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1.
Hear Res ; 427: 108663, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36502543

RESUMEN

Noise exposure may damage the synapses that connect inner hair cells with auditory nerve fibers, before outer hair cells are lost. In humans, this cochlear synaptopathy (CS) is thought to decrease the fidelity of peripheral auditory temporal coding. In the current study, the primary hypothesis was that higher middle ear muscle reflex (MEMR) thresholds, as a proxy measure of CS, would be associated with smaller values of the binaural intelligibility level difference (BILD). The BILD, which is a measure of binaural temporal coding, is defined here as the difference in thresholds between the diotic and the antiphasic versions of the digits in noise (DIN) test. This DIN BILD may control for factors unrelated to binaural temporal coding such as linguistic, central auditory, and cognitive factors. Fifty-six audiometrically normal adults (34 females) aged 18 - 30 were tested. The test battery included standard pure tone audiometry, tympanometry, MEMR using a 2 kHz elicitor and 226 Hz and 1 kHz probes, the Noise Exposure Structured Interview, forward digit span test, extended high frequency (EHF) audiometry, and diotic and antiphasic DIN tests. The study protocol was pre-registered prior to data collection. MEMR thresholds did not predict the DIN BILD. Secondary analyses showed no association between MEMR thresholds and the individual diotic and antiphasic DIN thresholds. Greater lifetime noise exposure was non-significantly associated with higher MEMR thresholds, larger DIN BILD values, and lower (better) antiphasic DIN thresholds, but not with diotic DIN thresholds, nor with EHF thresholds. EHF thresholds were associated with neither MEMR thresholds nor any of the DIN outcomes, including the DIN BILD. Results provide no evidence that young, audiometrically normal people incur CS with impacts on binaural temporal processing.


Asunto(s)
Oído Medio , Reflejo , Femenino , Humanos , Adulto Joven , Estimulación Acústica , Umbral Auditivo , Músculos , Audiometría de Tonos Puros
2.
Magn Reson Med ; 86(5): 2577-2588, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34196020

RESUMEN

PURPOSE: Detecting sound-related activity using functional MRI requires the auditory stimulus to be more salient than the intense background scanner acoustic noise. Various strategies can reduce the impact of scanner acoustic noise, including "sparse" temporal sampling with single/clustered acquisitions providing intervals without any background scanner acoustic noise, or active noise cancelation (ANC) during "continuous" temporal sampling, which generates an acoustic signal that adds destructively to the scanner acoustic noise, substantially reducing the acoustic energy at the participant's eardrum. Furthermore, multiband functional MRI allows multiple slices to be collected simultaneously, thereby reducing scanner acoustic noise in a given sampling period. METHODS: Isotropic multiband functional MRI (1.5 mm) with sparse sampling (effective TR = 9000 ms, acquisition duration = 1962 ms) and continuous sampling (TR = 2000 ms) with ANC were compared in 15 normally hearing participants. A sustained broadband noise stimulus was presented to drive activation of both sustained and transient auditory responses within subcortical and cortical auditory regions. RESULTS: Robust broadband noise-related activity was detected throughout the auditory pathways. Continuous sampling with ANC was found to give a statistically significant advantage over sparse sampling for the detection of the transient (onset) stimulus responses, particularly in the auditory cortex (P < .001) and inferior colliculus (P < .001), whereas gains provided by sparse over continuous ANC for detecting offset and sustained responses were marginal (p ~ 0.05 in superior olivary complex, inferior colliculus, medial geniculate body, and auditory cortex). CONCLUSIONS: Sparse and continuous ANC multiband functional MRI protocols provide differing advantages for observing the transient (onset and offset) and sustained stimulus responses.


Asunto(s)
Corteza Auditiva , Ruido , Estimulación Acústica , Corteza Auditiva/diagnóstico por imagen , Mapeo Encefálico , Humanos , Imagen por Resonancia Magnética
3.
Trends Hear ; 24: 2331216520972860, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33357018

RESUMEN

The acoustic reflex (AR) shows promise as an objective test for the presence of cochlear synaptopathy in rodents. The AR has also been shown to be reduced in humans with tinnitus compared to those without. The aim of the present study was twofold: (a) to determine if AR strength (quantified as both threshold and growth) varied with lifetime noise exposure, and thus provided an estimate of the degree of synaptopathy and (b) to identify which factors should be considered when using the AR as a quantitative measure rather than just present/absent responses. AR thresholds and growth functions were measured using ipsilateral and contralateral, broadband and tonal elicitors in adults with normal hearing and varying levels of lifetime noise exposure. Only the clinical standard 226 Hz probe tone was used. AR threshold and growth were not related to lifetime noise exposure, suggesting that routine clinical AR measures are not a sensitive measure when investigating the effects of noise exposure in audiometrically normal listeners. Our secondary, exploratory analyses revealed that AR threshold and growth were significantly related to middle-ear compliance. Listeners with higher middle-ear compliance (though still in the clinically normal range) showed lower AR thresholds and steeper AR growth functions. Furthermore, there was a difference in middle-ear compliance between the sexes, with males showing higher middle-ear compliance values than females. Therefore, it may be necessary to factor middle-ear compliance values into any analysis that uses the AR as an estimate of auditory function.


