RESUMO
The current study investigated the effect of lower frequency input on stream segregation acuity in older, normal hearing adults. Using event-related brain potentials (ERPs) and perceptual performance measures, we previously showed that stream segregation abilities were less proficient in older compared to younger adults. However, in that study we used frequency ranges greater than 1500 Hz. In the current study, we lowered the target frequency range below 1500 Hz and found similar stream segregation abilities in younger and older adults. These results indicate that the perception of complex auditory scenes is influenced by the spectral content of the auditory input and suggest that lower frequency ranges of input in older adults may facilitate listening ability in complex auditory environments. These results also have implications for the advancement of prosthetic devices.
Assuntos
Estimulação Acústica , Envelhecimento , Percepção Auditiva , Eletroencefalografia , Potenciais Evocados Auditivos , Humanos , Idoso , Masculino , Feminino , Adulto , Adulto Jovem , Envelhecimento/fisiologia , Envelhecimento/psicologia , Percepção Auditiva/fisiologia , Fatores Etários , Pessoa de Meia-Idade , Limiar Auditivo , Vias Auditivas/fisiologia , AudiçãoRESUMO
Congenital or early-onset unilateral hearing loss (UHL) can disrupt the normal development of the auditory system. In extreme cases of UHL (i.e., single sided deafness), consistent cochlear implant use during sensitive periods resulted in cortical reorganization that partially reversed the detrimental effects of unilateral sensory deprivation. There is a gap in knowledge, however, regarding cortical plasticity i.e. the brain's capacity to adapt, reorganize, and develop binaural pathways in milder degrees of UHL rehabilitated by a hearing aid (HA). The current study was set to investigate early-stage cortical processing and electrophysiological manifestations of binaural processing by means of cortical auditory evoked potentials (CAEPs) to speech sounds, in children with moderate to severe-to-profound UHL using a HA. Fourteen children with UHL (CHwUHL), 6-14 years old consistently using a HA for 3.5 (±2.3) years participated in the study. CAEPs were elicited to the speech sounds /m/, /g/, and /t/ in three listening conditions: monaural [Normal hearing (NH), HA], and bilateral [BI (NH + HA)]. Results indicated age-appropriate CAEP morphology in the NH and BI listening conditions in all children. In the HA listening condition: (1) CAEPs showed similar morphology to that found in the NH listening condition, however, the mature morphology observed in older children in the NH listening condition was not evident; (2) P1 was elicited in all but two children with severe-to-profound hearing loss, to at least one speech stimuli, indicating effective audibility; (3) A significant mismatch in timing and synchrony between the NH and HA ear was found; (4) P1 was sensitive to the acoustic features of the eliciting stimulus and to the amplification characteristics of the HA. Finally, a cortical binaural interaction component (BIC) was derived in most children. In conclusion, the current study provides first-time evidence for cortical plasticity and partial reversal of the detrimental effects of moderate to severe-to-profound UHL rehabilitated by a HA. The derivation of a cortical biomarker of binaural processing implies that functional binaural pathways can develop when sufficient auditory input is provided to the affected ear. CAEPs may thus serve as a clinical tool for assessing, monitoring, and managing CHwUHL using a HA.
