Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 145
Filtrar
Mais filtros

Intervalo de ano de publicação
1.
J Neural Eng ; 21(2)2024 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-38579741

RESUMO

Objective. The auditory steady-state response (ASSR) allows estimation of hearing thresholds. The ASSR can be estimated from electroencephalography (EEG) recordings from electrodes positioned on both the scalp and within the ear (ear-EEG). Ear-EEG can potentially be integrated into hearing aids, which would enable automatic fitting of the hearing device in daily life. The conventional stimuli for ASSR-based hearing assessment, such as pure tones and chirps, are monotonous and tiresome, making them inconvenient for repeated use in everyday situations. In this study we investigate the use of natural speech sounds for ASSR estimation.Approach.EEG was recorded from 22 normal hearing subjects from both scalp and ear electrodes. Subjects were stimulated monaurally with 180 min of speech stimulus modified by applying a 40 Hz amplitude modulation (AM) to an octave frequency sub-band centered at 1 kHz. Each 50 ms sub-interval in the AM sub-band was scaled to match one of 10 pre-defined levels (0-45 dB sensation level, 5 dB steps). The apparent latency for the ASSR was estimated as the maximum average cross-correlation between the envelope of the AM sub-band and the recorded EEG and was used to align the EEG signal with the audio signal. The EEG was then split up into sub-epochs of 50 ms length and sorted according to the stimulation level. ASSR was estimated for each level for both scalp- and ear-EEG.Main results. Significant ASSRs with increasing amplitude as a function of presentation level were recorded from both scalp and ear electrode configurations.Significance. Utilizing natural sounds in ASSR estimation offers the potential for electrophysiological hearing assessment that are more comfortable and less fatiguing compared to existing ASSR methods. Combined with ear-EEG, this approach may allow convenient hearing threshold estimation in everyday life, utilizing ambient sounds. Additionally, it may facilitate both initial fitting and subsequent adjustments of hearing aids outside of clinical settings.


Assuntos
Audição , Som , Humanos , Estimulação Acústica/métodos , Limiar Auditivo/fisiologia , Eletroencefalografia/métodos
2.
Hear Res ; 441: 108928, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38086151

RESUMO

Auditory complaints are frequently reported by individuals with mild traumatic brain injury (mTBI) yet remain difficult to detect in the absence of clinically significant hearing loss. This highlights a growing need to identify sensitive indices of auditory-related mTBI pathophysiology beyond pure-tone thresholds for improved hearing healthcare diagnosis and treatment. Given the heterogeneity of mTBI etiology and the diverse peripheral and central processes required for normal auditory function, the present study sought to determine the audiologic assessments sensitive to mTBI pathophysiology at the group level using a well-rounded test battery of both peripheral and central auditory system function. This test battery included pure-tone detection thresholds, word understanding in quiet, sentence understanding in noise, distortion product otoacoustic emissions (DPOAEs), middle-ear muscle reflexes (MEMRs), and auditory evoked potentials (AEPs), including auditory brainstem responses (ABRs), middle latency responses (MLRs), and late latency responses (LLRs). Each participant also received magnetic resonance imaging (MRI). Compared to the control group, we found that individuals with mTBI had reduced DPOAE amplitudes that revealed a compound effect of age, elevated MEMR thresholds for an ipsilateral broadband noise elicitor, longer ABR Wave I latencies for click and 4 kHz tone burst elicitors, longer ABR Wave III latencies for 4 kHz tone bursts, larger MLR Na and Nb amplitudes, smaller MLR Pb amplitudes, longer MLR Pa latencies, and smaller LLR N1 amplitudes for older individuals with mTBI. Further, mTBI individuals with combined hearing difficulty and noise sensitivity had a greater number of deficits on thalamic and cortical AEP measures compared to those with only one/no self-reported auditory symptoms. This finding was corroborated with MRI, which revealed significant structural differences in the auditory cortical areas of mTBI participants who reported combined hearing difficulty and noise sensitivity, including an enlargement of left transverse temporal gyrus (TTG) and bilateral planum polare (PP). These findings highlight the need for continued investigations toward identifying individualized audiologic assessments and treatments that are sensitive to mTBI pathophysiology.


