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1.
Sci Rep ; 7(1): 12631, 2017 10 03.
Artigo em Inglês | MEDLINE | ID: mdl-28974695

RESUMO

Growing evidence shows that music and language experience affect the neural processing of speech sounds throughout the auditory system. Recent work mainly focused on the benefits induced by musical practice on the processing of native language or tonal foreign language, which rely on pitch processing. The aim of the present study was to take this research a step further by investigating the effect of music training on processing English sounds by foreign listeners. We recorded subcortical electrophysiological responses to an English syllable in three groups of participants: native speakers, non-native nonmusicians, and non-native musicians. Native speakers had enhanced neural processing of the formant frequencies of speech, compared to non-native nonmusicians, suggesting that automatic encoding of these relevant speech cues are sensitive to language experience. Most strikingly, in non-native musicians, neural responses to the formant frequencies did not differ from those of native speakers, suggesting that musical training may compensate for the lack of language experience by strengthening the neural encoding of important acoustic information. Language and music experience seem to induce a selective sensory gain along acoustic dimensions that are functionally-relevant-here, formant frequencies that are crucial for phoneme discrimination.


Assuntos
Percepção Auditiva/fisiologia , Idioma , Música , Percepção da Fala/fisiologia , Fala/fisiologia , Estimulação Acústica , Adolescente , Adulto , Eletroencefalografia , Feminino , Humanos , Masculino , Fonética , Discriminação da Altura Tonal/fisiologia , Percepção da Altura Sonora/fisiologia , Adulto Jovem
2.
Cereb Cortex ; 27(11): 5095-5115, 2017 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-28334187

RESUMO

Auditory-evoked potentials are classically defined as the summations of synchronous firing along the auditory neuraxis. Converging evidence supports a model whereby timing jitter in neural coding compromises listening and causes variable scalp-recorded potentials. Yet the intrinsic noise of human scalp recordings precludes a full understanding of the biological origins of individual differences in listening skills. To delineate the mechanisms contributing to these phenomena, in vivo extracellular activity was recorded from inferior colliculus in guinea pigs to speech in quiet and noise. Here we show that trial-by-trial timing jitter is a mechanism contributing to auditory response variability. Identical variability patterns were observed in scalp recordings in human children, implicating jittered timing as a factor underlying reduced coding of dynamic speech features and speech in noise. Moreover, intertrial variability in human listeners is tied to language development. Together, these findings suggest that variable timing in inferior colliculus blurs the neural coding of speech in noise, and propose a consequence of this timing jitter for human behavior. These results hint both at the mechanisms underlying speech processing in general, and at what may go awry in individuals with listening difficulties.


Assuntos
Percepção Auditiva/fisiologia , Variação Biológica Individual , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Mesencéfalo/fisiologia , Estimulação Acústica , Animais , Pré-Escolar , Estudos de Coortes , Eletroencefalografia , Feminino , Cobaias , Humanos , Inteligência , Masculino , Mesencéfalo/crescimento & desenvolvimento , Microeletrodos , Modelos Animais , Ruído , Caracteres Sexuais , Fala
3.
Brain Lang ; 164: 43-52, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27701006

RESUMO

Speech communication involves integration and coordination of sensory perception and motor production, requiring precise temporal coupling. Beat synchronization, the coordination of movement with a pacing sound, can be used as an index of this sensorimotor timing. We assessed adolescents' synchronization and capacity to correct asynchronies when given online visual feedback. Variability of synchronization while receiving feedback predicted phonological memory and reading sub-skills, as well as maturation of cortical auditory processing; less variable synchronization during the presence of feedback tracked with maturation of cortical processing of sound onsets and resting gamma activity. We suggest the ability to incorporate feedback during synchronization is an index of intentional, multimodal timing-based integration in the maturing adolescent brain. Precision of temporal coding across modalities is important for speech processing and literacy skills that rely on dynamic interactions with sound. Synchronization employing feedback may prove useful as a remedial strategy for individuals who struggle with timing-based language learning impairments.


