypes.
Results: At the first audiometric examination, 32 patients (80.0%) presented with severe to profound SNHI. Patients with at least one allele of the N variant exhibited significantly better hearing levels than those with biallelic non-N variants (78.2 +/- 23.9 dBHL and 94.7 +/- 22.8 dBHL, respectively) (p= 0.033). Progressive SNHI was observed in 82.4% of patients with non-profound SNHI, in whom the average progression rate of hearing loss was 6.3 +/- 4.8 dBHL/year irrespective of the genotypes. Most of the 25 patients who underwent cochlear implantation exhibited favorable auditory and speech performances post-implantation.
Conclusions: The hearing features of patients with biallelic pathogenicMYO15Avariants are characterized by severe to profound SNHI, rapid hearing progression, and favorable outcomes with cochlear implants. Periodic auditory monitoring is warranted for these patients to enable early intervention.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295958
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1198-1207[article]
Titre : Threshold Equalizing Noise Test Reveals Suprathreshold Loss of Hearing Function, Even in the "Normal" Audiogram Range Type de document : Article Auteurs : Michael A. Stone ; Emanuele Perugia ; Warren Bakay ; Melanie Lough ; Helen Whiston ; Christopher Plack Année de publication : 2022 Article en page(s) : p. 1208-1221 Note générale : DOI: 10.1097/AUD.0000000000001175 Langues : Anglais (eng) Descripteurs : Autres descripteurs
TEN test ; Zone morte cochléaire (ZMC)
HE Vinci
Exposition au bruit ; Surdité due au bruitMots-clés : Subclinical hearing loss Résumé : Objectives: The threshold equalizing noise (TEN(HL)) is a clinically administered test to detect cochlear "dead regions" (i.e., regions of loss of inner hair cell [IHC] connectivity), using a "pass/fail" criterion based on the degree of elevation of a masked threshold in a tone-detection task. With sensorineural hearing loss, some elevation of the masked threshold is commonly observed but usually insufficient to create a "fail" diagnosis. The experiment reported here investigated whether the gray area between pass and fail contained information that correlated with factors such as age or cumulative high-level noise exposure (>100 dBA sound pressure levels), possibly indicative of damage to cochlear structures other than the more commonly implicated outer hair cells.
Design: One hundred and twelve participants (71 female) who underwent audiometric screening for a sensorineural hearing loss, classified as either normal or mild, were recruited. Their age range was 32 to 74 years. They were administered the TEN test at four frequencies, 0.75, 1, 3, and 4 kHz, and at two sensation levels, 12 and 24 dB above their pure-tone absolute threshold at each frequency. The test frequencies were chosen to lie either distinctly away from, or within, the 2 to 6 kHz region where noise-induced hearing loss is first clinically observed as a notch in the audiogram. Cumulative noise exposure was assessed by the Noise Exposure Structured Interview (NESI). Elements of the NESI also permitted participant stratification by music experience.
Results: Across all frequencies and testing levels, a strong positive correlation was observed between elevation of TEN threshold and absolute threshold. These correlations were little-changed even after noise exposure and music experience were factored out. The correlations were observed even within the range of "normal" hearing (absolute thresholds
Conclusions: Using a clinical test, sensorineural hearing deficits were observable even within the range of clinically "normal" hearing. Results from the TEN test residing between "pass" and "fail" are dominated by processes not related to IHCs. The TEN test for IHC-related function should therefore only be considered for its originally designed function, to generate a binary decision, either pass or fail.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295960
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1208-1221[article]
Titre : The Resting State Central Auditory Network: a Potential Marker of HIV-Related Central Nervous System Alterations Shi, Yuxin1 Type de document : Article Auteurs : Yi Zhan ; Qiurong Yu ; Dan-Chao Cai ; James C. Ford ; Xiudong Shi ; Abigail M Fellows ; Odile H. Clavier ; Sigfrid D. Soli ; Mingxia Fan ; Hongzhou Lu ; Zhiyong Zhang ; Jay C. Buckey ; Yuxin Shi Année de publication : 2022 Article en page(s) : p. 1222-1227 Note générale : DOI: 10.1097/AUD.0000000000001186 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Syndrome d'immunodéficience acquise (SIDA) ; Système nerveux central ; Troubles de l'audition centraleRésumé : Objective: HIV positive (HIV+) individuals with otherwise normal hearing ability show central auditory processing deficits as evidenced by worse performance in speech-in-noise perception compared with HIV negative (HIV-) controls. HIV infection and treatment are also associated with lower neurocognitive screening test scores, suggesting underlying central nervous system damage. To determine how central auditory processing deficits in HIV+ individuals relate to brain alterations in the cortex involved with auditory processing, we compared auditory network (AN) functional connectivity between HIV+ adults with or without speech-in-noise perception difficulties and age-matched HIV- controls using resting-state fMRI.
Design: Based on the speech recognition threshold of the hearing-in-noise test, twenty-seven HIV+ individuals were divided into a group with speech-in-noise perception abnormalities (HIV+SPabnl, 38.2 +/- 6.8 years; 11 males and 2 females) and one without (HIV+SPnl 34.4 +/- 8.8 years; 14 males). An HIV- group with normal speech-in-noise perception (HIV-, 31.3 +/- 5.2 years; 9 males and 3 females) was also enrolled. All of these younger and middle-aged adults had normal peripheral hearing determined by audiometry. Participants were studied using resting-state fMRI. Independent component analysis was applied to identify the AN. Group differences in the AN were identified using statistical parametric mapping.
Results: Both HIV+ groups had increased functional connectivity (FC) in parts of the AN including the superior temporal gyrus, middle temporal gyrus, supramarginal gyrus, and Rolandic operculum compared to the HIV- group. Compared with the HIV+SPnl group, the HIV+SPabnl group showed greater FC in parts of the AN including the middle frontal and inferior frontal gyri.
Conclusions: The classical auditory areas in the temporal lobe are affected by HIV regardless of speech perception ability. Increased temporal FC in HIV+ individuals might reflect functional compensation to achieve normal primary auditory perception. Furthermore, increased frontal FC in the HIV+SPabnl group compared with the HIV+SPnl group suggest that speech-in-noise perception difficulties in HIV-infected adults also affect areas involved in higher-level cognition, providing imaging evidence consistent with the hypothesis that HIV-related neurocognitive deficits can include central auditory processing deficits.Note de contenu : Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295961
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1222-1227[article]
Titre : Neural Adaptation of the Electrically Stimulated Auditory Nerve Is Not Affected by Advanced Age in Postlingually Deafened, Middle-aged, and Elderly Adult Cochlear Implant Users Type de document : Article Auteurs : Shuman He ; Jeffrey Skidmore ; Sara Conroy ; William Riggs ; Brittney Carter ; Ruili Xie Année de publication : 2022 Article en page(s) : p. 1228-1244 Note générale : DOI: 10.1097/AUD.0000000000001184 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Implants cochléaires ; Nerf vestibulocochléaireRésumé : Objective: This study aimed to investigate the associations between advanced age and the amount and the speed of neural adaptation of the electrically stimulated auditory nerve (AN) in postlingually deafened adult cochlear implant (CI) users.
Design: Study participants included 26 postlingually deafened adult CI users, ranging in age between 28.7 and 84.0 years (mean: 63.8 years, SD: 14.4 years) at the time of testing. All study participants used a Cochlear Nucleus device with a full electrode array insertion in the test ear. The stimulus was a 100-ms pulse train with a pulse rate of 500, 900, 1800, or 2400 pulses per second (pps) per channel. The stimulus was presented at the maximum comfortable level measured at 2400 pps with a presentation rate of 2 Hz. Neural adaptation of the AN was evaluated using electrophysiological measures of the electrically evoked compound action potential (eCAP). The amount of neural adaptation was quantified by the adaptation index (AI) within three time windows: around 0 to 8 ms (window 1), 44 to 50 ms (window 2), and 94 to 100 ms (window 3). The speed of neural adaptation was quantified using a two-parameter power law estimation. In 23 participants, four electrodes across the electrode array were tested. In three participants, three electrodes were tested. Results measured at different electrode locations were averaged for each participant at each pulse rate to get an overall representation of neural adaptation properties of the AN across the cochlea. Linear-mixed models (LMMs) were used (1) to evaluate the effects of age at testing and pulse rate on the speed of neural adaptation and (2) to assess the effects of age at testing, pulse rate, and duration of stimulation (i.e., time window) on the amount of neural adaptation in these participants.
Results: There was substantial variability in both the amount and the speed of neural adaptation of the AN among study participants. The amount and the speed of neural adaptation increased at higher pulse rates. In addition, larger amounts of adaptation were observed for longer durations of stimulation. There was no significant effect of age on the speed or the amount of neural adaptation.
Conclusions: The amount and the speed of neural adaptation of the AN are affected by both the pulse rate and the duration of stimulation, with higher pulse rates and longer durations of stimulation leading to faster and greater neural adaptation. Advanced age does not affect neural adaptation of the AN in postlingually deafened, middle-aged and elderly adult CI users.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295962
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1228-1244[article]
Titre : Wideband Tympanometry Findings in School-aged Children: Effects of Age, Gender, Ear Laterality, and Ethnicity Type de document : Article Auteurs : Cerys Downing ; Joseph Key ; Carlie Driscoll ; Robyn Choi ; Dion Scott Année de publication : 2022 Article en page(s) : p. 1245-1255 Note générale : DOI: 10.1097/AUD.0000000000001197 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Reflexion a large bande
HE Vinci
Conduction osseuse ; Oreille moyenne ; Tests d'impédance acoustique ; Tympanométrie ; Wideband absorbance (WBA)Résumé : Objectives: Wideband tympanometry (WBT) measures middle-ear function across a range of frequencies (250 to 8000 Hz) while the ear-canal pressure is varied from +200 to -300 daPa. WBT is a suitable test to evaluate middle-ear function in children, but there is a lack of age-, ear-, gender-, or ethnicity-specific data throughout the literature. The purpose of this study was to investigate the effects of age, ear laterality, gender, and ethnicity on the WBT data retrieved from children aged 4 to 13 years determined to have normal middle-ear function.
Design: Data were collected cross-sectionally from 924 children aged 4 to 13 years who passed a test battery consisting of 226-Hz tympanometry, ipsilateral acoustic stapedial reflexes, and pure-tone screening, and without significant history of middle-ear dysfunction. Participants were grouped according to their age: 4 to 6 years, 7 to 9 years, 10 to 13 years. Wideband absorbance values were extracted at 0 daPa (WBA0) and tympanometric peak pressure (WBATPP).
Results: The effects of age, frequency, and pressure (WBA0 versus WBATPP) were statistically significant. There were significant differences between WBA0 and WBATPP for all age groups such that WBA0 had lower absorbance at low frequencies (250 to 1600 Hz) and greater absorbance at mid to high frequencies (2500 to 8000 Hz). Statistically significant effects of age were present for WBA0 and WBATPP such that absorbance generally increased with age from 250 to 1250 Hz and decreased with age from 2000 to 5000 Hz. There were no significant main effects of gender, ear, or ethnicity.
Conclusions: Gender-, ear-, and ethnicity-specific clinical WBA0 and WBATPP norms are not required for diagnostic purposes; however, age-specific norms may be necessary. Age-related changes in middle-ear function were observed across WBA0 and WBATPP. The data presented in this study are a suitable clinical reference for evaluating the outer- and middle-ear function of school-aged children.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295963
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1245-1255[article]
Titre : Clinical Spectrum of Positional Vertigo in an Outpatient Setting Type de document : Article Auteurs : Chih-Chung Chen ; Chen-Yu Wang ; Po-Yueh Chen ; Mei-Chien Chen ; Ting-Yi Lee ; Hsun-Hua Lee Année de publication : 2022 Article en page(s) : p. 1256-1261 Note générale : DOI: 10.1097/AUD.0000000000001177 Langues : Anglais (eng) Descripteurs : HE Vinci
MIGRAINE VESTIBULAIRE ; Nystagmus pathologique ; Vertige positionnel paroxystique bénin (VPPB) (BPPV)Résumé : Objectives: To explore the clinical spectrum of positional vertigo (PV) and to study the causes of PV with atypical positional nystagmus (PN) and PV without PN.
Design: We retrospectively analyzed the registry (2425 cases) in a university hospital. Patients who actively reported PV as their main dizziness pattern were included. Candidates were divided into three groups according to their PN: (1) benign paroxysmal PV (BPPV); (2) PV with atypical PN; and (3) PV without PN. The diagnoses and reported symptoms in each group were analyzed.
Results: PV was the most commonly (n = 518, 28.3%) reported pattern in the registry. The two most common diagnoses of PV were BPPV (n = 146, 29.2%) and vestibular migraine (VM; n = 137, 27.4%). Fifty-seven (11.4%) patients had PV with atypical PN, the majority of which was caused by VM. Moreover, 297 (59.4%) patients had PV without PN. The two main diagnoses in this group were VM and functional dizziness, although the cause remained uncertain in 23.9% of the cases of PV without PN. The odds ratio of VM was 3.95 in patients with PV who reported headaches.
Conclusions: PV is the most common self-reported dizziness pattern and is predominantly caused by BPPV and VM. VM is the most common cause of PV with atypical PN and PV without PN. Clinicians often erroneously assume the presence of PN in those with PV. Managing PV without PN can be challenging because of the uncertainty surrounding this phenomenon. Structured patient-oriented questionnaires assist clinicians in making timely diagnoses and adjusting treatment goals accordingly.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295966
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1256-1261[article]
Titre : The Impact of Synchronized Cochlear Implant Sampling and Stimulation on Free-Field Spatial Hearing Outcomes: Comparing the ciPDA Research Processor to Clinical Processors Type de document : Article Auteurs : Stephen R. Dennison ; Heath J. Jones ; Alan Kan ; Ruth Y. Litovsky Année de publication : 2022 Article en page(s) : p. 1262-1272 Note générale : DOI: 10.1097/AUD.0000000000001179 Langues : Anglais (eng) Descripteurs : HE Vinci
dys-synchronie auditive ; Implant cochléaire bilatéralRésumé : Objectives: Bilateral cochlear implant (BiCI) listeners use independent processors in each ear. This independence and lack of shared hardware prevents control of the timing of sampling and stimulation across ears, which precludes the development of bilaterally-coordinated signal processing strategies. As a result, these devices potentially reduce access to binaural cues and introduce disruptive artifacts. For example, measurements from two clinical processors demonstrate that independently-running processors introduce interaural incoherence. These issues are typically avoided in the laboratory by using research processors with bilaterally-synchronized hardware. However, these research processors do not typically run in real-time and are difficult to take out into the real-world due to their benchtop nature. Hence, the question of whether just applying hardware synchronization to reduce bilateral stimulation artifacts (and thereby potentially improve functional spatial hearing performance) has been difficult to answer. The CI personal digital assistant (ciPDA) research processor, which uses one clock to drive two processors, presented an opportunity to examine whether synchronization of hardware can have an impact on spatial hearing performance.
Design: Free-field sound localization and spatial release from masking (SRM) were assessed in 10 BiCI listeners using both their clinical processors and the synchronized ciPDA processor. For sound localization, localization accuracy was compared within-subject for the two processor types. For SRM, speech reception thresholds were compared for spatially separated and co-located configurations, and the amount of unmasking was compared for synchronized and unsynchronized hardware. There were no deliberate changes of the sound processing strategy on the ciPDA to restore or improve binaural cues.
Results: There was no significant difference in localization accuracy between unsynchronized and synchronized hardware (p = 0.62). Speech reception thresholds were higher with the ciPDA. In addition, although five of eight participants demonstrated improved SRM with synchronized hardware, there was no significant difference in the amount of unmasking due to spatial separation between synchronized and unsynchronized hardware (p = 0.21).
Conclusions: Using processors with synchronized hardware did not yield an improvement in sound localization or SRM for all individuals, suggesting that mere synchronization of hardware is not sufficient for improving spatial hearing outcomes. Further work is needed to improve sound coding strategies to facilitate access to spatial hearing cues. This study provides a benchmark for spatial hearing performance with real-time, bilaterally-synchronized research processors.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295968
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1262-1272[article]
Titre : Video Head Impulse Test in Darkness, Without Visual Fixation: A Study on Healthy Subjects Type de document : Article Auteurs : Paz Perez-Vazquez ; Virginia Franco-Gutierrez Année de publication : 2022 Article en page(s) : p. 1273-1281 Note générale : DOI: 10.1097/AUD.0000000000001180 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Difference de genre
HE Vinci
Réflexe vestibulo-oculaire (VOR) ; Test d'impulsion rotatoire de la tête (vHIT)Résumé : Objective: The head impulse test (HIT) is triggered by the vestibulo-ocular reflex (VOR), complemented by the optokinetic and pursuit systems. This study aimed to evaluate the possibility of individualizing the VOR contribution to the HIT.
Design: Thirty-six healthy individuals (19 males, 17 females; age 21-64 years, mean 39 years) underwent horizontal video HIT (vHIT). This was first conducted in darkness, without visual fixation, and then visually tracked.
Results: Seventy percent of the impulses delivered ocular responses opposite to the direction of the head, matching its velocity to a point where quick anticompensatory eye movements (SQEM) stopped the response (SQEM mean latency 58.21 ms, interquartile range 50-67 ms). Of these, 75% recaptured the head velocity after culmination. Thirty percent of the responses completed a bell-shaped curve. The completed bell-shaped curve gains and instantaneous gains (at 40, 60, and 80 ms) before SQEM were equivalent for both paradigms. Females completed more bell-shaped traces (42%) than males (15%); p = 0.01. The SQEM latency was longer (62.81 versus 55.71 ms, p
Conclusions: The VOR effect can be localized in the first 70 ms of the vHIT response. In addition, other influences may take place in estimating the vHIT responses. The study of these influences might provide useful information that can be applied to patient management.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295970
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1273-1281[article]
Titre : Cholesteatoma Is Associated With Pediatric Progressive Sensorineural Hearing Loss Type de document : Article Auteurs : Jordan M. Racca ; John Lee ; Faith Sikorski ; E. Bryan III Crenshaw ; Linda J. Hood Année de publication : 2022 Article en page(s) : p. 1282-1290 Note générale : DOI: 10.1097/AUD.0000000000001176 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Deficience auditive progressive
HE Vinci
CholestéatomeRésumé : Objectives: This study identified an association between cholesteatoma and progressive sensorineural hearing loss using a large pediatric longitudinal audiologic dataset. Cholesteatoma is a potential sequela of chronic otitis media with effusion, a commonly observed auditory pathology that can contribute to hearing loss in children. The purpose of this report is to (i) describe the process of identifying the association between cholesteatoma and progressive sensorineural hearing loss in a large pediatric dataset and (ii) describe the audiologic data acquired over time in patients identified with cholesteatoma-associated progressive sensorineural hearing loss.
Design: Records of patients included in the Audiologic and Genetics Database (n = 175,215 patients) were examined using specified criteria defining progressive hearing loss. A linear regression model examined the log frequency of all diagnostic codes in the electronic health record assigned to patients for a progressive hearing loss cohort compared with a stable hearing loss group. Based on findings from the linear regression analysis, longitudinal audiometric air (AC) and bone conduction (BC) thresholds were extracted for groups of subjects with cholesteatoma-associated progressive (n = 58 subjects) and stable (n = 55 subjects) hearing loss to further analyze changes in hearing over time.
Results: The linear regression analyses identified that diagnostic codes for cholesteatoma were associated with progressive sensorineural hearing loss in children. The longitudinal audiometric data demonstrated within-subject changes in masked BC sensitivity consistent with progressive sensorineural hearing loss in children diagnosed with cholesteatoma. Additional analyses showed that mastoidectomy surgeries did not appear to contribute to the observed progressive hearing loss and that a high number of cholesteatoma patients with progressive hearing loss had normal-hearing thresholds at their first test.
Conclusions: The statistical analyses demonstrated an association between cholesteatoma and pediatric progressive sensorineural hearing loss. These findings inform clinical management by suggesting that children with cholesteatoma diagnoses may be at increased risk for progressive sensorineural hearing loss and should receive continued monitoring even after a normal masked BC baseline has been established.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295971
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1282-1290[article]
Titre : Pure Tone Audiometry Evaluation Method Effectiveness in Detecting Hearing Changes Due to Workplace Ototoxicant, Continuous Noise, and Impulse Noise Exposures ; Slagley, Jeremy1; Schaal, Nicholas Cody1,2 Type de document : Article Auteurs : Marc Blair ; Jeremy Slagley ; Nicholas Cody Schaal Année de publication : 2022 Article en page(s) : p. 1291-1299 Note générale : DOI: 10.1097/AUD.0000000000001178 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Bruit impulsionnel
HE Vinci
Audiométrie tonale ; Bruit de fond ; OtotoxicitéRésumé : Objectives: The purpose of this retrospective cohort study was to compare the relative risks (RR) of hearing impairment due to co-exposure of continuous noise, impulse noise, metal ototoxicants, and organic solvent ototoxicants using several pure tone audiometry (PTA) evaluation methods.
Design: Noise and ototoxicant exposure and PTA records were extracted from a DoD longitudinal repository and were analyzed for U.S. Air Force personnel (n = 2372) at a depot-level aircraft maintenance activity at Tinker Air Force Base, Oklahoma using an historical cohort study design. Eight similar exposure groups based on combinations of ototoxicant and noise exposure were created: (1) Continuous noise (reference group); (2) Continuous noise + Impulse noise; (3) Metal exposure + Continuous noise; (4) Metal exposure + Continuous noise + Impulse noise; (5) Solvent exposure + Continuous noise; (6) Solvent exposure + Continuous noise + Impulse noise; (7) Metal exposure + Solvent exposure + Continuous noise; and (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise. RR of hearing impairment compared to the Continuous noise-exposed reference group was assessed with five PTA evaluation methods including (1) U.S. Department of Defense (DoD) Significant Threshold Shift (STS), (2) Occupational Safety and Health Administration (OSHA) age-adjusted STS, (3) National Institute for Occupational Safety and Health (NIOSH) STS, (4) NIOSH Material Hearing Impairment, and (5) All Frequency Threshold Average.
Results: Hearing impairment was significantly worse for SEG (2) combined exposure to continuous noise and impulse noise only for the PTA evaluation method (2) OSHA Age Adjusted with an RR of 3.11, [95% confidence interval (CI), 1.16-8.31] and was nearly significantly different using PTA evaluation method (4) NIOSH Material Hearing Impairment with an RR of 3.16 (95% CI, 0.99-10.15). Despite no significant differences for SEGs with an ototoxicant exposure, PTA evaluation method (3) NIOSH STS was most sensitive in detecting hearing changes for SEG (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise as demonstrated by a RR of 1.12 (95% CI, 0.99-1.27).
Conclusions: Results suggest that a single PTA evaluation technique may not be adequate in fully revealing hearing impairment risk due to all stressors and tailoring the PTA evaluation technique to the hazards present in the workplace could better detect hearing impairment. Additionally, results suggest that PTA may not be effective as the sole technique for evaluating hearing impairment due to ototoxicant exposure with continuous noise co-exposure.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295972
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1291-1299[article]
Titre : The Effect of Advanced Age on the Electrode-Neuron Interface in Cochlear Implant Users Type de document : Article Auteurs : Jeffrey Skidmore ; Brittney Carter ; William Riggs ; Shuman He Année de publication : 2022 Article en page(s) : p. 1300-1315 Note générale : DOI: 10.1097/AUD.0000000000001185 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Effet de l'age ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Implants cochléaires ; Nerf vestibulocochléaireRésumé : Objectives: This study aimed to determine the effect of advanced age on how effectively a cochlear implant (CI) electrode stimulates the targeted cochlear nerve fibers (i.e., the electrode-neuron interface [ENI]) in postlingually deafened adult CI users. The study tested the hypothesis that the quality of the ENI declined with advanced age. It also tested the hypothesis that the effect of advanced age on the quality of the ENI would be greater in basal regions of the cochlea compared to apical regions.
Design: Study participants included 40 postlingually deafened adult CI users. The participants were separated into two age groups based on age at testing in accordance with age classification terms used by the World Health Organization and the Medical Literature Analysis and Retrieval System Online bibliographic database. The middle-aged group included 16 participants between the ages of 45 and 64 years and the elderly group included 24 participants older than 65 years. Results were included from one ear for each participant. All participants used Cochlear Nucleus CIs in their test ears. For each participant, electrophysiological measures of the electrically evoked compound action potential (eCAP) were used to measure refractory recovery functions and amplitude growth functions (AGFs) at three to seven electrode sites across the electrode array. The eCAP parameters used in this study included the refractory recovery time estimated based on the eCAP refractory recovery function, the eCAP threshold, the slope of the eCAP AGF, and the negative-peak (i.e., N1) latency. The electrode-specific ENI was evaluated using an optimized combination of the eCAP parameters that represented the responsiveness of cochlear nerve fibers to electrical stimulation delivered by individual electrodes along the electrode array. The quality of the electrode-specific ENI was quantified by the local ENI index, a value between 0 and 100 where 0 and 100 represented the lowest- and the highest-quality ENI across all participants and electrodes in the study dataset, respectively.
Results: There were no significant age group differences in refractory times, eCAP thresholds, N1 latencies or local ENI indices. Slopes of the eCAP AGF were significantly larger in the middle-aged group compared to the elderly group. There was a significant effect of electrode location on each eCAP parameter, except for N1 latency. In addition, the local ENI index was significantly larger (i.e., better ENI) in the apical region than in the basal and middle regions of the cochlea for both age groups.
Conclusions: The model developed in this study can be used to estimate the quality of the ENI at individual electrode locations in CI users. The quality of the ENI is affected by the location of the electrode along the length of the cochlea. The method for estimating the quality of the ENI developed in this study holds promise for identifying electrodes with poor ENIs that could be deactivated from the clinical programming map. The ENI is not strongly affected by advanced age in middle-aged and elderly CI users.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295973
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1300-1315[article]
Titre : Bilinguals Show Proportionally Greater Benefit From Visual Speech Cues and Sentence Context in Their Second Compared to Their First Language Type de document : Article Auteurs : Alexandre Chauvin ; Natalie A. Phillips Année de publication : 2022 Article en page(s) : p. 1316-1326 Note générale : DOI: 10.1097/AUD.0000000000001182 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition dans le bruit ; Bilinguisme ; Perception de la parole
Autres descripteurs
Perception audiovisuelle de la paroleRésumé : Objectives: Speech perception in noise is challenging, but evidence suggests that it may be facilitated by visual speech cues (e.g., lip movements) and supportive sentence context in native speakers. Comparatively few studies have investigated speech perception in noise in bilinguals, and little is known about the impact of visual speech cues and supportive sentence context in a first language compared to a second language within the same individual. The current study addresses this gap by directly investigating the extent to which bilinguals benefit from visual speech cues and supportive sentence context under similarly noisy conditions in their first and second language.
Design: Thirty young adult English-French/French-English bilinguals were recruited from the undergraduate psychology program at Concordia University and from the Montreal community. They completed a speech perception in noise task during which they were presented with video-recorded sentences and instructed to repeat the last word of each sentence out loud. Sentences were presented in three different modalities: visual-only, auditory-only, and audiovisual. Additionally, sentences had one of two levels of context: moderate (e.g., "In the woods, the hiker saw a bear.") and low (e.g., "I had not thought about that bear."). Each participant completed this task in both their first and second language; crucially, the level of background noise was calibrated individually for each participant and was the same throughout the first language and second language (L2) portions of the experimental task.
Results: Overall, speech perception in noise was more accurate in bilinguals' first language compared to the second. However, participants benefited from visual speech cues and supportive sentence context to a proportionally greater extent in their second language compared to their first. At the individual level, performance during the speech perception in noise task was related to aspects of bilinguals' experience in their second language (i.e., age of acquisition, relative balance between the first and the second language).
