Hearing Aid Amplification Improves Postural Control for Older Adults With Hearing Loss When Other Sensory Cues Are Impoverished.

Recent studies suggest that sound amplification via hearing aids can improve postural control in adults with hearing impairments. Unfortunately, only a few studies used well-defined posturography measures to assess balance in adults with hearing loss with and without their hearing aids. Of these, only two examined postural control specifically in the elderly with hearing loss. The present study examined the impact of hearing aid use on postural control during various sensory perturbations in older adults with age-related hearing loss. Thirty individuals with age-related hearing impairments and using hearing aids bilaterally were tested. Participants were asked to perform a modified clinical sensory integration in balance test on a force platform with and without hearing aids. The experiment was conducted in the presence of a broadband noise ranging from 0.1 to 4 kHz presented through a loudspeaker. As expected, hearing aid use had a beneficial impact on postural control, but only when visual and somatosensory inputs were both reduced. Data also suggest that hearing aid use decreases the dependence on somatosensory input for maintaining postural control. This finding can be of particular importance in older adults considering the reduction of tactile and proprioceptive sensitivity and acuity often associated with aging. These results provide an additional argument for encouraging early hearing aid fitting for people with hearing loss.

Vestibular status: A missing factor in our understanding of brain reorganization in deaf individuals.

The brain of deaf people is definitely not just deaf, and we have to reconsider what we know about the impact of hearing loss on brain development in light of comorbid vestibular impairments.

Audiomotor interaction induced by mental imagery.

Mental imagery can induce audiovisual integration, but whether it can induce interactions in other modalities remains uncertain. It has been demonstrated that audiomotor interaction can be generated following training, but whether such audiomotor interaction can be induced by auditory imagery training remains unknown. The present study aims at determining whether auditory mental imagery could induce a multimodal association with postural control. We examined static postural control in the presence of a frequency-modulated sound in three groups of participants, prior to and following a short period of training designed to create an association between auditory mental imagery of sounds and postural swaying. Results suggest that mental imagery impacted performance, as a significant decrease in postural control was observed in the experimental group following mental imagery training. Results of the control groups confirmed that the effect of mental imagery was not due to response bias, but to a significant multimodal interaction following training. These findings are in accordance with previous studies suggesting that mental imagery stimuli can interact with perceptual stimuli of a different sensory modality and lead to multisensory integration. The results also confirm that audiomotor interaction can be generated a mental imagery training. However, the full extent of mental imagery influence on multimodal interaction remains to be determined.

Enhanced tactile identification of musical emotion in the deaf.

Functional neuroimaging studies have demonstrated that following deafness, auditory regions can respond to tactile stimuli. However, research to date has not conclusively demonstrated the behavioral correlates of these functional changes, with most studies showing normal-like tactile capabilities in the deaf. It has recently been suggested that more cognitive and complex tactile processes, such as music perception, could help to uncover superior tactile capabilities in the deaf. Indeed, following deafness music seems to be perceived through vibration, but the extent to which they can perceive musical features though the tactile modality remains undetermined. The goal of this study was to investigate tactile identification of musical emotion in the deaf. Participants had to rate melodies based on their emotional perception. Stimuli were presented through an haptic glove. Data suggest that deaf and control participants were comparable in the identification of three of the four emotions tested (sad, fear/threat, peacefulness). However and most importantly, for the simplest emotion (happiness), significant differences emerged between groups, suggesting an improved tactile identification of musical emotion in the deaf. Results support the hypothesis that brain plasticity following deafness can lead to improved complex tactile ability.

Functional reorganization of the auditory pathways following late callosotomy.

Injuries at various levels of the auditory system have been shown to lead to functional reorganization of the auditory pathways. In particular, it has recently been shown that such reorganization can occur in callosal agenesis. The pattern of cortical activity following callosotomy is however still unknown, but behavioral results suggest that it could be significantly different from that observed in callosal agenesis. We aimed to confirm this hypothesis by investigating fMRI responses to complex sounds presented binaurally and monaurally in a callosotomized patient. In the binaural condition, the callosotomized subject showed patterns of auditory cortical activation that were similar to those of neurologically intact individuals. However, in both monaural conditions, the callosotomized individual showed a significant increase of the asymmetries favoring the contralateral pathways. Such patterns of cortical responses are only partially consistent with the results obtained from callosal agenesis subjects using the exact same procedure. Indeed, the latter show differences compared with normals in both binaural and monaural conditions. These findings provide neurological evidence that callosotomy could lead to distinctive functional reorganization of the human auditory pathways.

Functional reorganization of the human auditory pathways following hemispherectomy: an fMRI demonstration.

