RESUMEN
OBJECTIVE: The aim of this study was to explore the potential for bimodal auditory and noninvasive electrical stimulation at the ears to alleviate tonal, somatic tinnitus that was investigated in a small preliminary trial (11 participants). DESIGN: Auditory stimulation took the form of short "notched noise" bursts customized to each participant's tinnitus percept. Simultaneous pulsed electrical stimulation, intended to facilitate neuroplasticity, was delivered via hydrogel electrodes placed in opposite ears. RESULTS: After a 6-week intervention period, average Tinnitus Functional Index (TFI) and Tinnitus Primary Function Questionnaire (TPFQ) scores were consistent with clinically meaningful improvements in the study population. Magnitudes and effect sizes of improvements in TFI and TPFQ are comparable to those reported in other recent bimodal therapy studies using different auditory and electrical stimulation parameters. CONCLUSIONS: Our results should be considered preliminary given the small sample size, lack of crossover data, and small subject pool. When considered alongside other recent bimodal therapy results, we do believe that there are therapeutic benefits of bimodal stimulation for tinnitus sufferers that have the potential to help some with tinnitus, with a variety of stimulation parameters and electrode placements. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.25444546.
Asunto(s)
Terapia por Estimulación Eléctrica , Acúfeno , Humanos , Acúfeno/terapia , Acúfeno/fisiopatología , Acúfeno/rehabilitación , Femenino , Persona de Mediana Edad , Masculino , Terapia por Estimulación Eléctrica/métodos , Adulto , Anciano , Conducto Auditivo Externo , Resultado del Tratamiento , Estimulación Acústica/métodosRESUMEN
Listeners performed two different tasks in which they remembered short sequences comprising either complex tones (generally heard as one melody) or everyday sounds (generally heard as separate objects). In one, listeners judged whether a probe item had been present in the preceding sequence. In the other, they judged whether a second sequence of the same items was identical in order to the preceding sequence. Performance on the first task was higher for everyday sounds; performance on the second was higher for complex tones. Perceptual organization strongly shapes listeners' memory for sounds, with implications for real-world communication.
Asunto(s)
Percepción Auditiva , Memoria a Corto Plazo , Sonido , Audición , ComunicaciónRESUMEN
The ability to discriminate frequency differences between pure tones declines as the duration of the interstimulus interval (ISI) increases. The conventional explanation for this finding is that pitch representations gradually decay from auditory short-term memory. Gradual decay means that internal noise increases with increasing ISI duration. Another possibility is that pitch representations experience "sudden death," disappearing without a trace from memory. Sudden death means that listeners guess (respond at random) more often when the ISIs are longer. Since internal noise and guessing probabilities influence the shape of psychometric functions in different ways, they can be estimated simultaneously. Eleven amateur musicians performed a two-interval, two-alternative forced-choice frequency-discrimination task. The frequencies of the first tones were roved, and frequency differences and ISI durations were manipulated across trials. Data were analyzed using Bayesian models that simultaneously estimated internal noise and guessing probabilities. On average across listeners, internal noise increased monotonically as a function of increasing ISI duration, suggesting that gradual decay occurred. The guessing rate decreased with an increasing ISI duration between 0.5 and 2 s but then increased with further increases in ISI duration, suggesting that sudden death occurred but perhaps only at longer ISIs. Results are problematic for decay-only models of discrimination and contrast with those from a study on visual short-term memory, which found that over similar durations, visual representations experienced little gradual decay yet substantial sudden death.
Asunto(s)
Memoria a Corto Plazo , Música , Discriminación de la Altura Tonal , Teorema de Bayes , Humanos , RuidoRESUMEN
Perceptual anchors are representations of stimulus features stored in long-term memory rather than short-term memory. The present study investigated whether listeners use perceptual anchors to improve pure-tone frequency discrimination. Ten amateur musicians performed a two-interval, two-alternative forced-choice frequency-discrimination experiment. In one half of the experiment, the frequency of the first tone was fixed across trials, and in the other half, the frequency of the first tone was roved widely across trials. The durations of the interstimulus intervals (ISIs) and the frequency differences between the tones on each trial were also manipulated. The data were analyzed with a Bayesian model that assumed that performance was limited by sensory noise (related to the initial encoding of the stimuli), memory noise (which increased proportionally to the ISI), fluctuations in attention, and response bias. It was hypothesized that memory-noise variance increased more rapidly during roved-frequency discrimination than fixed-frequency discrimination because listeners used perceptual anchors in the latter condition. The results supported this hypothesis. The results also suggested that listeners experienced more lapses in attention during roved-frequency discrimination.
Asunto(s)
Percepción Auditiva , Memoria a Largo Plazo , Discriminación de la Altura Tonal , Estimulación Acústica , Adulto , Teorema de Bayes , Femenino , Humanos , Masculino , Psicofísica , Adulto JovenRESUMEN
Cross-modal interactions of auditory and visual temporal modulation were examined in a game-like experimental framework. Participants observed an audiovisual stimulus (an animated, sound-emitting fish) whose sound intensity and/or visual size oscillated sinusoidally at either 6 or 7 Hz. Participants made speeded judgments about the modulation rate in either the auditory or visual modality while doing their best to ignore information from the other modality. Modulation rate in the task-irrelevant modality matched the modulation rate in the task-relevant modality (congruent conditions), was at the other rate (incongruent conditions), or had no modulation (unmodulated conditions). Both performance accuracy and parameter estimates from drift-diffusion decision modeling indicated that (1) the presence of temporal modulation in both modalities, regardless of whether modulations were matched or mismatched in rate, resulted in audiovisual interactions; (2) congruence in audiovisual temporal modulation resulted in more reliable information processing; and (3) the effects of congruence appeared to be stronger when judging visual modulation rates (i.e., audition influencing vision), than when judging auditory modulation rates (i.e., vision influencing audition). The results demonstrate that audiovisual interactions from temporal modulations are bi-directional in nature, but with potential asymmetries in the size of the effect in each direction.
Asunto(s)
Juicio , Discriminación de la Altura Tonal , Percepción del Habla , Percepción Visual , Estimulación Acústica , Adulto , Femenino , Humanos , Masculino , Estimulación Luminosa , Tiempo de Reacción , Factores de Tiempo , Juegos de Video , Adulto JovenRESUMEN
Auditory brainstem responses (ABRs) and their steady-state counterpart (subcortical steady-state responses, SSSRs) are generally thought to be insensitive to cognitive demands. However, a handful of studies report that SSSRs are modulated depending on the subject׳s focus of attention, either towards or away from an auditory stimulus. Here, we explored whether attentional focus affects the envelope-following response (EFR), which is a particular kind of SSSR, and if so, whether the effects are specific to which sound elements in a sound mixture a subject is attending (selective auditory attentional modulation), specific to attended sensory input (inter-modal attentional modulation), or insensitive to attentional focus. We compared the strength of EFR-stimulus phase locking in human listeners under various tasks: listening to a monaural stimulus, selectively attending to a particular ear during dichotic stimulus presentation, and attending to visual stimuli while ignoring dichotic auditory inputs. We observed no systematic changes in the EFR across experimental manipulations, even though cortical EEG revealed attention-related modulations of alpha activity during the task. We conclude that attentional effects, if any, on human subcortical representation of sounds cannot be observed robustly using EFRs. This article is part of a Special Issue entitled SI: Prediction and Attention.