Conclusions: Bilinguals benefit from visual speech cues and sentence context in their second language during speech in noise and do so to a greater extent than in their first language given the same level of background noise. Together, this indicates that L2 speech perception can be conceptualized within an inverse effectiveness hypothesis framework with a complex interplay of sensory factors (i.e., the quality of the auditory speech signal and visual speech cues) and linguistic factors (i.e., presence or absence of supportive context and L2 experience of the listener).Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295974
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1316-1326[article]
Titre : Sensitivity of Vowel-Evoked Envelope Following Responses to Spectra and Level of Preceding Phoneme Context Type de document : Article Auteurs : Vijayalakshmi Easwar ; Sriram Boothalingam ; Emily Wilson Année de publication : 2022 Article en page(s) : p. 1327-1335 Note générale : DOI: 10.1097/AUD.0000000000001190 Langues : Anglais (eng) Descripteurs : HE Vinci
Consonne ; Masquage
Autres descripteurs
Frequency following response ; Transition des formantsRésumé : Objective: Vowel-evoked envelope following responses (EFRs) could be a useful noninvasive tool for evaluating neural activity phase-locked to the fundamental frequency of voice (f0). Vowel-evoked EFRs are often elicited by vowels in consonant-vowel syllables or words. Considering neural activity is susceptible to temporal masking, EFR characteristics elicited by the same vowel may vary with the features of the preceding phoneme. To this end, the objective of the present study was to evaluate the influence of the spectral and level characteristics of the preceding phoneme context on vowel-evoked EFRs.
Design: EFRs were elicited by a male-spoken /i/ (stimulus; duration = 350 msec), modified to elicit two EFRs, one from the region of the first formant (F1) and one from the second and higher formants (F2+). The stimulus, presented at 65 dB SPL, was preceded by one of the four contexts: /[integral]/, /m/, /i/ or a silent gap of duration equal to that of the stimulus. The level of the context phonemes was either 50 or 80 dB SPL, 15 dB lower and higher than the level of the stimulus /i/. In a control condition, EFRs to the stimulus /i/ were elicited in isolation without any preceding phoneme contexts. The stimulus and the contexts were presented monaurally to a randomly chosen test ear in 21 young adults with normal hearing. EFRs were recorded using single-channel electroencephalogram between the vertex and the nape.
Results: A repeated measures analysis of variance indicated a significant three-way interaction between context type (/[integral]/, /i/, /m/, silent gap), level (50, 80 dB SPL), and EFR-eliciting formant (F1, F2+). Post hoc analyses indicated no influence of the preceding phoneme context on F1-elicited EFRs. Relative to a silent gap as the preceding context, F2+-elicited EFRs were attenuated by /[integral]/ and /m/ presented at 50 and 80 dB SPL, as well as by /i/ presented at 80 dB SPL. The average attenuation ranged from 14.9 to 27.9 nV. When the context phonemes were presented at matched levels of 50 or 80 dB SPL, F2+-elicited EFRs were most often attenuated when preceded by /[integral]/. At 80 dB SPL, relative to the silent preceding gap, the average attenuation was 15.7 nV, and at 50 dB SPL, relative to the preceding context phoneme /i/, the average attenuation was 17.2 nV.
Conclusion: EFRs elicited by the second and higher formants of /i/ are sensitive to the spectral and level characteristics of the preceding phoneme context. Such sensitivity, measured as an attenuation in the present study, may influence the comparison of EFRs elicited by the same vowel in different consonant-vowel syllables or words. However, the degree of attenuation with realistic context levels exceeded the minimum measurable change only 12% of the time. Although the impact of the preceding context is statistically significant, it is likely to be clinically insignificant a majority of the time.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295975
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1327-1335[article]
Titre : Pitch Accuracy of Vocal Singing in Deaf Children With Bimodal Hearing and Bilateral Cochlear Implants Type de document : Article Auteurs : Li Xu ; Jing Yang ; Emily Hahn ; Rosalie Huchanski ; Lisa Davidson Année de publication : 2022 Article en page(s) : p. 1336-1346 Note générale : DOI: 10.1097/AUD.0000000000001189 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Audition bimodale ; Implant cochléaire bilatéral ; Voix chantéeRésumé : Objectives: The purpose of the present study was to investigate the pitch accuracy of vocal singing in children with severe to profound hearing loss who use bilateral cochlear implants (CIs) or bimodal devices [CI at one ear and hearing aid (HA) at the other] in comparison to similarly-aged children with normal-hearing (NH).
Design: The participants included four groups: (1) 26 children with NH, (2) 13 children with bimodal devices, (3) 31 children with bilateral CIs that were implanted sequentially, and (4) 10 children with bilateral CIs that were implanted simultaneously. All participants were aged between 7 and 11 years old. Each participant was recorded singing a self-chosen song that was familiar to him or her. The fundamental frequencies (F0) of individual sung notes were extracted and normalized to facilitate cross-subject comparisons. Pitch accuracy was quantified using four pitch-based metrics calculated with reference to the target music notes: mean note deviation, contour direction, mean interval deviation, and F0 variance ratio. A one-way ANOVA was used to compare listener-group difference on each pitch metric. A principal component analysis showed that the mean note deviation best accounted for pitch accuracy in vocal singing. A regression analysis examined potential predictors of CI children's singing proficiency using mean note deviation as the dependent variable and demographic and audiological factors as independent variables.
Results: The results revealed significantly poorer performance on all four pitch-based metrics in the three groups of children with CIs in comparison to children with NH. No significant differences were found among the three CI groups. Among the children with CIs, variability in the vocal singing proficiency was large. Within the group of 13 bimodal users, the mean note deviation was significantly correlated with their unaided pure-tone average thresholds (r = 0.582, p = 0.037). The regression analysis for all children with CIs, however, revealed no significant demographic or audiological predictor for their vocal singing performance.
Conclusion: Vocal singing performance in children with bilateral CIs or bimodal devices is not significantly different from each other on a group level. Compared to children with NH, the pediatric bimodal and bilateral CI users, in general, demonstrated significant deficits in vocal singing ability. Demographic and audiological factors, known from previous studies to be associated with good speech and language development in prelingually-deafened children with CIs, were not associated with singing accuracy for these children.Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295976
in Ear and hearing > Vol. 43, n°4 (Juillet-Aout 2022) . - p. 1336-1346[article]
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Titre : The Use of Person-centered Language in Medical Research Articles Focusing on Hearing Loss or Deafness Type de document : Article Auteurs : Savannah Nicks ; Austin Johnson ; Brett Traxler ; Matthew Bush ; Lacy Brame ; Tom Hamilton ; Micah Hartwell Année de publication : 2022 Article en page(s) : p. 703-711 Note générale : 10.1097/AUD.0000000000001168 Langues : Anglais (eng) Descripteurs : HE Vinci
Langage Centré sur la Personne (LCP) ; Perte d'audition ; Stigmatisation ; SurditéRésumé : Background: Hearing loss represents one of the most common disabilities worldwide. Despite its prevalence, there is a degree of stigmatization within the public's perception of, or attitude toward, individuals diagnosed with hearing loss or deafness. This stigmatization is propagated by the way hearing loss is referenced, especially in writing. Although the medical community is familiar with hearing loss, medical research is not consistently compliant with nonstigmatizing terminology, like person-centered language (PCL). This study aims to quantify the use of PCL in medical research related to hearing loss.
Methods: A cross-sectional analysis of articles related to hearing loss was performed using PubMed as the primary search engine. The search encompassed articles from January 1, 2016, to November 17, 2020. Journals had to have at least 20 search returns to be included in this study. The primary search resulted in 2392 articles from 31 journals. The sample was then randomized and the first 500 articles were chosen for data extraction. Article screening was performed systematically. Each article was evaluated for predetermined non-PCL terminology to determine adherence to the American Medical Association Manual of Style (AMAMS) guidelines. Articles were included if they involved research with human participants and were available in English. Commentaries and editorials were excluded.
Results: Four hundred eighty-two articles were included in this study. Results from this study indicate that 326 articles were not adherent to AMAMS guidelines for PCL (326/482; 68%). Emotional language (i.e., burden, suffer, afflicted) was employed to reference hearing loss in 114 articles (114/482; 24%). Non-PCL adherent labels (i.e., impaired and handicapped) were identified in 46% (221/482) of articles related to hearing loss or deafness. Sixty-seven articles (67/482; 14%) used person-first language in reference to the word "deaf" and 15 articles (15/482; 3%) used "deaf" as a label.
Conclusions: Based on the findings from this cross-sectional analysis, the majority of medical research articles that address hearing loss contain terminology that does not conform to PCL guidelines, as established by AMAMS. Many respected organizations, like the American Medical Association, have encouraged the use of PCL in interactions between patient and medical provider. This encompasses communication in person and in writing. This recommendation stems from the understood role that language plays in how we build impressions of others, especially in a medical context. Implementing PCL to destigmatize language used in reference to deafness or hearing loss is essential to increase advocacy and protect the autonomy of these individuals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293761
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 703-711[article]
Titre : A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss Type de document : Article Auteurs : Anisha Singh ; Dana Guggenheim ; Hannah Heet ; Margaret Lim ; Bhavika Garg ; Matthew Bao ; Sherri L. Smith ; Doug Garrison ; Eileen Raynor ; Janet W. Lee ; Jordan Wrigley ; Kristal M. Riska Année de publication : 2022 Article en page(s) : p. 712-721 Note générale : 10.1097/AUD.0000000000001131 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Balance ; Surdité ; VestibulométrieRésumé : Objectives: The objective of this study was to understand the functional impact of vestibular dysfunction on balance control in children with hearing loss. The vestibular system is an important contributor to maintaining balance. In adults, vestibular dysfunction is known to lead to unsteadiness and falls. Considerably less is known about the effects of vestibular dysfunction in children with hearing loss.
Design: We conducted a systematic review in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included articles on children with hearing loss who underwent vestibular and balance testing. The Downs and Black checklist was used to assess the risk of bias.
Results: A total of 20 articles were included in this systematic review, of which, 17 reported an association between vestibular dysfunction and balance abnormalities in children with hearing loss. Bias (as measured by the Downs and Black Checklist) was a concern, as most studies were nonblinded cohort studies or case series selected through convenience sampling.
Conclusions: Research to date has predominantly found that children with concomitant hearing loss and vestibular impairment tend to perform more poorly on balance measures than either children with hearing loss and normal vestibular function or children with both normal-hearing and normal vestibular function. A standardized approach to assessing both vestibular function and balance would better characterize the impact of vestibular dysfunction in children with hearing loss at the population level.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293767
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 712-721[article]
Titre : Early Life Influences on Hearing in Adulthood: a Systematic Review and Two-Step Individual Patient Data Meta-Analysis Type de document : Article Auteurs : Piers Dawes ; John Newall ; Petra L. Graham ; Clive Osmond ; Mikaela von Bonsdorff ; Johan Gunnar Erikson Année de publication : 2022 Article en page(s) : p. 722-732 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement du nourrisson ; Poids de naissance ; Risque auditif ; Troubles de l'auditionRésumé : Objectives: Adverse prenatal and early childhood development may increase susceptibility of hearing loss in adulthood. The objective was to assess whether indices of early development are associated with adult-onset hearing loss in adults >=18 years.
Design: In a systematic review and meta-analysis, four electronic databases were searched for studies reporting associations between indices of early development (birth weight and adult height) and adult-onset hearing loss in adults >=18 years. We screened studies, extracted data, and assessed risk of bias. Authors were contacted to provide adjusted odds ratios from a logistic regression model for relationships between birth weight/adult height and normal/impaired hearing enabling a two-step individual patient data random-effects meta-analysis to be carried out. The study is registered with PROSPERO, CRD42020152214.
Results: Four studies of birth weight and seven of adult height were identified. Three studies reported smaller birth weight associated with poorer adult hearing. Six studies reported shorter height associated with poorer hearing. Risk of bias was low to moderate. Four studies provided data for two-step individual patient data random-effects meta-analysis. Odds of hearing impairment were 13.5% lower for every 1 kg increase in birth weight [OR: 0.865 (95% confidence interval: 0.824 to 0.909)] in adulthood over two studies (N=81,289). Every 1 cm increase in height was associated with a 3% reduction in the odds of hearing impairment [OR: 0.970 (95% confidence interval: 0.968 to 0.971)] over four studies (N=156,740).
Conclusions: Emerging evidence suggests that adverse early development increases the likelihood of hearing impairment in adulthood. Research and public health attention should focus on the potential for prevention of hearing impairment by optimizing development in early life.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293770
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 722-732[article]
Titre : Identifying the Factors that Affect Consistent Hearing Aid Use in Young Children With Early Identified Hearing Loss : A Scoping Review Type de document : Article Auteurs : Lisa Nailand ; Natalie Munro ; Alison Purcell Année de publication : 2022 Article en page(s) : p. 733-740 Note générale : 10.1097/AUD.0000000000001139 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Déficience auditive ; Dépistage précoce de la surdité ; Jeune enfantRésumé : Objectives: This study is a scoping review examining factors that affect consistent hearing aid use in young children with early identified hearing loss (HL).
Design: Online databases were used to identify journal articles published between 2009 and 2019, yielding over 1800 citations. The citations were uploaded into an online software product called Covidence that enables scoping/systematic review management. After duplicates were removed, 857 articles were screened by abstract and title name, 93 of which were put through for full-text screening. Twenty-five articles met predetermined inclusion and exclusion criteria. Appraisal tools were utilized to establish the quality of the studies included. Numerical summaries were used to synthesize and describe the data set. Thematic analysis was utilized to identify global and subthemes within the data set.
Results: Numerical summaries revealed that over half of the studies in the data set used a quantitative design. Thematic analysis of the data identified four global themes namely, "each child is an individual," "parents are key," "parents require support," and "professionals make a difference." Each global theme was further divided into subthemes, most of which centered around the parents of children with HL. Each subtheme was categorized as a malleable or a fixed factor that impacts on hearing aid use in young children with HL.
Conclusions: This scoping review identified malleable and fixed factors that impact on hearing aid use in young children with HL. These factors centered around the individual characteristics of children with HL, the key responsibility their parents have, and the important contribution that professionals can make. Irrespective of whether factors are malleable or fixed, parents and professionals working with children with HL can have a positive impact on hearing aid use. This is likely to have a flow on, positive impact on their overall communication and learning outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293772
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 733-740[article]
Titre : Cogmed Training Does Not Generalize to Real-World Benefits for Adult Hearing Aid Users: Results of a Blinded, Active-Controlled Randomized Trial Type de document : Article Auteurs : Helen Henshaw ; Antje Heinrich ; Ashana Tittle ; Melanie A. Ferguson Année de publication : 2022 Article en page(s) : p. 741-763 Note générale : 10.1097/AUD.0000000000001096 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; Déficience auditive ; Mémoire à court termeRésumé : Objectives: Performance on working memory tasks is positively associated with speech-in-noise perception performance, particularly where auditory inputs are degraded. It is suggested that interventions designed to improve working memory capacity may improve domain-general working memory performance for people with hearing loss, to benefit their real-world listening. We examined whether a 5-week training program that primarily targets the storage component of working memory (Cogmed RM, adaptive) could improve cognition, speech-in-noise perception and self-reported hearing in a randomized controlled trial of adult hearing aid users with mild to moderate hearing loss, compared with an active control (Cogmed RM, nonadaptive) group of adults from the same population.
Design: A preregistered randomized controlled trial of 57 adult hearing aid users (n = 27 experimental, n = 30 active control), recruited from a dedicated database of research volunteers, examined on-task learning and generalized improvements in measures of trained and untrained cognition, untrained speech-in-noise perception and self-reported hearing abilities, pre- to post-training. Participants and the outcome assessor were both blinded to intervention allocation. Retention of training-related improvements was examined at a 6-month follow-up assessment.
Results: Per-protocol analyses showed improvements in trained tasks (Cogmed Index Improvement) that transferred to improvements in a trained working memory task tested outside of the training software (Backward Digit Span) and a small improvement in self-reported hearing ability (Glasgow Hearing Aid Benefit Profile, Initial Disability subscale). Both of these improvements were maintained 6-month post-training. There was no transfer of learning shown to untrained measures of cognition (working memory or attention), speech-in-noise perception, or self-reported hearing in everyday life. An assessment of individual differences showed that participants with better baseline working memory performance achieved greater learning on the trained tasks. Post-training performance for untrained outcomes was largely predicted by individuals' pretraining performance on those measures.
Conclusions: Despite significant on-task learning, generalized improvements of working memory training in this trial were limited to (a) improvements for a trained working memory task tested outside of the training software and (b) a small improvement in self-reported hearing ability for those in the experimental group, compared with active controls. We found no evidence to suggest that training which primarily targets storage aspects of working memory can result in domain-general improvements that benefit everyday communication for adult hearing aid users. These findings are consistent with a significant body of evidence showing that Cogmed training only improves performance for tasks that resemble Cogmed training. Future research should focus on the benefits of interventions that enhance cognition in the context in which it is employed within everyday communication, such as training that targets dynamic aspects of cognitive control important for successful speech-in-noise perception.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293782
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 741-763[article]
Titre : Distortion of Spectral Ripples Through Cochlear Implants Has Major Implications for Interpreting Performance Scores Type de document : Article Auteurs : Matthew B. Winn ; Gabrielle O'Brien Année de publication : 2022 Article en page(s) : p. 764-772 Note générale : 10.1097/AUD.0000000000001162 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse spectrale ; Implants cochléaires ; Ondulation spectraleRésumé : The spectral ripple discrimination task is a psychophysical measure that has been found to correlate with speech recognition in listeners with cochlear implants (CIs). However, at ripple densities above a critical value (around 2 RPO, but device-specific), the sparse spectral sampling of CI processors results in stimulus distortions resulting in aliasing and unintended changes in modulation depth. As a result, spectral ripple thresholds above a certain number are not ordered monotonically along the RPO dimension and thus cannot be considered better or worse spectral resolution than each other, thus undermining correlation measurements. These stimulus distortions are not remediated by changing stimulus phase, indicating these issues cannot be solved by spectrotemporally modulated stimuli. Speech generally has very low-density spectral modulations, leading to questions about the mechanism of correlation between high ripple thresholds and speech recognition. Existing data showing correlations between ripple discrimination and speech recognition include many observations above the aliasing limit. These scores should be treated with caution, and experimenters could benefit by prospectively considering the limitations of the spectral ripple test. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293785
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 764-772[article]
Titre : Understanding Self-reported Hearing Disability in Adults With Normal Hearing Type de document : Article Auteurs : Aryn M. Kamerer ; Sara E. Harris ; Judy G. Kopun ; Stephen T. Neely ; Daniel M. Rasetshwane Année de publication : 2022 Article en page(s) : p. 773-784 Note générale : 10.1097/AUD.0000000000001161 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Bruit ambiant ; Condition d'écoute ; Déficience auditive ; Speech spatial and qualities of hearing scale (SSQ)Résumé : Objectives: Despite a diagnosis of normal hearing, many people experience hearing disability (HD) in their everyday lives. This study assessed the ability of a number of demographic and auditory variables to explain and predict self-reported HD in people regarded as audiologically healthy via audiometric thresholds.
Design: One-hundred eleven adults (ages 19 to 74) with clinically normal hearing (i.e., audiometric thresholds Results: History of impulse noise exposure, speech-intelligibility index, and FM detection threshold accurately predicted SSQ12 and were able to account for 40% of the SSQ12 score. These three measures were also able to predict whether participants self-reported HD with a sensitivity of 89% and specificity of 86%.
Conclusions: Although participant audiometric thresholds were within normal limits, higher thresholds, history of impulse noise exposure, and FM detection predicted self-reported HD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294473
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 773-784[article]
Titre : Descriptions of Hearing Aids Influence the Experience of Listening to Hearing Aids Type de document : Article Auteurs : Lori Rakita ; Huiwen Goy ; Gurjit Singh Année de publication : 2022 Article en page(s) : p. 785-793 Note générale : 10.1097/AUD.0000000000001130 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Espoir ; Placebo ; Récits personnels
Autres descripteurs
Savoir partageRésumé : Objectives: Experiences can be strongly influenced by expectations. In hearing healthcare, previous studies have shown that descriptions of hearing aids or contextual factors during the hearing aid fitting process can change subjective and even objective outcomes with hearing aids via the placebo effect. Personality factors have also been shown to affect susceptibility to placebo effects. The purposes of the present study were to (a) investigate the effects of communicating narratives designed to foster positive, negative, or neutral expectations about hearing aids on short-term patient outcomes, and (b) to determine if the degree to which the narratives affected end-user outcomes could be predicted by personality factors.
Design: Nineteen adults between the ages of 54 and 81 (mean age = 68.5, SD = 8.9) had 3 separate research appointments, each exposing them to a different narrative condition: positive, negative, or neutral. the appointment was designed to look and feel like a "traditional" hearing aid fitting appointment, during which the experimenter introduced (i.e., the narrative condition) and fit a pair of hearing aids, the participant was asked to provide their initial feedback about the hearing aids, and the participant performed speech-in-noise testing. Unbeknownst to the research participant, the hearing aids fitted at all three appointments were the same, and the only difference between the three appointments was the way the hearing aids were described to the participants.
Results: The results of this study showed that communication of a positive narrative about hearing aids before a hearing aid fitting led to better speech-in-noise performance on the QuickSIN as compared with performance following the negative or neutral narrative conditions. Also, the positive narrative led to the perception that acclimatization to the hearing aids would occur faster than the negative or neutral narrative conditions. Notably, the effect of communication of a positive narrative was stronger for individuals who scored higher on agreeableness, and susceptibility to positive and negative messaging was stronger for individuals low in neuroticism.
Conclusions: The study suggests that short-term evaluations of hearing aids can be strongly influenced by narratives as provided by the hearing healthcare provider at the time of a hearing aid fitting.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294474
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 785-793[article]
Titre : Ototoxicity After Cisplatin-Based Chemotherapy: Factors Associated With Discrepancies Between Patient-Reported Outcomes and Audiometric Assessments Type de document : Article Auteurs : Shirin Ardeshirrouhanifard ; Sophie D. Fossa ; Robert Huddart ; Patrick O. Monahan ; M. Eileen Dolan ; Robert J. Hamilton ; David Vaughn ; Neil Martin ; Christian Kollmannsberger ; Paul Dinh ; Lawrence Einhorn ; Lois B. Travis ; Robert D. Frisina ; Darren R. Feldman ; Yiqing Song ; Chunkit Fung Année de publication : 2022 Article en page(s) : p. 794-807 Note générale : 10.1097/AUD.0000000000001172 Langues : Anglais (eng) Descripteurs : HE Vinci
Cisplatine ; Ototoxicité ; Survivants du cancer ; Tumeurs du testiculeRésumé : Objectives: To provide new information on factors associated with discrepancies between patient-reported and audiometrically defined hearing loss (HL) in adult-onset cancer survivors after cisplatin-based chemotherapy (CBCT) and to comprehensively investigate risk factors associated with audiometrically defined HL.
Design: A total of 1410 testicular cancer survivors (TCS) >=6 months post-CBCT underwent comprehensive audiometric assessments (0.25 to 12 kHz) and completed questionnaires. HL severity was defined using American Speech-Language-Hearing Association criteria. Multivariable multinomial regression identified factors associated with discrepancies between patient-reported and audiometrically defined HL and multivariable ordinal regression evaluated factors associated with the latter.
Results: Overall, 34.8% of TCS self-reported HL. Among TCS without tinnitus, those with audiometrically defined HL at only extended high frequencies (EHFs) (10 to 12 kHz) (17.8%) or at both EHFs and standard frequencies (0.25 to 8 kHz) (23.4%) were significantly more likely to self-report HL than those with no audiometrically defined HL (8.1%) [odds ratio (OR) = 2.48; 95% confidence interval (CI), 1.31 to 4.68; and OR = 3.49; 95% CI, 1.89 to 6.44, respectively]. Older age (OR = 1.09; 95% CI, 1.07 to 1.11, p 300 mg/m2, OR = 1.47; 95% CI, 1.21 to 1.80, p = 0.0001), and hypertension (OR = 1.80; 95% CI, 1.28 to 2.52, p = 0.0007) were associated with greater American Speech-Language-Hearing Association-defined HL severity, whereas postgraduate education (OR = 0.58; 95% CI, 0.40 to 0.85, p = 0.005) was associated with less severe HL.
Conclusions: Discrepancies between patient-reported and audiometrically defined HL after CBCT are due to several factors. For survivors who self-report HL but have normal audiometric findings at standard frequencies, referral to an audiologist for additional testing and inclusion of EHFs in audiometric assessments should be considered.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294494
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 794-807[article]
Titre : Amplification Self-Adjustment: Controls and Repeatability Type de document : Article Auteurs : Arthur Boothroyd ; Jennifer Retana ; Carol L. Mackersie Année de publication : 2022 Article en page(s) : p. 808-821 Note générale : 10.1097/AUD.0000000000001141 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Amplification auditive ; Auto-évaluation diagnostique ; Condition d'écoute ; Intelligibilité de la parole ; Perception de la parole ; Réglage d'appareil auditifRésumé : Objectives: This study was a continuation of work on an explore-and-select approach to the self-adjustment of amplification. Goals were to determine (i) the effect of changing the number of adjustment controls from three to two, (ii) the effect of changing the initial adjustment from overall output to high-frequency output, (iii) individual repeatability, (iv) the effect on phoneme recognition of increasing and decreasing overall output relative to the starting and adjusted conditions, and (v) listener reactions to, and opinions of, the self-adjustment procedure.
Design: Twenty-two adults with hearing loss, 10 of whom were hearing aid users, adjusted level and spectrum of connected speech to preference, using three configurations of number and order of adjustment parameters. The three adjustments were replicated to give a total of six. Presentation was monaural, in quiet, using the ear with the better threshold at 2 kHz. The starting condition was a generic prescription for a typical mild-to-moderate hearing loss. Real ear output spectra were measured for the 6 self-adjustments, the generic starting condition, and the individual NAL-NL2 prescriptions for speech at 65 dB SPL. Monaural phoneme recognition in monosyllables was assessed, in quiet, at levels of -14, -7, 0 and +7 dB relative to both the starting and the self-adjusted conditions. Participants completed a questionnaire and their comments on each question were transcribed.
Results: Changing the number of listener controls from 3 to 2 reduced mean adjustment time by around 50% but had negligible effect on group-mean output response. Starting adjustment with high-frequency output rather than overall output resulted in a 2 to 3 dB reduction of group-mean self-adjusted output below 1 kHz. Individual self-adjustments were within +/-5 dB of NAL-NL2 prescription (for a 65 dB SPL speech input) for two-thirds of the participants in the high frequencies and for just over half in the low frequencies. In six self-adjustments, individuals self-adjusted, on average, to within +/-4 dB of their own mean in both high and low frequencies. There was no evidence that these findings differed for hearing aid users and nonusers. Changes of overall output by +/-7 dB after self-adjustment did not significantly affect group mean phoneme recognition. Preference for number and order of self-adjustment differed among participants, as did opinions on self-fitting of hearing aids.
Conclusions: These findings support the conclusion that, for many adults with hearing loss, an explore-and-select procedure for self-adjustment of amplification leads to output values that are repeatable within a few dB, are relatively immune to the number and order of adjustment parameters, and place the average listener well along the plateau of a phoneme recognition versus amplitude function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294495
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 808-821[article]
Titre : Extended High-frequency Hearing Impairment Despite a Normal Audiogram: Relation to Early Aging, Speech-in-noise Perception, Cochlear Function, and Routine Earphone Use Type de document : Article Auteurs : Srikanta K. Mishra ; Udit Saxena ; Hansapani Rodrigo Année de publication : 2022 Article en page(s) : p. 822-835 Note générale : 10.1097/AUD.0000000000001140 Langues : Anglais (eng) Descripteurs : HE Vinci
Ecouteur (audiologie) ; Emissions otoacoustiques spontanées (OAEs) ; Perte auditive cachée ; Reconnaissance de la parole ; synaptopathie cochléaire ; Vieillissement du système auditif
Autres descripteurs
Seuil auditif de haute fréquenceMots-clés : Digit triplets Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294496
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 822-835[article]
Titre : Reduced Semantic Context and Signal-to-Noise Ratio Increase Listening Effort As Measured Using Functional Near-Infrared Spectroscopy Type de document : Article Auteurs : Joseph Rovetti ; Huiwen Goy ; Michael Zara ; Franck A. Russo Année de publication : 2022 Article en page(s) : p. 836-848 Note générale : 10.1097/AUD.0000000000001137 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension dans le bruit ; Effort d'écoute ; Perception de la parole ; Rapport signal-bruit (SNRs) (RSB) ; Spectroscopie proche infrarougeRésumé : Objectives: Understanding speech-in-noise can be highly effortful. Decreasing the signal-to-noise ratio (SNR) of speech increases listening effort, but it is relatively unclear if decreasing the level of semantic context does as well. The current study used functional near-infrared spectroscopy to evaluate two primary hypotheses: (1) listening effort (operationalized as oxygenation of the left lateral PFC) increases as the SNR decreases and (2) listening effort increases as context decreases.
