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1.
Ear Hear ; 42(3): 691-699, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33306546

RESUMEN

OBJECTIVES: The purpose of this study was to measure low-rate binaural frequency modulation (FM) detection across the lifespan as a gauge of temporal fine structure processing. Children and older adults were expected to perform more poorly than young adults but for different reasons. DESIGN: Detection of 2-Hz FM carried by a 500-Hz pure tone was measured for modulators that were either in-phase or out-of-phase across ears. Thresholds were measured in quiet and in noise. Participants were school-age children (n = 44), young adults (n = 11), and older adults (n = 17) with normal or near-normal hearing. RESULTS: Thresholds were lower for out-of-phase than in-phase modulators among all listening groups. Detection thresholds improved with child age, with larger effects of age for dichotic than diotic FM. Introduction of masking noise tended to elevate thresholds; this effect was larger for the dichotic condition than the diotic condition, and larger for older adults than young adults. In noise, young adults received the greatest dichotic benefit, followed by older adults, then young children. The relative effects of noise on dichotic benefit did not differ for young adults compared to young children and older adults; however, young children saw greater reduction in benefit due to noise than older adults. CONCLUSION: The difference in dichotic benefit between children and young adults is consistent with maturation of central auditory processing. Differences in the effect of noise on dichotic benefit in young children and older adults support the idea that different factors or combinations of factors limit performance in these two groups. Although dichotic FM detection appears to be more sensitive to the effects of development and aging than diotic FM detection, the positive correlation between diotic and dichotic FM detection thresholds for all listeners suggests contribution of one or more factors common to both conditions.


Asunto(s)
Percepción Auditiva , Ruido , Anciano , Envejecimiento , Umbral Auditivo , Niño , Preescolar , Pruebas de Audición Dicótica , Humanos , Enmascaramiento Perceptual , Instituciones Académicas , Adulto Joven
2.
J Acoust Soc Am ; 148(2): EL159, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32873027

RESUMEN

The dynamics of auditory stream segregation were evaluated using repeating triplets composed of pure tones or the syllable /ba/. Stimuli differed in frequency (tones) or fundamental frequency (speech) by 4, 6, 8, or 10 semitones, and the standard frequency was either 250 Hz (tones and speech) or 400 Hz (tones). Twenty normal-hearing adults participated. For both tones and speech, a two-stream percept became more likely as frequency separation increased. Perceptual organization for speech tended to be more integrated and less stable compared to tones. Results suggest that prior data patterns observed with tones in this paradigm may generalize to speech stimuli.


Asunto(s)
Percepción Auditiva
3.
Ear Hear ; 40(5): 1117-1126, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30601213

RESUMEN

OBJECTIVES: Masked speech recognition in normal-hearing listeners depends in part on masker type and semantic context of the target. Children and older adults are more susceptible to masking than young adults, particularly when the masker is speech. Semantic context has been shown to facilitate noise-masked sentence recognition in all age groups, but it is not known whether age affects a listener's ability to use context with a speech masker. The purpose of the present study was to evaluate the effect of masker type and semantic context of the target as a function of listener age. DESIGN: Listeners were children (5 to 16 years), young adults (19 to 30 years), and older adults (67 to 81 years), all with normal or near-normal hearing. Maskers were either speech-shaped noise or two-talker speech, and targets were either semantically correct (high context) sentences or semantically anomalous (low context) sentences. RESULTS: As predicted, speech reception thresholds were lower for young adults than either children or older adults. Age effects were larger for the two-talker masker than the speech-shaped noise masker, and the effect of masker type was larger in children than older adults. Performance tended to be better for targets with high than low semantic context, but this benefit depended on age group and masker type. In contrast to adults, children benefitted less from context in the two-talker speech masker than the speech-shaped noise masker. Context effects were small compared with differences across age and masker type. CONCLUSIONS: Different effects of masker type and target context are observed at different points across the lifespan. While the two-talker masker is particularly challenging for children and older adults, the speech masker may limit the use of semantic context in children but not adults.