Assuntos
Estimulação Acústica , Córtex Auditivo , Vias Auditivas , Potenciais Evocados Auditivos , Auxiliares de Audição , Perda Auditiva Unilateral , Plasticidade Neuronal , Percepção da Fala , Humanos , Criança , Masculino , Feminino , Córtex Auditivo/fisiopatologia , Perda Auditiva Unilateral/fisiopatologia , Perda Auditiva Unilateral/reabilitação , Adolescente , Vias Auditivas/fisiopatologia , Pessoas com Deficiência Auditiva/reabilitação , Pessoas com Deficiência Auditiva/psicologia , Correção de Deficiência Auditiva , Eletroencefalografia , Fatores Etários , Biomarcadores , AudiçãoRESUMO
BACKGROUND AND OBJECTIVE: Tinnitus is a neuropathological condition that results in mild buzzing or ringing of the ears without an external sound source. Current tinnitus diagnostic methods often rely on subjective assessment and require intricate medical examinations. This study aimed to propose an interpretable tinnitus diagnostic framework using auditory late response (ALR) and electroencephalogram (EEG), inspired by the gap-prepulse inhibition (GPI) paradigm. METHODS: We collected spontaneous EEG and ALR data from 44 patients with tinnitus and 47 hearing loss-matched controls using specialized hardware to capture responses to sound stimuli with embedded gaps. In this cohort study of tinnitus and control groups, we examined EEG spectral and ALR features of N-P complexes, comparing the responses to gap durations of 50 and 20 ms alongside no-gap conditions. To this end, we developed an interpretable tinnitus diagnostic model using ALR and EEG metrics, boosting machine learning architecture, and explainable feature attribution approaches. RESULTS: Our proposed model achieved 90 % accuracy in identifying tinnitus, with an area under the performance curve of 0.89. The explainable artificial intelligence approaches have revealed gap-embedded ALR features such as the GPI ratio of N1-P2 and EEG spectral ratio, which can serve as diagnostic metrics for tinnitus. Our method successfully provides personalized prediction explanations for tinnitus diagnosis using gap-embedded auditory and neurological features. CONCLUSIONS: Deficits in GPI alongside activity in the EEG alpha-beta ratio offer a promising screening tool for assessing tinnitus risk, aligning with current clinical insights from hearing research.
Assuntos
Eletroencefalografia , Potenciais Evocados Auditivos , Zumbido , Humanos , Zumbido/fisiopatologia , Zumbido/diagnóstico , Eletroencefalografia/métodos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Estimulação Acústica , Aprendizado de Máquina , Estudos de Casos e Controles , Estudos de Coortes , IdosoRESUMO
BACKGROUND: Chronic unilateral hearing loss causes imbalanced auditory input to the brain that triggers cortical reorganization. The effect of sensorineural hearing loss on the central auditory system (CAS) has been thoroughly studied, while there is a paucity of research on the effect of conductive hearing loss (CHL). The aim of this study was to assess the P1-N1-P2 cortical auditory evoked response potential (CAEP) in adult individuals with chronic acquired unilateral CHL. METHODS: This study included 108 participants of both genders: 54 patients with unilateral chronic CHL who were compared to well-matched 54 controls. All were subjected to history-taking, otologic examination, basic audiological evaluation, and bone conduction N1-P2 CAEP. RESULTS: The affected ears of the cases showed highly statistically significant shorter CAEPs N1, P2, N1-P2 latencies but not P1, and showed highly statistically significant larger N1, P2, N1P2, amplitude than the control group. Latencies decreased and amplitudes increased as the degree of CHL increased, but were not affected by patients' age, side, or duration of the CHL. Cases with tinnitus had statistically significant and worse results than those without tinnitus. CONCLUSION: Unilateral chronic CHL might enhance neurocortical plasticity, with greater changes occurring at greater degrees of the CHL.
Assuntos
Potenciais Evocados Auditivos , Perda Auditiva Condutiva , Humanos , Masculino , Feminino , Perda Auditiva Condutiva/fisiopatologia , Perda Auditiva Condutiva/diagnóstico , Perda Auditiva Condutiva/etiologia , Adulto , Potenciais Evocados Auditivos/fisiologia , Pessoa de Meia-Idade , Doença Crônica , Estudos de Casos e Controles , Perda Auditiva Unilateral/fisiopatologia , Córtex Auditivo/fisiopatologia , Condução Óssea/fisiologia , Zumbido/fisiopatologia , Adulto Jovem , IdosoRESUMO
Sounds are temporal stimuli decomposed into numerous elementary components by the auditory nervous system. For instance, a temporal to spectro-temporal transformation modelling the frequency decomposition performed by the cochlea is a widely adopted first processing step in today's computational models of auditory neural responses. Similarly, increments and decrements in sound intensity (i.e., of the raw waveform itself or of its spectral bands) constitute critical features of the neural code, with high behavioural significance. However, despite the growing attention of the scientific community on auditory OFF responses, their relationship with transient ON, sustained responses and adaptation remains unclear. In this context, we propose a new general model, based on a pair of linear filters, named AdapTrans, that captures both sustained and transient ON and OFF responses into a unifying and easy to expand framework. We demonstrate that filtering audio cochleagrams with AdapTrans permits to accurately render known properties of neural responses measured in different mammal species such as the dependence of OFF responses on the stimulus fall time and on the preceding sound duration. Furthermore, by integrating our framework into gold standard and state-of-the-art machine learning models that predict neural responses from audio stimuli, following a supervised training on a large compilation of electrophysiology datasets (ready-to-deploy PyTorch models and pre-processed datasets shared publicly), we show that AdapTrans systematically improves the prediction accuracy of estimated responses within different cortical areas of the rat and ferret auditory brain. Together, these results motivate the use of our framework for computational and systems neuroscientists willing to increase the plausibility and performances of their models of audition.