Assuntos
Concussão Encefálica , Perda Auditiva , Humanos , Concussão Encefálica/diagnóstico , Limiar Auditivo/fisiologia , Audição/fisiologia , Ruído , Potenciais Evocados Auditivos , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Emissões Otoacústicas Espontâneas
3.
Magn Reson Med ; 90(2): 699-707, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37036024

RESUMO

PURPOSE: Assess short-term and long-term effects of chronic exposure to an ultrahigh static magnetic (B0 ) field on mice inner ear in the context of MR safety of human scanning at 11.7 T. METHODS: Mice were chronically exposed to a B0 field of 11.7 T or 17.2 T during ten 2-h exposure sessions evenly distributed over a period of 5 weeks, resulting in a total of 20 h of exposure per mouse. During exposure sessions, mice were anesthetized and positioned either parallel or antiparallel to B0 . Before, during, and 2 weeks after the magnetic-field exposure period, mice performed behavioral tests (balance beam, rotarod, and swim tests) to evaluate their short-term and long-term motor coordination and balance. An auditory brainstem response (ABR) test was finally performed to assess the functional integrity of mice cochlea, 2 weeks after the last exposure. RESULTS: After awaking from anesthesia following B0 exposures at 11.7 Tor 17.2 T, mice displayed a transient (<5 min) rotating behavior. The behavioral tests did not show any difference between the exposed and the control mice at any time point. Determination of ABR thresholds did not reveal an impairment of cochlea hair cells resulting from chronic B0 exposure. CONCLUSION: Despite the transient disturbance of mice vestibular system observed immediately after B0 exposure, no short-term nor long-term alteration was detected with behavioral and ABR tests.


Assuntos
Orelha Interna , Potenciais Evocados Auditivos do Tronco Encefálico , Camundongos , Humanos , Animais , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Orelha Interna/diagnóstico por imagem
4.
J Vis Exp ; (192)2023 02 10.
Artigo em Inglês | MEDLINE | ID: mdl-36847397

RESUMO

An animal model of noise-induced hearing loss (NIHL) is useful for pathologists, therapists, pharmacologists, and hearing researchers to thoroughly understand the mechanism of NIHL, and subsequently optimize the corresponding treatment strategies. This study aims to create an improved protocol for developing a mouse model of NIHL. Male C57BL/6J mice were used in this study. Unanesthetized mice were exposed to loud noises (1 and 6 kHz, presented simultaneously at 115-125 dB SPL-A) continuously for 6 h per day for 5 consecutive days. Auditory function was assessed 1 day and 1 week after noise exposure, using auditory brainstem response (ABR). After the ABR measurement, the mice were sacrificed, and their organs of Corti were collected for immunofluorescence staining. From the auditory brainstem response (ABR) measurements, significant hearing loss was observed 1 day after noise exposure. After 1 week, the hearing thresholds of the experimental mice decreased to ~80 dB SPL, which was still a significantly higher level than the control mice (~40 dB SPL). From the results of immunofluorescence imaging, outer hair cells (OHCs) were shown to be damaged. In summary, we created a model of NIHL using male C57BL/6J mice. A new and simple device for generating and delivering pure-tone noise was developed and then employed. Quantitative measurements of hearing thresholds and morphological confirmation of OHC damage both demonstrated that the applied noise successfully induced an expected hearing loss.


Assuntos
Perda Auditiva Provocada por Ruído , Masculino , Camundongos , Animais , Perda Auditiva Provocada por Ruído/etiologia , Células Ciliadas Auditivas Externas , Camundongos Endogâmicos C57BL , Audição/fisiologia , Ruído/efeitos adversos , Limiar Auditivo/fisiologia , Cóclea/fisiologia
5.
Int J Audiol ; 62(2): 138-150, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35073491

RESUMO

OBJECTIVE: The purpose of this study was to evaluate auditory performance of military instructors as part of a training course involving noise and blast exposure. Boothless audiometry was used to estimate the test-retest reliability of the auditory measures under realistic field conditions and to determine risk of acute auditory injury during standard training practices. DESIGN AND STUDY SAMPLE: Thirteen U.S. Marine instructors participated in study activities. An audiologic testing suite embedded in a noise-attenuating headset was used to test various tone detection tasks on subjects after exposure. Acoustic exposures were captured with sound level meters. RESULTS: Boothless audiometry provide highly repeatable results for various tests of auditory performance in the field environment. In this test population, changes in auditory performance pre- and post-noise exposure were minimal for most measures. The notable exception was binaural (NoSπ) tone detection, which showed significant degradations both as a function of pre- and post-noise exposure on the same day and as a result of cumulative noise exposure over the period of the study. CONCLUSIONS: Study outcomes are consistent with prior laboratory and epidemiological work and suggest a link between the binaural processes required for NoSπ detection and the hearing-related issues reported by blast-exposed service members.