Assuntos
Encéfalo/fisiologia , Retroalimentação , Leitura , Som , Estimulação Acústica , Adolescente , Percepção Auditiva/fisiologia , Feminino , Ritmo Gama , Humanos , Desenvolvimento da Linguagem , Aprendizagem , Linguística , Masculino , Fala , Fatores de Tempo
4.
Hear Res ; 344: 148-157, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27864051

RESUMO

From bustling classrooms to unruly lunchrooms, school settings are noisy. To learn effectively in the unwelcome company of numerous distractions, children must clearly perceive speech in noise. In older children and adults, speech-in-noise perception is supported by sensory and cognitive processes, but the correlates underlying this critical listening skill in young children (3-5 year olds) remain undetermined. Employing a longitudinal design (two evaluations separated by ∼12 months), we followed a cohort of 59 preschoolers, ages 3.0-4.9, assessing word-in-noise perception, cognitive abilities (intelligence, short-term memory, attention), and neural responses to speech. Results reveal changes in word-in-noise perception parallel changes in processing of the fundamental frequency (F0), an acoustic cue known for playing a role central to speaker identification and auditory scene analysis. Four unique developmental trajectories (speech-in-noise perception groups) confirm this relationship, in that improvements and declines in word-in-noise perception couple with enhancements and diminishments of F0 encoding, respectively. Improvements in word-in-noise perception also pair with gains in attention. Word-in-noise perception does not relate to strength of neural harmonic representation or short-term memory. These findings reinforce previously-reported roles of F0 and attention in hearing speech in noise in older children and adults, and extend this relationship to preschool children.


Assuntos
Atenção , Vias Auditivas/fisiologia , Individualidade , Neurônios/fisiologia , Ruído/efeitos adversos , Mascaramento Perceptivo , Percepção da Fala , Estimulação Acústica , Fatores Etários , Audiometria da Fala , Vias Auditivas/citologia , Comportamento Infantil , Desenvolvimento Infantil , Pré-Escolar , Compreensão , Potenciais Evocados Auditivos do Tronco Encefálico , Feminino , Humanos , Masculino , Acústica da Fala , Inteligibilidade da Fala , Qualidade da Voz
5.
Neuropsychologia ; 89: 57-65, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27263123

RESUMO

The development of the phoneme inventory is driven by the acoustic-phonetic properties of one's native language. Neural representation of speech is known to be shaped by language experience, as indexed by cortical responses, and recent studies suggest that subcortical processing also exhibits this attunement to native language. However, most work to date has focused on the differences between tonal and non-tonal languages that use pitch variations to convey phonemic categories. The aim of this cross-language study is to determine whether subcortical encoding of speech sounds is sensitive to language experience by comparing native speakers of two non-tonal languages (French and English). We hypothesized that neural representations would be more robust and fine-grained for speech sounds that belong to the native phonemic inventory of the listener, and especially for the dimensions that are phonetically relevant to the listener such as high frequency components. We recorded neural responses of American English and French native speakers, listening to natural syllables of both languages. Results showed that, independently of the stimulus, American participants exhibited greater neural representation of the fundamental frequency compared to French participants, consistent with the importance of the fundamental frequency to convey stress patterns in English. Furthermore, participants showed more robust encoding and more precise spectral representations of the first formant when listening to the syllable of their native language as compared to non-native language. These results align with the hypothesis that language experience shapes sensory processing of speech and that this plasticity occurs as a function of what is meaningful to a listener.


Assuntos
Mapeamento Encefálico , Encéfalo/fisiologia , Idioma , Percepção da Fala/fisiologia , Fala/fisiologia , Estimulação Acústica , Adolescente , Adulto , Análise de Variância , Estudos de Casos e Controles , Comparação Transcultural , Eletroencefalografia , Feminino , Análise de Fourier , Humanos , Masculino , Adulto Jovem
6.
Hear Res ; 328: 34-47, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26113025

RESUMO

Early childhood is a critical period of auditory learning, during which children are constantly mapping sounds to meaning. But this auditory learning rarely occurs in ideal listening conditions-children are forced to listen against a relentless din. This background noise degrades the neural coding of these critical sounds, in turn interfering with auditory learning. Despite the importance of robust and reliable auditory processing during early childhood, little is known about the neurophysiology underlying speech processing in children so young. To better understand the physiological constraints these adverse listening scenarios impose on speech sound coding during early childhood, auditory-neurophysiological responses were elicited to a consonant-vowel syllable in quiet and background noise in a cohort of typically-developing preschoolers (ages 3-5 yr). Overall, responses were degraded in noise: they were smaller, less stable across trials, slower, and there was poorer coding of spectral content and the temporal envelope. These effects were exacerbated in response to the consonant transition relative to the vowel, suggesting that the neural coding of spectrotemporally-dynamic speech features is more tenuous in noise than the coding of static features-even in children this young. Neural coding of speech temporal fine structure, however, was more resilient to the addition of background noise than coding of temporal envelope information. Taken together, these results demonstrate that noise places a neurophysiological constraint on speech processing during early childhood by causing a breakdown in neural processing of speech acoustics. These results may explain why some listeners have inordinate difficulties understanding speech in noise. Speech-elicited auditory-neurophysiological responses offer objective insight into listening skills during early childhood by reflecting the integrity of neural coding in quiet and noise; this paper documents typical response properties in this age group. These normative metrics may be useful clinically to evaluate auditory processing difficulties during early childhood.


Assuntos
Percepção Auditiva , Audição , Ruído/efeitos adversos , Percepção da Fala , Estimulação Acústica , Pré-Escolar , Estudos de Coortes , Eletrofisiologia , Feminino , Análise de Fourier , Testes Auditivos , Humanos , Idioma , Masculino , Neurofisiologia , Fonética , Fatores de Risco , Processamento de Sinais Assistido por Computador , Fala , Acústica da Fala
7.
PLoS One ; 10(6): e0128839, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26107927

RESUMO

Rhythmic entrainment, or beat synchronization, provides an opportunity to understand how multiple systems operate together to integrate sensory-motor information. Also, synchronization is an essential component of musical performance that may be enhanced through musical training. Investigations of rhythmic entrainment have revealed a developmental trajectory across the lifespan, showing synchronization improves with age and musical experience. Here, we explore the development and maintenance of synchronization in childhood through older adulthood in a large cohort of participants (N = 145), and also ask how it may be altered by musical experience. We employed a uniform assessment of beat synchronization for all participants and compared performance developmentally and between individuals with and without musical experience. We show that the ability to consistently tap along to a beat improves with age into adulthood, yet in older adulthood tapping performance becomes more variable. Also, from childhood into young adulthood, individuals are able to tap increasingly close to the beat (i.e., asynchronies decline with age), however, this trend reverses from younger into older adulthood. There is a positive association between proportion of life spent playing music and tapping performance, which suggests a link between musical experience and auditory-motor integration. These results are broadly consistent with previous investigations into the development of beat synchronization across the lifespan, and thus complement existing studies and present new insights offered by a different, large cross-sectional sample.


Assuntos
Envelhecimento/fisiologia , Percepção Auditiva/fisiologia , Música/psicologia , Periodicidade , Desempenho Psicomotor/fisiologia , Estimulação Acústica , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/psicologia , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
J Acoust Soc Am ; 137(6): 3346-55, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26093424

RESUMO

Previous studies have evaluated representation of the fundamental frequency (F0) in the frequency following response (FFR) of infants, but the development of other aspects of the FFR, such as timing and harmonics, has not yet been examined. Here, FFRs were recorded to a speech syllable in 28 infants, ages three to ten months. The F0 amplitude of the response was variable among individuals but was strongly represented in some infants as young as three months of age. The harmonics, however, showed a systematic increase in amplitude with age. In the time domain, onset, offset, and inter-peak latencies decreased with age. These results are consistent with neurophysiological studies indicating that (1) phase locking to lower frequency sounds emerges earlier in life than phase locking to higher frequency sounds and (2) myelination continues to increase in the first year of life. Early representation of low frequencies may reflect greater exposure to low frequency stimulation in utero. The improvement in temporal precision likely parallels an increase in the efficiency of neural transmission accompanied by exposure to speech during the first year of life.


Assuntos
Córtex Auditivo/fisiologia , Vias Auditivas/fisiologia , Potenciais Evocados Auditivos , Percepção da Fala , Estimulação Acústica , Fatores Etários , Córtex Auditivo/crescimento & desenvolvimento , Vias Auditivas/crescimento & desenvolvimento , Desenvolvimento Infantil , Eletroencefalografia , Análise de Fourier , Humanos , Lactente , Tempo de Reação , Espectrografia do Som , Transmissão Sináptica , Fatores de Tempo
9.
J Am Acad Audiol ; 26(1): 30-5, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25597458

RESUMO

BACKGROUND: Click-evoked auditory brainstem responses (ABRs) are a valuable tool for probing auditory system function and development. Although it has long been thought that the human auditory brainstem is fully mature by age 2 yr, recent evidence indicates a prolonged developmental trajectory. PURPOSE: The purpose of this study was to determine the time course of ABR maturation in a preschool population and fill a gap in the knowledge of development. RESEARCH DESIGN: Using a cross-sectional design, we investigated the effect of age on absolute latencies, interwave latencies, and amplitudes (waves I, III, V) of the click-evoked ABR. STUDY SAMPLE: A total of 71 preschoolers (ages 3.12-4.99 yr) participated in the study. All had normal peripheral auditory function and IQ. DATA COLLECTION AND ANALYSIS: ABRs to a rarefaction click stimulus presented at 31/sec and 80 dB SPL (73 dB nHL) were recorded monaurally using clinically-standard recording and filtering procedures while the participant sat watching a movie. Absolute latencies, interwave latencies, and amplitudes were then correlated to age. RESULTS: Developmental changes were restricted to absolute latencies. Wave V latency decreased significantly with age, whereas wave I and III latencies remained stable, even in this restricted age range. CONCLUSIONS: The ABR does not remain static after age 2 yr, as seen by a systematic decrease in wave V latency between ages 3 and 5 yr. This finding suggests that the human brainstem has a continued developmental time course during the preschool years. Latency changes in the age 3-5 yr range should be considered when using ABRs as a metric of hearing health.


Assuntos
Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Audição/fisiologia , Estimulação Acústica/métodos , Pré-Escolar , Estudos Transversais , Feminino , Testes Auditivos , Humanos , Masculino , Tempo de Reação/fisiologia
10.
Proc Natl Acad Sci U S A ; 111(40): 14559-64, 2014 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-25246562

RESUMO

Temporal cues are important for discerning word boundaries and syllable segments in speech; their perception facilitates language acquisition and development. Beat synchronization and neural encoding of speech reflect precision in processing temporal cues and have been linked to reading skills. In poor readers, diminished neural precision may contribute to rhythmic and phonological deficits. Here we establish links between beat synchronization and speech processing in children who have not yet begun to read: preschoolers who can entrain to an external beat have more faithful neural encoding of temporal modulations in speech and score higher on tests of early language skills. In summary, we propose precise neural encoding of temporal modulations as a key mechanism underlying reading acquisition. Because beat synchronization abilities emerge at an early age, these findings may inform strategies for early detection of and intervention for language-based learning disabilities.


Assuntos
Vias Neurais/fisiologia , Leitura , Percepção da Fala/fisiologia , Fala/fisiologia , Estimulação Acústica/métodos , Análise de Variância , Percepção Auditiva/fisiologia , Pré-Escolar , Sinais (Psicologia) , Eletrodos , Eletrofisiologia/instrumentação , Eletrofisiologia/métodos , Feminino , Humanos , Desenvolvimento da Linguagem , Aprendizagem/fisiologia , Masculino , Fonética
11.
Neuropsychologia ; 62: 286-96, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25111032

RESUMO

The potential for short-term training to improve cognitive and sensory functions in older adults has captured the public's interest. Initial results have been promising. For example, eight weeks of auditory-based cognitive training decreases peak latencies and peak variability in neural responses to speech presented in a background of noise and instills gains in speed of processing, speech-in-noise recognition, and short-term memory in older adults. But while previous studies have demonstrated short-term plasticity in older adults, we must consider the long-term maintenance of training gains. To evaluate training maintenance, we invited participants from an earlier training study to return for follow-up testing six months after the completion of training. We found that improvements in response peak timing to speech in noise and speed of processing were maintained, but the participants did not maintain speech-in-noise recognition or memory gains. Future studies should consider factors that are important for training maintenance, including the nature of the training, compliance with the training schedule, and the need for booster sessions after the completion of primary training.


Assuntos
Estimulação Acústica , Envelhecimento , Transtornos Cognitivos/reabilitação , Terapia Cognitivo-Comportamental , Reconhecimento Psicológico/fisiologia , Idoso , Análise de Variância , Eletroencefalografia , Potenciais Evocados Auditivos/fisiologia , Feminino , Seguimentos , Humanos , Masculino , Memória de Curto Prazo/fisiologia , Pessoa de Meia-Idade , Tempo de Reação/fisiologia , Percepção da Fala/fisiologia , Estatística como Assunto , Fatores de Tempo
12.
J Neurosci ; 33(45): 17667-74, 2013 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-24198359

RESUMO

Aging results in pervasive declines in nervous system function. In the auditory system, these declines include neural timing delays in response to fast-changing speech elements; this causes older adults to experience difficulty understanding speech, especially in challenging listening environments. These age-related declines are not inevitable, however: older adults with a lifetime of music training do not exhibit neural timing delays. Yet many people play an instrument for a few years without making a lifelong commitment. Here, we examined neural timing in a group of human older adults who had nominal amounts of music training early in life, but who had not played an instrument for decades. We found that a moderate amount (4-14 years) of music training early in life is associated with faster neural timing in response to speech later in life, long after training stopped (>40 years). We suggest that early music training sets the stage for subsequent interactions with sound. These experiences may interact over time to sustain sharpened neural processing in central auditory nuclei well into older age.


Assuntos
Envelhecimento/fisiologia , Encéfalo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Plasticidade Neuronal/fisiologia , Percepção da Fala/fisiologia , Estimulação Acústica , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Música , Tempo
13.
J Acoust Soc Am ; 133(5): 3030-8, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23654406

RESUMO

Individuals with sensorineural hearing loss often report frustration with speech being loud but not clear, especially in background noise. Despite advanced digital technology, hearing aid users may resort to removing their hearing aids in noisy environments due to the perception of excessive loudness. In an animal model, sensorineural hearing loss results in greater auditory nerve coding of the stimulus envelope, leading to a relative deficit of stimulus fine structure. Based on the hypothesis that brainstem encoding of the temporal envelope is greater in humans with sensorineural hearing loss, speech-evoked brainstem responses were recorded in normal hearing and hearing impaired age-matched groups of older adults. In the hearing impaired group, there was a disruption in the balance of envelope-to-fine structure representation compared to that of the normal hearing group. This imbalance may underlie the difficulty experienced by individuals with sensorineural hearing loss when trying to understand speech in background noise. This finding advances the understanding of the effects of sensorineural hearing loss on central auditory processing of speech in humans. Moreover, this finding has clinical potential for developing new amplification or implantation technologies, and in developing new training regimens to address this relative deficit of fine structure representation.


