A New Speech, Spatial, and Qualities of Hearing Scale Short-Form: Factor, Cluster, and Comparative Analyses.

OBJECTIVES: The objective of this work was to build a 15-item short-form of the Speech Spatial and Qualities of Hearing Scale (SSQ) that maintains the three-factor structure of the full form, using a data-driven approach consistent with internationally recognized procedures for short-form building. This included the validation of the new short-form on an independent sample and an in-depth, comparative analysis of all existing, full and short SSQ forms. DESIGN: Data from a previous study involving 98 normal-hearing (NH) individuals and 196 people with hearing impairments (HI), non hearing aid wearers, along with results from several other published SSQ studies, were used for developing the short-form. Data from a new and independent sample of 35 NH and 88 HI hearing aid wearers were used to validate the new short-form. Factor and hierarchical cluster analyses were used to check the factor structure and internal consistency of the new short-form. In addition, the new short-form was compared with all other SSQ forms, including the full SSQ, the German SSQ15, the SSQ12, and the SSQ5. Construct validity was further assessed by testing statistical relationships between scores and audiometric factors, including pure-tone threshold averages (PTAs) and left/right PTA asymmetry. Receiver-operating characteristic analyses were used to compare the ability of different SSQ forms to discriminate between NH and HI (HI non hearing aid wearers and HI hearing aid wearers) individuals. RESULTS: Compared all other SSQ forms, including the full SSQ, the new short-form showed negligible cross-loading across the three main subscales and greater discriminatory power between NH and HI subjects (as indicated by a larger area under the receiver-operating characteristic curve), as well as between the main subscales (especially Speech and Qualities). Moreover, the new, 5-item Spatial subscale showed increased sensitivity to left/right PTA asymmetry. Very good internal consistency and homogeneity and high correlations with the SSQ were obtained for all short-forms. CONCLUSIONS: While maintaining the three-factor structure of the full SSQ, and exceeding the latter in terms of construct validity and sensitivity to audiometric variables, the new 15-item SSQ affords a substantial reduction in the number of items and, thus, in test time. Based on overall scores, Speech subscores, or Spatial subscores, but not Qualities subscores, the 15-item SSQ appears to be more sensitive to differences in self-evaluated hearing abilities between NH and HI subjects than the full SSQ.

Recentering bias for temporal saccades only: Evidence from binocular recordings of eye movements.

It is well known that the saccadic system presents multiple asymmetries. Notably, temporal (as opposed to nasal) saccades, centripetal (as opposed to centrifugal) saccades (i.e., the recentering bias) and saccades from the abducting eye (as opposed to the concomitant saccades from the adducting eye) exhibit higher peak velocities. However, these naso-temporal and centripetal-centrifugal asymmetries have always been studied separately. It is thus unknown which asymmetry prevails when there is a conflict between both asymmetries, i.e., in case of centripetal nasal saccades or centrifugal temporal saccades. This study involved binocular recordings of eye movements to examine both the naso-temporal and centripetal-centrifugal asymmetries so as to determine how they work together. Twenty-eight participants had to make saccades toward stimuli presented either centrally or in the periphery in binocular conditions. We found that temporal and abducting saccades always exhibit higher peak velocities than nasal and adducting saccades, irrespective of their centripetal or centrifugal nature. However, we showed that the velocity advantage for centripetal saccades is only found for temporal and not for nasal saccades. Such a result is of importance as it could provide new insights about the physiological origins of the asymmetries found in the saccadic system.

Variability of word discrimination scores in clinical practice and consequences on their sensitivity to hearing loss.

Speech perception scores are widely used to assess patient's functional hearing, yet most linguistic material used in these audiometric tests dates to before the availability of large computerized linguistic databases. In an ENT clinic population of 120 patients with median hearing loss of 43-dB HL, we quantified the variability and the sensitivity of speech perception scores to hearing loss, measured using disyllabic word lists, as a function of both the number of ten-word lists and type of scoring used (word, syllables or phonemes). The mean word recognition scores varied significantly across lists from 54 to 68%. The median of the variability of the word recognition score ranged from 30% for one ten-word list down to 20% for three ten-word lists. Syllabic and phonemic scores showed much less variability with standard deviations decreasing by 1.15 with the use of syllabic scores and by 1.45 with phonemic scores. The sensitivity of each list to hearing loss and distortions varied significantly. There was an increase in the minimum effect size that could be seen for syllabic scores compared to word scores, with no significant further improvement with phonemic scores. The use of at least two ten-word lists, quoted in syllables rather than in whole words, contributed to a large decrease in variability and an increase in sensitivity to hearing loss. However, those results emphasize the need of using updated linguistic material for clinical speech score assessments.

6-Month-Old Infants' Sensitivity to Contingency in a Variant of the Mobile Paradigm With Proximal Stimulation Studied at Fine Temporal Resolution in the Laboratory.

Infants' ability to monitor "sensorimotor contingencies," i.e., the sensory effects of their own actions, is an important mechanism underlying learning. One method that has been used to investigate this is the "mobile paradigm," in which a mobile above an infant's crib is activated by motion of one of the infant's limbs. Although successfully used in numerous experiments performed in infants' homes to investigate memory and other types of learning, the paradigm seems less robust for demonstrating sensitivity to sensorimotor contingencies when used in the laboratory. One purpose of the present work was to show that certain changes to the mobile paradigm would make it easier for infants to show their sensitivity to the contingency in the lab. In particular, we used proximal stimulation on infants' wrists instead of the usual mobile, and our stimulation was coincident with the limbs that caused it. Our stimulation was either on or off, i.e., not modulated by the amount the infant moved. Finally, we used a "shaping" procedure to help the infant discover the contingency. In addition to these changes in the paradigm, by analyzing infants' limb activity at 10-s resolution instead of the usual 1-min resolution, we were able to show that infants' sensitivity to the contingency became apparent already within the first minute of establishment of the contingency. Finally, we showed how two alternate measures of sensitivity to contingency based on probability of repeated movements and on "stop and go" motion strategies may be of interest for future work.