Assuntos
Percepção da Fala , Humanos , Percepção da Fala/fisiologia , Limiar Auditivo/fisiologia , Reprodutibilidade dos Testes , Audição , Exposição Ambiental , Audiometria de Tons Puros
6.
Int J Pediatr Otorhinolaryngol ; 160: 111230, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35835030

RESUMO

OBJECTIVE: Due to the similarities in the physiological mechanisms and antigenicity of the kidney and cochlea, they are simultaneously affected by certain diseases and drugs. Therefore, the purpose of this study was to investigate whether the hearing functions of patients with nephrotic syndrome (NS) were affected by the severity of the disease and the cyclosporine treatment. METHODS: The sample of this study consisted of 87 participants, including 65 patients (130 ears) with NS and 22 age- and sex-matched normal hearing children (44 ears). Based on the severity of the disease, the patients were divided into two groups: infrequently relapsing nephrotic syndrome (IRNS) and steroid-dependent or frequently relapsing nephrotic syndrome (SD/FRNS). Their audiologic tests, including Pure-tone Audiometry and Distortion-Product Otoacoustic Emission (DPOAE), were compared with the tests of the control group. In addition, the audiologic tests of the NS patients who received cyclosporine were compared with those who did not. RESULTS: In the pure-tone audiometry, there were statistically significant differences between the IRNS, SD/FRNS, and control groups at 2000, 4000 Hz, and pure-tone average (PTA). Hearing levels of the SD/FRNS group at 2000, 4000 Hz, and PTA were higher than those of the control group. At 6000 Hz in pure-tone audiometry, there was a very weak positive correlation between the hearing level and the number of relapses. At 250 Hz and PTA, hearing levels of the group that received cyclosporine were higher compared to the group that did not receive it. In DPOAE, there was no significant difference between the groups according to the severity of the disease and the use of cyclosporine. CONCLUSION: During the follow-up of the patients with NS, their hearing functions should be questioned, especially in patients with SD/FRNS and receiving cyclosporine treatment.


Assuntos
Ciclosporinas , Síndrome Nefrótica , Audiometria de Tons Puros , Limiar Auditivo/fisiologia , Criança , Ciclosporinas/uso terapêutico , Feminino , Audição/fisiologia , Humanos , Masculino , Síndrome Nefrótica/complicações , Síndrome Nefrótica/diagnóstico , Síndrome Nefrótica/tratamento farmacológico , Emissões Otoacústicas Espontâneas/fisiologia , Recidiva
7.
J Acoust Soc Am ; 150(6): 4440, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34972291

RESUMO

Although clinical use of the auditory brainstem response (ABR) to detect retrocochlear disorders has been largely replaced by imaging in recent years, the discovery of cochlear synaptopathy has thrown this foundational measure of auditory function back into the spotlight. Whereas modern imaging now allows for the noninvasive detection of vestibular schwannomas, imaging technology is not currently capable of detecting cochlear synaptopathy, the loss of the synaptic connections between the inner hair cells and afferent auditory nerve fibers. However, animal models indicate that the amplitude of the first wave of the ABR, a far-field evoked potential generated by the synchronous firing of auditory nerve fibers, is highly correlated with synaptic integrity. This has led to many studies investigating the use of the ABR as a metric of synaptopathy in humans. However, these studies have yielded mixed results, leading to a lack of consensus about the utility of the ABR as an indicator of synaptopathy. This review summarizes the animal and human studies that have investigated the ABR as a measure of cochlear synaptic function, discusses factors that may have contributed to the mixed findings and the lessons learned, and provides recommendations for future use of this metric in the research and clinical settings.


Assuntos
Potenciais Evocados Auditivos do Tronco Encefálico , Perda Auditiva Provocada por Ruído , Animais , Limiar Auditivo/fisiologia , Cóclea , Nervo Coclear , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Humanos , Ruído
8.
Physiol Meas ; 42(4)2021 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-33238252

RESUMO

Objective. The auditory brainstem response (ABR) audiometry is a means of assessing the functional status of the auditory neural pathway in the clinic. The conventional click ABR test lacks good neural synchrony and it mainly evaluates high-frequency hearing while the common tone-burst ABR test only detects hearing loss of a certain frequency at a time. Additionally, the existing chirp stimuli are designed based on average data of cochlear characteristics, ignoring individual differences amongst subjects.Approach. Therefore, this study designed a new stimulus approach based on a sweep-tone concept with a time variant and spectrum characteristics that could be customized based on an individual's cochlear characteristics. To validate the efficiency of the proposed method, we compared its performance with the click and tone-bursts using ABR recordings from 11 normal-hearing adults.Main results. Experimental results showed that the proposed sweep-tone ABR achieved a higher amplitude compared with those elicited by the click and tone-bursts. When the stimulus level or rate was varied, the sweep-tone ABR consistently elicited a larger response than the corresponding click ABR. Moreover, the sweep-tone ABR appeared earlier than the click ABR under the same conditions. Specifically, the mean wave V peak-to-peak amplitude of the sweep-tone ABR was 1.3 times that of the click ABR at 70 dB nHL (normal hearing level) and a rate of 20 s-1, in which the former saved 40% of test time.Significance. In summary, the proposed sweep-tone approach is found to be more efficient than the traditional click and tone-burst in eliciting ABR.


