scholarly journals Study of Acute and Sub-Acute Effects of Auditory Training on the Central Auditory Processing in Older Adults with Hearing Loss—A Pilot Study

2020 ◽  
Vol 17 (14) ◽  
pp. 4944
Author(s):  
Carla Matos Silva ◽  
Carolina Fernandes ◽  
Clara Rocha ◽  
Telmo Pereira
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Auditory Processing ◽  
Test Group ◽  
Auditory Training ◽  
Central Auditory Processing ◽  
Speech In Noise ◽  
Noise Test ◽  
Group 1

Background: Impairment in speech perception is a common feature of older adults. This study aimed at evaluating the acute and sub-acute (after three months) effects of auditory training on central auditory processing in older people with hearing loss. Methods: A nonrandomized study was conducted enrolling 15 older adults with hearing loss and an average age of 78.6 ± 10.9 years. All participants underwent a baseline otoscopy, tympanogram, audiogram and speech-in-noise test with a signal-noise ratio (SNR) of 10 and 15 dB. Afterwards, auditory training intervention was implemented consisting of 10 training sessions over 5 weeks. Participants were divided into two groups: group 1 (G1) underwent auditory training based on a speech-in-noise test; group 2 (G2) underwent a filtered-speech test. Auditory processing was evaluated at baseline (T0) immediately after the intervention (T1) and 3 months after the intervention (T2). Results: Group 1 were quite efficient regardless of the SNR in the right ear with statistically significant differences from T0 to T1 (p = 0.003 and p = 0.006 for 10 dB and 15 dB, respectively) and T0 to T2 (p = 0.011 and 0.015 for 10 dB and 15 dB, respectively). As for the left ear, the increase of success was statistically significant for the SNR of 10 dB and 15 dB from T0 to T1 (p = 0.001 and p = 0.014, respectively) and from T0 to T2 (p = 0.016 and p = 0.003). In G2, there was a significant variation only from T0 for T1 in the left ear for an SNR of 10 dB (p = 0.001). Conclusion: Speech perception in noise significantly improved after auditory training in old adults.

scholarly journals Development and evaluation of a computer-based auditory training program for rehabilitation of children with decoding deficit

2018 ◽  
pp. 143-149
Author(s):  
Azam Aghaie ◽  
Ali Akbar Tahaei ◽  
Farnoush Jarollahi ◽  
Mohammad Kamali
Keyword(s):  
Training Program ◽  
Auditory Processing ◽  
Auditory Training ◽  
Face Validity ◽  
Control Group ◽  
Central Auditory Processing ◽  
Speech In Noise ◽  
Significant Difference ◽  
Before And After ◽  
Computer Based

Background and Aim: Decoding deficit is the most common central auditory processing disorder (CAPD). Given the benefits of computer-based auditory training programs for treatment of central disorders and the lack of such programs in Persian language, this study aimed to develop a computer-based auditory training program for decoding skill. We also evaluated this program in 8 to12 year old children with CAPD.Methods: The first stage of research was to develop a computer-based auditory training program. This program consists of three levels of phonological discrimination, syllable discrimination, and word discrimination. The second stage was to determine the content and face validity of the program. The third stage was to assess the program effect on five children with decoding deficit. The research method was interventional and had a pretest and post-test design with another five children as control group. The staggered spondaic word, phonemic synthesis (PS) and speech in noise tests was used to assess the children performance before and after training.Results: Mean scores of staggered spondaic word (SSW) and PS tests of the experimental group were significantly difference before and after the auditory training (p<0.05) as compared to control group. However, there was no significant difference with regard to the speech-in-noise test results (p>0.05).Conclusion: This computer-based auditory training program can be considered as a preliminary tool for the rehabilitation and treatment of decoding deficits in children with CAPD.

scholarly journals Aging and auditory temporal ordering

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Cláudia Reis ◽  
Cláudia Gaspar ◽  
Cristina Nazaré
Keyword(s):  
Hearing Loss ◽  
Negative Correlation ◽  
Auditory Processing ◽  
Temporal Order ◽  
The Elderly ◽  
Auditory Training ◽  
Type I ◽  
Central Auditory Processing ◽  
The Right ◽  
Temporal Ordering