Assuntos
Estimulação Acústica , Biologia Computacional , Modelos Neurológicos , Animais , Ratos , Cóclea/fisiologia , Percepção Auditiva/fisiologia , Furões , Potenciais Evocados Auditivos/fisiologia , Adaptação Fisiológica/fisiologia , Humanos , Aprendizado de MáquinaRESUMO
This study investigated whether the brain utilizes morphologically induced tones for semantic processing during online speech perception. An auditory comprehension task was conducted while measuring event-related potentials (ERPs). The study tested whether a discrepancy between contextual expectations and the tonal realizations of the target word would yield an N400 effect, indicative of semantic processing difficulty. An N400 effect was observed, reflecting integration difficulty due to semantic anomalies caused by incongruent tones. Additionally, the ERPs in the congruent conditions were modulated by the cohort entropy of the target word indicating lexical competition. The late negativity observed in this study encompasses both the N400 and preactivation negativity. This overlap underscores the brain's potential for rapidly connecting form and meaning from different sources within the word, relying on statistically based prediction in semantic processing.
Assuntos
Eletroencefalografia , Semântica , Percepção da Fala , Humanos , Masculino , Feminino , Percepção da Fala/fisiologia , Adulto Jovem , Adulto , Potenciais Evocados/fisiologia , Estimulação Acústica/métodos , Encéfalo/fisiologia , Compreensão/fisiologia , Potenciais Evocados Auditivos/fisiologia , AdolescenteRESUMO
Over the past decade, phase-targeted auditory stimulation (PTAS), a neuromodulation approach which presents auditory stimuli locked to the ongoing phase of slow waves during sleep, has shown potential to enhance specific aspects of sleep functions. However, the complexity of PTAS responses complicates the establishment of causality between specific electroencephalographic events and observed benefits. Here, we used down-PTAS during sleep to specifically evoke the early, K-complex (KC)-like response following PTAS without leading to a sustained increase in slow-wave activity throughout the stimulation window. Over the course of two nights, one with down-PTAS, the other without, high-density electroencephalography (hd-EEG) was recorded from 14 young healthy adults. The early response exhibited striking similarities to evoked KCs and was associated with improved verbal memory consolidation via stimulus-evoked spindle events nested into the up-phase of ongoing 1 Hz waves in a central region. These findings suggest that the early, KC-like response is sufficient to boost memory, potentially by orchestrating aspects of the hippocampal-neocortical dialogue.
Assuntos
Estimulação Acústica , Eletroencefalografia , Consolidação da Memória , Humanos , Masculino , Consolidação da Memória/fisiologia , Feminino , Adulto , Adulto Jovem , Sono/fisiologia , Potenciais Evocados Auditivos/fisiologia , Voluntários SaudáveisRESUMO
High-frequency (>60 Hz) neuroelectric signals likely have functional roles distinct from low-frequency (<30 Hz) signals. While high-gamma activity (>60 Hz) does not simply equate to neuronal spiking, they are highly correlated, having similar information encoding. High-gamma activity is typically considered broadband and poorly phase-locked to sensory stimuli and thus is typically analyzed after transformations into absolute amplitude or spectral power. However, those analyses discard signal polarity, compromising the interpretation of neuroelectric events that are essentially dipolar. In the spectrotemporal profiles of field potentials in auditory cortex, we show high-frequency spectral peaks not phase-locked to sound onset, which follow the broadband peak of phase-locked onset responses. Isolating the signal components comprising the high-frequency peaks reveals narrow-band high-frequency oscillatory events, whose instantaneous frequency changes rapidly from >150 to 60 Hz, which may underlie broadband high-frequency spectral peaks in previous reports. The laminar amplitude distributions of the isolated activity had two peak positions, while the laminar phase patterns showed a counterphase relationship between those peaks, indicating the formation of dipoles. Our findings suggest that nonphase-locked HGA arises in part from oscillatory or recurring activity of supragranular-layer neuronal ensembles in auditory cortex.