Assuntos
Potenciais Evocados Auditivos do Tronco Encefálico , Audição , Estimulação Acústica/métodos , Adulto , Limiar Auditivo/fisiologia , Cóclea/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Audição/fisiologia , Humanos
9.
Sci Rep ; 10(1): 15406, 2020 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-32958791

RESUMO

Cochlear-implant (CI) users rely on temporal envelope modulations (TEMs) to understand speech, and clinical outcomes depend on the accuracy with which these TEMs are encoded by the electrically-stimulated neural ensembles. Non-invasive EEG measures of this encoding could help clinicians identify and disable electrodes that evoke poor neural responses so as to improve CI outcomes. However, recording EEG during CI stimulation reveals huge stimulation artifacts that are up to orders of magnitude larger than the neural response. Here we used a custom-built EEG system having an exceptionally high sample rate to accurately measure the artefact, which we then removed using linear interpolation so as to reveal the neural response during continuous electrical stimulation. In ten adult CI users, we measured the 40-Hz electrically evoked auditory steady-state response (eASSR) and electrically evoked auditory change complex (eACC) to amplitude-modulated 900-pulses-per-second pulse trains, stimulated in monopolar mode (i.e. the clinical default), and at different modulation depths. We successfully measured artifact-free 40-Hz eASSRs and eACCs. Moreover, we found that the 40-Hz eASSR, in contrast to the eACC, showed substantial responses even at shallow modulation depths. We argue that the 40-Hz eASSR is a clinically feasible objective measure to assess TEM encoding in CI users.


Assuntos
Limiar Auditivo/fisiologia , Surdez/fisiopatologia , Potenciais Evocados Auditivos/fisiologia , Artefatos , Implante Coclear/métodos , Implantes Cocleares , Estimulação Elétrica , Eletroencefalografia/instrumentação , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/reabilitação , Percepção do Tempo
10.
J Int Adv Otol ; 16(1): 87-92, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32209515

RESUMO

OBJECTIVES: To evaluate the functions of cochlear structures and the distal part of auditory nerve as well as dead regions within the cochlea in individuals with normal hearing with or without tinnitus by using electrophysiological tests. MATERIALS AND METHODS: Nine individuals (ages: 21-59 years) with normal hearing with tinnitus were included in the study group. Thirteen individuals (ages: 25-60 years) with normal hearing without tinnitus were included in the control group. Immitancemetric examination, pure-tone audiometry (125Hz-16kHz), speech audiometry in quiet and noise environments, transient evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), threshold equalizing noise (TEN test (500Hz-4kHz), and ECochG tests, Beck Depression Questionnaire, Tinnitus Handicap Questionnaire, and Visual Analog Scale were performed. RESULTS: In the study group, three patients were found to have a minimal depression and six were found to have a mild depression. In pure-tone audiometry, the threshold (6-16 kHz) in the study group was significantly higher than that of the control group at all frequencies. In the study group, lower performance scores were obtained in speech discrimination in noise in both ears. In the control group, no dead region was detected in the TEN test whereas 75% of subjects in the study group had dead regions. DPOAE and TEOAE responses between study and control group subjects were not different. In the ECochG test, subjects in the study group showed an increase in the summating potential/action potential (SP/AP) ratio in both ears. CONCLUSION: Determination of the SP/AP ratio in patients with tinnitus may be useful in diagnosing hidden hearing loss. Detection of dead regions in 75% of patients in the TEN test may indicate that inner hair cells may be responsible for tinnitus.