Development of body knowledge as measured by arm differentiation in infants: From global to local?

The ability to sense and use the body parts in an organized and differentiated manner is a precursor of body knowledge in infancy. To acquire this ability, the infant's brain might explore the perceptual consequences of its bodily actions. Undifferentiated body movements would gradually be replaced by more precise actions. Only a very few studies have tested this 'global-to-local' hypothesis, and none of them have so far been replicated. In this study, we assessed arm differentiation in 4-, 6-, and 8-month-old infants using a new contingency detection task in which infants have to detect a contingency between one of their arms' activity and an audiovisual stimulus on a screen. We found that 4- to 8-month-old infants seem to be able to use their arms in a differentiated manner. However, surprisingly, we were not able to show a developmental trend in arm differentiation between 4 and 8 months of age. Statement of contribution What is already known on this subject? Foetuses and infants possess coarse control of their body and may be sensitive to sensory feedback caused by their own movements. Body knowledge might develop during the first year of life in what can be called a 'global-to-local' manner. Nevertheless, the precise age at which infants come to possess well-differentiated local body knowledge requires further investigation. What the present study adds? 4- to 8-month-old infants seem able to use their arms in a differentiated manner when exposed to an audiovisual stimulation contingent on movements of one of their arms. However, we found no developmental trend in arm differentiation between 4 and 8 months of age. We hypothesize that infants' sensitivity to sensorimotor contingencies and their ability to narrow down contingencies to a specific limb might evolve with age as a function of the infant's current sensorimotor interests.

Quantifying eye dominance strength - New insights into the neurophysiological bases of saccadic asymmetries.

The saccadic system presents asymmetries. Notably, saccadic peak velocity is higher in temporal than in nasal saccades, and in centripetal than in centrifugal saccades. It has already been shown that eye dominance strength relates to naso-temporal asymmetry, but its links with centripetal-centrifugal asymmetry has never been tested. The current study tested both naso-temporal and centripetal-centrifugal asymmetries simultaneously to provide a finer and continuous measure of eye dominance strength. We asked 63 participants to make centripetal and centrifugal saccades from five different locations. Analysis of saccadic peak velocity shows that eye dominance strength modulates every saccadic asymmetry tested. For the first time, we propose a graduated measure of eye dominance strength on a continuum model. The model ranges from weak to very strong eye dominance. Weak eye dominance corresponds to increased saccadic asymmetries whereas strong eye dominance corresponds to no asymmetries. Furthermore, our results provide new insights into the neurophysiological origins of saccadic asymmetries. Modulation of both naso-temporal and centripetal-centrifugal asymmetries by eye dominance strength supports the involvement of V1 in these saccadic asymmetries.

Asymmetry in visual information processing depends on the strength of eye dominance.

Unlike handedness, sighting eye dominance, defined as the eye unconsciously chosen when performing monocular tasks, is very rarely considered in studies investigating cerebral asymmetries. We previously showed that sighting eye dominance has an influence on visually triggered manual action with shorter reaction time (RT) when the stimulus appears in the contralateral visual hemifield with respect to the dominant eye (Chaumillon et al. 2014). We also suggested that eye dominance may be more or less pronounced depending on individuals and that this eye dominance strength could be evaluated through saccadic peak velocity analysis in binocular recordings (Vergilino-Perez et al. 2012). Based on these two previous studies, we further examine here whether the strength of the eye dominance can modulate the influence of this lateralization on manual reaction time. Results revealed that participants categorized as having a strong eye dominance, but not those categorized as having a weak eye dominance, exhibited the difference in RT between the two visual hemifields. This present study reinforces that the analysis of saccade peak velocity in binocular recordings provides an effective tool to better categorize the eye dominance. It also shows that the influence of eye dominance in visuo-motor tasks depends on its strength. Our study also highlights the importance of considering the strength of eye dominance in future studies dealing with brain lateralization.

Are there any left-right asymmetries in saccade parameters? Examination of latency, gain, and peak velocity.

PURPOSE: Hemispheric specialization in saccadic control is still under debate. Here we examine the latency, gain, and peak velocity of reactive and voluntary leftward and rightward saccades to assess the respective roles of eye and hand dominance. METHODS: Participants with contrasting hand and eye dominance were asked to make saccades toward a target displayed at 5°, 10°, or 15° left or right of the central fixation point. In separate sessions, reactive and voluntary saccades were elicited by Gap-200, Gap-0, Overlap-600, and Antisaccade procedures. RESULTS: Left-right asymmetries were not found in saccade latencies but appeared in saccade gain and peak velocity. Regardless of the dominant hand, saccades directed to the ipsilateral side relative to the dominant eye had larger amplitudes and faster peak velocities. CONCLUSIONS: Left-right asymmetries can be explained by naso-temporal differences for some subjects and by eye dominance for others. Further investigations are needed to examine saccadic parameters more systematically in relation to eye dominance. Indeed, any method that allows one to determine ocular dominance from objective measures based on saccade parameters should greatly benefit clinical applications, such as monovision surgery.