Design: Twenty-eight younger adults with normal hearing completed the Revised Speech Perception in Noise Test, in which they listened to sentences and reported the final word. These sentences either had an easy SNR (+4 dB) or a hard SNR (-2 dB), and were either low in semantic context (e.g., "Tom could have thought about the sport") or high in context (e.g., "She had to vacuum the rug"). PFC oxygenation was measured throughout using functional near-infrared spectroscopy.
Results: Accuracy on the Revised Speech Perception in Noise Test was worse when the SNR was hard than when it was easy, and worse for sentences low in semantic context than high in context. Similarly, oxygenation across the entire PFC (including the left lateral PFC) was greater when the SNR was hard, and left lateral PFC oxygenation was greater when context was low.
Conclusions: These results suggest that activation of the left lateral PFC (interpreted here as reflecting listening effort) increases to compensate for acoustic and linguistic challenges. This may reflect the increased engagement of domain-general and domain-specific processes subserved by the dorsolateral prefrontal cortex (e.g., cognitive control) and inferior frontal gyrus (e.g., predicting the sensory consequences of articulatory gestures), respectively.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294497
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 836-848[article]
Titre : Effect of Noise Reduction on Cortical Speech-in-Noise Processing and Its Variance due to Individual Noise Tolerance Type de document : Article Auteurs : Subong Kim ; Yu-Hsiang Wu ; Hari M. Bharadwaj ; Inyong Choi Année de publication : 2022 Article en page(s) : p. 849-861 Note générale : 10.1097/AUD.0000000000001144 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; Différences individuelles ; Electroencéphalographie (EEG) ; Reconnaissance de la parole ; Réduction de bruit (NR) ; ToléranceRésumé : Objectives: Despite the widespread use of noise reduction (NR) in modern digital hearing aids, our neurophysiological understanding of how NR affects speech-in-noise perception and why its effect is variable is limited. The current study aimed to (1) characterize the effect of NR on the neural processing of target speech and (2) seek neural determinants of individual differences in the NR effect on speech-in-noise performance, hypothesizing that an individual's own capability to inhibit background noise would inversely predict NR benefits in speech-in-noise perception.
Design: Thirty-six adult listeners with normal hearing participated in the study. Behavioral and electroencephalographic responses were simultaneously obtained during a speech-in-noise task in which natural monosyllabic words were presented at three different signal-to-noise ratios, each with NR off and on. A within-subject analysis assessed the effect of NR on cortical evoked responses to target speech in the temporal-frontal speech and language brain regions, including supramarginal gyrus and inferior frontal gyrus in the left hemisphere. In addition, an across-subject analysis related an individual's tolerance to noise, measured as the amplitude ratio of auditory-cortical responses to target speech and background noise, to their speech-in-noise performance.
Results: At the group level, in the poorest signal-to-noise ratio condition, NR significantly increased early supramarginal gyrus activity and decreased late inferior frontal gyrus activity, indicating a switch to more immediate lexical access and less effortful cognitive processing, although no improvement in behavioral performance was found. The across-subject analysis revealed that the cortical index of individual noise tolerance significantly correlated with NR-driven changes in speech-in-noise performance.
Conclusions: NR can facilitate speech-in-noise processing despite no improvement in behavioral performance. Findings from the current study also indicate that people with lower noise tolerance are more likely to get more benefits from NR. Overall, results suggest that future research should take a mechanistic approach to NR outcomes and individual noise tolerance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294638
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 849-861[article]
Titre : Cochlear Implant Compression Optimization for Musical Sound Quality in MED-EL Users Type de document : Article Auteurs : Mélanie Gilbert ; Mickael L.D. Deroche ; Patpong Jiradejvong ; Karen Chan Barrett ; Charles J. Limb Année de publication : 2022 Article en page(s) : p. 862-873 Note générale : 10.1097/AUD.0000000000001145 Langues : Anglais (eng) Descripteurs : HE Vinci
Compression (audio) ; Contrôle automatique de gain (CAG) ; Implants cochléaires ; Reconnaissance de la musiqueMots-clés : MED.EL Résumé : Objectives: Variations in loudness are a fundamental component of the music listening experience. Cochlear implant (CI) processing, including amplitude compression, and a degraded auditory system may further degrade these loudness cues and decrease the enjoyment of music listening. This study aimed to identify optimal CI sound processor compression settings to improve music sound quality for CI users.
Design: Fourteen adult MED-EL CI recipients participated (Experiment No. 1: n = 17 ears; Experiment No. 2: n = 11 ears) in the study. A software application using a modified comparison category rating (CCR) test method allowed participants to compare and rate the sound quality of various CI compression settings while listening to 25 real-world music clips. The two compression settings studied were (1) Maplaw, which informs audibility and compression of soft level sounds, and (2) automatic gain control (AGC), which applies compression to loud sounds. For each experiment, one compression setting (Maplaw or AGC) was held at the default, while the other was varied according to the values available in the clinical CI programming software. Experiment No. 1 compared Maplaw settings of 500, 1000 (default), and 2000. Experiment No. 2 compared AGC settings of 2.5:1, 3:1 (default), and 3.5:1.
Results: In Experiment No. 1, the group preferred a higher Maplaw setting of 2000 over the default Maplaw setting of 1000 (p = 0.003) for music listening. There was no significant difference in music sound quality between the Maplaw setting of 500 and the default setting (p = 0.278). In Experiment No. 2, a main effect of AGC setting was found; however, no significant difference in sound quality ratings for pairwise comparisons were found between the experimental settings and the default setting (2.5:1 versus 3:1 at p = 0.546; 3.5:1 versus 3:1 at p = 0.059).
Conclusions: CI users reported improvements in music sound quality with higher than default Maplaw or AGC settings. Thus, participants preferred slightly higher compression for music listening, with results having clinical implications for improving music perception in CI users.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294640
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 862-873[article]
Titre : Intraoperative Electrocochleography in Subjects Affected by Vestibular Schwannoma and Meniere's Disease: Comparison of Results Type de document : Article Auteurs : Eleonora M.C. Trecca ; Oliver Adunka ; Meghan M. Hiss ; Jameson K. Mattingly ; Aaron C. Moberly ; Edward E. Dodson ; Michele Cassano ; Daniel M. Prevedello ; William Riggs Année de publication : 2022 Article en page(s) : p. 874-882 Note générale : 10.1097/AUD.0000000000001133 Langues : Anglais (eng) Mots-clés : Cochlear diseases, Electrocochleography, Electrophysiology, Endolymphatic hydrops, Evoked response audiometry, Meniere's disease, Temporal bone, Vestibular schwannoma Résumé : Objectives: Histologic reports of temporal bones of ears with vestibular schwannomas (VSs) have indicated findings of endolymphatic hydrops (ELH) in some cases. The main goal of this investigation was to test ears with VSs to determine if they exhibit electrophysiological characteristics similar to those of ears expected to experience ELH.
Design: Fifty-three subjects with surgically confirmed VS aged >=18 and with normal middle ear status were included in this study. In addition, a second group of adult subjects (n = 24) undergoing labyrinthectomy (n = 6) or endolymphatic sac decompression and shunt (ELS) placement (n = 18) for poorly controlled vestibular symptoms associated with Meniere's disease (MD) participated in this research. Intraoperative electrocochleography (ECochG) from the round window was performed using tone burst stimuli. Audiometric testing and word recognition scores (WRS) were performed preoperatively. ECochG amplitudes, cochlear microphonic/auditory nerve neurophonic (ANN) in the form of the "ongoing" response and summation potential, were analyzed and compared between the two groups of subjects. In addition, to evaluate any effect of auditory nerve function, the auditory nerve score was calculated for each subject. Pure-tone averages were obtained using the average air conduction thresholds at 0.5, 1, and 2 kHz while WRS was assessed using Northwestern University Auditory Test No. 6 word lists.
Results: In the VS group the average pure-tone averages and WRS were 59.6 dB HL and 44.8%, respectively, while in the MD group they were 52.3 dB HL and 73.8%. ECochG findings in both groups revealed a reduced trend in amplitude of the ongoing response with increased stimulus frequency. The summation potential amplitudes of subjects with VS were found to be less negative than the MD subjects for nearly all test frequencies. Finally, the VS group exhibited poorer amounts of auditory nerve function compared to the MD group.
Conclusions: The current findings suggest cochlear pathology (e.g., hair cell loss) in both groups but do not support the hypothesis that VSs cause ELH. Objectives: Histologic reports of temporal bones of ears with vestibular schwannomas (VSs) have indicated findings of endolymphatic hydrops (ELH) in some cases. The main goal of this investigation was to test ears with VSs to determine if they exhibit electrophysiological characteristics similar to those of ears expected to experience ELH.
Design: Fifty-three subjects with surgically confirmed VS aged >=18 and with normal middle ear status were included in this study. In addition, a second group of adult subjects (n = 24) undergoing labyrinthectomy (n = 6) or endolymphatic sac decompression and shunt (ELS) placement (n = 18) for poorly controlled vestibular symptoms associated with Meniere's disease (MD) participated in this research. Intraoperative electrocochleography (ECochG) from the round window was performed using tone burst stimuli. Audiometric testing and word recognition scores (WRS) were performed preoperatively. ECochG amplitudes, cochlear microphonic/auditory nerve neurophonic (ANN) in the form of the "ongoing" response and summation potential, were analyzed and compared between the two groups of subjects. In addition, to evaluate any effect of auditory nerve function, the auditory nerve score was calculated for each subject. Pure-tone averages were obtained using the average air conduction thresholds at 0.5, 1, and 2 kHz while WRS was assessed using Northwestern University Auditory Test No. 6 word lists.
Results: In the VS group the average pure-tone averages and WRS were 59.6 dB HL and 44.8%, respectively, while in the MD group they were 52.3 dB HL and 73.8%. ECochG findings in both groups revealed a reduced trend in amplitude of the ongoing response with increased stimulus frequency. The summation potential amplitudes of subjects with VS were found to be less negative than the MD subjects for nearly all test frequencies. Finally, the VS group exhibited poorer amounts of auditory nerve function compared to the MD group.
Conclusions: The current findings suggest cochlear pathology (e.g., hair cell loss) in both groups but do not support the hypothesis that VSs cause ELH.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294641
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 874-882[article]
Titre : Vocal Turn-Taking in Families With Children With and Without Hearing Loss Type de document : Article Auteurs : Maria V. Kondaurova ; Qi Zheng ; Mark VanDam ; Kaelin Kinney Année de publication : 2022 Article en page(s) : p. 883-898 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Audiologie pédiatrique ; Déficience auditive ; Implants cochléaires ; Prise de paroleRésumé : Objective: Vocal turn-taking is an important predictor of language development in children with and without hearing loss. Most studies have examined vocal turn-taking in mother-child dyads without considering the multitalker context in a child's life. The present study investigates the quantity of vocal turns between deaf and hard-of-hearing children and multiple members of their social environment.
Design: Participants were 52 families with children who used hearing aids (HA, mean age 26.3 mo) or cochlear implants (CI, mean age 63.2 mo) and 27 families with normal-hearing (NH, mean age 26.6 mo) children. The Language ENvironment Analysis system estimated the number of conversational turns per hour (CTC/hr) between all family members (i.e., adult female, adult male, target child, and other child) during full-day recordings over a period of about 1 year.
Results: The CTC/hr was lower between the target child and the adult female or adult male in the CI compared with the HA and NH groups. Initially, CTC/hr was higher between the target child and the adult female than between the adult male or the other child. As the child's age increased, turn-taking between the target child and the adult female increased in comparison to that between the target child and the adult male. Over time, turn-taking between the target child and the other child increased and exceeded turn-taking between the target child and the adult caregivers. The increase was observed earlier in families with siblings compared with those without.
Conclusions: The quantity of vocal turn-taking depends on the degree of child hearing loss and the relationship between the children and the members of their social environment. Longitudinally, the positive effect of an assistive device on the quantity of turns between the children and their family members was found. The effect was stronger in families with siblings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=294661
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 883-898[article]
Titre : Listening Effort Measured Using a Dual-task Paradigm in Adults With Different Amounts of Noise Exposure Type de document : Article Auteurs : Sofie Degeest ; Katrien Kestens ; Hannah Keppler Année de publication : 2022 Article en page(s) : p. 899-912 Note générale : 10.1097/AUD.0000000000001138 Langues : Anglais (eng) Descripteurs : HE Vinci
Double tâche ; Effort d'écoute ; Exposition au bruit ; Surdité due au bruitRésumé : Objectives. Excessive noise levels can result in hearing damage and/or hearing-related symptoms, thereby leading to impaired communication and, eventually a decrease in the quality of life. Moreover, in daily practice, subjects often indicate that listening in noisy situations is a challenging and often exhausting experience, even in the absence of a clinically significant hearing loss. Hence, a person's perceived difficulty of the listening situation will also be important to consider. It has been suggested that beyond the peripheral factors, there are some central cognitive correlates of speech understanding that are essential for communication abilities. The aim of the present study was to evaluate the effect of the amount of noise exposure on hearing as measured by pure-tone audiometry and otoacoustic emissions (OAEs) on the one hand and listening effort measured using a dual-task paradigm on the other hand.
Design: The study included 152 adults between 18 and 40 years of age. First, participants completed a self-administered questionnaire regarding the amount of noise exposure. Second, hearing status was evaluated using pure-tone audiometry and transient evoked OAEs (TEOAEs) as well as distortion product OAEs (DPOAEs). Finally, listening effort was evaluated using a dual-task paradigm, which consisted of a primary speech-recognition task in different listening conditions and a secondary visual memory task that were performed both separately and simultaneously. Based on the quartiles of their subjective estimation of noise exposure, the participants were categorized into a group with low noise exposure (lower quartile), moderate noise exposure (two middle quartiles), and high noise exposure (upper quartile).
Results: There was no significant difference in hearing thresholds between the participants with low, moderate, and high noise exposure for each frequency of the pure-tone audiometry. In contrast, more absent TEOAEs and DPOAEs were found in the high noise exposed group. Regarding the primary speech-recognition task of the dual-task paradigm, no significant difference in speech recognition was found between the different groups of noise exposure. For the amount of listening effort, it was found that across all listening conditions subjects with high noise exposure expend significantly more listening effort compared with subjects with low and moderate noise exposure.
Conclusions: This study is a first exploration of the effects of different amounts of noise exposure on listening effort showing that, listening effort is increased in subjects with high noise exposure compared with subjects with low and medium noise exposure. The most plausible hypothesis pertains to an effect of noise exposure on the peripheral and central auditory system, or a combination of effects on both the auditory system and the high-level cognitive functions necessary for speech understanding in the subjects with high levels of noise exposure. As such, a test for listening effort would be useful as part of a comprehensive test battery within the assessment of subjects exposed to noise.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295706
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 899-912[article]
Titre : The Importance of Extended High-Frequency Speech Information in the Recognition of Digits, Words, and Sentences in Quiet and Noise Type de document : Article Auteurs : Sigrid Polspoel ; Sophia E. Kramer ; Bas van Dijk ; Cas Smits Année de publication : 2022 Article en page(s) : p. 913-920 Note générale : 10.1097/AUD.0000000000001142 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Perception des consonnes ; Perception des voyelles
HE Vinci
Audiométrie haute fréquence ; Compréhension de phrase ; Digit in noise (DIN) ; Reconnaissance de la paroleRésumé : Objectives: In pure-tone audiometry, hearing thresholds are typically measured up to 8 kHz. Recent research has shown that extended high-frequency (EHF; frequencies >8 kHz) speech information improves speech recognition. However, it is unclear whether the EHF benefit is present for different types of speech material. This study assesses the added value of EHF information for speech recognition in noise for digit triplets, consonant-vowel-consonant (CVC) words, and sentences; and for speech recognition in quiet for CVC.
Design: Twenty-four young adults with normal-hearing thresholds up to 16 kHz performed a listening experiment in quiet and in noise in a within-subject repeated measures design. Stimuli were presented monaurally. Steady state speech-shaped noise at a fixed signal to noise ratio was used for measurements in noise. Listening conditions varied only in terms of available EHF information. Stimuli were presented in three different conditions: (1) both speech and noise broadband, (2) speech broadband and noise low-pass filtered at 8 kHz, and (3) both speech and noise low-pass filtered at 8 kHz. In the speech-in-quiet experiment, stimuli (CVC) were high-pass filtered at 3 kHz and presented in two conditions: (1) with EHF information and (2) without EHF information.
Results: In the speech-in-noise experiment, for all speech material, the highest scores were achieved in the condition where the noise was low-pass filtered at 8 kHz and speech unfiltered; the lowest scores were obtained in the condition where both speech and noise were low-pass filtered at 8 kHz. Adding speech frequencies above 8 kHz improved the median recognition scores by 75.0%, 21.8%, and 23.8% for digit triplets, words, and sentences, respectively, at a fixed signal to noise ratio. In the speech-in-quiet experiment, median recognition scores were 7.8% higher in the condition where the EHF information was available, as opposed to when it was not.
Conclusions: Speech information for frequencies above 8 kHz contributes to speech recognition in noise. It also contributes to speech recognition in quiet when information below 3 kHz is absent. Our results suggest that EHFs may be relevant in challenging listening conditions and should be measured in pure-tone audiometry to get a complete picture of a person's hearing. Further, results of speech recognition tests may vary when different recording and/or measurement equipment is used with different frequency responses above 8 kHz.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295707
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 913-920[article]
Titre : Smartphone-Connected Hearing Aids Enable and Empower Self-Management of Hearing Loss: A Qualitative Interview Study Underpinned by the Behavior Change Wheel Type de document : Article Auteurs : Rachel Gomez ; Alia Habib ; David W. Maidment ; Melanie A. Ferguson Année de publication : 2022 Article en page(s) : p. 921-932 Note générale : 10.1097/AUD.0000000000001143 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Autogestion ; Objet connecté ; Soins centrés sur le patient ; Télémédecine
Autres descripteurs
Changement comportemental ; Modification du comportement ; Rehabilitation audiologiqueRésumé : Objectives: To identify patient-reported barriers and facilitators to using smartphone-connected hearing aids, using the Behavior Change Wheel (BCW) to understand experiences and how these can be addressed.
Design: A single-center, prospective, observational study. Eight hearing aid users (new = 1, existing = 7; mean age = 71.75 years, SD = 5.23, range = 65 to 81 years) were identified through convenience sampling from 44 participants who took part in a 7-week evaluation of smartphone-connected hearing aids controlled by a prototype app. The app allowed users to manually control settings such as gain, noise reduction, and microphone directionality, preset, and customized programmes. Participants were assigned to one of two focus groups following trial of the app.
Results: Focus group transcripts were thematically analyzed and underpinned by the COM-B (Capability, Opportunity, Motivation-Behavior) model and Theoretical Domains Framework to identify barriers and facilitators to using smartphone-connected hearing aids (the target behavior). Mapping of themes to the BCW allowed use of the Behavior Change Technique Taxonomy (version 1) to identify behavior change techniques that audiologists could implement in clinical practice to address the barriers and facilitators. Capability: The app increased participants' knowledge of hearing aid controls, encouraging use of the app for improved hearing loss self-management. However, barriers to using the app included perception of insufficient digital literacy skills for smartphone-connected hearing aid use and an increased cognitive load caused by decisions over which controls to use. Opportunity: Perceived smartphone norms (i.e., acceptable occasions to use smartphones) and differing listening contexts acted as both facilitators and barriers. Motivation: The ability to control hearing aid settings in any listening situation (e.g., to reduce noise) empowered users to successfully self-manage their hearing loss, leading to greater confidence and participation in everyday life. The app also reduced hearing aid-related and self-stigma, and the ability to self-adjust hearing aids benefitted both participants and communication partners. It was the adjustability and interaction afforded by the app that empowered users, rather than the hearing aid technology itself. Perceived beliefs and knowledge about digital literacy skills, and specifically abilities to use a smartphone, were perceived to be barriers in this typically older population, particularly when they compared themselves to younger generations. Using the Behavior Change Technique Taxonomy (version 1), behavior change techniques that could be used by audiologists to address these barriers included enablement, goal setting, reframing perceptions toward technology, and addressing patient educational needs.
Conclusions: Smartphone-connected hearing aids, when used in their everyday lives, were viewed positively by participants across a range of domains, empowering them and enabling hearing loss self-management. Audiologists should consider smartphone-connected hearing aid candidacy for all who have access to smartphones and are willing to use one. Use of the BCW has identified that modifiable barriers to using smartphone-connected hearing aids exist. Audiologists could use these evidence-based behavior change techniques to support patients in adopting and using these technologies to successfully self-manage hearing loss. Overall, by reframing smartphone technologies as a tool to remain connected with society, smartphone-connected hearing aids could shift the power of managing hearing loss from clinician to patient.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295708
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 921-932[article]
Titre : The Effect of Hearing Aid Use on the Association Between Hearing Loss and Brain Structure in Older Adults Type de document : Article Auteurs : Tom G. de Boer ; Stephanie C. Rigters ; Pauline H. Croll ; Wiro J. Niessen ; M. Arfan Ikram ; Marc P. van der Schroeff ; Meike W. Vernooij ; André Goedegebure Année de publication : 2022 Article en page(s) : p. 933-940 Note générale : 10.1097/AUD.0000000000001148 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Déficience auditive liée à l'âge (ARHL) ; FONCTIONNEMENT DU CERVEAU ; Presbyacousie ; Substance blancheRésumé : Objectives: Recent studies have shown an association between poorer hearing thresholds and smaller brain tissue volumes in older adults. Several underlying causal mechanisms have been opted, with a sensory deprivation hypothesis as one of the most prominent. If hearing deprivation would lead to less brain volume, hearing aids could be hypothesized to moderate this pathway by restoration of hearing. This study aims to investigate whether such a moderating effect of hearing aids exists.
Design: The authors conducted a cross-sectional study involving aging participants of the population-based Rotterdam Study. Hearing aid use was assessed by interview and hearing loss was quantified using pure-tone audiometry. Total brain volume, gray matter and white matter volume and white matter integrity [fractional anisotropy (FA) and mean diffusivity] were measured using magnetic resonance imaging. Only participants with a pure tone average at 1, 2, and 4 kHz (PTA1,2,4) of >=35 dB HL were included. Associations of hearing loss with brain volume and global measures of white matter integrity were analyzed using linear regression, with hearing aid use and interaction between hearing aid use and PTA1,2,4 included as independent variables. Models were adjusted for age, sex, time between audiometry and magnetic resonance imaging, level of education, and cardiovascular risk factors.
Results: Out of 459 included participants with mean age (range) 70.4 (52 to 92) 41% were female. Distributions of age and sex among hearing aid users (n = 172) did not significantly differ from those without hearing aids. PTA1,2,4 was associated with lower FA, but not with a difference in total brain volume, gray matter volume, white matter volume, or mean diffusivity. Interaction between hearing aid use and PTA1,2,4 was not associated with FA or any of the other outcome measures. Additional analysis revealed that interaction between hearing aid use and age was associated with lower FA.
Conclusions: We found no evidence for a moderating effect of hearing aids on the relationship between hearing loss and brain structure in a population of older adults. However, use of hearing aids did appear as an effect modifier in the association between age and white matter integrity. Future longitudinal research is needed to clarify these results.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295709
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 933-940[article]
Titre : Using Narrow Band CE-Chirps to Elicit Cervical Vestibular Evoked Myogenic Potentials Type de document : Article Auteurs : Quentin Mat ; Naima Deggouj ; Jean-Pierre Duterme ; Sophie Tainmont ; Christophe Lelubre ; Mario Manto Année de publication : 2022 Article en page(s) : p. 941-948 Note générale : 10.1097/AUD.0000000000001146 Langues : Anglais (eng) Descripteurs : HE Vinci
Potentiels évoqués vestibulaires myogéniques (cVEMP) (mVEMP) (oVEMP) ; Sujet âgé
Autres descripteurs
Bruit a bande étroite (NBN) ; Resolution de frequence ; Sensation sonoreRésumé : Objectives: To compare the effects of Narrow band CE-Chirps (NB CE-Chirps) and tone bursts (TBs) at 500 Hz and 1000 Hz on the amplitudes and latencies in cervical vestibular evoked myogenic potentials (cVEMPs).
Design: Thirty-one healthy adult volunteers of varying ages were tested by air conduction at 95 dB nHL. Recording conditions were randomized for each participant and each modality was tested twice.
Results: NB CE-Chirps showed larger corrected amplitudes than TBs at 500 Hz (p
Conclusions: NB CE-Chirps at 500 Hz improved the corrected amplitudes of waveforms in cVEMPs as a result of a better frequency specificity compared with TBs. In the elderly, eliciting cVEMPs at a frequency of 1000 Hz might not be necessary to improve response rates with NB CE-Chirps. Additional studies including a higher number of healthy participants and patients with vestibular disorders are required to confirm these observations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295710
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 941-948[article]
Titre : Auditory Brainstem Response Detection Using Machine Learning: A Comparison With Statistical Detection Methods Type de document : Article Auteurs : Richard M. McKearney ; Steven Lewis Bell ; Michael Alexander Chesnaye ; David Martin Simpson Année de publication : 2022 Article en page(s) : p. 949-960 Note générale : 10.1097/AUD.0000000000001151 Langues : Anglais (eng) Descripteurs : HE Vinci
Electroencéphalographie (EEG) ; Potentiel évoqué auditif (PEA) ; Potentiels évoqués auditifs du tronc cérébral (ABR)Résumé : Objectives: The primary objective of this study was to train and test machine learning algorithms to be able to detect accurately whether EEG data contains an auditory brainstem response (ABR) or not and recommend suitable machine learning methods. In addition, the performance of the best machine learning algorithm was compared with that of prominent statistical detection methods.
Design: Four machine learning algorithms were trained and evaluated using nested k-fold cross-validation: a random forest, a convolutional long short-term memory network, a stacked ensemble, and a multilayer perceptron. The best method was evaluated on a separate test set and compared with conventional detection methods: Fsp, Fmp, q-sample uniform scores test, and Hotelling's T2 test. The models were trained and tested on simulated data that were generated based on recorded ABRs collected from 12 normal-hearing participants and no-stimulus EEG data from 15 participants. Simulation allowed the ground truth of the data ("response present" or "response absent") to be known.
Results: The sensitivity of the best machine learning algorithm, a stacked ensemble, was significantly greater than that of the conventional detection methods evaluated. The stacked ensemble, evaluated using a bootstrap approach, consistently achieved a high and stable level of specificity across ensemble sizes.
Conclusions: The stacked ensemble model presented was more effective than conventional statistical ABR detection methods and the alternative machine learning approaches tested. The stacked ensemble detection method may have potential both in automated ABR screening devices as well as in evoked potential software, assisting clinicians in making decisions regarding a patient's ABR threshold. Further assessment of the model's generalizability using a large cohort of subject recorded data, including participants of different ages and hearing status, is a recommended next step.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295715
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 949-960[article]
Titre : The Association Between Hearing Loss and Surgical Complications in Older Adults Type de document : Article Auteurs : Ryan J. Huang ; Kristal M. Riska ; Alexander Gordee ; Sarah B. Peskoe ; Howard M. Francis ; David L. Witsell ; Sherri L. Smith Année de publication : 2022 Article en page(s) : p. 961-971 Note générale : 10.1097/AUD.0000000000001152 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte ; Complications postopératoires ; Perte d'audition
Autres descripteurs
Effet de l'ageRésumé : Objectives: In this study, we sought to evaluate whether older patients with hearing loss who underwent surgery were at greater risk of postsurgical complications, increased inpatient length-of-stay (LOS), and hospital readmission.
Design: This was a retrospective cohort study of patients receiving surgery at a tertiary medical center. Utilizing electronic health record data from two merged datasets, we identified patients 65 years and older, undergoing major surgery between January 1, 2014 and January 31, 2017, and who had audiometric evaluation before surgery. Patients were classified as having either normal hearing or hearing loss based on pure-tone average in the better ear. A Generalized Estimating Equations approach was used to fit multivariable regression models for outcome variables of interest.