Assuntos
Perda Auditiva/fisiopatologia , Audição/fisiologia , Ruído/efeitos adversos , Zumbido/diagnóstico , Adulto , Audiometria de Resposta Evocada/métodos , Audiometria de Tons Puros/métodos , Audiometria da Fala/métodos , Limiar Auditivo/fisiologia , Estudos de Casos e Controles , Cóclea/fisiopatologia , Nervo Coclear/fisiopatologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Feminino , Células Ciliadas Auditivas/patologia , Perda Auditiva/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Emissões Otoacústicas Espontâneas/fisiologia , Percepção da Fala/fisiologia , Zumbido/etiologia , Escala Visual Analógica
11.
J Speech Lang Hear Res ; 62(12): 4564-4577, 2019 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-31770043

RESUMO

Purpose Alterations in primary auditory functioning have been reported in patients with Parkinson's disease (PD). Despite the current findings, the pathophysiological mechanisms underlying these alterations remain unclear, and the effect of dopaminergic medication on auditory functioning in PD has been explored insufficiently. Therefore, this study aimed to systematically investigate primary auditory functioning in patients with PD by using both subjective and objective audiological measurements. Method In this case-control study, 25 patients with PD and 25 age-, gender-, and education-matched healthy controls underwent an audiological test battery consisting of tonal audiometry, short increment sensitivity index, otoacoustic emissions (OAEs), and speech audiometry. Patients with PD were tested in the on- and off-medication states. Results Increased OAE amplitudes were found when patients with PD were tested without dopaminergic medication. In addition, speech audiometry in silence and multitalker babble noise demonstrated higher phoneme scores for patients with PD in the off-medication condition. The results showed no differences in auditory functioning between patients with PD in the on-medication condition and healthy controls. No effect of disease stage or motor score was evident. Conclusions This study provides evidence for a top-down involvement in auditory processing in PD at both central and peripheral levels. Most important, the increase in OAE amplitude in the off-medication condition in PD is hypothesized to be linked to a dysfunction of the olivocochlear efferent system, which is known to have an inhibitory effect on outer hair cell functioning. Future studies may clarify whether OAEs may facilitate an early diagnosis of PD.


Assuntos
Audiometria da Fala/métodos , Transtornos da Percepção Auditiva/diagnóstico , Emissões Otoacústicas Espontâneas/fisiologia , Doença de Parkinson/fisiopatologia , Idoso , Transtornos da Percepção Auditiva/etiologia , Limiar Auditivo/fisiologia , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Núcleo Olivar/fisiopatologia , Doença de Parkinson/complicações , Sensibilidade e Especificidade
12.
J Int Adv Otol ; 15(1): 94-98, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30924776

RESUMO

OBJECTIVES: In this study, our aim was to use environmental sounds amplified in the frequency region corresponding to the tinnitus frequency of individual patients and apply them as sound therapy in tinnitus retraining therapy (TRT). In this pilot study, we 1) investigated the unpleasantness of processed environmental sounds using the amplification, attenuation, and removal in different frequency regions; 2) compared the unpleasantness of processed sounds for older and younger groups of participants; and 3) determined the amplification level appropriate for a clinical test. MATERIALS AND METHODS: We processed the sound of a river with three types of modification (amplified, attenuated, and notched) at a one-octave width of seven central frequencies, in the range 250-8000 Hz. Amplified and attenuated sounds were processed with five positive gains (+6, +12, +15.6, +18, and +20 dB) and two negative gains (-6 and -12 dB). Twenty-three older participants and 23 younger participants rated the unpleasantness of sounds using a visual analog scale. RESULTS: We found that, in the older group, there was no difference in unpleasantness among the three modifications. Older participants rated the level of unpleasantness as lower than younger participants for processed sounds in the high-frequency region. There were no marked differences among the amplification levels in the group of older participants. CONCLUSION: Based on the results, we decided that our clinical study would target older patients who had a tinnitus frequency over 4000 Hz and would compare the effect of an amplified sound with a 20 dB gain at the frequency corresponding to individual tinnitus with notched sound.


Assuntos
Som/efeitos adversos , Terapias em Estudo/métodos , Zumbido/terapia , Estimulação Acústica/métodos , Adulto , Idoso , Audiometria/métodos , Percepção Auditiva/fisiologia , Limiar Auditivo/fisiologia , Exposição Ambiental , Feminino , Audição/fisiologia , Humanos , Masculino , Projetos Piloto , Escala Visual Analógica
14.
Mil Med ; 183(suppl_1): 252-261, 2018 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-29635605

RESUMO

Objectives: We developed an empirical algorithm to account for the effect of the change in the A-weighted sound exposure level (SELA) as a result of the change in angle of incidence (AoI) of the impulse noise on the prediction of hearing loss. The product is the upgraded software tool, Auditory 4.5 that incorporates the incident angle correction algorithm. Methods: The SELA calculated from free-field pressure data is used as the dose metric that was corrected for AoI. The angle-dependent eardrum pressure was measured by performing shock tube tests with the Acoustical Testing Fixture varied over a wide range of orientation angles. The yaw angle was varied from 0 to 360° and the pitch angle from -60° to +90° in 15° steps. The algorithm was constructed by calculating a correction factor, ΔSELA for any given AoI at the ear relative to the SELA at normal incidence. The ΔSELA values were applied to correct the dose values to predict injury for all AoI. Results: A three-dimensional contour of ΔSELA as a function of the AoI was produced. The largest ΔSELA was 9.81 dB at pitch = -15° and yaw = 255°. ΔSELA values compared well against available benchmark data. Conclusions: A new capability has been incorporated in Auditory 4.5 to predict the effects of AoI on impulse noise injury.