Abstract Background The aging process is characterized by a gradual impairment of several capacities, such as hearing, memory and communication, which implies changes at various levels and, consequently, changes in both hearing and auditory skills, of which the auditory temporal ordering is an example. Methods The sample consisted of 23 elderly individuals, aged between 70 and 96 years (average of 83.09 years) and with mild to severe type I sensorineural hearing loss. For the collection of information, the pure tone audiogram, the frequency and duration pattern tests, the verbal and non-verbal sequential memory tests were used. Results The results revealed that between age and the auditory temporal order tests there was a negative correlation (except in the duration pattern test in the left ear) and between the auditory threshold and the auditory temporal order tests there was negative correlation (except in the duration pattern test in the right ear). Conclusions It is concluded that in this sample the ability of auditory temporal ordering was influenced by aging and hearing loss, which shows that as the age of the elderly progresses and the degree of hearing loss increases the difficulties in temporal auditory processing become larger. This leads us to consider that these elderly have several difficulties in temporal auditory processing and that an intervention as auditory training may be advantageous for the elderly, as it could improve their central auditory processing and, consequently, their hearing, memory and quality of life.

scholarly journals Effect of tinnitus on the performance of central auditory system: a review

2021 ◽  
Author(s):  
Behieh Kohansal ◽  
Mehdi Asghari ◽  
Sirvan Najafi ◽  
Fahimeh Hamedi
Keyword(s):  
Speech Perception ◽  
Auditory System ◽  
Auditory Processing ◽  
Central Auditory Processing ◽  
Central Auditory System ◽  
Speech In Noise ◽  
Keywords Tinnitus ◽  
System A ◽  
Standardized Protocol ◽  
The Impact

Background and Aim: Tinnitus is one of the most difficult challenges in audiology and oto­logy. Previous studies have been shown that tinn­itus may interfere with the function of central auditory system (CAS). Involvement of CAS abilities including speech perception and audi­tory processing has led to serious problems in people with tinnitus. Due to the lack of enough information about the impact of tinnitus on CAS and its function, and given that there is no standardized protocol for assessment and mana­gement of tinnitus, this study aimed to review the studies on the effect of tinnitus on the CAS function. Recent Findings: Sixteen eligible articles were reviewed. Temporal and spectral resolution, fre­quency differentiation and speech perception deficits were reported in patients with tinnitus, especially in background noise. This was repor­ted even in tinnitus patients with normal hearing. Conclusion: Assessment of central auditory pro­cessing and speech perception in noise seems to be useful for proper management of tinnitus in clinical practice. Keywords: Tinnitus; auditory system; central auditory processing; speech in noise performance  

scholarly journals Estimation of the referral rate of suspected cases of central auditory processing disorders in children aged 8-12 years old in Oshnavieh, Western Iran, based on auditory processing domain questionnaire and speech in noise and dichotic digit tests

2018 ◽  
pp. 164-170
Author(s):  
Arezou Moloudi ◽  
Masoumeh Rouzbahani ◽  
Nariman Rahbar ◽  
Hasan Saneie
Keyword(s):  
Auditory Processing ◽  
Referral Rate ◽  
Auditory Processing Disorder ◽  
Learning Problems ◽  
Central Auditory Processing ◽  
Central Auditory Processing Disorder ◽  
Central Auditory Processing Disorders ◽  
School Aged Children ◽  
Speech In Noise ◽  
Noise Test

Background and Aim: Studies have shown that central auditory processing disorder is a sensory processing deficit which has five percent prevalence among school-aged children that results in speech, language and learning problems in children. The aim of the current study was investigating the referral rate of children suspected to central auditory processing disorder (CAPD) by using auditory processing domain questionnaire (APDQ), speech in noise test, and dichotic digit test.Methods: Three hundred and ninety six APDQ questionnaire was obtained from children’s parents among five schools in Oshnaviyeh. The children with low APDQ score underwent speech in noise and dichotic digit test (DDT).Results: The findings revealed that 37 children were suspected to CAPD based on APDQ. 35 of these participants in DDT and 24 of them in speech in noise test also indicated low scores, respectively. Moreover, results were unrelated to gender, however, age had a positive correlation with the questionnaire scores.Conclusion: Based on the findings, the APDQ can be used as a screening questionnaire for detecting CAPD.

scholarly journals Auditory Processing Disorder Test Battery in European Portuguese—Development and Normative Data for Pediatric Population