Results: Of patients >=65 years undergoing major surgery in our time frame, a total of 742 surgical procedures were performed on 621 patients with available audiometric data. After adjusting for age, sex, race, and comorbidities, hearing loss was associated with an increase in the odds of developing postoperative complications. Every 10 dB increase in hearing loss was associated with a 14% increase in the odds of developing a postoperative complication (odds ratio = 1.14, 95% confidence interval = 1.01-1.29, p = 0.031). Hearing loss was not significantly associated with increased hospital LOS, 30-day readmission, or 90-day readmission.
Conclusions: Hearing loss was significantly associated with developing postoperative complications in older adults undergoing major surgery. Screening for hearing impairment may be a useful addition to the preoperative assessment and perioperative management of older patients undergoing surgery.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295721
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 961-971[article]
Titre : An Economic Evaluation of Australia's Newborn Hearing Screening Program: A Within-Study Cost-Effectiveness Analysis Type de document : Article Auteurs : Rajan Sharma ; Kompal Sinha ; Teresa Y.C. Ching ; Vivienne Marnane ; Lisa Gold ; Yuanyuan Gu ; Melissa Wake ; Jing Wang ; Bonny Parkinson Année de publication : 2022 Article en page(s) : p. 972-983 Note générale : 10.1097/AUD.0000000000001153 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Nouveau-ne deficient auditif
HE Vinci
Dépistage auditif du nouveau-né ; Évaluation économiqueRésumé : Objectives: Hearing loss is one of the most prevalent congenital disorders among children. Many countries have implemented universal newborn hearing screening (UNHS) for the early diagnosis and treatment of hearing loss. Despite widespread implementation, the value for money of UNHS is unclear due to lack of cost and outcomes data from rigorous study designs. The objective of this research is to conduct a within-study cost-effectiveness analysis of UNHS compared with targeted screening (targeting children with risk factors of hearing loss) from the Australian healthcare system perspective. This evaluation is the first economic evaluation to assess the cost-effectiveness of UNHS compared to targeted screening using real-world data from a natural experiment.
Design: The evaluation assumed the Australian healthcare system perspective and considered a time horizon of 5 years. Utilities were estimated using responses to the Health Utilities Index Mark III. Screening costs were estimated based on the Victorian Infant Hearing Screening Program. Ongoing costs were estimated based on administrative data, while external data sources were used to estimate costs related to hearing services. Missing data were handled using the multiple imputation method. Outcome measures included quality-adjusted life years (QALYs) and four language and communication-related outcomes: Peabody Picture Vocabulary Test, Wechsler Nonverbal Scale of Ability, Progressive Achievement Test, and comprehensive, expressive, and total language scores based on the Preschool Language Scale.
Results: On average, the UNHS cost an extra Australian dollar (A$)22,000 per diagnosed child and was associated with 0.45 more QALYs per diagnosed child compared with targeted screening to 5 years, resulting in an incremental cost-effectiveness ratio (ICER) of A$48,000 per QALY gained. The ICERs for language outcomes lay between A$3,900 (for expressive language score) and A$83,500 per one-point improvement in language score (for Wechsler Nonverbal Scale of Ability). UNHS had a 69% probability of being more cost-effective compared to targeted screening at a willingness to pay threshold of A$60,000 per QALY gained. ICERs were most sensitive to the screening costs.
Conclusions: The evaluation demonstrated the usefulness of a within-study economic evaluation to understand the value for money of the UNHS program in the Australian context. Findings from this evaluation suggested that screening costs were the key driver of cost-effectiveness results. Most outcomes were not significantly different between UNHS and targeted screening groups. The ICER may be overestimated due to the short follow-up period. Further research is warranted to include long-term resource use and outcome data, late diagnosis, transition and remission between severity levels, and timing of diagnosis and treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295723
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 972-983[article]
Titre : The Associations of Hearing Sensitivity and Different Cognitive Functions with Perception of Speech-in-Noise Type de document : Article Auteurs : Natascha Merten ; Mete M. Boenniger ; Sibylle Herholz ; Monique Breteler Année de publication : 2022 Article en page(s) : p. 984-992 Note générale : 10.1097/AUD.0000000000001154 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive liée à l'âge (ARHL) ; Perception auditive ; Perception de la parole ; Son purRésumé : Objectives: Impaired speech-in-noise perception affects individuals' daily lives and is a frequent symptom of age-related hearing loss, which is a common disabling condition and a health concern in aging populations. The relative impact of hearing sensitivity loss and different cognitive functions on speech-in-noise perception is not well understood. We aimed to assess to what extent hearing sensitivity and different cognitive functions were associated with sentence-in-noise performance across the adult lifespan.
Design: This study is based on data of 2585 participants of the Rhineland Study, which is a German community-based cohort study of persons of age 30 years and older. We assessed speech-in-noise with a sentence-in-noise test (Gottinger Satztest), hearing sensitivity thresholds (air conduction pure-tone audiometry [PTA] average of 0.5, 1, 2, and 4 kHz), and the following cognitive domains: crystallized intelligence (German Mehrfachwahl-Wortschatz-Intelligenztest, MWT-B), executive functioning (Trail Making Test B, TMT), working memory (Digit Span forward, DS), and long-term memory (Verbal Learning and Memory Test delayed recall; VLMT). We examined the association between hearing sensitivity and cognitive functions with sentence-in-noise perception using a multivariable linear regression model adjusted for age, sex, and multiple potential confounders.
Results: Better hearing sensitivity was associated with better speech-in-noise perception (0.25 signal noise ratio [SNR] dB HL decrease per 5 dB HL decrease in PTA; 95% confidence interval [CI]: 0.20 to 0.25; p
Conclusions: Hearing sensitivity was the strongest determinant of sentence-in-noise perception in adults above the age of 30. We determined the relative effect of different cognitive functions on sentence-in-noise perception. Crystallized intelligence and executive functions showed stronger associations while working and long-term memory functions had much smaller independent effects. Our results contribute to the understanding of determinants of speech-in-noise perception in aging adults.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295725
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 984-992[article]
Titre : Preoperative Visual Measures of Verbal Learning and Memory and their Relations to Speech Recognition After Cochlear Implantation Type de document : Article Auteurs : Christin Ray ; David B. Pisoni ; Emily Lu ; William Kronenberger ; Aaron C. Moberly Année de publication : 2022 Article en page(s) : p. 993-1002 Note générale : 10.1097/AUD.0000000000001155 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Implants cochléaires ; Perte d'audition
Autres descripteurs
Memoire verbaleRésumé : Objectives: This study examined the performance of a group of adult cochlear implant (CI) candidates (CIC) on visual tasks of verbal learning and memory. Preoperative verbal learning and memory abilities of the CIC group were compared with a group of older normal-hearing (ONH) control participants. Relations between preoperative verbal learning and memory measures and speech recognition outcomes after 6 mo of CI use were also investigated for a subgroup of the CICs.
Design: A group of 80 older adult participants completed a visually presented multitrial free recall task. Measures of word recall, repetition learning, and the use of self-generated organizational strategies were collected from a group of 49 CICs, before cochlear implantation, and a group of 31 ONH controls. Speech recognition outcomes were also collected from a subgroup of 32 of the CIC participants who returned for testing 6 mo after CI activation.
Results: CICs demonstrated poorer verbal learning performance compared with the group of ONH control participants. Among the preoperative verbal learning and memory measures, repetition learning slope and measures of self-generated organizational clustering strategies were the strongest predictors of post-CI speech recognition outcomes.
Conclusions: Older adult CI candidates present with verbal learning and memory deficits compared with older adults without hearing loss, even on visual tasks that are independent from the direct effects of audibility. Preoperative verbal learning and memory processes reflecting repetition learning and self-generated organizational strategies in free recall were associated with speech recognition outcomes 6 months after implantation. The pattern of results suggests that visual measures of verbal learning may be a useful predictor of outcomes in postlingual adult CICs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295726
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 993-1002[article]
Titre : Evaluating the Association Between Hearing Loss and Falls in Adults With Vestibular Dysfunction or Nonvestibular Dizziness Type de document : Article Auteurs : Ryan J. Huang ; Carl F. Pieper ; Heather E. Whitson ; Douglas B. Garrison ; Juliessa Pavon ; Kristal M. Riska Année de publication : 2022 Article en page(s) : p.1003-1012 Note générale : DOI: 10.1097/AUD.0000000000001156 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Maladies vestibulaires ; VertigeRésumé : Objectives: Although emerging evidence suggests that hearing loss (HL) is an independent risk factor for falls, it is unclear how HL may impact falls risk in adults with vestibular dysfunction and nonvestibular dizziness. The purpose of this study was to characterize the impact of HL on falls in patients with vestibular dysfunction and nonvestibular dizziness relative to a group of patients without dizziness. In addition, this study aimed to evaluate whether there was an interactive effect between HL and vestibular dysfunction or nonvestibular dizziness on the odds of falling.
Design: The authors conducted a retrospective cross-sectional study of 2,750 adult patients with dizziness evaluated at a tertiary care center vestibular clinic between June 1, 2015, and October 7, 2020. Only patients with available self-reported falls status, as extracted from the electronic medical record, were included. Patients were classified into the following diagnostic groups based on rotary chair testing and videonystagmography: benign paroxysmal positional vertigo (BPPV, n = 255), unilateral vestibular hypofunction (UVH, n = 456), bilateral vestibular hypofunction (BVH, n = 38), central dysfunction (n = 208), multiple diagnoses (n = 109), and dizzy, nonvestibular (n = 1,389). A control group of patients without dizziness (n = 295) was identified by a random sample of audiology patients. Degree of HL was characterized by the 4-frequency pure tone average (PTA) (0.5, 1, 2, and 4 kHz) of the better hearing ear. Demographic variables, comorbidities, cognitive impairment status, and falls-associated medications were extracted from the electronic medical record and included as covariates during analysis. Potential associations between PTA and falls status and possible interactions between diagnostic group and PTA were explored using multivariate logistic regression.
Results: The BVH and central dysfunction groups had the highest rates of self-reported falls at 26.3% and 26.9%, respectively. The control group had the lowest rate of self-reported falls at 6.4%. With the exception of the multiple diagnoses group, all diagnostic groups had elevated odds of falling compared with the control group, when adjusting for demographics, comorbidities, cognitive impairment status, and falls-associated medications. There was no significant association between degree of HL and falls status (odds ratio [OR] = 1.02; 95% confidence interval [CI] = 0.93, 1.11; p = 0.713) when adjusting for diagnostic group and all other covariates. Furthermore, there were no significant interactions between diagnostic group and degree of HL on the odds of falling.
Conclusions: These results indicate that HL was not associated with falls in patients with vestibular dysfunction or nonvestibular dizziness, while adjusting for demographics, comorbidities, and falls-associated medications. There was no significant interactive effect observed between HL and vestibular dysfunction or nonvestibular dizziness on the odds of falling. As previously reported, vestibular dysfunction and nonvestibular dizziness were independently associated with falls relative to a group of patients without dizziness. A population-based study utilizing more robust falls data is needed to explore a potential association between HL and falls in those with vestibular dysfunction.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295806
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p.1003-1012[article]
Titre : Acceptable Noise Levels and Preferred Signal-to-noise Ratios for Speech and Music Type de document : Article Auteurs : Donguk Lee ; James D. Lewis ; Patty M. Johnstone ; Patrick N. Plyler Année de publication : 2022 Article en page(s) : p. 1013-1022 Note générale : Doi 10.1097/AUD.0000000000001157 Langues : Anglais (eng) Descripteurs : HE Vinci
Acceptable Noise Level (ANL) ; Compréhension dans le bruit ; Musique ; Rapport signal-bruit (SNRs) (RSB)Résumé : Objectives: The objective of this study was to evaluate the influence of music versus speech on a listener's signal-to-noise ratio (SNR) preferences when listening in a noise background. SNR preferences were quantified using acceptable noise level (ANL) and preferred SNR metrics. The measurement paradigm for ANL allows the listener to adjust the level of background noise while listening to the target at their most comfortable loudness level. A higher ANL indicates less tolerance for noise and a lower ANL indicates high tolerance for noise. The preferred SNR is simply the SNR the listener prefers when attending to a target in a fixed-amount (level) of background noise. In contrast to the ANL, the listener does not have control over the noise. Rather, they are only able to manipulate the target level. The first aim of the study was to determine if listeners' tolerances for noise, quantified using the ANL, when listening to music is different from that when listening to speech. The second aim of the study was to determine if listeners' tolerances for noise, quantified using their preferred SNR, when listening to music is different from that when listening to speech. The third aim of the study was to quantify the relationship between ANL and preferred SNR.
Design: Ninety-nine normal-hearing, native-English speakers participated in this study. The ANL and preferred SNR were measured for speech and music targets. Music targets included two variations (with lyrics and without lyrics) of the song "Rocky Top." Measurements were made in the sound field at 0[degrees] azimuth, 1.5 m from a loud speaker. For both ANL and preferred SNR, targets were presented in 12-talker babble noise. The level of the noise was adjusted by the listener during ANL measurement but was fixed in level during the preferred SNR measurement (75 dB A). Repeated-measures analysis of variance was performed to identify any significant effect of target on the ANL and preferred SNR. Correlation analysis was performed to evaluate the relationship between ANL and preferred SNR.
Results: Findings demonstrate a significant effect of target on ANL and preferred SNR. ANLs were highest for speech (mean = 7.2 dB), followed by music with lyrics (6.1 dB), and music without lyrics (2.5 dB). Preferred SNRs were highest for music with lyrics (mean = 2.3 dB), followed by speech (1.2 dB), and music without lyrics (-0.1 dB). A listener's ANL for a given target was strongly correlated with their ANL for a different target (the same was true for preferred SNR); however, ANL for a given target was not a statistically significant predictor of preferred SNR for the same target.
Conclusions: When listening in a background of noise, the listener's tolerance for noise depends on the target to which they are attending, whether music or speech. This dependence is especially evident for ANL measures, and less so for preferred SNR measures. Despite differences in ANL and preferred SNR across targets, a listener's ANL and preferred SNR for one target predicts their ANL and preferred SNR, respectively, for a different target. The lack of correlation between ANL and preferred SNR suggests different mechanisms underly these listener-preference metrics.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295809
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1013-1022[article]
Titre : AudioChip: A Deep Phenotyping Approach for Deconstructing and Quantifying Audiological Phenotypes of Self-Reported Speech Perception Difficulties Type de document : Article Auteurs : Ishan S. Bhatt ; Raquel Dias ; Nathan Wineinger ; Sheila Pratt ; Jin Wang ; Nilesh Washnik ; O'neil W. Guthrie ; Jason Wilder ; Ali Torkamani Année de publication : 2022 Article en page(s) : p. 1023-1036 Note générale : Doi 10.1097/AUD.0000000000001158 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Facteur genetique
HE Vinci
Compréhension dans le bruit ; Phénotype ; Potentiels évoqués auditifs du tronc cérébral (ABR) ; synaptopathie cochléaire ; Tests dichotiques (audiologie)Mots-clés : Audeme Audeome AudioChip AudioChipping PhenoChip Résumé : Objectives: About 15% of U.S. adults report speech perception difficulties despite showing normal audiograms. Recent research suggests that genetic factors might influence the phenotypic spectrum of speech perception difficulties. The primary objective of the present study was to describe a conceptual framework of a deep phenotyping method, referred to as AudioChipping, for deconstructing and quantifying complex audiometric phenotypes.
Design: In a sample of 70 females 18 to 35 years of age with normal audiograms (from 250 to 8000 Hz), the study measured behavioral hearing thresholds (250 to 16,000 Hz), distortion product otoacoustic emissions (1000 to 16,000 Hz), click-evoked auditory brainstem responses (ABR), complex ABR (cABR), QuickSIN, dichotic digit test score, loudness discomfort level, and noise exposure background. The speech perception difficulties were evaluated using the Speech, Spatial, and Quality of Hearing Scale-12-item version (SSQ). A multiple linear regression model was used to determine the relationship between SSQ scores and audiometric measures. Participants were categorized into three groups (i.e., high, mid, and low) using the SSQ scores before performing the clustering analysis. Audiometric measures were normalized and standardized before performing unsupervised k-means clustering to generate AudioChip.
Results: The results showed that SSQ and noise exposure background exhibited a significant negative correlation. ABR wave I amplitude, cABR offset latency, cABR response morphology, and loudness discomfort level were significant predictors for SSQ scores. These predictors explained about 18% of the variance in the SSQ score. The k-means clustering was used to split the participants into three major groups; one of these clusters revealed 53% of participants with low SSQ.
Conclusions: Our study highlighted the relationship between SSQ and auditory coding precision in the auditory brainstem in normal-hearing young females. AudioChip was useful in delineating and quantifying internal homogeneity and heterogeneity in audiometric measures among individuals with a range of SSQ scores. AudioChip could help identify the genotype-phenotype relationship, document longitudinal changes in auditory phenotypes, and pair individuals in case-control groups for the genetic association analysis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295813
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1023-1036[article]
Titre : Diotic and Antiphasic Digits-in-noise Testing as a Hearing Screening and Triage Tool to Classify Type of Hearing Loss Type de document : Article Auteurs : Karina C. De Sousa ; Cas Smits ; David R. Moore ; Hermanus C. Myburgh ; De Wet Swanepoel Année de publication : 2022 Article en page(s) : p. 1037-1048 Note générale : DOI 10.1097/AUD.0000000000001160 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduction osseuse ; Digit in noise (DIN) ; Perte auditive unilatérale (USNHL) ; Surdité neurosensorielle (SNHL)Résumé : Objectives: The digits-in-noise test (DIN) is a popular self-test measure that has traditionally been used to screen for hearing loss by providing either a pass or refer result. Standard approaches either tested each ear monaurally or used a binaural diotic version where identical digits and noise were presented simultaneously to both ears. Recently, a dichotic, antiphasic version was developed, increasing sensitivity of the DIN to unilateral or asymmetric sensorineural hearing loss (SNHL) and conductive hearing loss (CHL). The purpose of this study was to determine predictors and normative ranges of the antiphasic and diotic DIN and to determine if a combination of diotic and antiphasic DIN could accurately categorize hearing into (1) normal, (2) bilateral SNHL, or (3) unilateral SNHL or CHL.
Design: The analytical sample consisted of 489 participants between the ages of 18 and 92 years with varying types, symmetry, and degrees of hearing loss. Degree and type of hearing loss were determined based on standard clinical four-frequency (0.5-4 kHz) pure-tone air and bone conduction threshold averages. The sample consisted of bilateral normal hearing (n = 293), bilateral SNHL (n = 172), unilateral SNHL (n = 42), and CHL (n = 32). All participants (n = 489) first completed an antiphasic DIN (digit stimuli 180[degrees] out-of-phase between ears), while 393 of the sample also completed a diotic DIN. Two procedures were assessed for their ability to categorize hearing into one of the three hearing groups. The first used a fixed antiphasic cutoff combined with a cutoff formed by a linear combination of antiphasic and diotic speech recognition threshold (SRT) or binaural intelligibility-level difference.
Results: Poorer ear pure-tone average was the strongest predictor of antiphasic DIN score, whereas better ear pure-tone average explained more of the variance in diotic SRT. The antiphasic DIN sensitivity and specificity was 90% and 84%, respectively, for detecting hearing loss, with outstanding area under the receiver operating characteristics values exceeding 0.93 to identify hearing loss in the poorer ear. The first fixed SRT cutoff procedure could categorize 75% of all participants correctly, while the second procedure increased correct categorization to 79%. False negative rates for both procedures were below 10%.
Conclusions: A sequential antiphasic and diotic DIN could categorize hearing to a reasonable degree into three groups of (1) normal hearing; (2) bilateral SNHL; and (3) unilateral asymmetric SNHL or CHL. This type of approach could optimize care pathways using remote and contactless testing, by identifying unilateral SNHL and CHL as cases requiring medical referral. In contrast, bilateral SNHL cases could be referred directly to an audiologist, or nontraditional models like OTC hearing aids.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295814
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1037-1048[article]
Titre : Diagnostic Yield of Targeted Hearing Loss Gene Panel Sequencing in a Large German Cohort With a Balanced Age Distribution from a Single Diagnostic Center : An Eight-year Study Type de document : Article Auteurs : Ankel Tropitzsch ; Thorel Schade-Mann ; Philipp Gamerdinger ; Saskia Dofek ; Bjorn Schulte ; Martin Schulze ; Florian Battke ; Sarah Fehr ; Saskia Biskup ; Andreas Heyd ; Marcus Muller ; Hubert Lowenheim ; Barbara Vona ; Martin Holderried Année de publication : 2022 Article en page(s) : p. 1049-1066 Note générale : DOI: 10.1097/AUD.0000000000001159 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie genetique
Autres descripteurs
Maladie hereditaire ; Surdité congénitale ou héréditaireRésumé : Objectives: Hereditary hearing loss exhibits high degrees of genetic and clinical heterogeneity. To elucidate the population-specific and age-related genetic and clinical spectra of hereditary hearing loss, we investigated the sequencing data of causally associated hearing loss genes in a large cohort of hearing-impaired probands with a balanced age distribution from a single center in Southwest Germany.
Design: Genetic testing was applied to 305 hearing-impaired probands/families with a suspected genetic hearing loss etiology and a balanced age distribution over a period of 8 years (2011-2018). These individuals were representative of the regional population according to age and sex distributions. The genetic testing workflow consisted of single-gene screening (n = 21) and custom-designed hearing loss gene panel sequencing (n = 284) targeting known nonsyndromic and syndromic hearing loss genes in a diagnostic setup. Retrospective reanalysis of sequencing data was conducted by applying the current American College of Medical Genetics and Genomics/Association for Molecular Pathology guidelines.
Results: A genetic diagnosis was established for 75 (25%) of the probands that involved 75 causal variants in 35 genes, including 16 novel causal variants and 9 medically significant variant reclassifications. Nearly half of the solved cases (47%; n = 35) were related to variants in the five most frequently affected genes: GJB2 (25%), MYO15A, WFS1, SLC26A4, and COL11A1 (all 5%). Nearly one-quarter of the cases (23%; n = 17) were associated with variants in seven additional genes (TMPRSS3, COL4A3, LOXHD1, EDNRB, MYO6, TECTA, and USH2A). The remaining one-third of single cases (33%; n = 25) were linked to variants in 25 distinct genes. Diagnostic rates and gene distribution were highly dependent on phenotypic characteristics. A positive family history of autosomal-recessive inheritance in combination with early onset and higher grades of hearing loss significantly increased the solve rate up to 60%, while late onset and lower grades of hearing loss yielded significantly fewer diagnoses. Regarding genetic diagnoses, autosomal-dominant genes accounted for 37%, autosomal-recessive genes for 60%, and X-linked genes for 3% of the solved cases. Syndromic/nonsyndromic hearing loss mimic genes were affected in 27% of the genetic diagnoses.
Conclusions: The genetic epidemiology of the largest German cohort subjected to comprehensive targeted sequencing for hereditary hearing loss to date revealed broad causal gene and variant spectra in this population. Targeted hearing loss gene panel analysis proved to be an effective tool for ensuring an appropriate diagnostic yield in a routine clinical setting including the identification of novel variants and medically significant reclassifications. Solve rates were highly sensitive to phenotypic characteristics. The unique population-adapted and balanced age distribution of the cohort favoring late hearing loss onset uncovered a markedly large contribution of autosomal-dominant genes to the diagnoses which may be a representative for other age balanced cohorts in other populations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295843
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1049-1066[article]
Titre : Cost-Effectiveness of Screening Preschool Children for Hearing Loss in Australia Type de document : Article Auteurs : Mutsa Gumbie ; Bonny Parkinson ; Harvey Dillon ; Ross Bowman ; Rachel Song ; Henry Cutler Année de publication : 2022 Article en page(s) : p. 1067-1078 Note générale : DOI: 10.1097/AUD.0000000000001134 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Dépistage auditif ; Évaluation économique ; Perte d'auditionRésumé : Objectives: While all newborns in Australia are tested for congenital hearing loss through universal newborn hearing screening programs, some children will acquire hearing loss in their first five years of life. Delayed diagnosed or undiagnosed hearing loss in children can have substantial immediate- and long-term consequences. It can significantly reduce school readiness, language and communication development, social and emotional development, and mental health. It can also compromise lifetime educational achievements and employment opportunities and future economic contribution to society through lost productivity. The need for a universal hearing screening program for children entering their first year of primary school has been noted in two separate Australian Government hearing inquiries in the last decade. Sound Scouts is a hearing screening application (app) that tests for hearing loss in children using a tablet or mobile device, supervised by parents at home. It tests for sensorineural or permanent conductive hearing loss and central auditory processing disorder in children. In 2018 the Australian Government funded the roll-out of Sound Scouts to allow up to 600,000 children to test their hearing using Sound Scouts. This study estimated the cost-effectiveness of screening 5-year-old children for hearing loss using Sound Scouts at home, compared with no screening.
Design: A decision-analytic model was developed to estimate the incremental costs and quality-adjusted life years (QALYs) of administering Sound Scouts over a 20-year time horizon. Testing accuracy was based on comparing Sound Scouts test results to clinical test results while other parameters were based on published data. Costs were estimated from the perspective of the Australian health care system. Univariate and probabilistic sensitivity analyses were undertaken.
Results: Sound Scouts is estimated to result in an average incremental cost of A$61.02 and an average incremental increase in QALYs of 0.01. This resulted in an incremental cost-effectiveness ratio of A$5392 per QALY gained, which is likely to be considered cost-effective by Australian decision makers. Screening with Sound Scouts was found to have a 96.2 per cent probability of being cost-effective using a threshold of A$60,000 per QALY gained.
Conclusions: Using Sound Scouts to screen five-year-old children for hearing loss (at home) is likely to be cost-effective. Screening children using Sound Scouts will result in early identification and intervention in childhood hearing loss, thereby reducing early childhood disadvantage through cumulative gains in quality of life, education, and economic outcomes over their lifetime.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295844
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1067-1078[article]
Titre : A Predictive Model of Bilateral Sensorineural Hearing Loss in Meniere Disease Using Clinical Data Type de document : Article Auteurs : Angel Batuecas-Caletrio ; Lidia Torres-Garcia ; Marcos Rossi ; Laura Magnoni ; Rocio Gonzalez-Aguado ; Federica Di Bernardino ; Natalia Castillo-Ledesma ; Vanesa Perez-Guillen ; Gabriel Trinidad-Ruiz ; Jose A. Lopez-Escamez Année de publication : 2022 Article en page(s) : p. 1079-1085 Note générale : DOI: 10.1097/AUD.0000000000001169 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Maladies vestibulaires ; Surdité neurosensorielle (SNHL) ; VertigeRésumé : Objectives: Meniere disease (MD) is defined by a clinical syndrome of recurrent attacks of spontaneous vertigo associated with tinnitus, aural fullness, and sensorineural hearing loss (SNHL). Most patients have unilateral SNHL, but some of them will develop contralateral SNHL during the course of the disease. Several studies have reported a frequency of 2 to 73% SNHL in the second ear, according to the duration of disease and the period of follow-up. We hypothesize that unilateral and bilateral MD are different conditions, the first would initially involve the apical turn of the cochlea, while bilateral MD would affect the entire length of the cochlea. The aim of the study is to search for clinical predictors of bilateral SNHL in MD to build a predictive model of bilateral involvement.
Design: A retrospective, longitudinal study including two cohorts with a total of 400 patients with definite MD was carried out. The inception cohort consisted of 150 patients with MD and the validation cohort included 250 cases. All of the cases were diagnosed of unilateral MD according to their hearing loss thresholds. The following variables were assessed as predictors of bilateral SNHL for the two cohorts: sex, age of onset, familiar history of MD, migraine and high-frequency hearing loss (HFHL, defined if hearing threshold >20 dB in two or more consecutive frequencies from 2 to 8 KHz). A descriptive analysis was carried out according to the presence of HFHL in the first audiogram for the main variables. By using multiple logistic regression, we built-up several predictive models for the inception cohort and validated it with the replication cohort and merged dataset.