Asunto(s)
Audición , Reflejo Acústico , Estimulación Acústica , Adulto , Umbral Auditivo , Cóclea , Femenino , Humanos
4.
Trends Hear ; 23: 2331216519877301, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31558119

RESUMEN

Although there is strong histological evidence for age-related synaptopathy in humans, evidence for the existence of noise-induced cochlear synaptopathy in humans is inconclusive. Here, we sought to evaluate the relative contributions of age and noise exposure to cochlear synaptopathy using a series of electrophysiological and behavioral measures. We extended an existing cohort by including 33 adults in the age range 37 to 60, resulting in a total of 156 participants, with the additional older participants resulting in a weakening of the correlation between lifetime noise exposure and age. We used six independent regression models (corrected for multiple comparisons), in which age, lifetime noise exposure, and high-frequency audiometric thresholds were used to predict measures of synaptopathy, with a focus on differential measures. The models for auditory brainstem responses, envelope-following responses, interaural phase discrimination, and the co-ordinate response measure of speech perception were not statistically significant. However, both age and noise exposure were significant predictors of performance on the digit triplet test of speech perception in noise, with greater noise exposure (unexpectedly) predicting better performance in the 80 dB sound pressure level (SPL) condition and greater age predicting better performance in the 40 dB SPL condition. Amplitude modulation detection thresholds were also significantly predicted by age, with older listeners performing better than younger listeners at 80 dB SPL. Overall, the results are inconsistent with the predicted effects of synaptopathy.


Asunto(s)
Cóclea/patología , Pérdida Auditiva Provocada por Ruido/patología , Estimulación Acústica , Adulto , Factores de Edad , Audiometría de Tonos Puros , Umbral Auditivo/fisiología , Potenciales Evocados Auditivos del Tronco Encefálico/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ruido , Percepción del Habla
5.
Neuroscience ; 407: 192-199, 2019 05 21.
Artículo en Inglés | MEDLINE | ID: mdl-30890481

RESUMEN

The occurrence of tinnitus is associated with hearing loss and neuroplastic changes in the brain, but disentangling correlation and causation has remained difficult in both human and animal studies. Here we use earplugs to cause a period of monaural deprivation to induce a temporary, fully reversible tinnitus sensation, to test whether differences in subcortical changes in neural response gain, as reflected through changes in acoustic reflex thresholds (ARTs), could explain the occurrence of tinnitus. Forty-four subjects with normal hearing wore an earplug in one ear for either 4 (n = 27) or 7 days (n = 17). Thirty subjects reported tinnitus at the end of the deprivation period. ARTs were measured before the earplug period and immediately after taking the earplug out. At the end of the earplug period, ARTs in the plugged ear were decreased by 5.9 ±â€¯1.1 dB in the tinnitus-positive group, and by 6.3 ±â€¯1.1 dB in the tinnitus-negative group. In the control ear, ARTs were increased by 1.3 ±â€¯0.8 dB in the tinnitus-positive group, and by 1.6 ±â€¯2.0 dB in the tinnitus-negative group. There were no significant differences between the groups with 4 and 7 days of auditory deprivation. Our results suggest that either the subcortical neurophysiological changes underlying the ART reductions might not be related to the occurrence of tinnitus, or that they might be a necessary component of the generation of tinnitus, but with additional changes at a higher level of auditory processing required to give rise to tinnitus. This article is part of a Special Issue entitled: Hearing Loss, Tinnitus, Hyperacusis, Central Gain.