Assuntos
Algoritmos , Perda Auditiva Provocada por Ruído/diagnóstico , Traumatismos Ocupacionais/diagnóstico , Limiar Auditivo/fisiologia , Simulação por Computador , Explosões/estatística & dados numéricos , Perda Auditiva Provocada por Ruído/fisiopatologia , Humanos , Traumatismos Ocupacionais/fisiopatologia , Valor Preditivo dos Testes
15.
Braz. j. otorhinolaryngol. (Impr.) ; 83(2): 147-154, Mar.-Apr. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-839421

RESUMO

Abstract Introduction: The use of hearing aids by individuals with hearing loss brings a better quality of life. Access to and benefit from these devices may be compromised in patients who present difficulties or limitations in traditional behavioral audiological evaluation, such as newborns and small children, individuals with auditory neuropathy spectrum, autism, and intellectual deficits, and in adults and the elderly with dementia. These populations (or individuals) are unable to undergo a behavioral assessment, and generate a growing demand for objective methods to assess hearing. Cortical auditory evoked potentials have been used for decades to estimate hearing thresholds. Current technological advances have lead to the development of equipment that allows their clinical use, with features that enable greater accuracy, sensitivity, and specificity, and the possibility of automated detection, analysis, and recording of cortical responses. Objective: To determine and correlate behavioral auditory thresholds with cortical auditory thresholds obtained from an automated response analysis technique. Methods: The study included 52 adults, divided into two groups: 21 adults with moderate to severe hearing loss (study group); and 31 adults with normal hearing (control group). An automated system of detection, analysis, and recording of cortical responses (HEARLab®) was used to record the behavioral and cortical thresholds. The subjects remained awake in an acoustically treated environment. Altogether, 150 tone bursts at 500, 1000, 2000, and 4000 Hz were presented through insert earphones in descending-ascending intensity. The lowest level at which the subject detected the sound stimulus was defined as the behavioral (hearing) threshold (BT). The lowest level at which a cortical response was observed was defined as the cortical electrophysiological threshold. These two responses were correlated using linear regression. Results: The cortical electrophysiological threshold was, on average, 7.8 dB higher than the behavioral for the group with hearing loss and, on average, 14.5 dB higher for the group without hearing loss for all studied frequencies. Conclusion: The cortical electrophysiological thresholds obtained with the use of an automated response detection system were highly correlated with behavioral thresholds in the group of individuals with hearing loss.


Resumo Introdução: O uso da amplificação sonora por pessoas com perda auditiva oferece uma melhor qualidade de vida. O acesso a esse recurso e o seu benefício podem ficar comprometidos no caso de pacientes que apresentem dificuldades ou limitações na avaliação audiológica tradicional comportamental, tais como neonatos e crianças pequenas, presença do espectro da neuropatia auditiva e do autismo, déficit intelectual e presença de estados demenciais de adultos e idosos. Essas populações (ou indivíduos) incapazes de participar de uma avaliação comportamental geram uma crescente demanda por métodos objetivos de avaliação auditiva. Os potenciais evocados auditivos corticais são usados há décadas, com a finalidade de estimar os limiares auditivos. Avanços tecnológicos atuais permitiram o desenvolvimento de equipamentos que possibilitam seu uso clínico, dotados de recursos que permitem maior precisão, sensibilidade e especificidade, além da possibilidade de detecção, análise e registro automatizados das respostas corticais. Objetivo: Determinar e correlacionar o limiar auditivo comportamental com o limiar auditivo cortical obtido em equipamento de análise automatizada das respostas. Método: Participaram do estudo 52 adultos, distribuídos em dois grupos: 21 com perda de grau moderado a severo (grupo estudo) e 31 com audição normal (grupo controle). Para o registro dos limiares comportamentais e corticais foi usado um equipamento dotado de um sistema com detecção, análise e registro automatizados das respostas corticais (HEARLab®). Os participantes permaneceram despertos, em um ambiente acusticamente tratado. Foram apresentados 150 estímulos tipo tone burst nas frequências de 500, 1.000, 2.000 e 4.000 Hz, por meio de fones de inserção em intensidades descendente-ascendente. O menor nível no qual o sujeito detectou a presença do estímulo sonoro foi definido como o limiar auditivo comportamental. O menor nível no qual uma resposta cortical estava presente foi definido como o limiar eletrofisiológico cortical. Essas duas respostas foram correlacionadas por meio da regressão linear. Resultados: O limiar eletrofisiológico cortical foi, em média, 7,8 dB superior ao comportamental para o grupo com perda auditiva e 14,5 dB superior, em média, para o grupo sem perda auditiva para todas as frequências estudadas. Conclusão: Os limiares eletrofisiológicos corticais obtidos por meio de um sistema de detecção automatizado de respostas estavam fortemente correlacionados com os limiares comportamentais no grupo de indivíduos com perda auditiva.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos/fisiologia , Perda Auditiva/fisiopatologia , Audiometria , Estimulação Acústica , Processamento de Sinais Assistido por Computador , Estudos de Casos e Controles , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia
16.
Braz J Otorhinolaryngol ; 83(2): 147-154, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-27229658