Results: Twenty-three (19.3%) and 78 (41%) of patients with HFHL developed contralateral SNHL during the follow-up, in the inception and validation cohorts, respectively. In the inception cohort, the best predictive model included HFHL in the first audiogram (OR = 6.985, p = 0.063) and the absence of migraine (OR = 0.215, p = 0.144) as clinical predictors for bilateral SNHL [area under the curve (AUC) = 0.641, p = 0.002]. The model was validated in the second cohort (AUC = 0.621, p 35 years old (OR = 2.422, p = 0.006) as clinical predictors (AUC = 0.639, p
Conclusions: A predictive model including the age of onset, HFHL in the first audiogram and migraine can help to assess the risk of bilateral SNHL in MD. This model may have significant implications for clinical management of patients with MD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=295845
in Ear and hearing > Vol. 43, n°3 (Mai-juin 2022) . - p. 1079-1085[article]
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Titre : American Cochlear Implant Alliance Task Force Guidelines for Clinical Assessment and Management of Cochlear Implantation in Children With Single-Sided Deafness Type de document : Article Auteurs : Lisa R. Park ; Amanda M. Griffin ; Douglas P. Sladen ; Sara Neumann ; Nancy M. Young Année de publication : 2022 Article en page(s) : p. 255-567 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant sourd ; Implants cochléaires ; Perte auditive unilatérale (USNHL) ; Surdite partielleRésumé : More children with single-sided deafness (SSD) are receiving cochlear implants (CIs) due to the expansion of CI indications. This unique group of pediatric patients has different needs than the typical recipient with bilateral deafness and requires special consideration and care. The goal of cochlear implantation in these children is to provide bilateral input to encourage the development of binaural hearing. Considerations for candidacy and follow-up care should reflect and measure these goals. The purpose of this document is to review the current evidence and provide guidance for CI candidacy, evaluation, and management in children with SSD. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292573
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 255-567[article]
Titre : American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children Type de document : Article Auteurs : Andrea D. Warner-Cyz ; J. Thomas Jr. Roland ; Denise Thomas ; Kristin M. Uhler ; Lindsay Zombek Année de publication : 2022 Article en page(s) : p. 268-282 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Choix prothetique
HE Vinci
Audiologie pédiatrique ; Implants cochléairesRésumé : This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child's skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292577
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 268-282[article]
Titre : Cognitive Behavioral Therapy for Tinnitus: Addressing the Controversy of Its Clinical Delivery by Audiologists Type de document : Article Auteurs : James A. Henry ; Marie-Christine Goodworth ; Elizabeth Lima ; Tara Zaugg ; Emily J. Thielman Année de publication : 2022 Article en page(s) : p. 283-289 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Conseil ; Thérapie cognitivo-comportementale (TCC)Résumé : Audiologists' role in providing care for tinnitus typically includes conducting an audiologic evaluation, fitting hearing aids when appropriate, assessing the impact of tinnitus, and facilitating use of sound to improve quality of life with tinnitus when appropriate. Cognitive behavioral therapy (CBT) is consistently judged by systematic reviews as having the strongest evidence relative to other therapies for improving quality of life with tinnitus. Because audiologists are already playing an active role in providing care for tinnitus, and the relative paucity of behavioral health providers who are experienced in implementing CBT for tinnitus, a logical question is whether audiologists can provide CBT and whether it is within their scope of practice. In this article, we present both sides of the argument as to whether audiologists can provide CBT and we make recommendations for appropriate administration of CBT for tinnitus management. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292682
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 283-289[article]
Titre : A Scoping Review of Studies Comparing Outcomes for Children With Severe Hearing Loss Using Hearing Aids to Children With Cochlear Implants Type de document : Article Auteurs : Catherine Killan ; Derek J. Hoare ; Roulla Katiri ; Robert H. Pierzycki ; Bethany Adams ; Douglas E. Hartley ; Danielle Ropar ; Pádraig Thomas Kitterick Année de publication : 2022 Article en page(s) : p. 290-304 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement du langage ; Implants cochléaires ; Perception de la parole
Autres descripteurs
Critere d'implantationRésumé : Objectives: Clinical practice regarding children's candidature for cochlear implantation varies internationally, albeit with a recent global trend toward implanting children with more residual hearing than in the past. The provision of either hearing aids or cochlear implants can influence a wide range of children's outcomes. However, guidance on eligibility and suitability for implantation is often based on a small number of studies and a limited range of speech perception measures. No recent reviews have catalogued what is known about comparative outcomes for children with severe hearing-loss using hearing aids to children using cochlear implants. This article describes the findings of a scoping review that addressed the question "What research has been conducted comparing cochlear implant outcomes to outcomes in children using hearing aids with severe hearing-loss in the better-hearing ear?" The first objective was to catalogue the characteristics of studies pertinent to these children's candidature for cochlear implantation, to inform families, clinicians, researchers, and policy-makers. The second objective was to identify gaps in the evidence base, to inform future research projects and identify opportunities for evidence synthesis. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292811
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 290-304[article]
Titre : Inclusion of Older Adults Who Experience Homelessness in Laboratory-Based Audiology Research: a Feasibility Study Type de document : Article Auteurs : Jing Shen ; Bridget E. Weller ; Jeanette Calvario Perales Année de publication : 2022 Article en page(s) : p. 305-309 Langues : Anglais (eng) Descripteurs : HE Vinci
Inclusion ; Recherche en audiologie ; Sans-abri ; Sujet âgéRésumé : Objectives: The objective of this study was to recruit older adults who experience homelessness into a feasibility study on laboratory-based audiology research.
Design: Using best practices for recruiting individuals who experience homelessness into research, we aimed to recruit 25 participants over the course of six months. The protocol included hearing health history and hearing test. Individuals were also referred to services if needed and requested.
Results: Among the 11 study participants recruited, almost half of the individuals did not meet the inclusion criteria due to severe hearing loss, neurological disorders, and difficulty staying alert.
Conclusions: We identified a few barriers to including older adults who experience homelessness in laboratory-based audiology research and discussed potential strategies. Our findings provide lessons for future audiology research on including a population of individuals who may be vulnerable to health disparity and often omitted from research.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292812
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 305-309[article]
Titre : No Benefit of Deriving Cochlear-Implant Maps From Binaural Temporal-Envelope Sensitivity for Speech Perception or Spatial Hearing Under Single-Sided Deafness Type de document : Article Auteurs : Coral Dirks ; Peggy Nelson ; Andrew J. Oxenham Année de publication : 2022 Article en page(s) : p. 310-322 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition dans le bruit ; Cartographie ; Implants cochléaires ; Localisation auditive ; PERCEPTION BINAURALE ; Perte auditive unilatérale (USNHL)Résumé : Objectives: This study tested whether speech perception and spatial acuity improved in people with single-sided deafness and a cochlear implant (SSD+CI) when the frequency allocation table (FAT) of the CI was adjusted to optimize frequency-dependent sensitivity to binaural disparities.
Design: Nine SSD+CI listeners with at least 6 months of CI listening experience participated. Individual experimental FATs were created to best match the frequency-to-place mapping across ears using either sensitivity to binaural temporal-envelope disparities or estimated insertion depth. Spatial localization ability was measured, along with speech perception in spatially collocated or separated noise, first with the clinical FATs and then with the experimental FATs acutely and at 2-month intervals for 6 months. Listeners then returned to the clinical FATs and were retested acutely and after 1 month to control for long-term learning effects.
Results: The experimental FAT varied between listeners, differing by an average of 0.15 octaves from the clinical FAT. No significant differences in performance were observed in any of the measures between the experimental FAT after 6 months and the clinical FAT one month later, and no clear relationship was found between the size of the frequency-allocation shift and perceptual changes.
Conclusion: Adjusting the FAT to optimize sensitivity to interaural temporal-envelope disparities did not improve localization or speech perception. The clinical frequency-to-place alignment may already be sufficient, given the inherently poor spectral resolution of CIs. Alternatively, other factors, such as temporal misalignment between the two ears, may need to be addressed before any benefits of spectral alignment can be observed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292814
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 310-322[article]
Titre : Age-Related Changes in Voice Emotion Recognition by Postlingually Deafened Listeners With Cochlear Implants Type de document : Article Auteurs : Shauntelle Cannon ; Monita Chatterjee Année de publication : 2022 Article en page(s) : p. 323-334 Langues : Anglais (eng) Descripteurs : HE Vinci
Identification des sons ; Implants cochléaires ; Reconnaissance des émotions ; Sujet âgé ; Temps de réactionRésumé : Objectives: Identification of emotional prosody in speech declines with age in normally hearing (NH) adults. Cochlear implant (CI) users have deficits in the perception of prosody, but the effects of age on vocal emotion recognition by adult postlingually deaf CI users are not known. The objective of the present study was to examine age-related changes in CI users' and NH listeners' emotion recognition.
Design: Participants included 18 CI users (29.6 to 74.5 years) and 43 NH adults (25.8 to 74.8 years). Participants listened to emotion-neutral sentences spoken by a male and female talker in five emotions (happy, sad, scared, angry, neutral). NH adults heard them in four conditions: unprocessed (full spectrum) speech, 16-channel, 8-channel, and 4-channel noise-band vocoded speech. The adult CI users only listened to unprocessed (full spectrum) speech. Sensitivity (d') to emotions and Reaction Times were obtained using a single-interval, five-alternative, forced-choice paradigm.
Results: For NH participants, results indicated age-related declines in Accuracy and d', and age-related increases in Reaction Time in all conditions. Results indicated an overall deficit, as well as age-related declines in overall d' for CI users, but Reaction Times were elevated compared with NH listeners and did not show age-related changes. Analysis of Accuracy scores (hit rates) were generally consistent with d' data.
Conclusions: Both CI users and NH listeners showed age-related deficits in emotion identification. The CI users' overall deficit in emotion perception, and their slower response times, suggest impaired social communication which may in turn impact overall well-being, particularly so for older CI users, as lower vocal emotion recognition scores have been associated with poorer subjective quality of life in CI patients.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292815
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 323-334[article]
Titre : How Can eHealth Meet the Hearing and Communication Needs of Adults With Hearing Impairment and their Significant Others? : A Group Concept Mapping Study Type de document : Article Auteurs : Carly J. Meyer ; Monique Waite ; Jenny Atkins ; Katie Ekberg ; Nerina Scarinci ; Caitlin Barr ; Robert Cowan ; Louise Hickson Année de publication : 2022 Article en page(s) : p. 335-346 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Enquêtes de santé ; Santé auditive
Autres descripteurs
Electronique medicaleRésumé : Objectives: To seek the perspectives of key stakeholders regarding: (1) how eHealth could help meet the hearing and communication needs of adults with hearing impairment and their significant others; and (2) how helpful each aspect of eHealth would be to key stakeholders personally.
Design: Group concept mapping, a mixed-methods participatory research method, was used to seek the perspectives of key stakeholders: adults with hearing impairment (n = 39), significant others (n = 28), and hearing care professionals (n = 56). All participants completed a short online survey before completing one or more of the following activities: brainstorming, sorting, and rating. Brainstorming required participants to generate ideas in response to the focus prompt, "One way I would like to use information and communication technologies to address the hearing and communication needs of adults with hearing loss and their family and friends is to[horizontal ellipsis]." The sorting task required participants to sort all statements into groups that made sense to them. Finally, the rating task required participants to rate each of the statements according to "How helpful would this idea be to you?" using a 5-point Likert scale. Hierarchical cluster analysis was applied to the "sorting" data to develop a cluster map using the Concept Systems software. The "rating" data were subsequently analyzed at a cluster level and an individual-item level using descriptive statistics. Differences in cluster ratings between stakeholder groups were examined using Kruskal-Wallis tests.
Results: Overall, 123 statements were generated by participants in response to the focus prompt and were included in subsequent analyses. Based on the "sorting" data and hierarchical cluster analysis, a seven-cluster map was deemed to be the best representation of the data. Three key themes emerged from the data, including using eHealth to (1) Educate and Involve Others; (2) Support Aural Rehabilitation; and (3) Educate About and Demonstrate the Impacts of Hearing Impairment and Benefits of Hearing Rehabilitation. Overall median rating scores for each cluster ranged from 3.97 (educate and involve significant others) to 3.44 (empower adults with hearing impairment to manage their hearing impairment from home).
Conclusions: These research findings demonstrate the broad range of clinical applications of eHealth that have the capacity to support the implementation of patient- and family-centered hearing care, with self-directed educational tools and resources typically being rated as most helpful. Therefore, eHealth appears to be a viable option for enabling a more biopsychosocial approach to hearing healthcare and educating and involving significant others in the hearing rehabilitation process without adding more pressure on clinical time. More research is needed to inform the subsequent development of eHealth interventions, and it is recommended that health behavior change theory be adhered to for such interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292843
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 335-346[article]
Titre : Variation in Auditory Experience Affects Language and Executive Function Skills in Children Who Are Hard of Hearing Type de document : Article Auteurs : Ryan W. McCreery ; Elizabeth A. Walker Année de publication : 2022 Article en page(s) : p. 347-360 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Déficience auditive ; Fonctions exécutives ; Mémoire à court terme
Autres descripteurs
AudibiliteRésumé : Objective: Children who are hard of hearing (CHH) experience delays in spoken language and executive function, but the mechanisms for these deficits remain unresolved. Differences in auditory experience and language skills have been examined as contributing factors to deficits in executive function, primarily with children who are deaf and children with cochlear implants. The theoretical model of cumulative auditory experience quantifies auditory dosage as how much speech is audible and how often children wear their hearing aids. CHH with higher auditory dosage have better language outcomes than peers with less auditory dosage. However, the effects of auditory experience on executive function have not been studied in CHH. The goal of this study was to examine the influences of auditory experience and language skills on the development of executive function in CHH.
Design: We collected measures of aided speech audibility, hearing aid use, executive function, and receptive vocabulary in 177 CHH and 86 children with typical hearing who were 5- to 10 years old and matched for socioeconomic status and nonverbal intelligence. Auditory dosage was calculated by combining each child's average hours of hearing aid use with their audibility for speech to create a variable that quantifies individual differences in auditory access.
Results: CHH had lower receptive vocabulary and deficits in executive function related to working memory and selective attention compared to peers with typical hearing. CHH with greater auditory dosage had higher receptive vocabulary than CHH with lower auditory dosage. Better receptive vocabulary was associated with better scores on executive function measures related to working memory and attention. Auditory dosage was also directly associated with measures of verbal working memory.
Conclusions: CHH have deficits in language and some, but not all, areas of executive function related to working memory and attention. Auditory dosage was associated with language abilities and verbal working memory. Language was associated with individual differences in executive function skills related to attention and working memory. These results provide support for systems theories regarding the development of executive function in CHH. Interventions that improve auditory access and language may be effective for improving executive function related to working memory and attention in CHH.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292887
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 347-360[article]
Titre : Diet Quality and the Risk of Impaired Speech Reception Threshold in Noise: The UK Biobank cohort Type de document : Article Auteurs : Humberto Yevenes-Briones ; Francisco Felix Caballero ; Ellen A. Struijk ; Marcos D. Machado-Fragua ; Rosario Ortola ; Fernando Rodriguez-Artalejo ; Esther Lopez-Garcia Année de publication : 2022 Article en page(s) : p. 361-369 Langues : Anglais (eng) Descripteurs : HE Vinci
Qualité alimentaire ; Reconnaissance de la parole ; Régime alimentaire ; Seuil de réception de la parole (SRT)Mots-clés : UK Biobank Résumé : Objective: Previous studies have examined the association between several diet quality indexes and risk of hearing loss, based on self-reported information or on audiometry test, with inconsistent results. However, the impact of healthy diets on the capacity to listening in noise, a proxy of disability due to hearing loss, is unknown. This research assessed the prospective association between five diet quality indexes and the speech reception threshold in noise in the UK Biobank study.
Design: Prospective cohort with 105,592 participants aged >=40 years. At baseline, adherence to the Mediterranean Diet Adherence Screener, the alternate Mediterranean Diet score, the Dietary Approaches to Stop Hypertension, the Alternate Healthy Eating Index-2010, and the healthful Plant-Based Diet Index were assessed. Functional auditory capacity was measured with a digit triplet test, and impairment was defined as a speech reception threshold in noise >-3.5 dB in any physical exam during the follow-up.
Results: Over a median follow-up of 3.2 (SD: 2.1) years, 1704 participants showed impaired speech reception threshold in noise. After adjusting for potential confounders, the hazard ratios (95% confidence interval) of impairment per 1-SD increase in the Mediterranean Diet Adherence Screener, alternate Mediterranean Diet score, Dietary Approaches to Stop Hypertension, Alternate Healthy Eating Index-2010 and healthful Plant-Based Diet Index scores were, respectively, 0.98 (0.94 to 1.03), 1.01 (0.96 to 1.06), 1.02 (0.97 to 1.07), 1.01 (0.96 to 1.06), and 1.00 (0.96 to 1.05). Results were similar when analyses were restricted to those >60 years, with British ethnicity, without chronic disease, without tinnitus or with optimal cognitive function.
Conclusions: Adherence to a healthy diet did not show an association with the speech reception threshold in noise. More research is needed to identify the impact of individual foods or nutrients on this outcome.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292892
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 361-369[article]
Titre : Automated Adaptive Wideband Acoustic Reflex Threshold Estimation in Normal-hearing Adults Type de document : Article Auteurs : Kim Schairer ; Daniel B. Putterman ; Douglas H. Keefe ; Dennis F. Fitzpatrick ; Angela C. Garinis ; Elizabeth R. Kolberg ; M. Patrick Feeney Année de publication : 2022 Article en page(s) : p. 370-378 Langues : Anglais (eng) Descripteurs : HE Vinci
Acoustique
Autres descripteurs
Immitance acoustique ; Reflexe de l'oreille moyenne ; Reflexion a large bandeRésumé : Objectives: Acoustic stapedius reflex threshold (ART) tests are included in a standard clinical acoustic immittance test battery as an objective cross-check with behavioral results and to help identify site of lesion. In traditional clinical test batteries, middle-ear admittance of a 226 Hz probe is estimated using ear-canal measurements in the presence of a reflex-activating stimulus. In the wideband (WB) acoustic immittance ART test used in this study, the pure-tone probe is replaced by a WB probe stimulus and changes in absorbed power are estimated using ear-canal measurements in the presence of the activator. The ART is defined as the lowest level at which a criterion change in admittance (clinical) or absorbed power (WB) is observed in the presence of the activator. In the present study, ARTs were obtained in adults with normal hearing using the clinical, manual method and with a new WB automated adaptive threshold detection method. It was hypothesized that the WB test would result in lower ARTs than the clinical test because reflex-related changes in power absorbance could be observed across multiple frequency bands in the WB test compared with a single frequency in the traditional test.
Design: Data were collected in a prospective research design. ARTs were obtained in ipsilateral and contralateral conditions using 500, 1000, 2000 Hz, and broadband noise (BBN) activators on a clinical system and on an experimental WB system. The bandwidth of the BBN activator was 125 to 4000 Hz on the clinical system and 200 to 8000 Hz on the wideband system. ARTs were estimated at both tympanometric peak pressure (TPP) and ambient pressure on the WB system. Data were collected in both ears of 39 adults (21 males) of mean age 47.7 years (range 23-72 years). Differences in ARTs among the three threshold estimation methods (clinical, WB at TPP, WB at ambient) were examined using the general linear model repeated measures test in SPSS. Post-hoc pairwise comparisons were completed with Bonferroni correction for multiple comparisons. Statistical significance was defined as p
Results: ARTs obtained on the WB system at TPP and ambient pressure were significantly lower than obtained on the clinical system. ARTs obtained on the WB system at TPP were significantly higher than at ambient pressure in the 500 and 2000 Hz ipsilateral conditions.
Conclusions: WB automated adaptive ARTs in normal-hearing adults were lower than for clinical methods when measured at TPP and ambient pressure. Lower presentation levels required to estimate ART in the WB test may be more tolerable to patients. Patients with ARTs that are not present at the maximum level of a traditional reflex test may have present ARTs with a WB ART test, which may reduce the need to refer for additional testing for possible retrocochlear involvement. Automation of the test may allow clinicians more time to attend to the other requisite tasks of a hearing evaluation and make the system useful for telehealth applications.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292896
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 370-378[article]
Titre : Development and Critical Evaluation of a Condition-Specific Preference-Based Measure Sensitive to Binaural Hearing in Adults: The York Binaural Hearing-Related Quality-of-Life System Type de document : Article Auteurs : Quentin Summerfield ; Pádraig Thomas Kitterick ; Adele M. Goman Année de publication : 2022 Article en page(s) : p. 379-397 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition binaurale ; Implant cochléaire bilatéral ; Indicateurs qualité santé ; Préférence des patientsMots-clés : EuroQol Descriptive System York Binaural Hearing-Related Quality of Life System Résumé : The widely-used generic preference-based measures of health-related quality of life-the EuroQol Descriptive System (EQ-5D) and the Health Utilities Index (HUI3)-are limited in their response to technologies that improve hearing. The EQ-5D lacks construct validity for hearing, while the HUI3 is restricted by a ceiling effect and by using speech reception as the only evidence of the ability to hear. Consequently, neither measure consistently registers benefits from binaural hearing, such as those from bilateral versus unilateral cochlear implantation. The objectives were to test whether informants value binaural hearing, to develop a condition-specific preference-based measure sensitive to binaural hearing, to assess the psychometric properties of the new instrument, and to determine whether it meets requirements for informing judgments of cost-effectiveness: does it measure greater gains than do the generic preference-based measures, while avoiding exaggerating losses, and displaying sensitivity to side effects?
Design: Three levels of function, ranging from no difficulty to great difficulty, were defined on each of three dimensions where listening is easier or more successful when hearing is binaural rather than monaural: perception of speech in spatially separated noise, localization of sounds, and effort and fatigue. Informants (N = 203) valued the 27 combinations of levels and dimensions in a time trade-off task with a 10-year time frame to provide a value of binaural-related quality of life ("binaural utility") for each combination. A questionnaire was compiled to allow respondents to report their level of function on each dimension so that a value of binaural utility could be assigned to them. The questionnaire and the age-standardized valuations constitute The York Binaural Hearing-Related Quality-of-Life System (YBHRQL). Adult users of unilateral implants (N = 8), bilateral implants (N = 11), or bimodal aiding (N = 9) undertook performance tests of spatial listening and completed the HUI3, EQ-5D, and Speech, Spatial, and Qualities of Hearing (SSQ) questionnaires. They completed the YBHRQL questionnaire 24 and 38 mo later.
Results: Despite long intervals between measurements, the YBHRQL demonstrated desirable psychometric properties: good construct validity evidenced by significant correlations with performance measures and the SSQ index; a greater ability than the EQ-5D or HUI3 to distinguish unilateral, bimodal, and bilateral listening; and good reproducibility. The YBHRQL did not exaggerate losses of utility but was insensitive to a potential side effect of implantation (pain/discomfort). It measured a gain in utility from bilateral compared with unilateral implantation (median = 0.11, interquartile range, 0.03 to 0.16) that was greater than the gain measured by the EQ-5D (0.00, 0.00 to 0.00) but not the HUI3 (0.00, 0.00 to 0.17).
Conclusions: The YBHRQL summarizes the contribution of binaural hearing to quality of life by combining the functional status of a listener with the preferences of independent informants. It would be an efficient clinical outcome measure. In addition, if used alongside the EQ-5D or HUI3, it would provide evidence which could beneficially modulate confidence in the cost-effectiveness of interventions. Further research on its sensitivity to side effects, and on the size of the gains in utility which it measures, is needed to determine whether it could stand alone to inform resource-allocation decisions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292947
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 379-397[article]
Titre : Emotion and Word Recognition for Unprocessed and Vocoded Speech Stimuli Type de document : Article Auteurs : Shae D. Morgan ; Stacy Garrard ; Tiffany Hoskins Année de publication : 2022 Article en page(s) : p. 398-407 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Reconnaissance auditive du mot ; Reconnaissance des émotionsMots-clés : Vocoder Résumé : Objectives: Individuals with cochlear implants (CIs) show reduced word and auditory emotion recognition abilities relative to their peers with normal hearing. Modern CI processing strategies are designed to preserve acoustic cues requisite for word recognition rather than those cues required for accessing other signal information (e.g., talker gender or emotional state). While word recognition is undoubtedly important for communication, the inaccessibility of this additional signal information in speech may lead to negative social experiences and outcomes for individuals with hearing loss. This study aimed to evaluate whether the emphasis on word recognition preservation in CI processing has unintended consequences on the perception of other talker information, such as emotional state.
Design: Twenty-four young adult listeners with normal hearing listened to sentences and either reported a target word in each sentence (word recognition task) or selected the emotion of the talker (emotion recognition task) from a list of options (Angry, Calm, Happy, and Sad). Sentences were blocked by task type (emotion recognition versus word recognition) and processing condition (unprocessed versus 8-channel noise vocoder) and presented randomly within the block at three signal-to-noise ratios (SNRs) in a background of speech-shaped noise. Confusion matrices showed the number of errors in emotion recognition by listeners.
Results: Listeners demonstrated better emotion recognition performance than word recognition performance at the same SNR. Unprocessed speech resulted in higher recognition rates than vocoded stimuli. Recognition performance (for both words and emotions) decreased with worsening SNR. Vocoding speech resulted in a greater negative impact on emotion recognition than it did for word recognition.
Conclusions: These data confirm prior work that suggests that in background noise, emotional prosodic information in speech is easier to recognize than word information, even after simulated CI processing. However, emotion recognition may be more negatively impacted by background noise and CI processing than word recognition. Future work could explore CI processing strategies that better encode prosodic information and investigate this effect in individuals with CIs as opposed to vocoded simulation. This study emphasized the need for clinicians to consider not only word recognition but also other aspects of speech that are critical to successful social communication.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292961
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 398-407[article]
Titre : Amount of Hearing Aid Use Impacts Neural Oscillatory Dynamics Underlying Verbal Working Memory Processing for Children With Hearing Loss Type de document : Article Auteurs : Elizabeth Heinrichs-Graham ; Elizabeth A. Walker ; Jacob A. Eastman ; Michaela Frenzel ; Ryan W. McCreery Année de publication : 2022 Article en page(s) : p. 408-419 Langues : Anglais (eng) Descripteurs : HE Vinci
Développement cognitif ; Mémoire à court terme
Autres descripteurs
Magnetoencephalographie (MEG) ; Neurophysiologie de l'audition ; Oscillations neuronalesRésumé : Objectives: Children with hearing loss (CHL) may exhibit spoken language delays and may also experience deficits in other cognitive domains including working memory. Consistent hearing aid use (i.e., more than 10 hours per day) ameliorates these language delays; however, the impact of hearing aid intervention on the neural dynamics serving working memory remains unknown. The objective of this study was to examine the association between the amount of hearing aid use and neural oscillatory activity during verbal working memory processing in children with mild-to-severe hearing loss.
Design: Twenty-three CHL between 8 and 15 years-old performed a letter-based Sternberg working memory task during magnetoencephalography (MEG). Guardians also completed a questionnaire describing the participants' daily hearing aid use. Each participant's MEG data was coregistered to their structural MRI, epoched, and transformed into the time-frequency domain using complex demodulation. Significant oscillatory responses corresponding to working memory encoding and maintenance were independently imaged using beamforming. Finally, these whole-brain source images were correlated with the total number of hours of weekly hearing aid use, controlling for degree of hearing loss.
Results: During the encoding period, hearing aid use negatively correlated with alpha-beta oscillatory activity in the bilateral occipital cortices and right precentral gyrus. In the occipital cortices, this relationship suggested that with greater hearing aid use, there was a larger suppression of occipital activity (i.e., more negative relative to baseline). In the precentral gyrus, greater hearing aid use was related to less synchronous activity (i.e., less positive relative to baseline). During the maintenance period, hearing aid use significantly correlated with alpha activity in the right prefrontal cortex, such that with greater hearing aid use, there was less right prefrontal maintenance-related activity (i.e., less positive relative to baseline).