Assuntos
Estimulação Acústica , Córtex Auditivo , Potenciais Evocados Auditivos , Animais , Córtex Auditivo/fisiologia , Estimulação Acústica/métodos , Potenciais Evocados Auditivos/fisiologia , Masculino , Eletroencefalografia , Macaca mulatta , Ritmo Gama/fisiologiaRESUMO
Objective: To investigate the early auditory discrimination of vowels, consonants and lexical tones in prelingually-deafened children with cochlear implants (CI) using auditory event-related potentials. Methods: Nineteen prelingually-deafened CI children and 19 normal hearing (NH) children were recruited in this study. A multi-deviant oddball paradigm was constructed using the monosyllable/ta1/as the standard stimulus and monosyllables/tu1/,/te1/, /da1/,/ra1/,/ta4/and/ta2/as the deviant stimuli. The event-related potentials evoked by vowel, consonant and lexical tone contrasts were recorded and analyzed in the two groups. Results: NH children showed robust mismatch negativities (MMNs) to vowel, consonant and lexical tone contrasts (P<0.05), whereas CI children only showed positive mismatch responses (pMMRs) and P3a responses to the vowel (P<0.05) and consonant contrasts (P<0.05) and no significant event-related potential to the lexical tone contrasts (P>0.05). The longer pMMR and P3a peak latencies (P<0.01) but similar amplitudes (P>0.05) were found in CI children than in NH children. CI children showed weaker phase synchronization of θ oscillations than NH children (P<0.05). The duration of CI use was positively correlated with the scores of Categories of Auditory Performance (CAP) (P=0.004), Speech Intelligibility Rate (SIR) (P=0.044) and Meaningful Auditory Integration Scale (MAIS) (P=0.001) in CI children. Conclusions: Prelingually-deafened CI children can process vowels and consonants at an early stage. However, their ability of processing speech, especially lexical tones, is still more immature compared with their NH peers. The event-related potentials could be objective electrophysiological indicators reflecting the maturity of CI children's auditory speech functions. Long-term CI use is beneficial for prelingually-deafened children to improve auditory and speech performance.
Assuntos
Implantes Cocleares , Surdez , Potenciais Evocados Auditivos , Percepção da Fala , Humanos , Masculino , Feminino , Pré-Escolar , Potenciais Evocados Auditivos/fisiologia , Criança , Percepção da Fala/fisiologia , Surdez/fisiopatologia , Estudos de Casos e Controles , Implante CoclearRESUMO
BACKGROUND: Ketamine has recently attracted considerable attention for its rapid effects on patients with major depressive disorder, including treatment-resistant depression (TRD). Despite ketamine's promising results in treating depression, a significant number of patients do not respond to the treatment, and predicting who will benefit remains a challenge. Although its antidepressant effects are known to be linked to its action as an antagonist of the N-methyl-D-aspartate (NMDA) receptor, the precise mechanisms that determine why some patients respond and others do not are still unclear. OBJECTIVE: This study aims to understand the computational mechanisms underlying changes in the auditory mismatch negativity (MMN) response following treatment with intravenous ketamine. Moreover, we aim to link the computational mechanisms to their underlying neural causes and use the parameters of the neurocomputational model to make individual treatment predictions. METHODS: This is a prospective study of 30 patients with TRD who are undergoing intravenous ketamine therapy. Prior to 3 out of 4 ketamine infusions, EEG will be recorded while patients complete the auditory MMN task. Depression, suicidality, and anxiety will be assessed throughout the study and a week after the last ketamine infusion. To translate the effects of ketamine on the MMN to computational mechanisms, we will model changes in the auditory MMN using the hierarchical Gaussian filter, a hierarchical Bayesian model. Furthermore, we will employ a conductance-based neural mass model of the electrophysiological data to link these computational mechanisms to their neural causes. CONCLUSION: The findings of this study may improve understanding of the mechanisms underlying response and resistance to ketamine treatment in patients with TRD. The parameters obtained from fitting computational models to EEG recordings may facilitate single-patient treatment predictions, which could provide clinically useful prognostic information. TRIAL REGISTRATION: Clinicaltrials.gov NCT05464264. Registered June 24, 2022.
Assuntos
Transtorno Depressivo Resistente a Tratamento , Eletroencefalografia , Ketamina , Ketamina/uso terapêutico , Ketamina/farmacologia , Ketamina/administração & dosagem , Humanos , Transtorno Depressivo Resistente a Tratamento/tratamento farmacológico , Transtorno Depressivo Resistente a Tratamento/fisiopatologia , Adulto , Estudos Prospectivos , Antidepressivos/uso terapêutico , Antidepressivos/farmacologia , Masculino , Feminino , Potenciais Evocados Auditivos/efeitos dos fármacos , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/fisiopatologia , Resultado do Tratamento , Receptores de N-Metil-D-Aspartato/antagonistas & inibidores , Pessoa de Meia-Idade , Adulto JovemRESUMO
The aim of the present study was to identify cognitive alterations, as indicated by event-related potentials (ERPs), after one month of daily exposure to theta binaural beats (BBs) for 10 minutes. The recruited healthy subjects (n = 60) were equally divided into experimental and control groups. For a month, the experimental group was required to practice BBs listening daily, while the control group did not. ERPs were assessed at three separate visits over a span of one month, with a two-week interval between each visit. At each visit, ERPs were measured before and after listening. The auditory and visual ERPs significantly increased the auditory and visual P300 amplitudes consistently at each visit. BBs enhanced the auditory N200 amplitude consistently across all visits, but the visual N200 amplitude increased only at the second and third visits. Compared to the healthy controls, daily exposure to BBs for two weeks resulted in increased auditory P300 amplitude. Additionally, four weeks of BBs exposure not only increased auditory P300 amplitude but also reduced P300 latency. These preliminary findings suggest that listening to BBs at 6 Hz for 10 minutes daily may enhance certain aspects of cognitive function. However, further research is needed to confirm these effects and to understand the underlying mechanisms. Identifying the optimal duration and practice of listening to 6 Hz BBs could potentially contribute to cognitive enhancement strategies in healthy individuals.
Assuntos
Estimulação Acústica , Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Potenciais Evocados Auditivos/fisiologia , Eletroencefalografia , Potenciais Evocados/fisiologia , Percepção Auditiva/fisiologia , Potenciais Evocados P300/fisiologia , Cognição/fisiologiaRESUMO
Combining a cochlear implant with contralateral acoustic hearing typically enhances speech understanding, although this improvement varies among CI users and can lead to an interference effect. This variability may be associated with the effectiveness of the integration between electric and acoustic stimulation, which might be affected by the temporal mismatch between the two listening sides. Finding methods to compensate for the temporal mismatch might contribute to the optimal adjustment of bimodal devices and to improve hearing in CI users with contralateral acoustic hearing. The current study investigates cortical auditory evoked potentials (CAEPs) in normal hearing listeners (NH) and CI users with contralateral acoustic hearing. In NH, the amplitude of the N1 peak and the maximum phase locking value (PLV) were analyzed under monaural, binaural, and binaural temporally mismatched conditions. In CI users, CAEPs were measured when listening with CI only (CIS_only), acoustically only (AS_only) and with both sides together (CIS+AS). When listening with CIS+AS, various interaural delays were introduced between the electric and acoustic stimuli. In NH listeners, interaural temporal mismatch resulted in decreased N1 amplitude and PLV. Moreover, PLV is suggested as a more sensitive measure to investigate the integration of information between the two listening sides. CI users showed varied N1 latencies between the AS_only and CIS_only listening conditions, with increased N1 amplitude when the temporal mismatch was compensated. A tendency towards increased PLV was also observed, however, to a lesser extent than in NH listeners, suggesting a limited integration between electric and acoustic stimulation. This work highlights the potential of CAEPs measurement to investigate cortical processing of the information between two listening sides in NH and bimodal CI users.
Assuntos
Estimulação Acústica , Córtex Auditivo , Implante Coclear , Implantes Cocleares , Estimulação Elétrica , Potenciais Evocados Auditivos , Pessoas com Deficiência Auditiva , Percepção da Fala , Humanos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Idoso , Implante Coclear/instrumentação , Córtex Auditivo/fisiopatologia , Adulto Jovem , Fatores de Tempo , Pessoas com Deficiência Auditiva/psicologia , Pessoas com Deficiência Auditiva/reabilitação , Tempo de Reação , Estudos de Casos e Controles , Audição , Eletroencefalografia , Limiar Auditivo , Percepção AuditivaRESUMO
OBJECTIVE: Some studies have hypothesized that atypical neural synchronization at the delta frequency band in the auditory cortex is associated with phonological and language skills in children with Autism Spectrum Disorder (ASD), but it is still poorly understood. This study investigated this neural activity and addressed the relationships between auditory response and behavioral measures of children with ASD. METHODS: We used magnetoencephalography and individual brain models to investigate 2 Hz Auditory Steady-State Response (ASSR) in 20 primary-school-aged children with ASD and 20 age-matched typically developing (TD) controls. RESULTS: First, we found a between-group difference in the localization of the auditory response, so as the topology of 2 Hz ASSR was more superior and posterior in TD children when comparing to children with ASD. Second, the power of 2 Hz ASSR was reduced in the ASD group. Finally, we observed a significant association between the amplitude of neural response and language skills in children with ASD. CONCLUSIONS: The study provided the evidence of reduced neural response in children with ASD and its relation to language skills. SIGNIFICANCE: These findings may inform future interventions targeting auditory and language impairments in ASD population.
Assuntos
Córtex Auditivo , Transtorno do Espectro Autista , Potenciais Evocados Auditivos , Magnetoencefalografia , Humanos , Transtorno do Espectro Autista/fisiopatologia , Masculino , Córtex Auditivo/fisiopatologia , Criança , Feminino , Potenciais Evocados Auditivos/fisiologia , Sincronização Cortical/fisiologia , Percepção Auditiva/fisiologia , Estimulação AcústicaRESUMO
Predicting treatment response would facilitate individualized medical treatment in first-episode psychosis (FEP). We examined relationships between auditory-evoked M100 and longitudinal change in positive symptoms in FEP. M100 was measured from source-resolved magnetoencephalography and symptoms were assessed at initial contact and six months later. M100 at baseline significantly predicted symptom change. Larger M100 at baseline predicted symptom improvement, as did shorter untreated psychosis. Shorter untreated psychosis also correlated with larger M100, and M100 mediated the effect of untreated psychosis on treatment response. Thus, M100 may provide a proximal and objective index of untreated psychosis and a viable route to individualized medicine.
Assuntos
Potenciais Evocados Auditivos , Magnetoencefalografia , Transtornos Psicóticos , Humanos , Transtornos Psicóticos/fisiopatologia , Transtornos Psicóticos/tratamento farmacológico , Masculino , Feminino , Potenciais Evocados Auditivos/fisiologia , Adulto , Adulto Jovem , AdolescenteRESUMO
Auditory beats stimulation (ABS) has received increased attention for its potential to modulate neural oscillations through a phenomenon described as brain entrainment (i.e synchronization of brain's electrocortical activity to external stimuli at a specific frequency). Recently, a new form of ABS has emerged, inspired by isochronic tones stimulation (ITd). This study investigated neural oscillatory responses induced by ITd in comparison with formerly well-established ABS protocols, such as gamma-binaural beats (BB) and white noise (WN). We recorded the electroencephalographic brain activity in 28 participants during 4 min of BB, ITd, and WN presentation. Data demonstrated that while both BB and WN enhanced oscillatory power on the EEG gamma band, consistently with the expected brain entrainment effect, ITd yielded greater changes in EEG power (p < 0.001). This was confirmed by time-based analysis, which showed a progressive increase in normalized EEG power within the ITd window compared to BB (p < 0.05). Findings also revealed that ITd elicited acute changes in the alpha band of EEG oscillations, through a progressive decrease in power over time, which was distinctly different from the pattern observed while listening BB and WN. Such dual alpha-gamma effects underline the promising and unique potential of ITd to modulate neural oscillations which selectively differ from BB and WN. This study contributes to the evolution of ABS research, highlighting the promise of ITd for cognitive enhancement and clinical applications.
Assuntos
Estimulação Acústica , Percepção Auditiva , Eletroencefalografia , Humanos , Masculino , Feminino , Estimulação Acústica/métodos , Eletroencefalografia/métodos , Adulto Jovem , Adulto , Percepção Auditiva/fisiologia , Encéfalo/fisiologia , Ondas Encefálicas/fisiologia , Potenciais Evocados Auditivos/fisiologia , Ritmo Gama/fisiologiaRESUMO
OBJECTIVE: The acoustic change complex (ACC) is a cortical auditory evoked potential (CAEP) and can be elicited by a change in an otherwise continuous sound. The ACC has been highlighted as a promising tool in the assessment of sound and speech discrimination capacity, and particularly for difficult-to-test populations such as infants with hearing loss, due to the objective nature of ACC measurements. Indeed, there is a pressing need to develop further means to accurately and thoroughly establish the hearing status of children with hearing loss, to help guide hearing interventions in a timely manner. Despite the potential of the ACC method, ACC measurements remain relatively rare in a standard clinical settings. The objective of this study was to perform an up-to-date systematic review on ACC measurements in children, to provide greater clarity and consensus on the possible methodologies, applications, and performance of this technique, and to facilitate its uptake in relevant clinical settings. DESIGN: Original peer-reviewed articles conducting ACC measurements in children (< 18 years). Data were extracted and summarised for: (1) participant characteristics; (2) ACC methods and auditory stimuli; (3) information related to the performance of the ACC technique; (4) ACC measurement outcomes, advantages, and challenges. The systematic review was conducted using PRISMA guidelines for reporting and the methodological quality of included articles was assessed. RESULTS: A total of 28 studies were identified (9 infant studies). Review results show that ACC responses can be measured in infants (from < 3 months), and there is evidence of age-dependency, including increased robustness of the ACC response with increasing childhood age. Clinical applications include the measurement of the neural capacity for speech and non-speech sound discrimination in children with hearing loss, auditory neuropathy spectrum disorder (ANSD) and central auditory processing disorder (CAPD). Additionally, ACCs can be recorded in children with hearing aids, auditory brainstem implants, and cochlear implants, and ACC results may guide hearing intervention/rehabilitation strategies. The review identified that the time taken to perform ACC measurements was often lengthy; the development of more efficient ACC test procedures for children would be beneficial. Comparisons between objective ACC measurements and behavioural measures of sound discrimination showed significant correlations for some, but not all, included studies. CONCLUSIONS: ACC measurements of the neural capacity to discriminate between speech and non-speech sounds are feasible in infants and children, and a wide range of possible clinical applications exist, although more time-efficient procedures would be advantageous for clinical uptake. A consideration of age and maturational effects is recommended, and further research is required to investigate the relationship between objective ACC measures and behavioural measures of sound and speech perception for effective clinical implementation.
Assuntos
Estimulação Acústica , Percepção Auditiva , Potenciais Evocados Auditivos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Fatores Etários , Córtex Auditivo/fisiologia , Córtex Auditivo/fisiopatologia , Vias Auditivas/fisiopatologia , Vias Auditivas/fisiologia , Audição , Perda Auditiva/fisiopatologia , Perda Auditiva/diagnóstico , Perda Auditiva/reabilitação , Pessoas com Deficiência Auditiva/psicologia , Pessoas com Deficiência Auditiva/reabilitação , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Testes de Discriminação da FalaRESUMO
Developmental language studies have shown that lexical-semantic organization develops between 18 and 24 months of age in monolingual infants. In the present study, we aimed to examine whether voice familiarity facilitates lexical-semantic activation in the infant brain. We recorded the brain activity of 18-month-old, French-learning infants using EEG while they listened to taxonomically related and unrelated spoken word pairs by one voice with which they were familiarized with before the experiment, and one voice with which they were not familiarized. The ERPs were measured in response to related and unrelated target words. Our results showed an N400 effect (greater amplitudes for unrelated as opposed to related target words) over the left hemisphere, only for the familiar voice, suggesting that the voice familiarity facilitated lexical-semantic activation. For unfamiliar voices, we observed an earlier congruence effect (greater amplitudes for related than for unrelated target words). This suggests that although 18-month-olds process lexical-semantic information from unfamiliar speakers, their neural signatures of lexical-semantic processing are less mature. Our results show that even in the absence of personal relation with a speaker, familiarity with a voice augments infant lexical-semantic processing. This supports the idea that extralinguistic information plays a role in infant lexical-semantic activation.
Assuntos
Estimulação Acústica , Eletroencefalografia , Reconhecimento Psicológico , Semântica , Percepção da Fala , Humanos , Lactente , Feminino , Masculino , Percepção da Fala/fisiologia , Reconhecimento Psicológico/fisiologia , Potenciais Evocados/fisiologia , Encéfalo/fisiologia , Desenvolvimento da Linguagem , Potenciais Evocados Auditivos/fisiologia , Mapeamento EncefálicoRESUMO
BACKGROUNDS: Segments and tone are important sub-syllabic units that play large roles in lexical processing in tonal languages. However, their roles in lexical processing remain unclear, and the event-related potential (ERP) technique will benefit the exploration of the cognitive mechanism in lexical processing. METHODS: The high temporal resolution of ERP enables the technique to interpret rapidly changing spoken language performances. The present ERP study examined the different roles of segments and tone in Mandarin Chinese lexical processing. An auditory priming experiment was designed that included five types of priming stimuli: consonant mismatch, vowel mismatch, tone mismatch, unrelated mismatch, and identity. Participants were asked to judge whether the target of the prime-target pair was a real Mandarin disyllabic word or not. RESULTS: Behavioral results including reaction time and response accuracy and ERP results were collected. Results were different from those of previous studies that showed the dominant role of consonants in lexical access in mainly non-tonal languages like English. Our results showed that consonants and vowels play comparable roles, whereas tone plays a less important role than do consonants and vowels in lexical processing in Mandarin. CONCLUSIONS: These results have implications for understanding the brain mechanisms in lexical processing of tonal languages.
Assuntos
Eletroencefalografia , Potenciais Evocados , Percepção da Fala , Humanos , Masculino , Feminino , Adulto Jovem , Percepção da Fala/fisiologia , Adulto , Potenciais Evocados/fisiologia , Tempo de Reação/fisiologia , Encéfalo/fisiologia , Potenciais Evocados Auditivos/fisiologia , Psicolinguística , IdiomaRESUMO
The auditory steady state response (ASSR) arises when periodic sounds evoke stable responses in auditory networks that reflect the acoustic characteristics of the stimuli, such as the amplitude of the sound envelope. Larger for some stimulus rates than others, the ASSR in the human electroencephalogram (EEG) is notably maximal for sounds modulated in amplitude at 40 Hz. To investigate the local circuit underpinnings of the large ASSR to 40 Hz amplitude-modulated (AM) sounds, we acquired skull EEG and local field potential (LFP) recordings from primary auditory cortex (A1) in the rat during the presentation of 20, 30, 40, 50, and 80 Hz AM tones. 40 Hz AM tones elicited the largest ASSR from the EEG acquired above auditory cortex and the LFP acquired from each cortical layer in A1. The large ASSR in the EEG to 40 Hz AM tones was not due to larger instantaneous amplitude of the signals or to greater phase alignment of the LFP across the cortical layers. Instead, it resulted from decreased latency variability (or enhanced temporal consistency) of the 40 Hz response. Statistical models indicate the EEG signal was best predicted by LFPs in either the most superficial or deep cortical layers, suggesting deep layer coordinators of the ASSR. Overall, our results indicate that the recruitment of non-uniform but more temporally consistent responses across A1 layers underlie the larger ASSR to amplitude-modulated tones at 40 Hz.