RESUMO

INTRODUCTION: The use of hearing aids by individuals with hearing loss brings a better quality of life. Access to and benefit from these devices may be compromised in patients who present difficulties or limitations in traditional behavioral audiological evaluation, such as newborns and small children, individuals with auditory neuropathy spectrum, autism, and intellectual deficits, and in adults and the elderly with dementia. These populations (or individuals) are unable to undergo a behavioral assessment, and generate a growing demand for objective methods to assess hearing. Cortical auditory evoked potentials have been used for decades to estimate hearing thresholds. Current technological advances have lead to the development of equipment that allows their clinical use, with features that enable greater accuracy, sensitivity, and specificity, and the possibility of automated detection, analysis, and recording of cortical responses. OBJECTIVE: To determine and correlate behavioral auditory thresholds with cortical auditory thresholds obtained from an automated response analysis technique. METHODS: The study included 52 adults, divided into two groups: 21 adults with moderate to severe hearing loss (study group); and 31 adults with normal hearing (control group). An automated system of detection, analysis, and recording of cortical responses (HEARLab®) was used to record the behavioral and cortical thresholds. The subjects remained awake in an acoustically treated environment. Altogether, 150 tone bursts at 500, 1000, 2000, and 4000Hz were presented through insert earphones in descending-ascending intensity. The lowest level at which the subject detected the sound stimulus was defined as the behavioral (hearing) threshold (BT). The lowest level at which a cortical response was observed was defined as the cortical electrophysiological threshold. These two responses were correlated using linear regression. RESULTS: The cortical electrophysiological threshold was, on average, 7.8dB higher than the behavioral for the group with hearing loss and, on average, 14.5dB higher for the group without hearing loss for all studied frequencies. CONCLUSION: The cortical electrophysiological thresholds obtained with the use of an automated response detection system were highly correlated with behavioral thresholds in the group of individuals with hearing loss.


Assuntos
Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos/fisiologia , Perda Auditiva/fisiopatologia , Estimulação Acústica , Adulto , Audiometria , Estudos de Casos e Controles , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Processamento de Sinais Assistido por Computador
17.
PLoS One ; 11(7): e0159188, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27442240

RESUMO

Researches on sequential vocalization often require analysis of vocalizations in long continuous sounds. In such studies as developmental ones or studies across generations in which days or months of vocalizations must be analyzed, methods for automatic recognition would be strongly desired. Although methods for automatic speech recognition for application purposes have been intensively studied, blindly applying them for biological purposes may not be an optimal solution. This is because, unlike human speech recognition, analysis of sequential vocalizations often requires accurate extraction of timing information. In the present study we propose automated systems suitable for recognizing birdsong, one of the most intensively investigated sequential vocalizations, focusing on the three properties of the birdsong. First, a song is a sequence of vocal elements, called notes, which can be grouped into categories. Second, temporal structure of birdsong is precisely controlled, meaning that temporal information is important in song analysis. Finally, notes are produced according to certain probabilistic rules, which may facilitate the accurate song recognition. We divided the procedure of song recognition into three sub-steps: local classification, boundary detection, and global sequencing, each of which corresponds to each of the three properties of birdsong. We compared the performances of several different ways to arrange these three steps. As results, we demonstrated a hybrid model of a deep convolutional neural network and a hidden Markov model was effective. We propose suitable arrangements of methods according to whether accurate boundary detection is needed. Also we designed the new measure to jointly evaluate the accuracy of note classification and boundary detection. Our methods should be applicable, with small modification and tuning, to the songs in other species that hold the three properties of the sequential vocalization.