Conclusions: This study is the first to investigate the impact of hearing aid use on the neural dynamics that underlie working memory function. These data show robust relationships between the amount of hearing aid use and phase-specific neural patterns during working memory encoding and maintenance after controlling for degree of hearing loss. Furthermore, our data demonstrate that wearing hearing aids for more than ~8.5 hours/day may serve to normalize these neural patterns. This study also demonstrates the potential for neuroimaging to help determine the locus of variability in outcomes in CHL.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=292962
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 408-419[article]
Titre : Vestibular Perceptual Thresholds in Older Adults With and Without Age-related Hearing Loss Type de document : Article Auteurs : Grace A. Gabriel ; Laurence R. Harris ; Joshua J. Gnanasegaram ; Sharon L. Cushing ; Karen A. Gordon ; Bruce Haycock ; Kathleen Pichora-Fuller ; Jennifer L. Campos Année de publication : 2022 Article en page(s) : p. 420-435 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive liée à l'âge (ARHL) ; Maladies vestibulaires ; Mobilité ; Sujet âgé
Autres descripteurs
Chutes chez la personne agee ; Test de rotation vestibulaireRésumé : Objectives: Older adults with age-related hearing loss (ARHL) are at greater risk of falling and have greater mobility problems than older adults with normal hearing (NH). The underlying cause of these associations remains unclear. One possible reason is that age-related declines in the vestibular system could parallel those observed in the auditory system within the same individuals. Here, we compare the sensitivity of vestibular perceptual abilities (psychophysics), vestibular end-organ functioning (vestibular evoked myogenic potentials and video head impulse tests), and standing balance (posturography) in healthy older adults with and without ARHL.
Design: A total of 46 community-dwelling older adults, 23 with ARHL and 23 with NH, were passively translated in heave (up and down) and rotated in pitch (tilted forward and backward) in the dark using a motion platform. Using an adaptive staircase psychophysical procedure, participants' heave and pitch detection and discrimination thresholds were determined. In a posturography task, participants' center of pressure (COP) path length was measured as they stood on a forceplate with eyes open and closed, on firm and compliant surfaces, with and without sound suppression. Baseline motor, cognitive, and sensory functioning, including vestibular end-organ function, were measured.
Results: Individuals with ARHL were less sensitive at discriminating pitch movements compared to older adults with NH. Poorer self-reported hearing abilities were also associated with poorer pitch discrimination. In addition to pitch discrimination thresholds, lower pitch detection thresholds were significantly associated with hearing loss in the low-frequency range. Less stable standing balance was significantly associated with poorer vestibular perceptual sensitivity.
Discussion: These findings provide evidence for an association between ARHL and reduced vestibular perceptual sensitivity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293170
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 420-435[article]
Titre : Remote Microphone Systems Can Improve Listening-in-Noise Accuracy and Listening Effort for Youth With Autism Type de document : Article Auteurs : Jacob I. Feldman ; Emily Thompson ; Hilary Davis ; Bahar Keceli-Kaysili ; Kacie Dunham ; Tiffany G. Woynaroski ; Anne Marie Tharpe ; Erin M. Picou Année de publication : 2022 Article en page(s) : p. 436-447 Langues : Anglais (eng) Descripteurs : HE Vinci
Bruit de fond ; Effort d'écoute ; Microphone à distance sans fil (RM) ; Reconnaissance de la parole ; Trouble du spectre autistique (TSA)Résumé : Objectives: This study examined whether remote microphone (RM) systems improved listening-in-noise performance in youth with autism. We explored effects of RM system use on both listening-in-noise accuracy and listening effort in a well-characterized sample of participants with autism. We hypothesized that listening-in-noise accuracy would be enhanced and listening effort reduced, on average, when participants used the RM system. Furthermore, we predicted that effects of RM system use on listening-in-noise accuracy and listening effort would vary according to participant characteristics. Specifically, we hypothesized that participants who were chronologically older, had greater nonverbal cognitive and language ability, displayed fewer features of autism, and presented with more typical sensory and multisensory profiles might exhibit greater benefits of RM system use than participants who were younger, had less nonverbal cognitive or language ability, displayed more features of autism, and presented with greater sensory and multisensory disruptions.
Design: We implemented a within-subjects design to investigate our hypotheses, wherein 32 youth with autism completed listening-in-noise testing with and without an RM system. Listening-in-noise accuracy and listening effort were evaluated simultaneously using a dual-task paradigm for stimuli varying in complexity (i.e., syllable-, word-, sentence-, and passage-level). In addition, several putative moderators of RM system effects (i.e., sensory and multisensory function, language, nonverbal cognition, and broader features of autism) on outcomes of interest were evaluated.
Results: Overall, RM system use resulted in higher listening-in-noise accuracy in youth with autism compared with no RM system use. The observed benefits were all large in magnitude, although the benefits on average were greater for more complex stimuli (e.g., key words embedded in sentences) and relatively smaller for less complex stimuli (e.g., syllables). Notably, none of the putative moderators significantly influenced the effects of the RM system on listening-in-noise accuracy, indicating that RM system benefits did not vary according to any of the participant characteristics assessed. On average, RM system use did not have an effect on listening effort across all youth with autism compared with no RM system use but instead yielded effects that varied according to participant profile. Specifically, moderated effects indicated that RM system use was associated with increased listening effort for youth who had (a) average to below-average nonverbal cognitive ability, (b) below-average language ability, and (c) reduced audiovisual integration. RM system use was also associated with decreased listening effort for youth with very high nonverbal cognitive ability.
Conclusions: This study extends prior work by showing that RM systems have the potential to boost listening-in-noise accuracy for youth with autism. However, this boost in accuracy was coupled with increased listening effort, as indexed by longer reaction times while using an RM system, for some youth with autism, perhaps suggesting greater engagement in the listening-in-noise tasks when using the RM system for youth who had lower cognitive abilities, were less linguistically able, and/or have difficulty integrating seen and heard speech. These findings have important implications for clinical practice, suggesting RM system use in classrooms could potentially improve listening-in-noise performance for some youth with autism.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293176
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 436-447[article]
Titre : Evaluation of a Tool for Measuring Temporal Modulation Detection Type de document : Article Auteurs : David M. Landsberger ; Natalia Stupak Année de publication : 2022 Article en page(s) : p. 448-459 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Instrument de mesure
Autres descripteurs
Temporal modulation transfer functionMots-clés : EasyMTD Résumé : Objectives: A software tool (EasyMDT) that measures temporal modulation detection thresholds of a broadband noise carrier is presented. EasyMDT is designed to be both easy and quick to promote the use in environments where testing time is limited, and testers may not have extensive technical expertise to use typical research software. In addition, by providing a standardized stimulus and protocol, data collected by all groups using the software can be compared directly. Details of EasyMDT, including a description of the protocol, stimuli, interface and how to obtain the software, are provided along with representative sample data from both normal-hearing listeners and cochlear implant (CI) users. Performance with the EasyMDT is compared with speech understanding metrics as well as a metric of spectral-temporal resolution.
Design: A "Full Curve" of modulation detection thresholds is measured using a three-interval forced-choice adaptive task in a single block for 7 modulation frequencies (10, 50, 75, 100, 150, 200, and 300 Hz). Similarly, the modulation detection thresholds were measured for only one modulation frequency in a block (either 100 Hz or 150 Hz). Modulation detection thresholds and block duration were recorded. In addition, performance on speech recognition tasks (CNC words, consonant identification, vowel identification, and AzBio sentences in noise) and a spectral-temporal resolution task (SMRT; Aronoff and Landsberger) were measured. Modulation detection thresholds were measured for both normal-hearing listeners and CI users. Only CI users participated in the speech and spectral-temporal tests.
Results: Modulation detection thresholds measured with EasyMDT were consistent with those previously reported from other laboratories. Modulation detection thresholds at a single modulation frequency (100 Hz or 150 Hz) were predictive of modulation detection thresholds measured as part of the Full Curve consisting of all 7 modulation frequencies. Testing durations for CI users dropped from an average of over 18 minutes for the Full Curve to under 3 minutes for either of the single modulation frequency measures. Modulation detection thresholds at 100 Hz correlated with CNC words, consonant identification, and AzBio sentences in noise, but not vowel identification. No correlations were found between modulation detection and spectral-temporal resolution.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293177
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 448-459[article]
Titre : A Slight Increase in Reverberation Time in the Classroom Affects Performance and Behavioral Listening Effort Type de document : Article Auteurs : Nicola Prodi ; Chiara Visentin Année de publication : 2022 Article en page(s) : p. 460-476 Langues : Anglais (eng) Descripteurs : HE Vinci
Acoustique en classe ; Compréhension à l'audition ; Effort d'écoute ; Perception de la parole
Autres descripteurs
ReverberationRésumé : The purpose of this study was to investigate the effect of a small change in reverberation time (from 0.57 to 0.69 s) in a classroom on children's performance and listening effort. Aiming for ecological listening conditions, the change in reverberation time was combined with the presence or absence of classroom noise. In three academic tasks, the study examined whether the effect of reverberation was modulated by the presence of noise and depended on the children's age.
Design: A total of 302 children (aged 11-13 years, grades 6-8) with normal hearing participated in the study. Three typical tasks of daily classroom activities (speech perception, sentence comprehension, and mental calculation) were administered to groups of children in two listening conditions (quiet and classroom noise). The experiment was conducted inside real classrooms, where reverberation time was controlled. The outcomes considered were task accuracy and response times (RTs), the latter taken as a behavioral proxy for listening effort. Participants were also assessed on reading comprehension and math fluency. To investigate the impact of noise and/or reverberation, these two scores were entered in the statistical model to control for individual child's general academic abilities.
Results: While the longer reverberation time did not significantly affect accuracy or RTs under the quiet condition, it had several effects when in combination with classroom noise, depending on the task measured. A significant drop in accuracy with a longer reverberation time emerged for the speech perception task, but only for the grade 6 children. The effect on accuracy of a longer reverberation time was nonsignificant for sentence comprehension (always at ceiling), and depended on the children's age in the mental calculation task. RTs were longer for moderate than for short reverberation times in the speech perception and sentence comprehension tasks, while there was no significant effect of the different reverberation times on RTs in the mental calculation task.
Conclusions: The results indicate small, but statistically significant, effects of a small change in reverberation time on listening effort as well as accuracy for children aged 11 to 13 performing typical tasks of daily classroom activities. Thus, the results extend previous findings in adults to children as well. The findings also contribute to a better understanding of the practical implications and importance of optimal ranges of reverberation time in classrooms. A comparison with previous studies underscored the importance of early reflections as well as reverberation times in classrooms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293178
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 460-476[article]
Titre : Decoding Billing Practices in Cochlear Implant Programs Type de document : Article Auteurs : Melissa W. Hall ; Sandra M. Prentiss ; Jennifer Coto ; Teresa A. Zwolan ; Meredith A. Holcomb Année de publication : 2022 Article en page(s) : p. 477-486 Langues : Anglais (eng) Descripteurs : HE Vinci
Coût de l'aide auditive ; Implants cochléairesRésumé : he purpose of this study was to examine current cochlear implant (CI) billing practices across CI audiologists in the United States, to determine if CI audiologists are following the National Correct Coding Initiative (NCCI) edits, and to assess the CI audiologist's exposure to billing education.
Design: A 48-question survey was electronically distributed to and completed by audiologists who bill for CI services. Demographic data including work setting, population served, years of experience, number of CI patients managed per week, and exposure to billing education were collected. Data were analyzed to identify codes and modifiers used to bill for commonly performed CI procedures such as unilateral and bilateral CI programming, preoperative and postoperative testing, and objective measures.
Results: Data were obtained from 96 audiologists. The majority (86.3%, n = 82) of respondents agreed or strongly agreed they understand billing and coding practices for cochlear implants and 94.7% (n = 89) rated themselves as somewhat to highly efficient when performing these practices. Only 16.8% (n = 16) of respondents reported receiving formal training for practice management, and half of the respondents (51.1%, n = 48) reported unfamiliarity with national billing guidelines. Those who received formal training reported higher billing efficiency. Wide variability was seen for various billing scenarios. Billing questions were presented, and answers were coded as correct or incorrect based on the NCCI edits. Respondents who reported higher agreement with understanding billing and who received formal training scored better on common billing questions related to the NCCI edits.
Conclusions: Most CI audiologists rated themselves as efficient in billing; however, wide variance in billing practices was observed. Incorporating practice management and current billing education into daily practice and into audiology training programs is essential to clinic efficiency, practice management, and CI program viability. CI audiologists should be knowledgeable about appropriate billing practices to ensure long-term sustainability of programs. he purpose of this study was to examine current cochlear implant (CI) billing practices across CI audiologists in the United States, to determine if CI audiologists are following the National Correct Coding Initiative (NCCI) edits, and to assess the CI audiologist's exposure to billing education.
Design: A 48-question survey was electronically distributed to and completed by audiologists who bill for CI services. Demographic data including work setting, population served, years of experience, number of CI patients managed per week, and exposure to billing education were collected. Data were analyzed to identify codes and modifiers used to bill for commonly performed CI procedures such as unilateral and bilateral CI programming, preoperative and postoperative testing, and objective measures.
Results: Data were obtained from 96 audiologists. The majority (86.3%, n = 82) of respondents agreed or strongly agreed they understand billing and coding practices for cochlear implants and 94.7% (n = 89) rated themselves as somewhat to highly efficient when performing these practices. Only 16.8% (n = 16) of respondents reported receiving formal training for practice management, and half of the respondents (51.1%, n = 48) reported unfamiliarity with national billing guidelines. Those who received formal training reported higher billing efficiency. Wide variability was seen for various billing scenarios. Billing questions were presented, and answers were coded as correct or incorrect based on the NCCI edits. Respondents who reported higher agreement with understanding billing and who received formal training scored better on common billing questions related to the NCCI edits.
Conclusions: Most CI audiologists rated themselves as efficient in billing; however, wide variance in billing practices was observed. Incorporating practice management and current billing education into daily practice and into audiology training programs is essential to clinic efficiency, practice management, and CI program viability. CI audiologists should be knowledgeable about appropriate billing practices to ensure long-term sustainability of programs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293179
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 477-486[article]
Titre : Impact of Hearing Aid Use on Falls and Falls-Related Injury: Results From the Health and Retirement Study Type de document : Article Auteurs : Kristal M. Riska ; Sarah B. Peskoe ; Maragatha Kuchibhatla ; Alexander Gordee ; Juliessa Pavon ; Se Eun Kim ; Jessica West ; Sherri L. Smith Année de publication : 2022 Article en page(s) : p. 487-494 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Amplification auditive ; Chutes accidentelles ; Déficience auditive liée à l'âge (ARHL)Résumé : Objectives: Falls are considered a significant public health issue and falls risk increases with age. There are many age-related physiologic changes that occur that increase postural instability and the risk for falls (i.e., age-related sensory declines in vision, vestibular, somatosensation, age-related orthopedic changes, and polypharmacy). Hearing loss has been shown to be an independent risk factor for falls. The primary objective of this study was to determine if hearing aid use modified (reduced) the association between self-reported hearing status and falls or falls-related injury. We hypothesized that hearing aid use would reduce the impact of hearing loss on the odds of falling and falls-related injury. If hearing aid users have reduced odds of falling compared with nonhearing aid users, then that would have an important implications for falls prevention healthcare.
Design: Data were drawn from the 2004-2016 surveys of the Health and Retirement Study (HRS). A generalized estimating equation approach was used to fit logistic regression models to determine whether or not hearing aid use modifies the odds of falling and falls injury associated with self-reported hearing status.
Results: A total of 17,923 individuals were grouped based on a self-reported history of falls. Self-reported hearing status was significantly associated with odds of falling and with falls-related injury when controlling for demographic factors and important health characteristics. Hearing aid use was included as an interaction in the fully-adjusted models and the results showed that there was no difference in the association between hearing aid users and nonusers for either falls or falls-related injury.
Conclusions: The results of the present study show that when examining self-reported hearing status in a longitudinal sample, hearing aid use does not impact the association between self-reported hearing status and the odds of falls or falls-related injury.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293182
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 487-494[article]
Titre : Evaluation of Remote Check: A Clinical Tool for Asynchronous Monitoring and Triage of Cochlear Implant Recipients Type de document : Article Auteurs : Saji Maruthurkkara ; Sasha Case ; Riaan Rottier Année de publication : 2022 Article en page(s) : p. 495-506 Langues : Anglais (eng) Descripteurs : HE Vinci
Contrôle à distance ; Seuil auditif ; Télé-audiologie ; TélémédecineRésumé : A new Remote Check App permits remote self-testing of hearing function for Nucleus cochlear implant (CI) recipients and enables asynchronous review by their clinician to support patient-management decisions.
To evaluate the Remote Check App for: (1) ease of use; (2) overall acceptance of the test battery by CI recipient or their carer in the home setting; (3) test-retest reliability of audiological threshold and speech recognition measures via wireless streaming; and (4) to compare outcomes from patient-driven measures with conventional clinician-driven measurements of aided-hearing function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293184
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 495-506[article]
Titre : Cost Effectiveness of Cognitive Behavioral Therapy for the Treatment of Subjective Tinnitus in Australia Type de document : Article Auteurs : Niraj Patel ; Alicja N Malicka ; Siobhan McGinnity ; Richard B. Anderson ; Antonio G. Paolini ; Paul Crosland Année de publication : 2022 Article en page(s) : p. 507-518 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Coût de l'aide auditive ; Thérapie cognitivo-comportementale (TCC)Résumé : Objectives: The aim of this study was to conduct an economic evaluation for the treatment of subjective tinnitus using different modalities of cognitive behavioral therapy (CBT) in Australia.
Design: A decision tree model was used to conduct a cost-utility analysis for CBT to determine the cost effectiveness for tinnitus treatments, in terms of cost per responder and cost per quality-adjusted life-year (QALY), from a health system perspective using a 2-year time horizon. Meta-analysis was used to differentiate the levels of effectiveness between three delivery methods for CBT: individual face-to-face care (fCBT), group sessions (gCBT), and a supported internet program (iCBT). One-way sensitivity analysis and probabilistic sensitivity analysis (PSA) explored the uncertainty surrounding model inputs and outcomes. Results were presented as incremental cost-effectiveness ratios compared with no treatment, and as net monetary benefit at a $50,000 willingness-to-pay threshold.
Results: Compared with no treatment, the incremental cost per responder was $700 for gCBT, $871 for iCBT, and $1380 for fCBT. The base case incremental cost-effectiveness ratio was $35,363 per QALY for fCBT, $17,935 per QALY for gCBT, and $22,321 per QALY for iCBT compared with no treatment, although there was substantial uncertainty around the QALY gain for responders. Net monetary benefit was $356 (fCBT), $555 (gCBT), and $487 (iCBT), indicating the treatments were cost effective compared with no treatment. One-way sensitivity analysis revealed the results were most sensitive to the probability of a positive response to treatment and treatment length. The PSA found the probability of being cost effective compared with no treatment for gCBT was 99.8%, iCBT 98.4%, and fCBT 71.5% at a willingness-to-pay of $50,000 per QALY, although QALY gain remained at a fixed value in the PSA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293186
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 507-518[article]
Titre : Effects of Device Limitations on Acquisition of the /t/-/k/ Contrast in Children With Cochlear Implants Type de document : Article Auteurs : Alison Johnson ; Danielle M. Bentley ; Benjamin Munson ; Jan Edwards Année de publication : 2022 Article en page(s) : p. 519-530 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse spectrale ; Développement du langage ; Enfant implanté ; Implants cochléaires
Autres descripteurs
Production du langageRésumé : The present study investigated how development of the /t/-/k/ contrast is affected by the unique perceptual constraints imposed on young children using cochlear implants (CIs). We hypothesized that children with CIs would demonstrate unique patterns of speech acquisition due to device limitations, rather than straightforward delays due to a lack of auditory input in the first year of life before implantation. This study focused on the contrast between /t/ and /k/ because it is acquired early in the sequence of development, requires less advanced motor control than later-acquired place contrasts, is differentiated by spectral cues (which are particularly degraded when processed by CIs), and is not easily differentiated by visual cues alone. Furthermore, perceptual confusability between /t/ and /k/ may be exacerbated in front-vowel contexts, where the spectral energy for /k/ is shifted to higher frequencies, creating more spectral overlap with /t/.
Design: Children with CIs (n = 26; ages 31 to 66 mo) who received implants around their first birthdays were matched to peers with normal hearing (NH). Children participated in a picture-prompted auditory word-repetition task that included over 30 tokens of word-initial /t/ and /k/ consonants. Tokens were balanced across front-vowel and back-vowel contexts to assess the effects of coarticulation. Productions were transcribed and coded for accuracy as well as the types of errors produced (manner of articulation, voicing, or place of articulation errors). Centroid frequency was also calculated for /t/ and /k/ tokens that were produced correctly. Mixed-effects models were used to compare accuracy, types of errors, and centroid frequencies across groups, target consonants, and vowel contexts.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293188
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 519-530[article]
Titre : Acoustic Change Complex and Visually Reinforced Infant Speech Discrimination Measures of Vowel Contrast Detection Type de document : Article Auteurs : Barbara K. Cone ; Spencer Smith ; Smith Cheek Année de publication : 2022 Article en page(s) : p. 531-544 Langues : Anglais (eng) Descripteurs : HE Vinci
Discrimination visuelle ; Nourrisson ; PHONETIQUE ACOUSTIQUE ; Potentiel évoqué auditif (PEA)Résumé : Objectives: To measure the effect of stimulus rate and vowel change direction on the acoustic change complex (ACC) latencies and amplitudes and compare ACC metrics to behavioral measures of vowel contrast detection for infants tested under the age of 1 year. We tested the hypothesis that the direction of spectral energy shift from a vowel change would result in differences in the ACC, owing to the sensitivity of cortical neurons to the direction of frequency change. We evaluated the effect of the stimulus rate (1/s versus 2/s) on the infants' ACC. We evaluated the ACC amplitude ratio's sensitivity (proportion of ACCs present for each change trial) and compared it to perceptual responses obtained using a visually reinforced infant speech discrimination paradigm (VRISD). This report provides normative data from infants for the ACC toward the ultimate goal of developing a clinically useful index of neural capacity for vowel discrimination.
Design: Twenty-nine infants, nine females, 4.0 to 11.8 months of age, participated. All participants were born at full term and passed their newborn hearing screens. None had risk factors for hearing or neurologic impairment. Cortical auditory evoked potentials were obtained in response to synthesized vowel tokens /a/, /i/, /o/, and /u/ presented at a rate of 1- or 2/s in an oddball stimulus paradigm with a 25% probability of the deviant stimulus. All combinations of vowel tokens were tested at the two rates. The ACC was obtained in response to the deviant stimulus. The infants were also tested for vowel contrast detection using a VRISD paradigm with the same combinations of vowel tokens used for the ACC. The mean age at the time of the ACC test was 5.4 months, while the mean age at the behavioral test was 6.8 months.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293189
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 531-544[article]
Titre : Changes in Orientation Behavior due to Extended High-Frequency (5 to 10 kHz) Spatial Cues Type de document : Article Auteurs : William M. Whitmer ; David McShefferty ; Suzanne C. Levy ; Graham Naylor ; Brent W. Edwards Année de publication : 2022 Article en page(s) : p. 545-553 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Bande passante
HE Vinci
Aides auditives ; Orientation spatiale ; Traitement spatialRésumé : Objectives: Current hearing aids have a limited bandwidth, which limits the intelligibility and quality of their output, and inhibits their uptake. Recent advances in signal processing, as well as novel methods of transduction, allow for a greater useable frequency range. Previous studies have shown a benefit for this extended bandwidth in consonant recognition, talker-sex identification, and separating sound sources. To explore whether there would be any direct spatial benefits to extending bandwidth, we used a dynamic localization method in a realistic situation.
Design: Twenty-eight adult participants with minimal hearing loss reoriented themselves as quickly and accurately as comfortable to a new, off-axis near-field talker continuing a story in a background of far-field talkers of the same overall level in a simulated large room with common building materials. All stimuli were low-pass filtered at either 5 or 10 kHz on each trial. To further simulate current hearing aids, participants wore microphones above the pinnae and insert earphones adjusted to provide a linear, zero-gain response.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293190
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 545-553[article]
Titre : The Recognition of Whispered Speech in Real-Time Type de document : Article Auteurs : Kristi Hendrickson ; Danielle Ernest Année de publication : 2022 Article en page(s) : p. 554-562 Langues : Anglais (eng) Descripteurs : HE Vinci
Intelligibilité de la parole ; Mouvement oculaire ; murmure ; Perception de la parole ; Reconnaissance des motsRésumé : Whispered speech offers a unique set of challenges to speech perception and word recognition. The goals of the present study were twofold: First, to determine how listeners recognize whispered speech. Second, to inform major theories of spoken word recognition by considering how recognition changes when major cues to phoneme identity are reduced or largely absent compared with normal voiced speech.
Design: Using eye tracking in the Visual World Paradigm, we examined how listeners recognize whispered speech. After hearing a target word (normal or whispered), participants selected the corresponding image from a display of four-a target (e.g., money), a word that shares sounds with the target at the beginning (cohort competitor, e.g., mother), a word that shares sounds with the target at the end (rhyme competitor, e.g., honey), and a phonologically unrelated word (e.g., whistle). Eye movements to each object were monitored to measure (1) how fast listeners process whispered speech, and (2) how strongly they consider lexical competitors (cohorts and rhymes) as the speech signal unfolds.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293191
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 554-562[article]
Titre : Preserving Wideband Tympanometry Information With Artifact Mitigation Type de document : Article Auteurs : Kristine E. Eberhard ; Hideko H. Nakajima ; Stephen T. Neely ; Stéphane Maison ; Salwa F. Masud ; Michael E. Ravicz ; Gabrielle R. Merchant Année de publication : 2022 Article en page(s) : p. 563-576 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Reflectance acoustique
HE Vinci
Oreille interne ; Oreille moyenne ; Tympanométrie ; Wideband absorbance (WBA)Résumé : Absorbance measured using wideband tympanometry (WBT) has been shown to be sensitive to changes in middle and inner ear mechanics, with potential to diagnose various mechanical ear pathologies. However, artifacts in absorbance due to measurement noise can obscure information related to pathologies and increase intermeasurement variability. Published reports frequently present absorbance that has undergone smoothing to minimize artifact; however, smoothing changes the true absorbance and can destroy important narrow-band characteristics such as peaks and notches at different frequencies. Because these characteristics can be unique to specific pathologies, preserving them is important for diagnostic purposes. Here, we identify the cause of artifacts in absorbance and develop a technique to mitigate artifacts while preserving the underlying WBT information.
Design: A newly developed Research Platform for the Interacoustics Titan device allowed us to study raw microphone recordings and corresponding absorbances obtained by WBT measurements. We investigated WBT measurements from normal hearing ears and ears with middle and inner ear pathologies for the presence of artifact and noise. Furthermore, it was used to develop an artifact mitigation procedure and to evaluate its effectiveness in mitigating artifacts without distorting the true WBT information.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293192
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 563-576[article]
Titre : Assessing Loss to Follow-up After Newborn Hearing Screening in the Neonatal Intensive Care Unit: Sociodemographic Factors That Affect Completion of Initial Audiological Evaluation Type de document : Article Auteurs : Anthony Cheung ; Tammy Chen ; Rachel Rivero ; Kristin Hartman-Joshi ; Michael B. Cohen ; Jessica R. Levi Année de publication : 2022 Article en page(s) : p. 577-581 Langues : Anglais (eng) Descripteurs : HE Vinci
Dépistage néonatal (DSN) ; Unités hospitalières de soins néonatals
Autres descripteurs
Audition du nourrissonRésumé : Objectives: Neonatal intensive care unit (NICU) patients are at high risk for congenital hearing loss. Previous studies have found sociodemographic factors associated with loss to follow-up for newborn hearing screening, but none have specifically studied the NICU population. Our objective is to determine if demographics and socioeconomic status is associated with loss to follow-up in a newborn population with extended NICU stay.
Design: A retrospective cohort study was conducted on 443 NICU infants with extended NICU stay utilizing data extracted from infant and maternal medical records at an urban safety-net hospital.
Results: Younger maternal age (adjusted odds ratio [OR] 0.95, confidence interval [CI] 0.91 to 0.99), higher gravidity (adjusted OR 1.39, CI 1.12 to 1.72), and former smoking status (adjusted OR 2.57, CI 1.07-6.18) were identified as independent predictors of loss to follow-up for NHS after conducting a multivariable logistic regression. Demographic and socioeconomic variables, such as sex, parity, birth weight, mode of birth, highest level of maternal education, maternal race/ethnicity, zip code metrics, and maternal language were not found to be associated with loss to follow-up.