2021 ◽  
Vol 11 (3) ◽  
pp. 474-490
Author(s):  
Jorge Humberto Martins ◽  
Marisa Alves ◽  
Susana Andrade ◽  
Isabel Falé ◽  
António Teixeira
Keyword(s):  
Auditory Processing ◽  
Otoacoustic Emissions ◽  
Normative Data ◽  
Pediatric Population ◽  
Pure Tone Audiometry ◽  
Auditory Training ◽  
Central Auditory Processing ◽  
Frequency Pattern ◽  
Speech In Noise ◽  
European Portuguese

There is an increasing need for state-of-the-art Central Auditory Processing assessment for Portuguese native speakers, applicable as early as possible. As a contribution to answering this need, this paper presents a new battery for Central Auditory Processing assessment for European Portuguese applicable to children aged 5 and above, named BAPA-PE, providing information regarding test selection and development. The battery consists of six behavioral tests: Staggered Spondaic Words (SSW) for European Portuguese, Filtered Speech, Speech in Noise, Detection Interval in Noise, Duration, and Frequency Pattern. The normative data for children aged 5 to 12 are also reported. A sample was obtained of 217 subjects without ear pathology and with typical development. Each age group was composed of at least 30 children. All children were evaluated using pure tone audiometry, speech audiometry, impedance, and otoacoustic emissions. Normative scores are reported for each of the six auditory processing tests. The assessment is applicable to young children (aged 5 and 6). The statistical analyses showed significant effects in scores of Age for all tests and of Ear for several tests. The main result from the work presented, the Auditory Processing Assessment Battery—European Portuguese (BAPA-PE), is available for clinical use with normative data. This battery is a new tool for behaviorism assessment of European Portuguese speakers with suspected central auditory pathology and for monitoring the results of auditory training.

scholarly journals Central Presbycusis: A Review and Evaluation of the Evidence

2012 ◽  
Vol 23 (08) ◽  
pp. 635-666 ◽  
Author(s):  
Larry E. Humes ◽  
Judy R. Dubno ◽  
Sandra Gordon-Salant ◽  
Jennifer J. Lister ◽  
Anthony T. Cacace ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Auditory Processing ◽  
Temporal Discrimination ◽  
Speech Understanding ◽  
Negative Effects ◽  
Behavioral Measures ◽  
Compressed Speech ◽  
Competing Speech

Background: The authors reviewed the evidence regarding the existence of age-related declines in central auditory processes and the consequences of any such declines for everyday communication. Purpose: This report summarizes the review process and presents its findings. Data Collection and Analysis: The authors reviewed 165 articles germane to central presbycusis. Of the 165 articles, 132 articles with a focus on human behavioral measures for either speech or nonspeech stimuli were selected for further analysis. Results: For 76 smaller-scale studies of speech understanding in older adults reviewed, the following findings emerged: (1) the three most commonly studied behavioral measures were speech in competition, temporally distorted speech, and binaural speech perception (especially dichotic listening); (2) for speech in competition and temporally degraded speech, hearing loss proved to have a significant negative effect on performance in most of the laboratory studies; (3) significant negative effects of age, unconfounded by hearing loss, were observed in most of the studies of speech in competing speech, time-compressed speech, and binaural speech perception; and (4) the influence of cognitive processing on speech understanding has been examined much less frequently, but when included, significant positive associations with speech understanding were observed.For 36 smaller-scale studies of the perception of nonspeech stimuli by older adults reviewed, the following findings emerged: (1) the three most frequently studied behavioral measures were gap detection, temporal discrimination, and temporal-order discrimination or identification; (2) hearing loss was seldom a significant factor; and (3) negative effects of age were almost always observed.For 18 studies reviewed that made use of test batteries and medium-to-large sample sizes, the following findings emerged: (1) all studies included speech-based measures of auditory processing; (2) 4 of the 18 studies included nonspeech stimuli; (3) for the speech-based measures, monaural speech in a competing-speech background, dichotic speech, and monaural time-compressed speech were investigated most frequently; (4) the most frequently used tests were the Synthetic Sentence Identification (SSI) test with Ipsilateral Competing Message (ICM), the Dichotic Sentence Identification (DSI) test, and time-compressed speech; (5) many of these studies using speech-based measures reported significant effects of age, but most of these studies were confounded by declines in hearing, cognition, or both; (6) for nonspeech auditory-processing measures, the focus was on measures of temporal processing in all four studies; (7) effects of cognition on nonspeech measures of auditory processing have been studied less frequently, with mixed results, whereas the effects of hearing loss on performance were minimal due to judicious selection of stimuli; and (8) there is a paucity of observational studies using test batteries and longitudinal designs. Conclusions: Based on this review of the scientific literature, there is insufficient evidence to confirm the existence of central presbycusis as an isolated entity. On the other hand, recent evidence has been accumulating in support of the existence of central presbycusis as a multifactorial condition that involves age- and/or disease-related changes in the auditory system and in the brain. Moreover, there is a clear need for additional research in this area.