Asunto(s)
Estimulación Acústica/efectos adversos , Dispositivos de Protección de los Oídos/efectos adversos , Reflejo Acústico/fisiología , Acúfeno/etiología , Estimulación Acústica/métodos , Adulto , Umbral Auditivo/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Plasticidad Neuronal/fisiología , Acúfeno/fisiopatología , Adulto Joven
6.
Hear Res ; 377: 109-121, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30927686

RESUMEN

The relative importance of neural temporal and place coding in auditory perception is still a matter of much debate. The current article is a compilation of viewpoints from leading auditory psychophysicists and physiologists regarding the upper frequency limit for the use of neural phase locking to code temporal fine structure in humans. While phase locking is used for binaural processing up to about 1500 Hz, there is disagreement regarding the use of monaural phase-locking information at higher frequencies. Estimates of the general upper limit proposed by the contributors range from 1500 to 10000 Hz. The arguments depend on whether or not phase locking is needed to explain psychophysical discrimination performance at frequencies above 1500 Hz, and whether or not the phase-locked neural representation is sufficiently robust at these frequencies to provide useable information. The contributors suggest key experiments that may help to resolve this issue, and experimental findings that may cause them to change their minds. This issue is of crucial importance to our understanding of the neural basis of auditory perception in general, and of pitch perception in particular.


Asunto(s)
Nervio Coclear/fisiología , Señales (Psicología) , Percepción de la Altura Tonal , Percepción del Tiempo , Estimulación Acústica , Humanos , Movimiento (Física) , Periodicidad , Presión , Psicoacústica , Sonido
7.
Neuroscience ; 407: 75-82, 2019 05 21.
Artículo en Inglés | MEDLINE | ID: mdl-30579832

RESUMEN

The acoustic middle-ear-muscle reflex (MEMR) has been suggested as a sensitive non-invasive measure of cochlear synaptopathy, the loss of synapses between inner hair cells and auditory nerve fibers. In the present study, clinical MEMR thresholds were measured for 1-, 2-, and 4-kHz tonal elicitors, using a procedure shown to produce thresholds with excellent reliability. MEMR thresholds of 19 participants with tinnitus and normal audiograms were compared to those of 19 age- and sex-matched controls. MEMR thresholds did not differ significantly between the two groups at any frequency. These 38 participants were included in a larger sample of 70 participants with normal audiograms. For this larger group, MEMR thresholds were compared to a measure of spatial speech perception in noise (SPiN) and a detailed self-report estimate of lifetime noise exposure. MEMR thresholds were unrelated to either SPiN or noise exposure, despite a wide range in both measures. It is possible that thresholds measured using a clinical paradigm are less sensitive to synaptopathy than those obtained using more sophisticated measurement techniques; however, we had good sensitivity at the group level, and even trends in the hypothesized direction were not observed. To the extent that MEMR thresholds are sensitive to cochlear synaptopathy, the present results provide no evidence that tinnitus, SPiN, or noise exposure are related to synaptopathy in the population studied.


Asunto(s)
Pérdida Auditiva Provocada por Ruido/fisiopatología , Ruido , Reflejo/fisiología , Percepción del Habla/fisiología , Estimulación Acústica/métodos , Adolescente , Adulto , Umbral Auditivo/fisiología , Cóclea/fisiología , Potenciales Evocados Auditivos del Tronco Encefálico/fisiología , Femenino , Audición/fisiología , Pruebas Auditivas , Humanos , Masculino , Adulto Joven
8.
Hear Res ; 364: 38-47, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29685616

RESUMEN

The auditory brainstem response (ABR) is a sub-cortical evoked potential in which a series of well-defined waves occur in the first 10 ms after the onset of an auditory stimulus. Wave V of the ABR, particularly wave V latency, has been shown to be remarkably stable over time in individual listeners. However, little attention has been paid to the reliability of wave I, which reflects auditory nerve activity. This ABR component has attracted interest recently, as wave I amplitude has been identified as a possible non-invasive measure of noise-induced cochlear synaptopathy. The current study aimed to determine whether ABR wave I amplitude has sufficient test-retest reliability to detect impaired auditory nerve function in an otherwise normal-hearing listener. Thirty normal-hearing females were tested, divided equally into low- and high-noise exposure groups. The stimulus was an 80 dB nHL click. ABR recordings were made from the ipsilateral mastoid and from the ear canal (using a tiptrode). Although there was some variability between listeners, wave I amplitude had high test-retest reliability, with an intraclass correlation coefficient (ICC) comparable to that for wave V amplitude. There were slight gains in reliability for wave I amplitude when recording from the ear canal (ICC of 0.88) compared to the mastoid (ICC of 0.85). The summating potential (SP) and ratio of SP to wave I were also quantified and found to be much less reliable than measures of wave I and V amplitude. Finally, we found no significant differences in the amplitude of any wave components between low- and high-noise exposure groups. We conclude that, if the other sources of between-subject variability can be controlled, wave I amplitude is sufficiently reliable to accurately characterize individual differences in auditory nerve function.


Asunto(s)
Umbral Auditivo , Nervio Coclear/fisiopatología , Electroencefalografía , Potenciales Evocados Auditivos del Tronco Encefálico , Ruido/efectos adversos , Estimulación Acústica , Adulto , Audiometría de Tonos Puros , Femenino , Humanos , Emisiones Otoacústicas Espontáneas , Valor Predictivo de las Pruebas , Tiempo de Reacción , Reproducibilidad de los Resultados , Factores de Tiempo , Adulto Joven
9.
Hear Res ; 364: 142-151, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-29680183

RESUMEN

In rodents, noise exposure can destroy synapses between inner hair cells and auditory nerve fibers ("cochlear synaptopathy") without causing hair cell loss. Noise-induced cochlear synaptopathy usually leaves cochlear thresholds unaltered, but is associated with long-term reductions in auditory brainstem response (ABR) amplitudes at medium-to-high sound levels. This pathophysiology has been suggested to degrade speech perception in noise (SPiN), perhaps explaining why SPiN ability varies so widely among audiometrically normal humans. The present study is the first to test for evidence of cochlear synaptopathy in humans with significant SPiN impairment. Individuals were recruited on the basis of self-reported SPiN difficulties and normal pure tone audiometric thresholds. Performance on a listening task identified a subset with "verified" SPiN impairment. This group was matched with controls on the basis of age, sex, and audiometric thresholds up to 14 kHz. ABRs and envelope-following responses (EFRs) were recorded at high stimulus levels, yielding both raw amplitude measures and within-subject difference measures. Past exposure to high sound levels was assessed by detailed structured interview. Impaired SPiN was not associated with greater lifetime noise exposure, nor with any electrophysiological measure. It is conceivable that retrospective self-report cannot reliably capture noise exposure, and that ABRs and EFRs offer limited sensitivity to synaptopathy in humans. Nevertheless, the results do not support the notion that noise-induced synaptopathy is a significant etiology of SPiN impairment with normal audiometric thresholds. It may be that synaptopathy alone does not have significant perceptual consequences, or is not widespread in humans with normal audiograms.


Asunto(s)
Cóclea/fisiopatología , Potenciales Evocados Auditivos del Tronco Encefálico , Pérdida Auditiva Provocada por Ruido/psicología , Ruido/efectos adversos , Enmascaramiento Perceptual , Percepción del Habla , Estimulación Acústica , Adolescente , Adulto , Audiometría de Tonos Puros , Audiometría del Habla , Umbral Auditivo , Estudios de Casos y Controles , Cóclea/patología , Cognición , Escolaridad , Femenino , Pérdida Auditiva Provocada por Ruido/patología , Pérdida Auditiva Provocada por Ruido/fisiopatología , Humanos , Masculino , Adulto Joven
10.
Hear Res ; 356: 74-86, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29126651

RESUMEN

An estimate of lifetime noise exposure was used as the primary predictor of performance on a range of behavioral tasks: frequency and intensity difference limens, amplitude modulation detection, interaural phase discrimination, the digit triplet speech test, the co-ordinate response speech measure, an auditory localization task, a musical consonance task and a subjective report of hearing ability. One hundred and thirty-eight participants (81 females) aged 18-36 years were tested, with a wide range of self-reported noise exposure. All had normal pure-tone audiograms up to 8 kHz. It was predicted that increased lifetime noise exposure, which we assume to be concordant with noise-induced cochlear synaptopathy, would elevate behavioral thresholds, in particular for stimuli with high levels in a high spectral region. However, the results showed little effect of noise exposure on performance. There were a number of weak relations with noise exposure across the test battery, although many of these were in the opposite direction to the predictions, and none were statistically significant after correction for multiple comparisons. There were also no strong correlations between electrophysiological measures of synaptopathy published previously and the behavioral measures reported here. Consistent with our previous electrophysiological results, the present results provide no evidence that noise exposure is related to significant perceptual deficits in young listeners with normal audiometric hearing. It is possible that the effects of noise-induced cochlear synaptopathy are only measurable in humans with extreme noise exposures, and that these effects always co-occur with a loss of audiometric sensitivity.


Asunto(s)
Percepción Auditiva , Pérdida Auditiva Provocada por Ruido/psicología , Ruido/efectos adversos , Estimulación Acústica , Adolescente , Adulto , Factores de Edad , Audiometría de Tonos Puros , Umbral Auditivo , Femenino , Audición , Pérdida Auditiva Provocada por Ruido/etiología , Pérdida Auditiva Provocada por Ruido/fisiopatología , Humanos , Masculino , Música , Enmascaramiento Perceptual , Percepción de la Altura Tonal , Psicoacústica , Medición de Riesgo , Localización de Sonidos , Percepción del Habla , Acúfeno/etiología , Acúfeno/fisiopatología , Acúfeno/psicología , Adulto Joven
11.
J Acoust Soc Am ; 141(4): 2591, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28464637

RESUMEN

Old, hearing-impaired listeners generally benefit little from lateral separation of multiple talkers when listening to one of them. This study aimed to determine how spatial release from masking (SRM) in such listeners is affected when the interaural time differences (ITDs) in the temporal fine structure (TFS) are manipulated by tone-vocoding (TVC) at the ears by a master hearing aid system. Word recall was compared, with and without TVC, when target and masker sentences from a closed set were played simultaneously from the front loudspeaker (co-located) and when the maskers were played 45° to the left and right of the listener (separated). For 20 hearing-impaired listeners aged 64 to 86, SRM was 3.7 dB smaller with TVC than without TVC. This difference in SRM correlated with mean audiometric thresholds below 1.5 kHz, even when monaural TFS sensitivity (discrimination of frequency-shifts in identically filtered complexes) was partialed out, suggesting that low-frequency audiometric thresholds may be a good indicator of candidacy for hearing aids that preserve ITDs. The TVC difference in SRM was not correlated with age, pure-tone ITD thresholds, nor fundamental frequency difference limens, and only with monaural TFS sensitivity before control for low-frequency audiometric thresholds.


Asunto(s)
Envejecimiento/psicología , Corrección de Deficiencia Auditiva/instrumentación , Señales (Psicología) , Audífonos , Pérdida Auditiva Bilateral/rehabilitación , Pérdida Auditiva Sensorineural/rehabilitación , Enmascaramiento Perceptual , Personas con Deficiencia Auditiva/rehabilitación , Localización de Sonidos , Percepción del Habla , Estimulación Acústica , Factores de Edad , Anciano , Anciano de 80 o más Años , Audiometría de Tonos Puros , Audiometría del Habla , Umbral Auditivo , Femenino , Audición , Pérdida Auditiva Bilateral/diagnóstico , Pérdida Auditiva Bilateral/fisiopatología , Pérdida Auditiva Bilateral/psicología , Pérdida Auditiva Sensorineural/diagnóstico , Pérdida Auditiva Sensorineural/fisiopatología , Pérdida Auditiva Sensorineural/psicología , Humanos , Masculino , Persona de Mediana Edad , Personas con Deficiencia Auditiva/psicología , Discriminación de la Altura Tonal , Psicoacústica , Procesamiento de Señales Asistido por Computador
12.
Hear Res ; 345: 88-95, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28093315

RESUMEN

Unilateral auditory deprivation induces a reduction in the acoustic reflex threshold (ART) and an increase in loudness. These findings have been interpreted as a compensatory change in neural gain, governed by changes in excitatory and inhibitory neural inputs. There is also evidence to suggest that changes in neural gain can be measured using the auditory brainstem response (ABR). The present study extended Munro et al. (2014) [J. Acoust. Soc. Am. 135, 315-322] by investigating changes after 4 days of unilateral earplug use to: (i) ART, (ii) ABR and (iii) loudness. Because changes may occur during the post-deprivation test session (day 4), ART measurements were taken 1 h and 2 h post-earplug removal. There was a significant reduction in ART in the treatment ear immediately after the removal of the earplug, which is consistent with a compensatory increase in neural gain. A novel finding was the significant return of ARTs to baseline within 2 h of earplug removal. A second novel finding was a significant decrease in the mean amplitude of ABR wave V in the treatment ear, but a significant increase in the control ear, both after 4 days of deprivation. These changes in the ABR are in the opposite direction to those predicted. We were unable to replicate the change in loudness reported in previous deprivation studies; however, the short period of earplug use may have contributed to this null finding.


Asunto(s)
Vías Auditivas/fisiología , Umbral Auditivo , Potenciales Evocados Auditivos del Tronco Encefálico , Audición , Juicio , Percepción Sonora , Plasticidad Neuronal , Reflejo Acústico , Privación Sensorial , Estimulación Acústica , Adaptación Fisiológica , Adaptación Psicológica , Adulto , Dispositivos de Protección de los Oídos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Recuperación de la Función , Factores de Tiempo , Adulto Joven
13.
Hear Res ; 344: 68-81, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-27816499

RESUMEN

Noise-induced cochlear synaptopathy has been demonstrated in numerous rodent studies. In these animal models, the disorder is characterized by a reduction in amplitude of wave I of the auditory brainstem response (ABR) to high-level stimuli, whereas the response at threshold is unaffected. The aim of the present study was to determine if this disorder is prevalent in young adult humans with normal audiometric hearing. One hundred and twenty six participants (75 females) aged 18-36 were tested. Participants had a wide range of lifetime noise exposures as estimated by a structured interview. Audiometric thresholds did not differ across noise exposures up to 8 kHz, although 16-kHz audiometric thresholds were elevated with increasing noise exposure for females but not for males. ABRs were measured in response to high-pass (1.5 kHz) filtered clicks of 80 and 100 dB peSPL. Frequency-following responses (FFRs) were measured to 80 dB SPL pure tones from 240 to 285 Hz, and to 80 dB SPL 4 kHz pure tones amplitude modulated at frequencies from 240 to 285 Hz (transposed tones). The bandwidth of the ABR stimuli and the carrier frequency of the transposed tones were chosen to target the 3-6 kHz characteristic frequency region which is usually associated with noise damage in humans. The results indicate no relation between noise exposure and the amplitude of the ABR. In particular, wave I of the ABR did not decrease with increasing noise exposure as predicted. ABR wave V latency increased with increasing noise exposure for the 80 dB peSPL click. High carrier-frequency (envelope) FFR signal-to-noise ratios decreased as a function of noise exposure in males but not females. However, these correlations were not significant after the effects of age were controlled. The results suggest either that noise-induced cochlear synaptopathy is not a significant problem in young, audiometrically normal adults, or that the ABR and FFR are relatively insensitive to this disorder in young humans, although it is possible that the effects become more pronounced with age.


Asunto(s)
Percepción Auditiva , Cóclea/fisiopatología , Pérdida Auditiva Provocada por Ruido/etiología , Audición , Ruido/efectos adversos , Estimulación Acústica , Adolescente , Adulto , Factores de Edad , Audiometría de Tonos Puros , Umbral Auditivo , Electroencefalografía , Potenciales Evocados Auditivos , Potenciales Evocados Auditivos del Tronco Encefálico , Femenino , Pérdida Auditiva Provocada por Ruido/diagnóstico , Pérdida Auditiva Provocada por Ruido/fisiopatología , Pérdida Auditiva Provocada por Ruido/psicología , Humanos , Masculino , Emisiones Otoacústicas Espontáneas , Tiempo de Reacción , Factores de Riesgo , Factores Sexuales , Encuestas y Cuestionarios , Sinapsis , Adulto Joven
14.
Hear Res ; 344: 265-274, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-27964937

RESUMEN

In rodents, exposure to high-level noise can destroy synapses between inner hair cells and auditory nerve fibers, without causing hair cell loss or permanent threshold elevation. Such "cochlear synaptopathy" is associated with amplitude reductions in wave I of the auditory brainstem response (ABR) at moderate-to-high sound levels. Similar ABR results have been reported in humans with tinnitus and normal audiometric thresholds, leading to the suggestion that tinnitus in these cases might be a consequence of synaptopathy. However, the ABR is an indirect measure of synaptopathy and it is unclear whether the results in humans reflect the same mechanisms demonstrated in rodents. Measures of noise exposure were not obtained in the human studies, and high frequency audiometric loss may have impacted ABR amplitudes. To clarify the role of cochlear synaptopathy in tinnitus with a normal audiogram, we recorded ABRs, envelope following responses (EFRs), and noise exposure histories in young adults with tinnitus and matched controls. Tinnitus was associated with significantly greater lifetime noise exposure, despite close matching for age, sex, and audiometric thresholds up to 14 kHz. However, tinnitus was not associated with reduced ABR wave I amplitude, nor with significant effects on EFR measures of synaptopathy. These electrophysiological measures were also uncorrelated with lifetime noise exposure, providing no evidence of noise-induced synaptopathy in this cohort, despite a wide range of exposures. In young adults with normal audiograms, tinnitus may be related not to cochlear synaptopathy but to other effects of noise exposure.


Asunto(s)
Cóclea/fisiopatología , Pérdida Auditiva Provocada por Ruido/fisiopatología , Audición , Ruido/efectos adversos , Transmisión Sináptica , Acúfeno/fisiopatología , Estimulación Acústica , Adulto , Umbral Auditivo , Estudios de Casos y Controles , Electroencefalografía , Potenciales Evocados Auditivos del Tronco Encefálico , Femenino , Pérdida Auditiva Provocada por Ruido/diagnóstico , Pérdida Auditiva Provocada por Ruido/psicología , Humanos , Masculino , Psicoacústica , Factores de Riesgo , Acúfeno/diagnóstico , Acúfeno/psicología , Adulto Joven
15.
J Acoust Soc Am ; 140(4): 2725, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27794325