Assuntos
Tronco Encefálico/fisiopatologia , Sinais (Psicologia) , Perda Auditiva Neurossensorial/psicologia , Pessoas com Deficiência Auditiva/psicologia , Acústica da Fala , Inteligibilidade da Fala , Percepção da Fala , Estimulação Acústica , Idoso , Idoso de 80 Anos ou mais , Limiar Auditivo , Estudos de Casos e Controles , Eletroencefalografia , Potenciais Evocados Auditivos do Tronco Encefálico , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Ruído/efeitos adversos , Mascaramento Perceptivo , Espectrografia do Som , Fatores de Tempo
14.
Hear Res ; 300: 18-32, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23541911

RESUMO

Understanding speech in noise is one of the most complex activities encountered in everyday life, relying on peripheral hearing, central auditory processing, and cognition. These abilities decline with age, and so older adults are often frustrated by a reduced ability to communicate effectively in noisy environments. Many studies have examined these factors independently; in the last decade, however, the idea of an auditory-cognitive system has emerged, recognizing the need to consider the processing of complex sounds in the context of dynamic neural circuits. Here, we used structural equation modeling to evaluate the interacting contributions of peripheral hearing, central processing, cognitive ability, and life experiences to understanding speech in noise. We recruited 120 older adults (ages 55-79) and evaluated their peripheral hearing status, cognitive skills, and central processing. We also collected demographic measures of life experiences, such as physical activity, intellectual engagement, and musical training. In our model, central processing and cognitive function predicted a significant proportion of variance in the ability to understand speech in noise. To a lesser extent, life experience predicted hearing-in-noise ability through modulation of brainstem function. Peripheral hearing levels did not significantly contribute to the model. Previous musical experience modulated the relative contributions of cognitive ability and lifestyle factors to hearing in noise. Our models demonstrate the complex interactions required to hear in noise and the importance of targeting cognitive function, lifestyle, and central auditory processing in the management of individuals who are having difficulty hearing in noise.


Assuntos
Vias Auditivas/fisiologia , Cognição , Ruído/efeitos adversos , Mascaramento Perceptivo , Percepção da Fala , Estimulação Acústica , Fatores Etários , Idoso , Audiometria de Tons Puros , Audiometria da Fala , Limiar Auditivo , Distribuição de Qui-Quadrado , Compreensão , Potenciais Evocados Auditivos do Tronco Encefálico , Feminino , Humanos , Acontecimentos que Mudam a Vida , Estilo de Vida , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Modelos Neurológicos , Modelos Psicológicos , Análise Multivariada , Música , Emissões Otoacústicas Espontâneas , Espectrografia do Som , Inteligibilidade da Fala , Fatores de Tempo
15.
J Speech Lang Hear Res ; 56(1): 31-43, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22761320

RESUMO

PURPOSE: To compare the ability of the auditory brainstem response to complex sounds (cABR) to predict subjective ratings of speech understanding in noise on the Speech, Spatial, and Qualities of Hearing Scale (SSQ; Gatehouse & Noble, 2004) relative to the predictive ability of the Quick Speech-in-Noise test (QuickSIN; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004) and pure-tone hearing thresholds. METHOD: Participants included 111 middle- to older-age adults (range = 45-78) with audiometric configurations ranging from normal hearing levels to moderate sensorineural hearing loss. In addition to using audiometric testing, the authors also used such evaluation measures as the QuickSIN, the SSQ, and the cABR. RESULTS: Multiple linear regression analysis indicated that the inclusion of brainstem variables in a model with QuickSIN, hearing thresholds, and age accounted for 30% of the variance in the Speech subtest of the SSQ, compared with significantly less variance (19%) when brainstem variables were not included. CONCLUSION: The authors' results demonstrate the cABR's efficacy for predicting self-reported speech-in-noise perception difficulties. The fact that the cABR predicts more variance in self-reported speech-in-noise (SIN) perception than either the QuickSIN or hearing thresholds indicates that the cABR provides additional insight into an individual's ability to hear in background noise. In addition, the findings underscore the link between the cABR and hearing in noise.


Assuntos
Limiar Auditivo , Potenciais Evocados Auditivos do Tronco Encefálico , Perda Auditiva/diagnóstico , Perda Auditiva/fisiopatologia , Testes de Discriminação da Fala/métodos , Percepção da Fala , Estimulação Acústica/métodos , Idoso , Algoritmos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ruído , Fonética , Valor Preditivo dos Testes , Tempo de Reação , Análise de Regressão , Autorrelato , Localização de Som
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