Conclusions: Maternal age, gravidity, and smoking status are risk factors for loss to follow-up for NHS in newborns with extended NICU stay, a group at high risk for hearing loss. Our findings demonstrate that socioeconomic and demographic factors for loss to follow-up in the extended-stay NICU population are distinct from the well-baby population. Further investigation of these patients will allow prioritization of limited resources to subgroups within the extended-stay NICU population at risk for loss to follow-up for newborn hearing screening.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293344
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 577-581[article]
Titre : A Retrospective Study of Hearing Loss in Patients Diagnosed with Peroxisome Biogenesis Disorders in the Zellweger Spectrum Type de document : Article Auteurs : John Lee ; Christine Yergeau ; Kosuke Kawai ; Nancy Braveman ; Gwenaelle Geleoc Année de publication : 2022 Article en page(s) : p. 582-591 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Perte d'auditionMots-clés : Peroxisome Biogenesis Disorders Zellweger Spectrum Résumé : Objectives: Peroxisome Biogenesis Disorders in the Zellweger Spectrum (PBD-ZSD) are autosomal recessive disorders characterized by defects in peroxisome function, biosynthesis, and/or assembly. Despite its frequent documentation, hearing loss associated with PBD-ZSD has not been extensively characterized. The purpose of this retrospective natural history study was to better characterize the hearing loss associated with PBD-ZSD and to provide additional insight into the evaluation and management of PBD-ZSD patients with hearing loss.
Design: Audiological data from medical records of 42 patients with PBD-ZSD or D-bifunctional protein deficiency were collected from an ongoing longitudinal retrospective natural history study. An initial dataset of 300 audiograms and/or audiometric test results from the 42 patients were used to characterize the degree of hearing loss, type of hearing loss, relationships between air and bone conduction thresholds, age-related changes in hearing loss, and benefit with amplification.
Results: The majority of PBD-ZSD patients in this study presented with moderately-severe to severe hearing loss and relatively slow rates of longitudinal changes in hearing sensitivity. Improvements in hearing thresholds were observed with use of hearing aid amplification. Though bone conduction data were limited, air-bone gaps and air conduction threshold fluctuations observed in several patients suggest there may be an increased occurrence of mixed hearing losses in PBD-ZSD populations.
Conclusion: The results of this retrospective study provide insight into the hearing loss associated with PBD-ZSD, but also emphasize the need for more complete assessments of hearing loss type and middle ear function in these patients. The addition of more comprehensive datasets to the ongoing natural history study will enhance our understanding of the pathophysiology underlying PBD-ZSD and guide the development of targeted evaluation and management recommendations for patients with PBD-ZSD.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293347
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 582-591[article]
Titre : Home Auditory Environments of Children With Cochlear Implants and Children With Normal Hearing Type de document : Article Auteurs : Yuanyuan Wang ; Molly Cooke ; Jessa Reed ; Laura Dilley ; Derek M. Houston Année de publication : 2022 Article en page(s) : p. 592-604 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Environnement sonore ; Sensation sonore
HE Vinci
Enfant implanté ; Implants cochléairesRésumé : Objectives: Early home auditory environment plays an important role in children's spoken language development and overall well-being. This study explored differences in the home auditory environment experienced by children with cochlear implants (CIs) relative to children with normal hearing (NH).
Design: Measures of the child's home auditory environment, including adult word count (AWC), conversational turns (CTs), child vocalizations (CVs), television and media (TVN), overlapping sound (OLN), and noise (NON), were gathered using the Language Environment Analysis System. The study included 16 children with CIs (M = 22.06 mo) and 25 children with NH (M = 18.71 mo). Families contributed 1 to 3 daylong recordings quarterly over the course of approximately 1 year. Additional parent and infant characteristics including maternal education, amount of residual hearing, and age at activation were also collected.
Results: The results showed that whereas CTs and CVs increased with child age for children with NH, they did not change as a function of age for children with CIs; NON was significantly higher for the NH group. No significant group differences were found for the measures of AWC, TVN, or OLN. Moreover, measures of CTs, CVs, TVN, and NON from children with CIs were associated with demographic and child factors, including maternal education, age at CI activation, and amount of residual hearing.
Conclusions: These findings suggest that there are similarities and differences in the home auditory environment experienced by children with CIs and children with NH. These findings have implications for early intervention programs to promote spoken language development for children with CIs.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293369
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 592-604[article]
Titre : Multiple Cases of Auditory Neuropathy Illuminate the Importance of Subcortical Neural Synchrony for Speech-in-noise Recognition and the Frequency-following Response Type de document : Article Auteurs : Travis White-Schwoch ; Samira Anderson ; Jennifer Krizman ; Silvia Bonacina ; Trent G. Nicol ; Ann R. Bradlow ; Nina Kraus Année de publication : 2022 Article en page(s) : p. 605-619 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Developpement auditif
HE Vinci
Compréhension dans le bruit ; Implants cochléaires ; Neuropathie auditive (NA) ; Reconnaissance de la paroleRésumé : Objectives: The role of subcortical synchrony in speech-in-noise (SIN) recognition and the frequency-following response (FFR) was examined in multiple listeners with auditory neuropathy. Although an absent FFR has been documented in one listener with idiopathic neuropathy who has severe difficulty recognizing SIN, several etiologies cause the neuropathy phenotype. Consequently, it is necessary to replicate absent FFRs and concomitant SIN difficulties in patients with multiple sources and clinical presentations of neuropathy to elucidate fully the importance of subcortical neural synchrony for the FFR and SIN recognition.
Design: Case series. Three children with auditory neuropathy (two males with neuropathy attributed to hyperbilirubinemia, one female with a rare missense mutation in the OPA1 gene) were compared to age-matched controls with normal hearing (52 for electrophysiology and 48 for speech recognition testing). Tests included standard audiological evaluations, FFRs, and sentence recognition in noise. The three children with neuropathy had a range of clinical presentations, including moderate sensorineural hearing loss, use of a cochlear implant, and a rapid progressive hearing loss.
Results: Children with neuropathy generally had good speech recognition in quiet but substantial difficulties in noise. These SIN difficulties were somewhat mitigated by a clear speaking style and presenting words in a high semantic context. In the children with neuropathy, FFRs were absent from all tested stimuli. In contrast, age-matched controls had reliable FFRs.
Conclusion: Subcortical synchrony is subject to multiple forms of disruption but results in a consistent phenotype of an absent FFR and substantial difficulties recognizing SIN. These results support the hypothesis that subcortical synchrony is necessary for the FFR. Thus, in healthy listeners, the FFR may reflect subcortical neural processes important for SIN recognition.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293378
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 605-619[article]
Titre : Changes in Vestibular Function Following Pediatric Cochlear Implantation : a Prospective Study Type de document : Article Auteurs : Cleo Dhondt ; Leen Maes ; Saartje Vanaudenaerde ; Sarie Martens ; Lotte Rombaut ; Ruth Van Hecke ; Romain Valette ; Freya Swinnen ; Ingeborg Dhooge Année de publication : 2022 Article en page(s) : p. 620-630 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiologie pédiatrique ; Enfant implanté ; Implants cochléaires ; VestibulométrieRésumé : Objectives: Given the close interconnection between the auditory and vestibular end organs, the increasingly broad application of (bilateral) cochlear implantation (CI) in children raises concern about its impact on the vestibular function. Unfortunately, literature on this matter is inconclusive and subject to several limitations. Therefore, this study aimed to elucidate the impact of pediatric CI on the vestibular function in a large sample of children, representative for the current CI population.
Design: Fifty hearing-impaired children followed in the Ghent University Hospital were included in this prospective study. Twenty-seven patients underwent unilateral CI, and 23 were bilaterally implanted (9 sequentially, 14 simultaneously), adding up to 73 implanted ears. Children's median age at first implantation was 29 (range 8 to 194) months. Vestibular assessment was scheduled on average 2.8 months (SD: 3.6) before and 4.6 (SD: 4.0) months after implantation and consisted of video Head Impulse Testing of the lateral semicircular canals, rotatory testing (0.16, 0.04, and 0.01 Hz) and cervical vestibular evoked myogenic potential (cVEMP) testing with bone conduction stimulation. Caloric testing was added in children older than 3 years of age.
Results: Overall, group analysis in our sample of 73 CI-ears did not reveal any significant impact on the vestibular function, except for a significantly shortened ipsilateral N1 latency of the cVEMP responses (p = 0.027) after CI. Complete ipsilateral loss of function after implantation was seen in 5% (3/54) of all CI-ears on the video head impulse testing, in 0% (0/10) on the caloric test and in 2% (1/52) on the cVEMP, notably all patients deafened by a congenital cytomegalovirus infection.
Conclusions: The impact of CI on the vestibular function in our dataset was limited. Therefore, the many advantages of simultaneous bilateral implantation may outweigh the risk for vestibular damage postoperatively. However, the impact on the vestibular function may be dependent on various factors (e.g., etiology of the hearing loss), and the clinical outcome is still difficult to predict. Vestibular assessment remains thus an important aspect in the pediatric CI population; first because the vestibular function should be considered in the decision-making process on (simultaneous or sequential bilateral) CI and second because it is essential to reveal a possible additional sensory deficit, allowing an opportunity for rehabilitation to improve the overall outcome of these children.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293379
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 620-630[article]
Titre : Phantom Stimulation for Cochlear Implant Users With Residual Low-Frequency Hearing Type de document : Article Auteurs : Benjamin Kruger ; Andreas Buchner ; Waldo Nogueira Année de publication : 2022 Article en page(s) : p. 631-645 Langues : Anglais (eng) Descripteurs : HE Vinci
Implants cochléaires ; Stimulation acoustique ; Stimulation électriqueRésumé : Objective: In cochlear implants (CIs), phantom stimulation can be used to extend the pitch range toward apical regions of the cochlea. Phantom stimulation consists of partial bipolar stimulation, in which current is distributed across two intracochlear electrodes and one extracochlear electrode as defined by the compensation coefficient [sigma]. The aim of this study was, (1) to evaluate the benefit of conveying low-frequency information through phantom stimulation for cochlear implant (CI) subjects with low-frequency residual hearing using electric stimulation alone, (2) to compare the speech reception thresholds obtained from electric-acoustic stimulation (EAS) and electric stimulation in combination with phantom stimulation (EPS), and (3) to investigate the effect of spectrally overlapped bandwidth of speech conveyed via simultaneous acoustic and phantom stimulation on speech reception thresholds.
Design: Fourteen CI users with ipsilateral residual hearing participated in a repeated-measures design. Phantom stimulation was used to extend the frequency bandwidth of electric stimulation of EAS users towards lower frequencies without changing their accustomed electrode-frequency allocation. Three phantom stimulation configurations with different [sigma]'s were tested causing different degrees of electric field shaping towards apical regions of the cochlea that may affect the place of stimulation. A baseline configuration using a moderate value of [sigma] () for all subjects, a configuration that was equivalent to monopolar stimulation by setting [sigma] to 0 (
Results: Speech perception significantly improved by providing additional acoustic or phantom stimulation to electric stimulation. There was no significant difference between EAS and EPS. However, two of the tested subjects were able to perform the speech perception test using EAS but not using EPS. In comparison to the subject's familiar EAS listening mode, the speech perception deteriorated when acoustic stimulation and phantom stimulation conveyed spectrally overlapped information simultaneously and this deterioration increased with larger spectral overlapDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293538
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 631-645[article]
Titre : Optimizing Parameters for Using the Parallel Auditory Brainstem Response to Quickly Estimate Hearing Thresholds Type de document : Article Auteurs : Melissa J. Polonenko ; Ross K. Maddox Année de publication : 2022 Article en page(s) : p. 646-658 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie objective ; Electroencéphalographie (EEG) ; Potentiels évoqués auditifs du tronc cérébral (ABR)Résumé : Objectives: Timely assessments are critical to providing early intervention and better hearing and spoken language outcomes for children with hearing loss. To facilitate faster diagnostic hearing assessments in infants, the authors developed the parallel auditory brainstem response (pABR), which presents randomly timed trains of tone pips at five frequencies to each ear simultaneously. The pABR yields high-quality waveforms that are similar to the standard, single-frequency serial ABR but in a fraction of the recording time. While well-documented for standard ABRs, it is yet unknown how presentation rate and level interact to affect responses collected in parallel. Furthermore, the stimuli are yet to be calibrated to perceptual thresholds. Therefore, this study aimed to determine the optimal range of parameters for the pABR and to establish the normative stimulus level correction values for the ABR stimuli.
Design: Two experiments were completed, each with a group of 20 adults (18-35 years old) with normal-hearing thresholds ( Results: The pABR showed some adaptation with increased stimulation rate. A wide range of rates yielded robust responses in under 15 minutes, but 40 Hz was the optimal singular presentation rate. Extending the analysis window to include later components of the response offered further time-saving advantages for the temporally broader responses to low-frequency tone pips. The perceptual thresholds to pABR stimuli changed subtly with rate, giving a relatively similar set of correction factors to convert the level of the pABR stimuli from dB peSPL to dB nHL.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293540
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 646-658[article]
Titre : The Longitudinal Relationship Between Speech Recognition in Noise, Need for Recovery After Work, Job Demand, and Job Control Over a Period of 5 Years Type de document : Article Auteurs : Lisette M. van Leeuwen ; Thade P.M. Goderie ; Marieke F. van Wier ; Birgit I. Lissenberg-Witte ; Ulrike Lemke ; Sophia E. Kramer Année de publication : 2022 Article en page(s) : p. 659-668 Langues : Anglais (eng) Descripteurs : HE Vinci
Aides auditives ; Compréhension dans le bruit ; Environnement de travail ; Fatigue auditiveRésumé : Objective: Hearing impairment may lead to an increased need to recover from fatigue and distress after a day of work. Also, hearing impairment may negatively affect the balance between workload and control over it (job demand and job control). The uptake of hearing solutions may have a positive effect on these outcomes. We aimed to assess the longitudinal relationship between change in speech recognition in noise and changes in need for recovery after work and job demand and job control, and the influence of hearing solutions on these relationships over a period of 5 years. Research questions (RQs) were as follows: (1) Is a 5-year change in speech recognition in noise associated with a change in need for recovery after work over that same 5-year period?; (2) Is a 5-year change in speech recognition in noise associated with a change in job demand and job control over that same 5-year period?; (3) What is the effect of hearing solution uptake in the 5-year period on the change in these outcomes in that same 5-year period?
Method: Data of the Netherlands Longitudinal Study on Hearing, collected between 2006 and January 2019, were divided into two 5-year follow-up intervals: T0 (baseline) to T1 (5-year follow-up) and T1 (5-year follow-up) to T2 (10-year follow-up). An online digit-triplet in noise test was used to assess speech recognition in noise. Online questionnaires on demographic, socioeconomic, and work-related characteristics were administered. For RQ1-RQ2, the study sample included adults working >=12 hours per week, with at least two consecutive measurements (n = 783). For RQ3, employees who had not yet obtained hearing solutions at baseline, but who would be eligible based on a speech reception threshold in noise >= -5.5 dB signal-to-noise ratio (SNR), were included (n = 147). Longitudinal linear regression analyses using mixed models were performed to assess RQ1-RQ3.
Results: After adjusting for baseline values, 5-year change in speech recognition in noise showed a statistically significant association with 5-year change in need for recovery. A worsening of 1 dB SNR in speech recognition in noise in an individual was associated with an increase of 0.72 units in need for recovery (scale range 0 to 100). A 5-year change in speech recognition in noise was not significantly associated with a 5-year change in job demand or job control. The uptake of hearing solutions in the 5-year period did not have a significant effect on change in need for recovery in that same 5-year period.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293543
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 659-668[article]
Titre : Speech Audiometrical Results Before and After Reimplantation of Cochlear Implants Type de document : Article Auteurs : Okan Oz ; Geert De Ceulaer ; Paul J. Govaerts Année de publication : 2022 Article en page(s) : p. 669-675 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Implants cochléaires ; Satisfaction de l'aide auditiveRésumé : This study aimed to compare the audiological outcomes of cochlear reimplantation with those of the first cochlear implant (CI).
A retrospective analysis was performed on the data of all CI recipients who received the first CI at the age of 8 years or above and who were subsequently reimplanted on the same side. All participants who received their first implant after January 1, 2000, and who were reimplanted before January 1, 2021, were included. CI recipients who were unable to perform an open-set of Flemish monosyllable speech audiometry were excluded. The participants' clinical files were reviewed in terms of the cause of hearing loss, age at the first and second implantation, device types, the time between the first and second surgery, speech reception scores before and after reimplantation, and the reason for reimplantation.
Results: Reimplantation was due to device failure in 19 out of 22 patients, performance decrement in two patients, and medical reasons in one patient. The interval between the first and second CI ranged from 8 to 218 mo. Within-subject analysis showed the speech reception performance with the second CI to be significantly better than that with the first CI at all follow-up time points, with average within-patient gains of 17%, 16%, 12%, and 15% at 3 mo, 9 mo, 3 years, and the highest scores achieved, respectively. After reimplantation, the performance was better than the last results before reimplantation, and this was significant from 9 mo after reimplantation onwards. Three patients (14%) had a performance degradation with the second CI, which was probably owing to (1) difficulties in reimplantation surgery leading to a reduced number of active channels, (2) insufficient experience with the second CI as the reimplantation has been performed recently, and (3) advanced fenestral and retrofenestral otosclerosis.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293548
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 669-675[article]
Titre : Evaluating the Efficacy of Intratympanic Dexamethasone in Protecting Against Irreversible Hearing Loss in Patients on Cisplatin-Based Cancer Treatment: A Randomized Controlled Phase IIIB Clinical Trial Type de document : Article Auteurs : Inmaculada Moreno ; Antonio Belinchon Année de publication : 2022 Article en page(s) : p. 676-684 Langues : Anglais (eng) Descripteurs : HE Vinci
Cisplatine ; Déficience auditive ; Dexaméthasone ; Membrane du tympan ; OtotoxicitéRésumé : Objective: To determine the efficacy of long-term high-dose intratympanic dexamethasone in protecting the hearing capacity of cancer patients undergoing cisplatin-based ototoxic treatment.
Design: A randomized controlled phase IIIB clinical trial to evaluate the efficacy of dexamethasone in protecting against hearing loss in patients undergoing cisplatin treatment. The subjects participating in the clinical trial were patients with a neoplastic disease whose treatment protocol included cisplatin. The average dose of cisplatin was 444.87 mg (SD 235.2 mg). Treatment consisted of intratympanically administering dexamethasone via a passive diffusion device called Microwick (8 mg/24 h dose) from the start of treatment with cisplatin to 3 weeks after the last cycle. Patients were administered the medication to one ear, and the contralateral ear was used as the control. The treated ears were randomly chosen using a computer system (randomization). The hearing threshold was evaluated using pure tone audiometry before each cisplatin cycle.
Results: Thirty-four patients were recruited over a 2-year period at a reference tertiary hospital, of whom 11 were excluded. Forty-six ears were analyzed (23 treated and 23 control ears). When treatment was completed, the audiometric analysis showed a higher hearing threshold in the study group than in the control group. Differences were statistically significant at frequencies of 500, 1000, and 6000 Hz: 4.9 dB (1.1 to 8.7), 5.5 dB (0.8 to 10.3), and 16 dB (3.2 to 28.7), respectively, (p Conclusions: Long-term high-dose intratympanic dexamethasone treatment did not prevent cisplatin-induced hearing loss.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293593
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 676-684[article]
Titre : Variability in Quantity and Quality of Early Linguistic Experience in Children With Cochlear Implants: Evidence from Analysis of Natural Auditory Environments Type de document : Article Auteurs : Meisam K. Arjmandi ; Derek M. Houston ; Laura Dilley Année de publication : 2022 Article en page(s) : p. 685-698 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence langagière ; Implants cochléaires ; langage adressé à l'enfant (LAE)
Autres descripteurs
Environnement linguistique ; Implantation cochleaire precoceRésumé : Objectives: Understanding how quantity and quality of language input vary across children with cochlear implants (CIs) is important for explaining sources of large individual differences in language outcomes of this at-risk pediatric population. Studies have mostly focused either on intervention-related, device-related, and/or patient-related factors, or relied on data from parental reports and laboratory-based speech corpus to unravel factors explaining individual differences in language outcomes among children with CIs. However, little is known about the extent to which children with CIs differ in quantity and quality of language input they experience in their natural linguistic environments. To address this knowledge gap, the present study analyzed the quantity and quality of language input to early-implanted children (age of implantation
Design: Day-long Language ENvironment Analysis (LENA) recordings, derived from home environments of 14 early-implanted children, were analyzed to estimate numbers of words per day, type-token ratio (TTR), and mean length of utterance in morphemes (MLUm) in adults' speech. Properties of language input were analyzed across these three dimensions to examine how input in home environments varied across children with CIs in quantity, defined as number of words, and quality, defined as whether speech was child-directed or overheard.
Results: Our per-day estimates demonstrated that children with CIs were highly variable in the number of total words (mean +/- SD = 25,134 +/- 9,267 words) and high-quality child-directed words (mean +/- SD = 10,817 +/- 7,187 words) they experienced in a day in their home environments during the first year after implantation. The results also showed that the patterns of variability across children in quantity and quality of language input changes depending on whether the speech was child-directed or overheard. Children also experienced highly different environments in terms of lexical diversity (as measured by TTR) and morphosyntactic complexity (as measured by MLUm) of language input. The results demonstrated that children with CIs varied substantially in the quantity and quality of language input experienced in their home environments. More importantly, individual children experienced highly variable amounts of high-quality, child-directed speech, which may drive variability in language outcomes across children with CIs.
Conclusions: Analyzing early language input in natural, linguistic environments of children with CIs showed that the quantity and quality of early linguistic input vary substantially across individual children with CIs. This substantial individual variability suggests that the quantity and quality of early linguistic input are potential sources of individual differences in outcomes of children with CIs and warrant further investigation to determine the effects of this variability on outcomes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293595
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 685-698[article]
Titre : Evaluating the Role of Otologic Biomarkers to Differentiate Meniere's Disease and Vestibular Migraine Type de document : Article Auteurs : James J. Naples ; Drew Soda ; Kahlil Rahman ; Michael J. Ruckenstein ; Kourosh Parham Année de publication : 2022 Article en page(s) : p. 699-702 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie de Ménière ; Marqueurs biologiques ; MIGRAINE VESTIBULAIRE ; VertigeRésumé : Objective: To evaluate the role for prestin and otolin-1 as biomarkers for differentiating Meniere's disease (MD) from vestibular migraine (VM).
Study Design: It is a cross-sectional, cohort study.
Results: There were 19 MD and 11 VM patients. In the 19 MD patients, the mean prestin level was 2.33 ng/ml compared to 0.64 ng/ml in VM patients (p = 0.238). Otolin-1 levels in MD patients were 109.67 pg/ml, while in VM patients, otolin-1 levels were 30.9 pg/ml (p = 0.102). In MD patients, prestin levels were correlated with word recognition scores, being strongest when prestin >2 ng/ml (rho = 0.9; p = 0.019).
Conclusions: Prestin and otolin-1 levels differed between MD patients relative to VM patients. The relationship between prestin and word recognition scores in MD suggests that there may be a role for prestin as a marker for inner ear function, but its role in differentiating MD from VM remains to be elucidated.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=293596
in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 699-702[article]
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Titre : Review of Genotype-Phenotype Correlations in Usher Syndrome Type de document : Article Auteurs : Eric Nisenbaum ; Torin Thielhelm ; Aida Nourbakhsh ; Denise Yan ; Susan H. Blanton ; Yilai Shu ; Karl R. Koehler ; Aziz El Amraoui ; Zhengyi Chen ; Byron L. Lam ; Xue Zhong Liu Année de publication : 2022 Article en page(s) : p. 1-8 Langues : Anglais (eng) Descripteurs : HE Vinci
Génotype ; Phénotype ; Syndromes d'UsherRésumé : Usher syndrome (USH) encompasses a group of clinically and genetically heterogenous disorders defined by the triad of sensorineural hearing loss (SNHL), vestibular dysfunction, and vision loss. USH is the most common cause of deaf blindness. USH is divided clinically into three subtypes-USH1, USH2, and USH3-based on symptom severity, progression, and age of onset. The underlying genetics of these USH forms are, however, significantly more complex, with over a dozen genes linked to the three primary clinical subtypes and other atypical USH phenotypes. Several of these genes are associated with other deaf-blindness syndromes that share significant clinical overlap with USH, pointing to the limits of a clinically based classification system. The genotype-phenotype relationships among USH forms also may vary significantly based on the location and type of mutation in the gene of interest. Understanding these genotype-phenotype relationships and associated natural disease histories is necessary for the successful development and application of gene-based therapies and precision medicine approaches to USH. Currently, the state of knowledge varies widely depending on the gene of interest. Recent studies utilizing next-generation sequencing technology have expanded the list of known pathogenic mutations in USH genes, identified new genes associated with USH-like phenotypes, and proposed algorithms to predict the phenotypic effects of specific categories of allelic variants. Further work is required to validate USH gene causality, and better define USH genotype-phenotype relationships and disease natural histories-particularly for rare mutations-to lay the groundwork for the future of USH treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291018
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 1-8[article]
Titre : Cutting Through the Noise: Noise-Induced Cochlear Synaptopathy and Individual Differences in Speech Understanding Among Listeners With Normal Audiograms Type de document : Article Auteurs : Mishaela DiNino ; Lori L. Holt ; Barbara Shinn-Cunningham Année de publication : 2022 Article en page(s) : p. 9-22 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition dans le bruit ; Perception de la parole ; synaptopathie cochléaireRésumé : Following a conversation in a crowded restaurant or at a lively party poses immense perceptual challenges for some individuals with normal hearing thresholds. A number of studies have investigated whether noise-induced cochlear synaptopathy (CS; damage to the synapses between cochlear hair cells and the auditory nerve following noise exposure that does not permanently elevate hearing thresholds) contributes to this difficulty. A few studies have observed correlations between proxies of noise-induced CS and speech perception in difficult listening conditions, but many have found no evidence of a relationship. To understand these mixed results, we reviewed previous studies that have examined noise-induced CS and performance on speech perception tasks in adverse listening conditions in adults with normal or near-normal hearing thresholds. Our review suggests that superficially similar speech perception paradigms used in previous investigations actually placed very different demands on sensory, perceptual, and cognitive processing. Speech perception tests that use low signal-to-noise ratios and maximize the importance of fine sensory details- specifically by using test stimuli for which lexical, syntactic, and semantic cues do not contribute to performance-are more likely to show a relationship to estimated CS levels. Thus, the current controversy as to whether or not noise-induced CS contributes to individual differences in speech perception under challenging listening conditions may be due in part to the fact that many of the speech perception tasks used in past studies are relatively insensitive to CS-induced deficits. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291020
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 9-22[article]
Titre : Dysfunction of the Auditory System in Children With Hypothyroidism: A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Kathy Zhang ; Jacob Fried ; Shaun Nguyen ; Ted A. Meyer ; David R. White Année de publication : 2022 Article en page(s) : p. 23-31 Langues : Anglais (eng) Descripteurs : HE Vinci
Conduction osseuse ; Hypothyroidie ; Maladie de Hashimoto ; Surdité neurosensorielle (SNHL)Résumé : Objective: To examine the prevalence of hearing impairment in children with hypothyroidism, and to characterize clinical and subclinical hearing loss by examining cochlear function, auditory brainstem pathways, and integration of the auditory system as a whole.
Design: An electronic search was conducted using PubMed, Scopus, and Cochrane Library databases. This systematic review was performed in accordance with the PRISMA guidelines. Original observational studies that utilized audiological tests for auditory system evaluations in hypothyroidism were included. A total of 2004 studies were found in the search, with 23 studies meeting the inclusion criteria.
Results: The pooled prevalence of hearing loss was 16.1% [95% confidence interval 10.7, 22.4] for children with congenital hypothyroidism. Hearing thresholds at pure-tone averages (0.5-2 kHz) were 1.6 dB [95% confidence interval 1.7, 4.8] higher for children with hypothyroidism compared to age-matched controls. Cochlear dysfunction was detected at middle frequencies (1-3 kHz) by otoacoustic emission testing, indicating abnormalities of hair cell function or cochlear integration. Retrocochlear involvement was detected on auditory brainstem response (ABR), with prolonged Wave I indicating a peripheral conduction abnormality localized to the middle or inner ear and eighth cranial nerve.