RESUMEN

Unilateral auditory deprivation or stimulation can induce changes in loudness and modify the sound level required to elicit the acoustic reflex. This has been explained in terms of a change in neural response, or gain, for a given sound level. However, it is unclear if these changes are driven by the asymmetry in auditory input or if they will also occur following bilateral changes in auditory input. The present study used a cross-over trial of unilateral and bilateral amplification to investigate changes in the acoustic reflex thresholds (ARTs) and the auditory brainstem response (ABR) in normal hearing listeners. Each treatment lasted 7 days and there was a 7-day washout period between the treatments. There was no significant change in the ART or ABR with either treatment. This null finding may have occurred because the amplification was insufficient to induce experience-related changes to the ABR and ART. Based on the null findings from the present study, and evidence of a change in ART in previous unilateral hearing aid use in normal hearing listeners, the threshold to trigger adaptive changes appears to be around 5 days of amplification with real ear insertion gain greater than 13-17 dB.


Asunto(s)
Reflejo Acústico , Estimulación Acústica , Adulto , Umbral Auditivo , Potenciales Evocados Auditivos del Tronco Encefálico , Humanos , Plasticidad Neuronal
16.
Hear Res ; 341: 210-219, 2016 11.
Artículo en Inglés | MEDLINE | ID: mdl-27620512

RESUMEN

Auditory deprivation and stimulation can change the threshold of the acoustic reflex, but the mechanisms underlying these changes remain largely unknown. In order to elucidate the mechanism, we sought to characterize the time-course as well as the frequency specificity of changes in acoustic reflex thresholds (ARTs). In addition, we compared ipsilateral and contralateral measurements because the pattern of findings may shed light on the anatomical location of the change in neural gain. Twenty-four normal-hearing adults wore an earplug continuously in one ear for six days. We measured ipsilateral and contralateral ARTs in both ears on six occasions (baseline, after 2, 4 and 6 days of earplug use, and 4 and 24 h after earplug removal), using pure tones at 0.5, 1, 2 and 4 kHz and a broadband noise stimulus, and an experimenter-blinded design. We found that ipsi- as well as contralateral ARTs were obtained at a lower sound pressure level after earplug use, but only when the reflex was elicited by stimulating the treatment ear. Changes in contralateral ARTs were not the same as changes in ipsilateral ARTs when the stimulus was presented to the control ear. Changes in ARTs were present after 2 days of earplug use, and reached statistical significance after 4 days, when the ipsilateral and contralateral ARTs were measured in the treatment ear. The greatest changes in ARTs occurred at 2 and 4 kHz, the frequencies most attenuated by the earplug. After removal of the earplug, ARTs started to return to baseline relatively quickly, and were not significantly different from baseline by 4-24 h. There was a trend for the recovery to occur quicker than the onset. The changes in ARTs are consistent with a frequency-specific gain control mechanism operating around the level of the ventral cochlear nucleus in the treatment ear, on a time scale of hours to days. These findings, specifically the time course of change, could be applicable to other sensory systems, which have also shown evidence of a neural gain control mechanism.


Asunto(s)
Estimulación Acústica , Umbral Auditivo , Plasticidad Neuronal , Reflejo Acústico , Adolescente , Adulto , Núcleo Coclear/fisiología , Femenino , Pruebas Auditivas , Humanos , Masculino , Persona de Mediana Edad , Reflejo , Sensibilidad y Especificidad , Factores de Tiempo , Adulto Joven
17.
J Acoust Soc Am ; 137(6): EL408-14, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26093448

RESUMEN

Physiological measures of neural activity in the auditory cortex have revealed plasticity following unilateral deafness. Central projections from the remaining ear reorganize to produce a stronger cortical response than normal. However, little is known about the perceptual consequences of this increase. One possibility is improved sound intensity discrimination. Intensity difference limens were measured in 11 individuals with unilateral deafness that were previously shown to exhibit increased cortical activity to sounds heard by the intact ear. Significantly smaller mean difference limens were observed compared with controls. These results provide evidence of the perceptual consequences of plasticity in humans following unilateral deafness.