The present study investigated the functional reorganization of ipsilateral and contralateral auditory pathways in hemispherectomized subjects. Functional reorganization was assessed using functional Magnetic Resonance Imaging (fMRI) and stimulation with complex sounds presented binaurally and monaurally. For neurologically intact control subjects, results showed that binaural stimulations evoked balanced activity in both hemispheres while monaural stimulations induced strong contralateral activity and weak ipsilateral activity. The results obtained from hemispherectomized subjects were substantially different from those obtained from control subjects. Specifically, activity in the intact hemisphere showed a significant decrease in response to contralateral stimulation but, concomitantly, an increase in response to ipsilateral stimulation. The present findings suggest that a substantial functional reorganization takes place in the auditory pathways following an early hemispherectomy. The exact nature of this functional reorganization remains to be specified.

Receptive field properties and sensitivity to edges defined by motion in the postero-lateral lateral suprasylvian (PLLS) area of the cat.

The present study investigated the spatial properties of cells in the postero-lateral lateral suprasylvian (PLLS) area of the cat and assessed their sensitivity to edges defined by motion. A total of one hundred and seventeen (117) single units were isolated. First, drifting sinusoidal gratings were used to assess the spatial properties of the cells' receptive fields and to determine their spatial frequency tuning functions. Second, random-dot kinematograms were used to create illusory edges by drifting textured stimuli (i.e. a horizontal bar) against a similarly textured but static background. Almost all the cells recorded in PLLS (96.0%) were binocular, and a substantial majority of receptive fields (79.2%) were end-stopped. Most units (81.0%) had band-pass spatial frequency tuning functions and responded optimally to low spatial frequencies (mean spatial frequency: 0.08 c./degree). The remaining units (19.0%) were low-pass. All the recorded cells responded vigorously to edges defined by motion. The vast majority (96.0%) of cells responded optimally to large texture elements; approximately half the cells (57.3%) also responded to finer texture elements. Moreover, 38.5% of the cells were selective to the width of the bar (i.e., the distance between the leading and the trailing edges). Finally, some (9.0%) cells responded in a transient fashion to leading and to trailing edges. In conclusion, cells in the PLLS area are low spatial frequency analyzers that are sensitive to texture and to the distance between edges defined by motion.

Alternative mode of presentation of Kanizsa figures sheds new light on the chronometry of the mechanisms underlying the perception of illusory figures.

The mechanisms responsible for the perception of illusory modal figures are usually studied by presenting entire Kanizsa figures at stimulus onset. However, with this mode of presentation, the brain activity generated by the inducers (the 'pacmen') is difficult to differentiate from the activity underlying the perception of the illusory figure. Therefore, in addition to this usual presentation mode, we used an alternative presentation mode. Inducer disks remained permanently on the screen and the illusory figure was induced by just removing the notches from the disks. The results support the heuristic value of this alternative mode of presentation. The P1 deflection of the visual evoked potentials (VEPs) was found to be greater for the illusory modal figure than for its control and for an amodal figure. This modulation is one of the earliest direct evidences for a low-level processing of illusory forms in the human brain. Meanwhile, larger N1s were obtained for the control figures than for the illusory figures in the notch mode of presentation. While this new type of N1 modulation could shed some light on the stage of processing indexed by this deflection, several propositions are put forward to account for the P1 and N1 variations found.

Spatial disparity sensitivity in area PMLS of the Siamese cat.

Previous studies of the visual system of Siamese cats have shown that binocular cells are scarce in areas 17, 18 and 19, yet significantly more abundant in suprasylvian areas such as the postero-medial lateral suprasylvian area (PMLS). The present study aims at evaluating the sensitivity to spatial disparity of PMLS binocular cells in paralyzed and anesthetized Siamese cats. Centrally located receptive fields were mapped, separated using prisms and then stimulated simultaneously using two luminous bars optimally adjusted to the size of the excitatory receptive fields. Delays were introduced in the arrival of the luminous bars in the receptive fields so as to create the desired spatial disparities. Results indicate that approximately a third of PMLS units are binocular and that these binocular cells can detect spatial disparity cues. Indeed, although the sample was relatively small, cells of the tuned excitatory (14/34), tuned inhibitory (2/34), near (6/34) and far (1/34) types were identified. The spatial selectivity, as measured by the width at half height of the tuning curves of the excitatory and inhibitory cells and the slopes of the near and far cells, was similar to that obtained in PMLS of normal cats but not as precise as that found for primary visual areas in these animals. This suggests that these cells might serve as a substrate for coarse stereopsis.

Neurons in the posteromedial lateral suprasylvian area of the cat are sensitive to binocular positional depth cues.