Conclusions: Children with hypothyroidism have a higher prevalence of hearing loss than children without hypothyroidism. For children with congenital hypothyroidism, evidence of subclinical abnormalities at the level of the cochlea and eighth cranial nerve are present despite early initiation of levothyroxine therapy. Dysfunction of the auditory system might begin with predominance of peripheral conduction abnormalities early in development.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291026
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 23-31[article]
Titre : Newborn Hearing Screening Results of Infants Born To Mothers Who Had COVID-19 Disease During Pregnancy: A Retrospective Cohort Study Type de document : Article Auteurs : Z. Asli Oskovi-Kaplan ; A. Seval Ozgu-Erdinc ; Gul Nihal Buyuk ; U. Yasemin Sert-Dinc ; Cavide Ali-Algan ; Baris Demir ; Dilek Sahin ; H. Levent Keskin ; Cuneyt Tayman ; Ozlem Moraloglu-Tekin Année de publication : 2022 Article en page(s) : p. 41-44 Langues : Anglais (eng) Descripteurs : HE Vinci
COVID-19 ; Dépistage auditif du nouveau-né ; Grossesse ; Transmission de maladie infectieuseRésumé : Objective: Viral infections are known to be a risk factor for neonatal hearing loss. COVID-19 infection has been reported to affect hearing test results in one small sample sized study. We aimed to investigate the incidence the risk of neonatal hearing loss in infants of mothers who had COVID-19 infection during pregnancy, regarding their trimesters, by evaluating the neonatal hearing screening results.
Design: In this retrospective case-control study, neonatal hearing test results of 458 women with a history of COVID-19 infection in pregnancy were compared with 339 women who gave birth before the pandemic. Data of pregnant women who attended the COVID-19 outpatient clinic of the emergency service of a tertiary pandemic hospital and who had confirmed infection with a reverse transcriptase-polymerase chain reaction (RT-PCR) test were determined from the hospital's records and their neonatal hearing screening results were analyzed from the national database. Neonates born before Results: The incidence of failed second screening was 1.3% in the COVID-19 group and 2.9% in controls, and no significant difference was observed between the two groups according to the final screening results on the second test. Among the 458 mothers, 8 were infected in first trimester, 126 in second trimester, 127 in third trimester but did not deliver within 15 days after infection and 197 were positive at birth. Six neonates in the infected group failed the second screening (3 [2.4%] in the second trimester, 1 [0.8%] third trimester, and 2 [1.0%] positive at birth).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291027
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 41-44[article]
Titre : The Daily Experience of Subjective Tinnitus: Ecological Momentary Assessment Versus End-of-Day Diary Type de document : Article Auteurs : Rilana F. Cima Année de publication : 2022 Article en page(s) : p. 45-52 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Évaluation écologique instantanée ; Mesure acoustique ; Vie quotidienne
Autres descripteurs
Critere d'evaluationRésumé : Objective: Traditional methods of self-report assessments are susceptible to bias (i.e., memory, recall, and recency). Ecological momentary assessment (EMA) may curb these biases by repeated momentary assessment of the participant throughout the day. High costs and participant burden may, however, impede the use of EMA. End-of-day diary (EDD) provides an attractive alternative to EMA, though no direct comparison has been performed in the tinnitus field.
Design: Four thousand seven-hundred thirty-two data entries were collected from nine participants undergoing cognitive behavioral treatment for tinnitus. Eleven equivalent EMA and EDD items were collected for approximately 3 months. Tinnitus experience (i.e., anger, annoyance, avoidance, distraction, fear, invasiveness, pleasantness, and sadness) and well-being (i.e., anxiety, happiness, and stress) were correlated and means compared (t-tests).
Results: All variables presented adequate correlation (r > 0.68) between the EMA and EDD counterparts. Small ( Conclusion: The small significant effects found may be attributed to the large number of data points. When EMA is not possible or recommended, EDD provides a viable alternative to assess tinnitus experience daily. Further research on the underlying mechanisms of tinnitus experience and recollection is warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291028
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 45-52[article]
Titre : X-linked Malformation Deafness: Neurodevelopmental Symptoms Are Common in Children With IP3 Malformation and Mutation in POU3F4 Type de document : Article Auteurs : Henrik Smeds ; Jeremy Wales ; Eva Karltorp ; Britt-Marie Anderlid ; Cecilia Henricson ; Filip Asp ; Lena Anmyr ; Kristina Lagertedt-Robinson ; Ulrika Lofkvist Année de publication : 2022 Article en page(s) : p. 53-69 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience intellectuelle ; Enfant implanté ; Troubles du développement neurologique
Autres descripteurs
Surdité congénitale ou héréditaire ; Surdite gjb2Résumé : Objective: Incomplete partition type 3 (IP3) malformation deafness is a rare hereditary cause of congenital or rapid progressive hearing loss. The children present with a severe to profound mixed hearing loss and temporal bone imaging show a typical inner ear malformation classified as IP3. Cochlear implantation is one option of hearing restoration in severe cases. Little is known about other specific difficulties these children might exhibit, for instance possible neurodevelopmental symptoms.
Material and methods: Ten 2; 0 to 9; 6-year-old children with IP3 malformation deafness (nine boys and one girl) with cochlear implants were evaluated with a retrospective chart review in combination with an additional extensive multidisciplinary assessment day. Hearing, language, cognition, and mental ill-health were compared with a control group of ten 1; 6 to 14; 5-year-old children with cochlear implants (seven boys and three girls) with another genetic cause of deafness, mutations in the GJB2 gene.
Results: Mutations in POU3F4 were found in nine of the 10 children with IP3 malformation. Children with IP3 malformation deafness had an atypical outcome with low level of speech recognition (especially in noise), executive functioning deficits, delayed or impaired speech as well as atypical lexical-semantic and pragmatic abilities, and exhibited mental ill-health issues. Parents of children with IP3 malformation were more likely to report that they were worried about their child's psychosocial wellbeing. Controls, however, had more age-typical results in all these domains. Eight of 10 children in the experimental group had high nonverbal cognitive ability despite their broad range of neurodevelopmental symptoms.
Conclusions: While cochlear implantation is a feasible alternative for children with IP3 malformation deafness, co-occurring neurodevelopmental anomalies, such as attention deficit hyperactivity or developmental language disorder, and mental ill-health issues require an extensive and consistent multidisciplinary team approach during childhood to support their overall habilitation.Disponible en ligne : Non En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291045
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 53-69[article]
Titre : Understanding Factors That Cause Tinnitus: A Mendelian Randomization Study in the UK Biobank Type de document : Article Auteurs : Manuela Cresswell ; Francesco Casanova ; Robin N. Beaumont ; Andrew R. Wood ; Natalie Ronan ; Malcom P. Hilton ; Jess Tyrrell Année de publication : 2022 Article en page(s) : p. 70-80 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Causalité ; Facteurs de risque ; Prédisposition génétique à une maladieRésumé : Objectives: To investigate the causal role of established risk factors and associated conditions to tinnitus and tinnitus severity in the UK Biobank.
Design: The prospective cohort study with large dataset of >500,000 individuals. The analytical sample of 129,731 individuals in the UK Biobank of European descent. Participants were recruited from National Health Service registries, baseline age range between 37 and 73 years, response rate to baseline survey 6%. Participants were asked subjective questions about tinnitus and its severity. Previously observed associations (n = 23) were confirmed in the UK Biobank using logistic and ordinal regression models. Two-sample Mendelian randomization approaches were then used to test causal relationships between the 23 predictors and tinnitus and tinnitus severity. The main outcome measures were observational and genetic association between key demographics and determinants and two tinnitus outcomes (current tinnitus and tinnitus severity).
Results: Prevalence of tinnitus was 20% and severe tinnitus 3.8%. The observational results are consistent with the previous literature, with hearing loss, older age, male gender, high BMI, higher deprivation, higher blood pressure, smoking history, as well as numerous comorbidities being associated with higher odds of current tinnitus. Mendelian randomization results showed causal correlations with tinnitus. Current tinnitus was predicted by genetically instrumented hearing loss (odds ratio [OR]: 8.65 [95% confidence interval (CI): 6.12 to 12.23]), major depression (OR: 1.26 [95% CI: 1.06 to 1.50]), neuroticism (OR: 1.48 [95% CI: 1.28 to 1.71]), and higher systolic blood pressure (OR: 1.01 [95% CI:1.00 to 1.02]). Lower odds of tinnitus were associated with longer duration in education (OR: 0.74 [95% CI: 0.63 to 0.88]), higher caffeine intake (OR: 0.89 [95% CI: 0.83 to 0.95]) and being a morning person (OR: 0.94 [95% CI: 0.90 to 0.98]). Tinnitus severity was predicted by a higher genetic liability to neuroticism (OR: 1.15 [95% CI: 1.06 to 1.26]) and schizophrenia (OR: 1.02 [95% CI: 1.00 to 1.04]).
Conclusions: Tinnitus data from the UK Biobank confirm established associated factors in the literature. Genetic analysis determined causal relationships with several factors that expand the understanding of the etiology of tinnitus and can direct future pathways of clinical care and research.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291050
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 70-80[article]
Titre : Five-Year Longitudinal Cohort Study Determines the Critical Intervals for Periodic Audiometric Testing Based on 5070 Tests of Metallurgical Workers Exposed and Nonexposed to Noise Type de document : Article Auteurs : Vagner Antonio Rodrigues Silva ; Alexandre Caixeta Guimaraes ; Joel Lavinsky ; Henrique Furlan Pauna ; Alexandre Scalli Mathias Duarte ; Arthur Menino Castilho ; Carlos Takahiro Chone ; Agricio Nubiato Crespo Année de publication : 2022 Article en page(s) : p. 81-89 Langues : Anglais (eng) Descripteurs : HE Vinci
Audiométrie ; Bruit au travail ; Surdité due au bruitRésumé : Objectives: To compare the progression of 3-, 4-, and 6-kHz thresholds (pure-tone average) over 5 years and determine the most critical period for occupational risk among workers exposed and nonexposed to noise.
Design: Metallurgical workers were divided into 2 groups: noise-exposed and non-noise-exposed groups. The 6 initial audiometric tests of each worker were analyzed as baseline test and annual tests 1 to 5.
Results: A total of 845 workers were included, 748 in the noise-exposed group and 97 in the non-noise-exposed group, resulting in 5070 tests analyzed. The nonexposed group showed no significant difference in the mean pure-tone averages between any of the annual tests in either ear. In the exposed group, a significant difference was observed in mean pure-tone averages between baseline and Test1 (p = 0.001 right ear; p = 0.001 left ear), between Test3 and Test4 (p = 0.002 right ear; p = 0.005 left ear), and between Test4 and Test5 (p = 0.003 right ear; p = 0.001 left ear). There was no difference between Test1 and Test2 or between Test2 and Test3 in either ear.
Conclusions: The progression of pure-tone averages at 3, 4, and 6 kHz differed between workers exposed and nonexposed to noise. Noise-exposed workers had a significant progressive worsening of audiometric thresholds after 3 years of employment. This study identified, in an unprecedented way, two critical periods of noise exposure: in the first year and after the third year of employment in a noisy environment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291152
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 81-89[article]
Titre : Effect of Masker Head Orientation, Listener Age, and Extended High-Frequency Sensitivity on Speech Recognition in Spatially Separated Speech Type de document : Article Auteurs : Meredith D. Braza ; Nicole E. Corbin ; Emily Buss ; Brian B. Monson Année de publication : 2022 Article en page(s) : p. 90-100 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition dans le bruit ; Masquage ; Orientation spatiale ; Reconnaissance de la paroleRésumé : Objectives: Masked speech recognition is typically assessed as though the target and background talkers are all directly facing the listener. However, background speech in natural environments is often produced by talkers facing other directions, and talker head orientation affects the spectral content of speech, particularly at the extended high frequencies (EHFs; >8 kHz). This study investigated the effect of masker head orientation and listeners' EHF sensitivity on speech-in-speech recognition and spatial release from masking in children and adults.
Design: Participants were 5- to 7-year-olds (n = 15) and adults (n = 34), all with normal hearing up to 8 kHz and a range of EHF hearing thresholds. Speech reception thresholds (SRTs) were measured for target sentences recorded from a microphone directly in front of the talker's mouth and presented from a loudspeaker directly in front of the listener, simulating a target directly in front of and facing the listener. The maskers were two streams of concatenated words recorded from a microphone located at either 0[degrees] or 60[degrees] azimuth, simulating masker talkers facing the listener or facing away from the listener, respectively. Maskers were presented in one of three spatial conditions: co-located with the target, symmetrically separated on either side of the target (+54[degrees] and -54[degrees] on the horizontal plane), or asymmetrically separated to the right of the target (both +54[degrees] on the horizontal plane).
Results: Performance was poorer for the facing than for the nonfacing masker head orientation. This benefit of the nonfacing masker head orientation, or head orientation release from masking (HORM), was largest under the co-located condition, but it was also observed for the symmetric and asymmetric masker spatial separation conditions. SRTs were positively correlated with the mean 16-kHz threshold across ears in adults for the nonfacing conditions but not for the facing masker conditions. In adults with normal EHF thresholds, the HORM was comparable in magnitude to the benefit of a symmetric spatial separation of the target and maskers. Although children benefited from the nonfacing masker head orientation, their HORM was reduced compared to adults with normal EHF thresholds. Spatial release from masking was comparable across age groups for symmetric masker placement, but it was larger in adults than children for the asymmetric masker.
Conclusions: Masker head orientation affects speech-in-speech recognition in children and adults, particularly those with normal EHF thresholds. This is important because masker talkers do not all face the listener under most natural listening conditions, and assuming a midline orientation would tend to overestimate the effect of spatial separation. The benefits associated with EHF audibility for speech-in-speech recognition may warrant clinical evaluation of thresholds above 8 kHzDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291155
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 90-100[article]
Titre : Novel Approaches to Measure Spatial Release From Masking in Children With Bilateral Cochlear Implants Type de document : Article Auteurs : Z. Ellen Peng ; Ruth Y. Litovsky Année de publication : 2022 Article en page(s) : p. 101-114 Langues : Anglais (eng) Descripteurs : HE Vinci
Audition binaurale ; Implant cochléaire bilatéral ; Masquage perceptif
Autres descripteurs
Difference interauriculaireRésumé : Objectives: To investigate the role of auditory cues for spatial release from masking (SRM) in children with bilateral cochlear implants (BiCIs) and compare their performance with children with normal hearing (NH). To quantify the contribution to speech intelligibility benefits from individual auditory cues: head shadow, binaural redundancy, and interaural differences; as well as from multiple cues: SRM and binaural squelch. To assess SRM using a novel approach of adaptive target-masker angular separation, which provides a more functionally relevant assessment in realistic complex auditory environments.
Design: Children fitted with BiCIs (N = 11) and with NH (N = 18) were tested in virtual acoustic space that was simulated using head-related transfer functions measured from individual children with BiCIs behind the ear and from a standard head and torso simulator for all NH children. In experiment I, by comparing speech reception thresholds across 4 test conditions that varied in target-masker spatial separation (colocated versus separated at 180[degrees]) and listening conditions (monaural versus binaural/bilateral listening), intelligibility benefits were derived for individual auditory cues for SRM. In experiment II, SRM was quantified using a novel measure to find the minimum angular separation (MAS) between the target and masker to achieve a fixed 20% intelligibility improvement. Target speech was fixed at either +90 or -90[degrees] azimuth on the side closer to the better ear (+90[degrees] for all NH children) and masker locations were adaptively varied.
Results: In experiment I, children with BiCIs as a group had smaller intelligibility benefits from head shadow than NH children. No group difference was observed in benefits from binaural redundancy or interaural difference cues. In both groups of children, individuals who gained a larger benefit from interaural differences relied less on monaural head shadow, and vice versa. In experiment II, all children with BiCIs demonstrated measurable MAS thresholds
Conclusions: When target and maskers were separated at 180[degrees] on opposing hemifields, children with BiCIs demonstrated greater intelligibility benefits from head shadow and interaural differences than previous literature showed with a smaller separation. Children with BiCIs demonstrated individual differences in using auditory cues for SRM. From the MAS thresholds, more than half of the children with BiCIs demonstrated robust access to interaural differences without needing additional monaural head shadow for SRM. Both experiments led to the conclusion that individualized fitting strategies in the bilateral devices may be warranted to maximize spatial hearing for children with BiCIs in complex auditory environments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291157
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 101-114[article]
Titre : Text Captioning Buffers Against the Effects of Background Noise and Hearing Loss on Memory for Speech Type de document : Article Auteurs : Brennan R. Payne ; Jack W. Silcox ; Hannah A. Crandell ; Amanda Lash ; Sarah Hargus Ferguson ; Monika Lohani Année de publication : 2022 Article en page(s) : p. 115-127 Langues : Anglais (eng) Descripteurs : HE Vinci
Bruit de fond ; Mémoire ; Vieillissement cognitif
Autres descripteurs
Sous-titrageRésumé : Everyday speech understanding frequently occurs in perceptually demanding environments, for example, due to background noise and normal age-related hearing loss. The resulting degraded speech signals increase listening effort, which gives rise to negative downstream effects on subsequent memory and comprehension, even when speech is intelligible. In two experiments, we explored whether the presentation of realistic assistive text captioned speech offsets the negative effects of background noise and hearing impairment on multiple measures of speech memory. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291378
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 115-127[article]
Titre : Beyond Audition: Psychosocial Benefits of Music Training for Children With Hearing Loss Type de document : Article Auteurs : Chi Yhun Lo ; Valerie Looi ; William Forde Thompson ; Catherine M. McMahon Année de publication : 2022 Article en page(s) : p. 128-142 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant implanté ; Implants cochléaires ; Musique ; Qualité de vie ; SurditéRésumé : Children with hearing loss tend to have poorer psychosocial and quality of life outcomes than their typical-hearing (TH) peers-particularly in the areas of peer relationships and school functioning. A small number of studies for TH children have suggested that group-based music activities are beneficial for prosocial outcomes and help develop a sense of belonging. While one might question whether perceptual limitations would impede satisfactory participation in musical activities, findings from a few studies have suggested that group music activities may have similar benefits for children with hearing loss as well. It is important to note that the effect of music on psychosocial outcomes has primarily been investigated at an anecdotal level. The objective of this study was to explore the effect of a music training program on psychosocial and quality of life outcomes for children with hearing loss. It was hypothesized that music training would provide benefits for domains centered upon peer relationships and prosocial measures. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291379
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 128-142[article]
Titre : Somatosensory Tinnitus Diagnosis: Diagnostic Value of Existing Criteria Type de document : Article Auteurs : Sarah Michiels ; Emilie Cardon ; Annick Gilles ; Hazel Goedhart ; Markku Vesala ; Winfried Schlee Année de publication : 2022 Article en page(s) : p. 143-149 Langues : Anglais (eng) Descripteurs : HE Vinci
Acouphène ; Somatisation ; Troubles somatosensorielsRésumé : Tinnitus can be influenced by changes in somatosensory afference from the cervical spine or temporomandibular area, then called somatosensory or somatic tinnitus (ST). In 2018, a new set of diagnostic criteria for ST was agreed upon by a large group of ST experts. Currently, however, it still requires extensive and specific expertise to diagnose ST correctly. The next step in the development of easily applicable diagnostic criteria is to assess the diagnostic value of each individual criterion.
The aim of this study was, therefore, to further investigate the diagnostic value of these criteria, validate them empirically, and identify their sensitivity and specificity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291380
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 143-149[article]
Titre : A Broadly Applicable Method for Characterizing the Slope of the Electrically Evoked Compound Action Potential Amplitude Growth Function Type de document : Article Auteurs : Jeffrey Skidmore ; Dyan Ramekers ; Deborah Colesa ; Kara Schvartz-Leysac ; Bryan E. Pfingst ; Shuman He Année de publication : 2022 Article en page(s) : p. 150-164 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Modulation d'amplitude ; Potentiels évoqués a action composée (eCAP)
HE Vinci
Implants cochléaires ; Nerf vestibulocochléaireRésumé : Amplitudes of electrically evoked compound action potentials (eCAPs) as a function of the stimulation level constitute the eCAP amplitude growth function (AGF). The slope of the eCAP AGF (i.e., rate of growth of eCAP amplitude as a function of stimulation level), recorded from subjects with cochlear implants (CIs), has been widely used as an indicator of survival of cochlear nerve fibers. However, substantial variation in the approach used to calculate the slope of the eCAP AGF makes it difficult to compare results across studies. In this study, we developed an improved slope-fitting method by addressing the limitations of previously used approaches and ensuring its application for the estimation of the maximum slopes of the eCAP AGFs recorded in both animal models and human listeners with various etiologies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291381
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 150-164[article]
Titre : Voice Emotion Recognition by Mandarin-Speaking Children with Cochlear Implants Type de document : Article Auteurs : Lei Ren ; Yanmei Zhang ; Junbo Zhang ; Yao Qin ; Zhikai Zhang ; Zhe Chen ; Chaogang Wei ; Yuhe Liu Année de publication : 2022 Article en page(s) : p. 165-180 Langues : Anglais (eng) Descripteurs : HE Vinci
Enfant implanté ; Implants cochléaires ; Reconnaissance des émotionsRésumé : Emotional expressions are very important in social interactions. Children with cochlear implants can have voice emotion recognition deficits due to device limitations. Mandarin-speaking children with cochlear implants may face greater challenges than those speaking nontonal languages; the pitch information is not well preserved in cochlear implants, and such children could benefit from child-directed speech, which carries more exaggerated distinctive acoustic cues for different emotions. This study investigated voice emotion recognition, using both adult-directed and child-directed materials, in Mandarin-speaking children with cochlear implants compared with normal hearing peers. The authors hypothesized that both the children with cochlear implants and those with normal hearing would perform better with child-directed materials than with adult-directed materials. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291395
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 165-180[article]
Titre : Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements Type de document : Article Auteurs : Aurelie Coudert ; Valérie Gaveau ; Julie Gatel ; Gregoire Verdelet ; Romeo Salemme ; Alessandro Farne ; Francesco Pavani ; Eric Truy Année de publication : 2022 Article en page(s) : p. 192-205 Langues : Anglais (eng) Descripteurs : HE Vinci
Implant cochléaire bilatéral ; Localisation auditive ; Réalité de synthèse ; Traitement spatial
Autres descripteurs
Mouvement de teteRésumé : The aim of this study was to assess three-dimensional (3D) spatial hearing abilities in reaching space of children and adolescents fitted with bilateral cochlear implants (BCI). The study also investigated the impact of spontaneous head movements on sound localization abilities.
BCI children (N = 18, aged between 8 and 17) and age-matched normal-hearing (NH) controls (N = 18) took part in the study. Tests were performed using immersive virtual reality equipment that allowed control over visual information and initial eye position, as well as real-time 3D motion tracking of head and hand position with subcentimeter accuracy. The experiment exploited these technical features to achieve trial-by-trial exact positioning in head-centered coordinates of a single loudspeaker used for real, near-field sound delivery, which was reproducible across trials and participants. Using this novel approach, broadband sounds were delivered at different azimuths within the participants' arm length, in front and back space, at two different distances from their heads. Continuous head-monitoring allowed us to compare two listening conditions: "head immobile" (no head movements allowed) and "head moving" (spontaneous head movements allowed). Sound localization performance was assessed by computing the mean 3D error (i.e. the difference in space between the X-Y-Z position of the loudspeaker and the participant's final hand position used to indicate the localization of the sound's source), as well as the percentage of front-back and left-right confusions in azimuth, and the discriminability between two nearby distances. Several clinical factors (i.e. age at test, interimplant interval, and duration of binaural experience) were also correlated with the mean 3D error. Finally, the Speech Spatial and Qualities of Hearing Scale was administered to BCI participants and their parents.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291491
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 192-205[article]
Titre : Single-Sided Deafness Cochlear Implant Sound-Localization Behavior With Multiple Concurrent Sources Type de document : Article Auteurs : Joshua G. W. Bernstein ; Sandeep A. Phatak ; Gerald Schuchman ; Olga A. Stakhovskaya ; Arnaldo L. Rivera ; Douglas Brungart Année de publication : 2022 Article en page(s) : p. 206-219 Langues : Anglais (eng) Descripteurs : HE Vinci
18ème siècle ; Aide auditive directionnelle ; Audition binaurale ; Perception spatiale ; Perte auditive asymétrique ; Perte auditive unilatérale (USNHL) ; Stimulation acoustiqueRésumé : For listeners with one deaf ear and the other ear with normal/near-normal hearing (single-sided deafness [SSD]) or moderate hearing loss (asymmetric hearing loss), cochlear implants (CIs) can improve speech understanding in noise and sound-source localization. Previous SSD-CI localization studies have used a single source with artificial sounds such as clicks or random noise. While this approach provides insights regarding the auditory cues that facilitate localization, it does not capture the complex nature of localization behavior in real-world environments. This study examined SSD-CI sound localization in a complex scenario where a target sound was added to or removed from a mixture of other environmental sounds, while tracking head movements to assess behavioral strategy.
Design: Eleven CI users with normal hearing or moderate hearing loss in the contralateral ear completed a sound-localization task in monaural (CI-OFF) and bilateral (CI-ON) configurations. Ten of the listeners were also tested before CI activation to examine longitudinal effects. Two-second environmental sound samples, looped to create 4- or 10-sec trials, were presented in a spherical array of 26 loudspeakers encompassing +/-144[degrees] azimuth and +/-30[degrees] elevation at a 1-m radius. The target sound was presented alone (localize task) or concurrently with one or three additional sources presented to different loudspeakers, with the target cued by being added to (Add) or removed from (Rem) the mixture after 6 sec. A head-mounted tracker recorded movements in six dimensions (three for location, three for orientation). Mixed-model regression was used to examine target sound-identification accuracy, localization accuracy, and head movement. Angular and translational head movements were analyzed both before and after the target was switched on or off.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=J [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=291523
in Ear and hearing > Vol.43, n°1 (Janvier-février 2022) . - p. 206-219[article]
Titre : Teaching Children With Hearing Loss to Recognize Speech: Gains Made With Computer-Based Auditory and/or Speechreading Training Type de document : Article Auteurs : Nancy Tye-Murray ; Brent Spehar ; Mitchell S. Sommers ; Elizabeth Mauze ; Joe Barcroft ; Heather Grantham Année de publication : 2022 Article en page(s) : p. 181-191 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Perception audiovisuelle de la parole ; Rehabilitation audiologique
HE Vinci
Audiologie pédiatrique ; Entrainement auditif ; Lecture labialeRésumé : Objectives: Transfer appropriate processing (TAP) refers to a general finding that training gains are maximized when training and testing are conducted under the same conditions. The present study tested the extent to which TAP applies to speech perception training in children with hearing loss. Specifically, we assessed the benefits of computer-based speech perception training games for enhancing children's speech recognition by comparing three training groups: auditory training (AT), audiovisual training (AVT), and a combination of these two (AT/AVT). We also determined whether talker-specific training, as might occur when children train with the speech of a next year's classroom teacher, leads to better recognition of that talker's speech and if so, the extent to which training benefits generalize to untrained talkers. Consistent with TAP theory, we predicted that children would improve their ability to recognize the speech of the trained talker more than that of three untrained talkers and, depending on their training group, would improve more on an auditory-only (listening) or audiovisual (speechreading) speech perception assessment, that matched the type of training they received. We also hypothesized that benefit would generalize to untrained talkers and to test modalities in which they did not train, albeit to a lesser extent.
Design: Ninety-nine elementary school aged children with hearing loss were enrolled into a randomized control trial with a repeated measures A-A-B experimental mixed design in which children served as their own control for the assessment of overall benefit of a particular training type and three different groups of children yielded data for comparing the three types of training. We also assessed talker-specific learning and transfer of learning by including speech perception tests with stimuli spoken by the talker with whom a child trained and stimuli spoken by three talkers with whom the child did not train and by including speech perception tests that presented both auditory (listening) and audiovisual (speechreading) stimuli. Children received 16 hr of gamified training. The games provided word identification and connected speech comprehension training activities.Disponible en ligne : Non En ligne :