Asunto(s)
Vías Auditivas/fisiopatología , Discriminación en Psicología , Lateralidad Funcional , Pérdida Auditiva Unilateral/psicología , Percepción Sonora , Estimulación Acústica , Adaptación Fisiológica , Adaptación Psicológica , Adulto , Anciano , Audiometría de Tonos Puros , Umbral Auditivo , Estudios de Casos y Controles , Femenino , Pérdida Auditiva Unilateral/diagnóstico , Pérdida Auditiva Unilateral/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Plasticidad Neuronal
18.
J Acoust Soc Am ; 137(5): 2687-97, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25994700

RESUMEN

One task intended to measure sensitivity to temporal fine structure (TFS) involves the discrimination of a harmonic complex tone from a tone in which all harmonics are shifted upwards by the same amount in hertz. Both tones are passed through a fixed bandpass filter centered on the high harmonics to reduce the availability of excitation-pattern cues and a background noise is used to mask combination tones. The role of frequency selectivity in this "TFS1" task was investigated by varying level. Experiment 1 showed that listeners performed more poorly at a high level than at a low level. Experiment 2 included intermediate levels and showed that performance deteriorated for levels above about 57 dB sound pressure level. Experiment 3 estimated the magnitude of excitation-pattern cues from the variation in forward masking of a pure tone as a function of frequency shift in the complex tones. There was negligible variation, except for the lowest level used. The results indicate that the changes in excitation level at threshold for the TFS1 task would be too small to be usable. The results are consistent with the TFS1 task being performed using TFS cues, and with frequency selectivity having an indirect effect on performance via its influence on TFS cues.


Asunto(s)
Señales (Psicología) , Discriminación en Psicología , Ruido/efectos adversos , Enmascaramiento Perceptual , Discriminación de la Altura Tonal , Estimulación Acústica/métodos , Acústica , Adulto , Audiometría de Tonos Puros , Umbral Auditivo , Humanos , Presión , Psicoacústica , Sonido , Espectrografía del Sonido , Adulto Joven
19.
J Neurosci ; 35(9): 4071-80, 2015 Mar 04.
Artículo en Inglés | MEDLINE | ID: mdl-25740534

RESUMEN

When two musical notes with simple frequency ratios are played simultaneously, the resulting musical chord is pleasing and evokes a sense of resolution or "consonance". Complex frequency ratios, on the other hand, evoke feelings of tension or "dissonance". Consonance and dissonance form the basis of harmony, a central component of Western music. In earlier work, we provided evidence that consonance perception is based on neural temporal coding in the brainstem (Bones et al., 2014). Here, we show that for listeners with clinically normal hearing, aging is associated with a decline in both the perceptual distinction and the distinctiveness of the neural representations of different categories of two-note chords. Compared with younger listeners, older listeners rated consonant chords as less pleasant and dissonant chords as more pleasant. Older listeners also had less distinct neural representations of consonant and dissonant chords as measured using a Neural Consonance Index derived from the electrophysiological "frequency-following response." The results withstood a control for the effect of age on general affect, suggesting that different mechanisms are responsible for the perceived pleasantness of musical chords and affective voices and that, for listeners with clinically normal hearing, age-related differences in consonance perception are likely to be related to differences in neural temporal coding.


Asunto(s)
Envejecimiento/psicología , Percepción Auditiva/fisiología , Tronco Encefálico/crecimiento & desarrollo , Tronco Encefálico/fisiología , Música/psicología , Estimulación Acústica , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Potenciales Evocados Auditivos/fisiología , Femenino , Felicidad , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
20.
Hear Res ; 323: 9-21, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25636498

RESUMEN

When two notes are played simultaneously they form a musical dyad. The sensation of pleasantness, or "consonance", of a dyad is likely driven by the harmonic relation of the frequency components of the combined spectrum of the two notes. Previous work has demonstrated a relation between individual preference for consonant over dissonant dyads, and the strength of neural temporal coding of the harmonicity of consonant relative to dissonant dyads as measured using the electrophysiological "frequency-following response" (FFR). However, this work also demonstrated that both these variables correlate strongly with musical experience. The current study was designed to determine whether the relation between consonance preference and neural temporal coding is maintained when controlling for musical experience. The results demonstrate that strength of neural coding of harmonicity is predictive of individual preference for consonance even for non-musicians. An additional purpose of the current study was to assess the cochlear generation site of the FFR to low-frequency dyads. By comparing the reduction in FFR strength when high-pass masking noise was added to the output of a model of the auditory periphery, the results provide evidence for the FFR to low-frequency dyads resulting in part from basal cochlear generators.


Asunto(s)
Corteza Auditiva/fisiología , Cóclea/inervación , Música , Percepción de la Altura Tonal , Estimulación Acústica , Acústica , Adulto , Audiometría , Vías Auditivas/fisiología , Umbral Auditivo , Femenino , Humanos , Masculino , Ruido/efectos adversos , Patrones de Reconocimiento Fisiológico , Enmascaramiento Perceptual , Placer , Psicoacústica , Espectrografía del Sonido , Factores de Tiempo , Adulto Joven
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