Asunto(s)
Envejecimiento , Desarrollo Infantil , Enmascaramiento Perceptual/fisiología , Percepción del Habla/fisiología , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Niño , Preescolar , Humanos , Semántica , Prueba del Umbral de Recepción del Habla , Adulto Joven
4.
Ear Hear ; 40(4): 1009-1015, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30557224

RESUMEN

OBJECTIVES: The purpose of this study was to obtain an electrophysiological analog of masking release using speech-evoked cortical potentials in steady and modulated maskers and to relate this masking release to behavioral measures for the same stimuli. The hypothesis was that the evoked potentials can be tracked to a lower stimulus level in a modulated masker than in a steady masker and that the magnitude of this electrophysiological masking release is of the same order as that of the behavioral masking release for the same stimuli. DESIGN: Cortical potentials evoked by an 80-ms /ba/ stimulus were measured in two steady maskers (30 and 65 dB SPL), and in a masker that modulated between these two levels at a rate of 25 Hz. In each masker, a level series was undertaken to determine electrophysiological threshold. Behavioral detection thresholds were determined in the same maskers using an adaptive tracking procedure. Masking release was defined as the difference between signal thresholds measured in the steady 65-dB SPL masker and the modulated masker. A total of 23 normal-hearing adults participated. RESULTS: Electrophysiological thresholds were uniformly elevated relative to behavioral thresholds by about 6.5 dB. However, the magnitude of masking release was about 13.5 dB for both measurement domains. CONCLUSIONS: Electrophysiological measures of masking release using speech-evoked cortical auditory evoked potentials correspond closely to behavioral estimates for the same stimuli. This suggests that objective measures based on electrophysiological techniques can be used to reliably gauge aspects of temporal processing ability.


Asunto(s)
Potenciales Evocados Auditivos/fisiología , Enmascaramiento Perceptual/fisiología , Detección de Señal Psicológica , Habla , Estimulación Acústica , Femenino , Voluntarios Sanos , Humanos , Masculino , Desempeño Psicomotor , Adulto Joven
5.
J Acoust Soc Am ; 145(4): EL284, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-31046371

RESUMEN

Masked sentence recognition was evaluated in normal-hearing children (8.8-10.5 years), young adults (18-28 years), and older adults (60-71 years). Consistent with published data, speech recognition thresholds were poorer for young children and older adults than for young adults, particularly when the masker was composed of speech. Psychometric function slopes were steeper for young children and older adults than for young adults when the masker was two-talker speech, but not when it was speech-shaped noise. Multiple factors are implicated in the age effects observed for speech-in-speech recognition at low signal-to-noise ratios.


Asunto(s)
Envejecimiento/fisiología , Percepción del Habla , Adolescente , Adulto , Anciano , Envejecimiento/psicología , Umbral Auditivo , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enmascaramiento Perceptual , Psicometría , Relación Señal-Ruido
6.
J Acoust Soc Am ; 145(4): 2565, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-31046373

RESUMEN

Two experiments were performed to better understand on- and off-frequency modulation masking in normal-hearing school-age children and adults. Experiment 1 estimated thresholds for detecting 16-, 64- or 256-Hz sinusoidal amplitude modulation (AM) imposed on a 4300-Hz pure tone. Thresholds tended to improve with age, with larger developmental effects for 64- and 256-Hz AM than 16-Hz AM. Detection of 16-Hz AM was also measured with a 1000-Hz off-frequency masker tone carrying 16-Hz AM. Off-frequency modulation masking was larger for younger than older children and adults when the masker was gated with the target, but not when the masker was continuous. Experiment 2 measured detection of 16- or 64-Hz sinusoidal AM carried on a bandpass noise with and without additional on-frequency masker AM. Children and adults demonstrated modulation masking with similar tuning to modulation rate. Rate-dependent age effects for AM detection on a pure-tone carrier are consistent with maturation of temporal resolution, an effect that may be obscured by modulation masking for noise carriers. Children were more susceptible than adults to off-frequency modulation masking for gated stimuli, consistent with maturation in the ability to listen selectively in frequency, but the children were not more susceptible to on-frequency modulation masking than adults.


Asunto(s)
Envejecimiento/fisiología , Umbral Auditivo , Enmascaramiento Perceptual , Niño , Femenino , Humanos , Masculino , Filtrado Sensorial , Relación Señal-Ruido , Adulto Joven
7.
Int J Audiol ; 58(7): 441-449, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31056966

RESUMEN

Objective: The purpose of this study was to investigate perceptual and electrophysiological encoding of complex periodic signals as a function of age. Design: Two groups of adults completed three listening tasks: a behavioural task of detection of a mistuned harmonic component in a complex tone, an electrophysiological measure of speech-evoked auditory brainstem response (sABR), and a speech-in-noise measure. Between group comparisons were undertaken for each task as well as pairwise correlation analyses for all tasks. Study sample: One group of younger adults (n = 20) and one group of older adults (n = 20) participated. All listeners had relatively normal audiometric thresholds (≤20 dB HL) from 250-4000 Hz. Results: Younger adults had better results than the older adults on all three tasks: sensitivity for detecting a mistuned harmonic, spectral encoding for sABR, and release from masking for the speech-in-noise test. There were no significant correlations between measures when evaluating the older adults in isolation. Conclusions: The results are consistent with the body of literature that demonstrates reduced temporal processing abilities for older adults. The combined method approach undertaken in this investigation did not result in correlations between the perceptual and electrophysiological measures of temporal processing.


Asunto(s)
Estimulación Acústica/métodos , Factores de Edad , Percepción Auditiva/fisiología , Potenciales Evocados Auditivos del Tronco Encefálico/fisiología , Enmascaramiento Perceptual/fisiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Umbral Auditivo , Femenino , Humanos , Masculino , Ruido , Adulto Joven
8.
J Acoust Soc Am ; 141(4): 2650, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28464682

RESUMEN

Children perform more poorly than adults on a wide range of masked speech perception paradigms, but this effect is particularly pronounced when the masker itself is also composed of speech. The present study evaluated two factors that might contribute to this effect: the ability to perceptually isolate the target from masker speech, and the ability to recognize target speech based on sparse cues (glimpsing). Speech reception thresholds (SRTs) were estimated for closed-set, disyllabic word recognition in children (5-16 years) and adults in a one- or two-talker masker. Speech maskers were 60 dB sound pressure level (SPL), and they were either presented alone or in combination with a 50-dB-SPL speech-shaped noise masker. There was an age effect overall, but performance was adult-like at a younger age for the one-talker than the two-talker masker. Noise tended to elevate SRTs, particularly for older children and adults, and when summed with the one-talker masker. Removing time-frequency epochs associated with a poor target-to-masker ratio markedly improved SRTs, with larger effects for younger listeners; the age effect was not eliminated, however. Results were interpreted as indicating that development of speech-in-speech recognition is likely impacted by development of both perceptual masking and the ability recognize speech based on sparse cues.


Asunto(s)
Conducta del Adolescente , Conducta Infantil , Señales (Psicología) , Ruido/efectos adversos , Enmascaramiento Perceptual , Reconocimiento en Psicología , Percepción del Habla , Estimulación Acústica , Adolescente , Adulto , Factores de Edad , Umbral Auditivo , Niño , Preescolar , Femenino , Humanos , Masculino , Psicoacústica , Prueba del Umbral de Recepción del Habla , Adulto Joven
9.
Ear Hear ; 37(1): 48-54, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26230495

RESUMEN

OBJECTIVE: The purpose of this study was to assess age-related changes in temporal resolution in listeners with relatively normal audiograms. The hypothesis was that increased susceptibility to nonsimultaneous masking contributes to the hearing difficulties experienced by older listeners in complex fluctuating backgrounds. DESIGN: Participants included younger (n = 11), middle-age (n = 12), and older (n = 11) listeners with relatively normal audiograms. The first phase of the study measured masking period patterns for speech-shaped noise maskers and signals. From these data, temporal window shapes were derived. The second phase measured forward-masking functions and assessed how well the temporal window fits accounted for these data. RESULTS: The masking period patterns demonstrated increased susceptibility to backward masking in the older listeners, compatible with a more symmetric temporal window in this group. The forward-masking functions exhibited an age-related decline in recovery to baseline thresholds, and there was also an increase in the variability of the temporal window fits to these data. CONCLUSIONS: This study demonstrated an age-related increase in susceptibility to nonsimultaneous masking, supporting the hypothesis that exacerbated nonsimultaneous masking contributes to age-related difficulties understanding speech in fluctuating noise. Further support for this hypothesis comes from limited speech-in-noise data, suggesting an association between susceptibility to forward masking and speech understanding in modulated noise.


Asunto(s)
Percepción Auditiva/fisiología , Ruido , Enmascaramiento Perceptual/fisiología , Habla , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Acústica del Lenguaje , Percepción del Habla , Factores de Tiempo , Adulto Joven
10.
Ear Hear ; 37(6): 650-659, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27438873

RESUMEN

OBJECTIVES: Detection thresholds in quiet become adult-like earlier in childhood for high than low frequencies. When adults listen for sounds near threshold, they tend to engage in behaviors that reduce physiologic noise (e.g., quiet breathing), which is predominantly low frequency. Children may not suppress self-generated noise to the same extent as adults, such that low-frequency self-generated noise elevates thresholds in the associated frequency regions. This possibility was evaluated by measuring noise levels in the ear canal simultaneous with adaptive threshold estimation. DESIGN: Listeners were normal-hearing children (4.3 to 16.0 years) and adults. Detection thresholds were measured adaptively for 250-, 1000-, and 4000-Hz pure tones using a three-alternative forced-choice procedure. Recordings of noise in the ear canal were made while the listeners performed this task, with the earphone and microphone routed through a single foam insert. Levels of self-generated noise were computed in octave-wide bands. Age effects were evaluated for four groups: 4- to 6-year olds, 7- to 10-year olds, 11- to 16-year olds, and adults. RESULTS: Consistent with previous data, the effect of child age on thresholds was robust at 250 Hz and fell off at higher frequencies; thresholds of even the youngest listeners were similar to adults' at 4000 Hz. Self-generated noise had a similar low-pass spectral shape for all age groups, although the magnitude of self-generated noise was higher in younger listeners. If self-generated noise impairs detection, then noise levels should be higher for trials associated with the wrong answer than the right answer. This association was observed for all listener groups at the 250-Hz signal frequency. For adults and older children, this association was limited to the noise band centered on the 250-Hz signal. For the two younger groups of children, this association was strongest at the signal frequency, but extended to bands spectrally remote from the 250-Hz signal. For the 1000-Hz signal frequency, there was a broadly tuned association between noise and response only for the two younger groups of children. For the 4000-Hz signal frequency, only the youngest group of children demonstrated an association between responses and noise levels, and this association was particularly pronounced for bands below the signal frequency. CONCLUSIONS: These results provide evidence that self-generated noise plays a role in the prolonged development of low-frequency detection thresholds in quiet. Some aspects of the results are consistent with the possibility that self-generated noise elevates thresholds via energetic masking, particularly at 250 Hz. The association between behavioral responses and noise spectrally remote from the signal frequency is also consistent with the idea that self-generated noise may also reflect contributions of more central factors (e.g., inattention to the task). Evaluation of self-generated noise could improve diagnosis of minimal or mild hearing loss.


Asunto(s)
Desarrollo del Adolescente , Umbral Auditivo , Desarrollo Infantil , Ruido , Adolescente , Factores de Edad , Audiometría de Tonos Puros , Niño , Preescolar , Femenino , Voluntarios Sanos , Humanos , Masculino
11.
J Acoust Soc Am ; 139(5): 2964, 2016 05.
Artículo en Inglés | MEDLINE | ID: mdl-27250187

RESUMEN

This study used a checkerboard-masking paradigm to investigate the development of the speech reception threshold (SRT) for monosyllabic words in synchronously and asynchronously modulated noise. In asynchronous modulation, masker frequencies below 1300 Hz were gated off when frequencies above 1300 Hz were gated on, and vice versa. The goals of the study were to examine development of the ability to use asynchronous spectro-temporal cues for speech recognition and to assess factors related to speech frequency region and audible speech bandwidth. A speech-shaped noise masker was steady or was modulated synchronously or asynchronously across frequency. Target words were presented to 5-7 year old children or to adults. Overall, children showed higher SRTs and smaller masking release than adults. Consideration of the present results along with previous findings supports the idea that children can have particularly poor masked SRTs when the speech and masker spectra differ substantially, and that this may arise due to children requiring a wider speech bandwidth than adults for speech recognition. The results were also consistent with the idea that children are relatively poor in integrating speech cues when the frequency regions with the best signal-to-noise ratios vary across frequency as a function of time.


Asunto(s)
Conducta Infantil , Señales (Psicología) , Ruido/efectos adversos , Enmascaramiento Perceptual , Reconocimiento en Psicología , Percepción del Habla , Estimulación Acústica , Adulto , Factores de Edad , Umbral Auditivo , Niño , Preescolar , Humanos , Prueba del Umbral de Recepción del Habla , Factores de Tiempo
12.
J Acoust Soc Am ; 140(2): EL184, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27586778

RESUMEN

This study assessed the effect of cochlear hearing loss on detection of random and sinusoidal amplitude modulation. Listeners with hearing loss and normal-hearing listeners (eight per group) generated temporal modulation transfer functions (TMTFs) for envelope fluctuations carried by a 2000-Hz pure tone. TMTFs for the two groups were similar at low modulation rates but diverged at higher rates presumably because of differences in frequency selectivity. For both groups, detection of random modulation was poorer than for sinusoidal modulation at lower rates but the reverse occurred at higher rates. No evidence was found that cochlear hearing loss, per se, affects modulation detection.


Asunto(s)
Umbral Auditivo/fisiología , Pérdida Auditiva Sensorineural/fisiopatología , Pruebas Auditivas , Humanos , Persona de Mediana Edad
13.
J Acoust Soc Am ; 139(4): 1601, 2016 04.
Artículo en Inglés | MEDLINE | ID: mdl-27106308

RESUMEN

Experiment 1 investigated gap detection for random and low-fluctuation noise (LFN) markers as a function of bandwidth (25-1600 Hz), level [40 or 75 dB sound pressure level (SPL)], and center frequency (500-4000 Hz). Gap thresholds for random noise improved as bandwidth increased from 25 to 1600 Hz, but there were only minor effects related to center frequency and level. For narrow bandwidths, thresholds were lower for LFN than random markers; this difference extended to higher bandwidths at the higher center frequencies and was particularly large at high stimulus level. Effects of frequency and level were broadly consistent with the idea that peripheral filtering can increase fluctuation in the encoded LFN stimulus. Experiment 2 tested gap detection for 200-Hz-wide noise bands centered on 2000 Hz, using high-pass maskers to examine spread of excitation effects. Such effects were absent or minor for random noise markers and the 40-dB-SPL LFN markers. In contrast, some high-pass maskers substantially worsened performance for the 75-dB-SPL LFN markers. These results were consistent with an interpretation that relatively acute gap detection for the high-level LFN gap markers resulted from spread of excitation to higher-frequency auditory filters where the magnitude and phase characteristics of the LFN stimuli are better preserved.


Asunto(s)
Percepción Auditiva , Ruido/efectos adversos , Enmascaramiento Perceptual , Detección de Señal Psicológica , Estimulación Acústica , Acústica , Audiometría de Tonos Puros , Umbral Auditivo , Humanos , Presión , Espectrografía del Sonido
14.
Ear Hear ; 36(3): 289-301, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25422994

RESUMEN

OBJECTIVES: The overall aim of the study was to evaluate the feasibility of using electrophysiological measures of the auditory change complex (ACC) to identify candidates for cochlear implantation in children with auditory neuropathy spectrum disorder (ANSD). To achieve this overall aim, this study (1) assessed the feasibility of measuring the ACC evoked by temporal gaps in a group of children with ANSD across a wide age range and (2) investigated the association between gap detection thresholds (GDTs) measured by the ACC recordings and open-set speech-perception performance in these subjects. DESIGN: Nineteen children with bilateral ANSD ranging in age between 1.9 and 14.9 years (mean: 7.8 years) participated in this study. Electrophysiological recordings of the auditory event-related potential (ERP), including the onset ERP response and the ACC, were completed in all subjects and open-set speech perception was evaluated for a subgroup of 16 subjects. For the ERP recordings, the stimulus was a Gaussian noise presented through ER-3A insert earphones to the test ear. Two stimulation conditions were used. In the "control condition," the stimulus was an 800-msec Gaussian noise. In the "gapped condition," the stimuli were two noise segments, each being 400 msec in duration, separated by one of five gaps (i.e., 5, 10, 20, 50, or 100 msec). The interstimulation interval was 1200 msec. The aided open-set speech perception ability was assessed using the Phonetically Balanced Kindergarten (PBK) word lists presented at 60 dB SPL using recorded testing material in a sound booth. For speech perception tests, subjects wore their hearing aids at the settings recommended by their clinical audiologists. For a subgroup of five subjects, psychophysical GDTs for the Gaussian noise were also assessed using a three-interval, three-alternative forced-choice procedure. RESULTS: Responses evoked by the onset of the Gaussian noise (i.e., onset responses) were recorded in all stimulation conditions from all subjects tested in this study. The presence/absence, peak latency and amplitude, and response width of the onset response did not correlate with aided PBK word scores. The objective GDTs measured with the ACC recordings from 17 subjects ranged from 10 to 100 msec. The ACC was not recorded from two subjects for any gap durations tested in this study. There was a robust negative correlation between objective GDTs and aided PBK word scores. In general, subjects with prolonged objective GDTs showed low-aided PBK word scores. GDTs measured using electrophysiological recordings of the ACC correlated well with those measured using psychophysical procedures in four of five subjects who were evaluated using both procedures. CONCLUSIONS: The clinical application of the onset response in predicting open-set speech-perception ability is relatively limited in children with ANSD. The ACC recordings can be used to objectively evaluate temporal resolution abilities in children with ANSD having no severe comorbidities, and who are older than 1.9 years. The ACC can potentially be used as an objective tool to identify poor performers among children with ANSD using properly fit amplification, and who are thus, cochlear implant candidates.


Asunto(s)
Potenciales Evocados Auditivos/fisiología , Pérdida Auditiva Central/fisiopatología , Selección de Paciente , Adolescente , Niño , Preescolar , Implantación Coclear/métodos , Estudios de Factibilidad , Femenino , Pérdida Auditiva Central/rehabilitación , Humanos , Lactante , Masculino , Percepción del Habla/fisiología
15.
Int J Audiol ; 54(4): 274-81, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25630394

RESUMEN

OBJECTIVE: The Brazilian-Portuguese hearing in noise test (HINT) was used to investigate the benefit to speech recognition of listening in a fluctuating background. The goal was to determine whether modulation masking release varied as a function of the speech-to-masker ratio at threshold. Speech-to-masker ratio at threshold was manipulated using the novel approach of adjusting the time-compression of the speech. DESIGN: Experiment 1 measured performance-intensity functions in both a steady speech-shaped noise masker and a 10-Hz square-wave modulated masker. Experiment 2 measured speech-to-masker ratios at threshold as a function of time-compression of the speech (0, 33, and 50%) in both maskers. STUDY SAMPLE: Participants were normal-hearing adults who were native speakers of Brazilian Portuguese (Experiment 1: N = 10; Experiment 2: N = 30). RESULTS: The slope of the performance-intensity function was shallower in the modulated masker than in the steady masker for both words and sentences. Thresholds increased with increasing time-compression in both maskers, but more markedly in the modulated masker, resulting in reduced modulation masking release with increasing time-compression. CONCLUSIONS: Speech-to-masker ratio at threshold varies with time-compression of speech. The results are relevant to the issue of whether degree of masker modulation benefit depends on speech-to-masker ratio at threshold.


Asunto(s)
Audiometría del Habla/métodos , Ruido/efectos adversos , Enmascaramiento Perceptual/fisiología , Inteligibilidad del Habla/fisiología , Audiometría del Habla/psicología , Percepción Auditiva , Brasil , Femenino , Humanos , Lenguaje , Masculino , Psicometría , Factores de Tiempo , Adulto Joven
16.
Ear Hear ; 35(3): e63-74, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24231629

RESUMEN

OBJECTIVES: This study aimed to (1) determine the sensitivity of the electrically evoked auditory change complex (eACC) to changes in stimulating electrode position; and (2) investigate the association between results of eACC measures and behavioral electrode discrimination and their association with speech-perception performance in pediatric cochlear implant (CI) users who have auditory neuropathy spectrum disorder (ANSD). DESIGN: Fifteen children with ANSD ranging in age between 5.4 and 18.6 years participated in this study. All subjects used Cochlear Nucleus devices. For each subject, open-set speech-perception ability was assessed using the Phonetically Balanced Kindergarten word lists presented at 60 dB SPL, using monitored live voice in a sound booth. Behavioral and objective measures of electrode discrimination were assessed in a nonclinical test environment. The stimuli used to elicit these measures were 800 msec biphasic pulse trains delivered by a direct interface to the CI. Data were collected from two basic stimulation conditions. In the standard condition, the entire pulse train was delivered to a mid-array electrode (electrode 11 or 12) at the maximum comfortable level (C level). In the change condition, the stimulus was split into two 400 msec pulse train segments presented sequentially on two different electrodes. The stimulation level of the second 400 msec pulse train was loudness balanced to the C level of the mid-array electrode used in the standard condition. The separation between the pair of stimulating electrodes was systematically varied. For behavioral electrode-discrimination measures, each subject was required to determine whether he or she heard one or two sounds for stimuli presented in different stimulation conditions. For the eACC measures, two replicates of 100 artifact-free sweeps were recorded for each stimulation condition. RESULTS: The eACC in response to changes in stimulating electrode position was recorded from all subjects with ANSD using direct electrical stimulation. Electrode-discrimination thresholds determined with the eACC and behavioral measures were consistent. Children with ANSD using CIs who showed poorer speech performance also required larger separations between the stimulating electrode pair to reliably elicit the eACC than subjects with better speech-perception performance. There was a robust correlation between electrode-discrimination capacities and speech-perception performances in subjects tested in this study. The effect of electrode separation on eACC amplitudes was not monotonic. CONCLUSIONS: These results demonstrate the feasibility of using eACC to evaluate electrode-discrimination capacities in children with ANSD. These results suggest that the eACC elicited by changes in stimulating electrode position holds great promise as an objective tool for evaluating spectral-pattern detection in such subjects, which may be predictive of their potential speech-perception performance.


Asunto(s)
Potenciales Evocados Auditivos/fisiología , Pérdida Auditiva Central/fisiopatología , Percepción del Habla/fisiología , Adolescente , Niño , Preescolar , Implantación Coclear , Implantes Cocleares , Estimulación Eléctrica , Electrodos , Femenino , Pérdida Auditiva Central/cirugía , Humanos , Masculino
17.
J Acoust Soc Am ; 135(6): 3594-600, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24907822

RESUMEN

This study investigated development of the ability to integrate glimpses of speech in modulated noise. Noise was modulated synchronously across frequency or asynchronously such that when noise below 1300 Hz was "off," noise above 1300 Hz was "on," and vice versa. Asynchronous masking was used to examine the ability of listeners to integrate speech glimpses separated across time and frequency. The study used the Word Intelligibility by Picture Identification (WIPI) test and included adults, older children (age 8-10 yr) and younger children (5-7 yr). Results showed poorer masking release for the children than the adults for synchronous modulation but not for asynchronous modulation. It is possible that children can integrate cues relatively well when all intervals provide at least partial speech information (asynchronous modulation) but less well when some intervals provide little or no information (synchronous modulation). Control conditions indicated that children appeared to derive less benefit than adults from speech cues below 1300 Hz. This frequency effect was supported by supplementary conditions where the noise was unmodulated and the speech was low- or high-pass filtered. Possible sources of the developmental frequency effect include differences in frequency weighting, effective speech bandwidth, and the signal-to-noise ratio in the unmodulated noise condition.


Asunto(s)
Desarrollo Infantil , Señales (Psicología) , Ruido/efectos adversos , Enmascaramiento Perceptual , Inteligibilidad del Habla , Percepción del Habla , Estimulación Acústica , Adolescente , Adulto , Factores de Edad , Audiometría del Habla , Umbral Auditivo , Niño , Preescolar , Humanos , Adulto Joven
18.
Ear Hear ; 34(6): 733-44, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23722354

RESUMEN

OBJECTIVES: This study aimed (1) to investigate the feasibility of recording the electrically evoked auditory event-related potential (eERP), including the onset P1-N1-P2 complex and the electrically evoked auditory change complex (EACC) in response to temporal gaps, in children with auditory neuropathy spectrum disorder (ANSD); and (2) to evaluate the relationship between these measures and speech-perception abilities in these subjects. DESIGN: Fifteen ANSD children who are Cochlear Nucleus device users participated in this study. For each subject, the speech-processor microphone was bypassed and the eERPs were elicited by direct stimulation of one mid-array electrode (electrode 12). The stimulus was a train of biphasic current pulses 800 msec in duration. Two basic stimulation conditions were used to elicit the eERP. In the no-gap condition, the entire pulse train was delivered uninterrupted to electrode 12, and the onset P1-N1-P2 complex was measured relative to the stimulus onset. In the gapped condition, the stimulus consisted of two pulse train bursts, each being 400 msec in duration, presented sequentially on the same electrode and separated by one of five gaps (i.e., 5, 10, 20, 50, and 100 msec). Open-set speech-perception ability of these subjects with ANSD was assessed using the phonetically balanced kindergarten (PBK) word lists presented at 60 dB SPL, using monitored live voice in a sound booth. RESULTS: The eERPs were recorded from all subjects with ANSD who participated in this study. There were no significant differences in test-retest reliability, root mean square amplitude or P1 latency for the onset P1-N1-P2 complex between subjects with good (>70% correct on PBK words) and poorer speech-perception performance. In general, the EACC showed less mature morphological characteristics than the onset P1-N1-P2 response recorded from the same subject. There was a robust correlation between the PBK word scores and the EACC thresholds for gap detection. Subjects with poorer speech-perception performance showed larger EACC thresholds in this study. CONCLUSIONS: These results demonstrate the feasibility of recording eERPs from implanted children with ANSD, using direct electrical stimulation. Temporal-processing deficits, as demonstrated by large EACC thresholds for gap detection, might account in part for the poor speech-perception performances observed in a subgroup of implanted subjects with ANSD. This finding suggests that the EACC elicited by changes in temporal continuity (i.e., gap) holds promise as a predictor of speech-perception ability among implanted children with ANSD.


Asunto(s)
Umbral Auditivo/fisiología , Estimulación Eléctrica/instrumentación , Potenciales Evocados Auditivos/fisiología , Pérdida Auditiva Central/fisiopatología , Percepción del Habla/fisiología , Adolescente , Niño , Preescolar , Implantes Cocleares , Estimulación Eléctrica/métodos , Estudios de Factibilidad , Femenino , Humanos , Masculino , Reproducibilidad de los Resultados
19.
Adv Exp Med Biol ; 787: 383-90, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23716244

RESUMEN

This study investigated monaural envelope correlation perception (Richards 1987) for noise bandwidths ranging from 25 to 1,600 Hz. The high-frequency side of the low band was fixed at 3,000 Hz and the low-frequency side of the high band was fixed at 3,500 Hz. When comodulated, the magnitude spectra of the pair of noise bands were either identical or reflected around the midpoint. Six listeners with normal hearing participated. Listeners showed similar performance for identical and reflected-spectrum conditions, with best performance usually occurring for bandwidths between 200 and 800 Hz. Results were considered in terms of envelope comparisons of waveforms at the outputs of multiple peripheral filters or envelope comparisons of waveforms at the outputs of central filters set to the bandwidths of the noise stimuli. Some aspects of the results were incompatible with the account based on multiple peripheral filters. However, the results of a supplementary condition involving the gating of band subregions indicated that this incompatibility could be accounted for by nonoptimal weighting of peripheral filter outputs.


Asunto(s)
Estimulación Acústica/métodos , Percepción Auditiva/fisiología , Umbral Auditivo/fisiología , Percepción de la Altura Tonal/fisiología , Humanos , Ruido , Enmascaramiento Perceptual/fisiología , Psicoacústica , Espectrografía del Sonido
20.
J Acoust Soc Am ; 133(1): 405-16, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23297912

RESUMEN

Monaural envelope correlation perception concerns the ability of listeners to discriminate stimuli based on the degree of correlation between the temporal envelopes of two or more frequency-separated bands of noise [Richards, J. Acoust. Soc. Am. 82, 1621-1630 (1987)]. Previous work has examined this ability for relatively narrow bandwidths, generally 100 Hz or less. The present experiment explored a wide range of bandwidths, from 25 to 1600 Hz, which included bands narrower and wider than a critical bandwidth. Stimuli were pairs of noise bands separated by a 500-Hz-wide spectral gap centered on 2250 Hz. The magnitude spectra of the pair of comodulated bands were either identical or reflected around the midpoint of the band, and performance was assessed with and without a low-pass noise masker. Although discrimination was best for intermediate bandwidths, mean performance was above chance for all bandwidths tested. Data were similar for stimuli with identical and reflected magnitude spectra, and for stimuli with and without the low-pass masker. The one exception was particularly good performance for intermediate-bandwidth stimuli with identical spectra, for which some listeners reported hearing a tonal cue. Results indicate that listeners are flexible in selecting spectral regions upon which to base across-frequency comparisons.


Asunto(s)
Percepción de la Altura Tonal , Estimulación Acústica , Audiometría , Umbral Auditivo , Señales (Psicología) , Humanos , Ruido/efectos adversos , Enmascaramiento Perceptual , Psicoacústica , Espectrografía del Sonido , Factores de Tiempo
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