Effect of Computerized Auditory Training on Speech Perception of Adults With Hearing Impairment

2013 ◽  
Vol 20 (3) ◽  
pp. 91-106 ◽  
Author(s):  
Rachel Pizarek ◽  
Valeriy Shafiro ◽  
Patricia McCarthy
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Literature Review ◽  
Low Cost ◽  
Experimental Designs ◽  
Auditory Training ◽  
Hearing Impairments ◽  
Communicative Disorders ◽  
And Training

Computerized auditory training (CAT) is a convenient, low-cost approach to improving communication of individuals with hearing loss or other communicative disorders. A number of CAT programs are being marketed to patients and audiologists. The present literature review is an examination of evidence for the effectiveness of CAT in improving speech perception in adults with hearing impairments. Six current CAT programs, used in 9 published studies, were reviewed. In all 9 studies, some benefit of CAT for speech perception was demonstrated. Although these results are encouraging, the overall quality of available evidence remains low, and many programs currently on the market have not yet been evaluated. Thus, caution is needed when selecting CAT programs for specific patients. It is hoped that future researchers will (a) examine a greater number of CAT programs using more rigorous experimental designs, (b) determine which program features and training regimens are most effective, and (c) indicate which patients may benefit from CAT the most.

Can Behavioral Speech-In-Noise Tests Improve the Quality of Hearing Aid Fittings?

2011 ◽  
Vol 7 (1) ◽  
pp. 8-14
Author(s):  
Robert Moore ◽  
Susan Gordon-Hickey
Keyword(s):  
Working Memory ◽  
Speech Perception ◽  
Performance Test ◽  
Hearing Aid ◽  
Speech Perception In Noise ◽  
Speech In Noise ◽  
Acceptable Noise Level ◽  
Perceptual Performance ◽  
Noise Test

The purpose of this article is to propose 4 dimensions for consideration in hearing aid fittings and 4 tests to evaluate those dimensions. The 4 dimensions and tests are (a) working memory, evaluated by the Revised Speech Perception in Noise test (Bilger, Nuetzel, & Rabinowitz, 1984); (b) performance in noise, evaluated by the Quick Speech in Noise test (QSIN; Killion, Niquette, Gudmundsen, Revit, & Banerjee, 2004); (c) acceptance of noise, evaluated by the Acceptable Noise Level test (ANL; Nabelek, Tucker, & Letowski, 1991); and (d) performance versus perception, evaluated by the Perceptual–Performance test (PPT; Saunders & Cienkowski, 2002). The authors discuss the 4 dimensions and tests in the context of improving the quality of hearing aid fittings.

scholarly journals Effect of “Spatially Separated Speech in Noise Training” on speech perception in noise in children with bimodal fitting

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Younes Lotfi ◽  
Mahdieh Hasanalifard ◽  
Abdollah Moossavi ◽  
Enayatollah Bakhshi ◽  
Mohammad Ajalloueyan
Keyword(s):  
Speech Perception ◽  
Intervention Group ◽  
Auditory Training ◽  
Control Group ◽  
Interventional Study ◽  
Post Intervention ◽  
Speech Perception In Noise ◽  
Speech In Noise ◽  
Significant Difference ◽  
Recognition Ability

Abstract Background The objective of this study was to evaluate the effect of “Spatially separated speech in noise” auditory training on the ability of speech perception in noise among bimodal fitting users. The assumption was that the rehabilitation can enhance spatial hearing and hence speech in noise perception. This study was an interventional study, with a pre/post-design. Speech recognition ability was assessed with the specific tests. After performing the rehabilitation stages in the intervention group, the speech tests were again implemented, and by comparing the pre- and post-intervention data, the effect of auditory training on the speech abilities was assessed. Twenty-four children of 8–12 years who had undergone cochlear implantation and continuously used bimodal fitting were investigated in two groups of control and intervention. Results The results showed a significant difference between the groups in different speech tests after the intervention, which indicated that the intervention group have improved more than the control group. Conclusion It can be concluded that “Spatially separated speech in noise” auditory training can improve the speech perception in noise in bimodal fitting users. In general, this rehabilitation method is useful for enhancing the speech in noise perception ability.

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