Single units in the posteromedial lateral suprasylvian area of the cat are known to be very sensitive to movement. A proportion of these cells can encode movement in depth, but it is unclear whether posteromedial lateral suprasylvian cells only rely upon motion cues to evaluate stimulus depth or whether they can also code for spatial cues. The present study aims at assessing the sensitivity to spatial disparity of binocular cells, in the postero-medial lateral suprasylvian area, in order to determine whether these units are tuned to positional depth cues. A total of 126 single cells located in the posteromedial lateral suprasylvian area of anesthetized, paralyzed cats were examined. As recordings were performed in the central visual field representation, receptive fields were small. A third of the receptive fields were surrounded by an inhibitory region and almost three-quarters of the cells were direction-selective. Most cells (110/114) were binocular, and a large proportion of single neurons responded to stimuli appearing on the fixation plane by increasing (tuned excitatory cells, 43%) or decreasing (tuned inhibitory cells, 14%) their response rate. A smaller proportion of cells increased their firing rate in response to crossed (near cells, 10%) or uncrossed (far cells, 6%) spatial disparities, hence demonstrating respective preference for stimuli presumably appearing in front of or behind the fixation plane. As compared to primary visual cortex, the proportion of disparity-sensitive cells in posteromedial lateral suprasylvian area is similar, but selectivity is significantly coarser. As the posteromedial lateral suprasylvian area can code for both spatial and temporal aspects of stimuli, this area might be involved in the spatiotemporal integration of depth cues, a process that may also participate in the control of accommodation and vergence.

Binocular interactions and spatial disparity sensitivity in the superior colliculus of the Siamese cat.

In Siamese cats, a genetically determined massive misrouting of retinal ganglion cells toward the contralateral hemisphere, as well as an accompanying strabismus, is believed to underlie the extreme paucity of binocular cells in the primary visual cortex. However, binocular cells have been shown to be present in more important numbers at the collicular level. The present study aims at investigating binocular interactions and sensitivity to spatial disparity in the superior colliculus of the Siamese cat. The activity of single units was recorded in the superficial layers of paralyzed and anesthetized Siamese cats. Although most collicular cells were monocularly driven, a significant proportion could be driven through both eyes (34/216 or 16%). Upon isolation of a binocular cell, the receptive fields were separated, then simultaneously stimulated with two light bars. A temporal delay was introduced between the arrival of the bars in the receptive fields to generate spatial disparities (-3 degrees to +3 degrees, in 0.5 degrees or 1 degree steps). Results showed that some binocular cells presented disparity tuning profiles similar to the tuned excitatory (12/34), tuned inhibitory (2/34), near (2/34) and far (3/34) cells found at various cortical levels in the normal cat. These interactions might allow for coarse binocular fusion as well as play a role in the initiation of vergence and the fixation of the eyes upon the appropriate plane of vision.

Spatial disparity coding in the superior colliculus of the cat.

Cells in the superficial layers of the superior colliculus of the cat have mainly binocular receptive fields. The aim of the present experiment was to investigate the sensitivity of these cells to horizontal spatial disparity. Unit recordings were carried out in the superficial layers of the superior colliculus of paralyzed and anesthetized cats. Centrally located receptive fields were mapped, separated using prisms, and then stimulated simultaneously using two luminous bars optimally adjusted to the size of the excitatory region of the receptive fields. Only binocular cells were tested, and 65% of these units were found to be sensitive to spatial disparities. Some cells (20%) were clearly insensitive to spatial disparity and the remaining 15% showed complex, unclassifiable interactions. The sensitive cells could be divided into four classes based on their disparity-sensitivity profiles: 38% showed excitatory interactions, whereas 9% showed inhibitory interactions. Moreover, 11% and 7% of the cells responded, respectively, to crossed or uncrossed disparities, and were classified as near cells and far cells. Whereas the general shapes of the sensitivity profiles were similar to those of cells in areas 17-18, selectivity in the superior colliculus was significantly coarser. The superficial layers of the superior colliculus project topographically to the deep layers of the superior colliculus, which are known to contain circuits involved in the control of ocular movements. The results thus suggest that disparity-sensitive cells of the superior colliculus could feed information to these oculomotor neurons, allowing for the localization and fixation of objects on the appropriate plane of vision.

Striate, extrastriate and collicular processing of spatial disparity cues.

The spatial disparity sensitivity of single units in the primary visual cortex (17-18 border), in extrastriate area 19 and in the superficial layers of the superior colliculus of the cat brain were compared in the present study. Unit recordings were performed in paralyzed and anesthetized animals. Centrally located receptive fields were mapped, separated using prisms and then stimulated simultaneously using two luminous bars optimally adjusted to the size of the excitatory receptive fields. In the three regions studied, cells selective to spatial disparity were found and four classes of disparity sensitivity profiles emerged. Although the disparity sensitivity profiles of the cells in the three regions appeared to have the same general shape, selectivity was clearly different. Cells at the 17-18 border were sharply tuned, those of area 19 were not only less numerous but also less well tuned and collicular cells exhibited coarse selectivity. These differences in selectivity appear to be linked to the projection pattern of the X, Y and W systems to these regions and the roles that these cells might play in vision.