Assuntos
Tentilhões/fisiologia , Reconhecimento Fisiológico de Modelo , Vocalização Animal/fisiologia , Animais , Limiar Auditivo/fisiologia , Automação , Cadeias de Markov , Redes Neurais de Computação , Reprodutibilidade dos Testes , Fatores de Tempo
18.
Hear Res ; 339: 80-93, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27349914

RESUMO

The high prevalence of noise-induced and age-related hearing loss in the general population has warranted the use of animal models to study the etiology of these pathologies. Quick and accurate auditory threshold determination is a prerequisite for experimental manipulations targeting hearing loss in animal models. The standard auditory brainstem response (ABR) measurement is fairly quick and translational across species, but is limited by the need for anesthesia and a lack of perceptual assessment. The goal of this study was to develop a new method of hearing assessment utilizing prepulse inhibition (PPI) of the acoustic startle reflex, a commonly used tool that measures detection thresholds in awake animals, and can be performed on multiple animals simultaneously. We found that in control mice PPI audiometric functions are similar to both ABR and traditional operant conditioning audiograms. The hearing thresholds assessed with PPI audiometry in sound exposed mice were also similar to those detected by ABR thresholds one day after exposure. However, three months after exposure PPI threshold shifts were still evident at and near the frequency of exposure whereas ABR thresholds recovered to the pre-exposed level. In contrast, PPI audiometry and ABR wave one amplitudes detected similar losses. PPI audiometry provides a high throughput automated behavioral screening tool of hearing in awake animals. Overall, PPI audiometry and ABR assessments of the auditory system are robust techniques with distinct advantages and limitations, which when combined, can provide ample information about the functionality of the auditory system.


Assuntos
Estimulação Acústica/métodos , Audiometria de Tons Puros/métodos , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Inibição Pré-Pulso/fisiologia , Reflexo de Sobressalto/fisiologia , Animais , Audição , Masculino , Camundongos , Camundongos Endogâmicos CBA , Modelos Animais , Ruído
19.
Adv Exp Med Biol ; 877: 157-84, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26515314

RESUMO

Behavioral methods have been critical in the study of auditory perception and discrimination in fishes. In this chapter, we review some of the common methods used in fish psychoacoustics. We discuss associative methods, such as operant, avoidance, and classical conditioning, and their use in constructing audiograms, measuring frequency selectivity, and auditory stream segregation. We also discuss the measurement of innate behavioral responses, such as the acoustic startle response (ASR), prepulse inhibition (PPI), and phonotaxis, and their use in the assessment of fish hearing to determine auditory thresholds and in the testing of mechanisms for sound source localization. For each psychoacoustic method, we provide examples of their use and discuss the parameters and situations where such methods can be best utilized. In the case of the ASR, we show how this method can be used to construct and compare audiograms between two species of larval fishes, the three-spined stickleback (Gasterosteus aculeatus) and the zebrafish (Danio rerio). We also discuss considerations for experimental design with respect to stimulus presentation and threshold criteria and how these techniques can be used in future studies to investigate auditory perception in fishes.


Assuntos
Limiar Auditivo/fisiologia , Ecolocação/fisiologia , Peixes/fisiologia , Audição/fisiologia , Estimulação Acústica , Animais , Perciformes/fisiologia , Psicoacústica , Reflexo de Sobressalto/fisiologia , Peixe-Zebra/fisiologia
20.
Adv Exp Med Biol ; 875: 37-45, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26610942

RESUMO

Military sonars are known to have caused cetaceans to strand. Navies in shallow seas use different frequencies and sonar pulses, commonly frequencies between 25 and 100 kHz, compared with most studied NATO sonar systems that have been evaluated for their environmental impact. These frequencies match the frequencies of best hearing in the harbor porpoises and seals resident in the Baltic Sea. This study uses published temporary and permanent threshold shifts, measured behavioral response thresholds, technical specifications of a sonar system, and environmental parameters affecting sound propagation common for the Baltic Sea to estimate the impact zones for harbor porpoises and seals.


Assuntos
Acústica , Organismos Aquáticos/fisiologia , Mamíferos/fisiologia , Militares , Oceanos e Mares , Animais , Limiar Auditivo/fisiologia , Comportamento Animal , Cetáceos/fisiologia , Phocoena/fisiologia , Focas Verdadeiras/fisiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA