scholarly journals Clinical and diagnostic characteristics of cochleovestibular function in patients of active working age after exposure to stress

2021 ◽  
pp. 4-15
Author(s):  
Dmitry I. Zabolotny ◽  
Irina A. Belyakova ◽  
Viktor I. Lutsenko ◽  
Tetiana Yu. Kholodenko ◽  
Tetyana P. Loza ◽  
...  
Keyword(s):  
Auditory Processing ◽  
Control Group ◽  
Central Auditory Processing ◽  
Speech Discrimination ◽  
Severe Stress ◽  
Speech Discrimination Tests ◽  
Stress Assessment ◽  
Central Auditory Processing Disorders ◽  
Working Age ◽  
Filtered Speech

Topicality: Long-term and pronounced psychoemotional tension leads to negative changes in the human body. Many aspects of cochleovestibular changes caused by psychoemotional stress are not studied enough to date. Aim: to increase the diagnostic efficiency of auditory and vestibular disorders in patients of active working age after exposure to stress. Materials and methods: 95 patients of active working age with dizziness, which manifested under stress, and 10 persons of control group were studied. The following tests were performed to all patients: survey with the questionnaire "Comprehensive stress assessment", pure tone and speech audiometry, measurement with filtered speech discrimination tests, assessment of the auditory adaptation level, impedancemetry, registration of auditory brainstem responses (ABR), computed static posturography, vestibular testing. Results and discussion: All subjects were divided into three groups according to the results of the survey with the questionnaire "Comprehensive stress assessment": Group 1 included 21 patients with moderate stress, Group 2 included 35 persons with severe stress that could not be compensated and Group 3 included 39 persons under severe stress, moreover 10 of them were on the verge of exhaustion of adaptive capacities. 60 (63.2 %) patients had normal hearing. 24 (25.2 %) subjects had statistically significant (P <0.05) hearing impairment in the high frequency zone compared with the control group, a statistically significant difference in hearing impairment was detected in the entire frequency range in 11 (11.6 %) persons. Central auditory processing disorders were detected in more than half of patients (according to various tests – from 29 (30.5 %) to 49 (51.6 %) persons). Central vestibular syndrome of varying severity was diagnosed in all 95 patients. The most pronounced disorders of balance according to posturography have been reported in patients with severe stress with vision deprivation in the position with closed eyes. Conclusions: An integrated approach allowed to identify and select, besides traditional research methods, supplementary diagnostic measures for optimal assessment of cochleovestibular changes in patients of active working age after exposure to stress, to detect cochleovestibular disorders and differential topical diagnostics of disorders of the central or peripheral portions of the auditory and vestibular analyzers. These included psychological testing, a test battery to determine central auditory processing disorders – hearing adaptation with load, filtered speech discrimination tests, registration of ABR, registration of postural balance using the Wii Balance Board platform, vestibular testing.

scholarly journals Event related potentials in cases of amblyaudia

2020 ◽  
Vol 6 (4) ◽  
pp. 747
Author(s):  
Wessam Mostafa Essawy
Keyword(s):  
Auditory Processing ◽  
Event Related Potentials ◽  
Speech Development ◽  
Screening Tests ◽  
Control Group ◽  
Auditory Information ◽  
Central Auditory Processing ◽  
Auditory Processing Disorders ◽  
Central Auditory Processing Disorders ◽  
Related Potentials

<p class="abstract"><strong>Background:</strong> Amblyaudia is a weakness in the listener’s binaural processing of auditory information. Subjects with amblyaudia also demonstrate binaural integration deficits and may display similar patterns in their evoked responses in terms of latency and amplitude of these responses. The purpose of this study was to identify the presence of amblyaudia in a population of young children subjects and to measure mismatch negativity (MMN), P300 and cortical auditory evoked potentials (CAEPs) for those individuals.</p><p class="abstract"><strong>Methods:</strong> Subjects included in this study were divided into 2 groups control group that consisted of 20 normal hearing subjects with normal developmental milestones and normal speech development. The study group (GII) consisted of 50 subjects with central auditory processing disorders (CAPDs) diagnosed by central auditory screening tests. </p><p class="abstract"><strong>Results:</strong> With using dichotic tests including dichotic digits test (DDT) and competing sentence test (CST), we could classify these cases into normal, dichotic dysaudia, amblyaudia, and amblyaudia plus with percentages (40%, 14%, 38%, 8% respectively). Using event related potentials, we found that P300 and MMN are more specific in detecting neurocognitive dysfunction related to allocation of attentional resources and immediate memory in these cases.</p><p class="abstract"><strong>Conclusions:</strong> The presence of amblyaudia in cases of central auditory processing disorders (CAPDs) and event related potentials is an objective tool for diagnosis, prognosis and follow up after rehabilitation.</p>

scholarly journals P3 Cognitive Potential in Cochlear Implant Users

2018 ◽  
Vol 22 (04) ◽  
pp. 408-414 ◽  
Author(s):  
Signe Grasel ◽  
Mario Greters ◽  
Maria Goffi-Gomez ◽  
Roseli Bittar ◽  
Raimar Weber ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Auditory Processing ◽  
Evoked Potential ◽  
Control Group ◽  
Central Auditory Processing ◽  
Speech Discrimination ◽  
Significant Difference ◽  
Cortical Responses ◽  
Peripheral Auditory System

Introduction The P3 cognitive evoked potential is recorded when a subject correctly identifies, evaluates and processes two different auditory stimuli. Objective to evaluate the latency and amplitude of the P3 evoked potential in 26 cochlear implant users with post-lingual deafness with good or poor speech recognition scores as compared with normal hearing subjects matched for age and educational level. Methods In this prospective cohort study, auditory cortical responses were recorded from 26 post-lingual deaf adult cochlear implant users (19 with good and 7 with poor speech recognition scores) and 26 control subjects. Results There was a significant difference in the P3 latency between cochlear implant users with poor speech recognition scores (G-) and their control group (CG) (p = 0.04), and between G- and cochlear implant users with good speech discrimination (G+) (p = 0.01). We found no significant difference in the P3 latency between the CG and G+. In this study, all G- patients had deafness due to meningitis, which suggests that higher auditory function was impaired too. Conclusion Post-lingual deaf adult cochlear implant users in the G- group had prolonged P3 latencies as compared with the CG and the cochlear implant users in the G+ group. The amplitudes were similar between patients and controls. All G- subjects were deaf due to meningitis. These findings suggest that meningitis may have deleterious effects not only on the peripheral auditory system but on the central auditory processing as well.

The Clinical Utility of the P3 AERP in Children With Auditory Processing Disorders

1992 ◽  
Vol 35 (4) ◽  
pp. 903-912 ◽  
Author(s):  
Robert E. Jirsa
Keyword(s):  
Treatment Program ◽  
Auditory Processing ◽  
Clinical Utility ◽  
Clinical Status ◽  
Normal Control Group ◽  
Behavioral Changes ◽  
Control Group ◽  
Central Auditory Processing ◽  
Auditory Processing Disorders ◽  
Central Auditory Processing Disorders

This study investigated whether the P3 AERP could be used to reflect behavioral changes resulting from therapeutic intervention in a group of children with central auditory processing disorders (CAPDs). Results showed a significant decrease in P3 latency, along with a significant increase in P3 amplitude, following a structured treatment program. No changes occurred in either the CAPD control group or in the normal control group. These results suggest that the P3 AERP latency and amplitude measures are sensitive to changes in clinical status following a treatment program.

scholarly journals Changes of Temporal Processing and Hearing in Noise after Use of a Monoaural Hearing Aid in Patients with Sensorineural Hearing Loss: A Preliminary Study

2021 ◽  
Vol 25 (3) ◽  
pp. 146-151
Author(s):  
Yehree Kim ◽  
Chan Joo Yang ◽  
Myung Hoon Yoo ◽  
Chan Il Song ◽  
Jong Woo Chung
Keyword(s):  
Temporal Resolution ◽  
Auditory Processing ◽  
Hearing Aid ◽  
Control Group ◽  
Central Auditory Processing ◽  
Speech Discrimination ◽  
Hearing In Noise ◽  
One Year ◽  
A Prospective Study ◽  
The Relationship

Background and Objectives: The relationship between hearing aid (HA) use and improvement in cognitive function is not fully known. This study aimed to determine whether HAs could recover temporal resolution or hearing in noise functions.Materials and Methods: We designed a prospective study with two groups: HA users and controls. Patients older than 45 years, with a pure tone average threshold of worse than 40 dB and a speech discrimination score better than 60% in both ears were eligible. Central auditory processing tests and hearing in noise tests (HINTs) were evaluated at the beginning of the study and 1, 3, 6, and 12 months after the use of a monaural HA in the HA group compared to the control group. The changes in the evaluation parameters were statistically analyzed using the linear mixed model.Results: A total of 26 participants (13 in the HA and 13 in the control group) were included in this study. The frequency (<i>p</i><0.01) and duration test (<i>p</i>=0.02) scores showed significant improvements in the HA group after 1 year, while the HINT scores showed no significant change.Conclusions: After using an HA for one year, patients performed better on temporal resolution tests. No improvement was documented with regard to hearing in noise.

scholarly journals Development of ukrainian speech discrimination tests for children (phase of formation of tables with words)

2020 ◽  
pp. 50-54
Author(s):  
Dmitry I. Zabolotny ◽  
Viktor I. Lutsenko ◽  
Irina A. Belyakova ◽  
Yeugenia I. Svitlychna ◽  
Alla A. Berestova ◽  
...  
Keyword(s):  
Hearing Aids ◽  
Auditory Processing ◽  
Preschool Age ◽  
Speech Audiometry ◽  
Central Auditory Processing ◽  
Speech Discrimination ◽  
Impaired Hearing ◽  
Discrimination Test ◽  
Speech Discrimination Tests ◽  
Speech Discrimination Test

Topicality: The speech audiometry is an essential diagnostic method which allows to fully assess the effectiveness of the cochlear implantation and hearing aids, to identify the central auditory processing disorders among the patients. Ukrainian audiologists have all necessary tools to perform classical speech audiometry and determine speech discrimination in the difficult acoustic conditions in adults. But it should be said that Ukrainian speech tests for children haven’t been developed yet. Aim: to develop and implement the Ukrainian speech discrimination tests for children. To solve the problem of speech audiometry in Ukraine it was decided to develop several speech discrimination tests for children of different ages and needs. At the first stage the authors have formed the groups with Ukrainian words for speech audiometry in children (starting from preschool age) and made a studio recording of the test that should be tested and validated futher. The formed word groups meet with all the requirements for phonetically balanced speech discrimination tests taking into consideration the peculiarities of children’s audiometry. The following principles were adhered in each group: the presence of all Ukrainian vowel phonemes in the stressed syllable and consonants with different frequency; the presence of words with different numbers of syllables; taking into consideration the rhythmic structure of the word (stress place); keeping a constant ratio of vowels and consonants. The article presents the primary (not yet valid) version of the Ukrainian speech discrimination test for children’s audiometry. Studio recording of this test will be tested in children with normal and impaired hearing as well as in users of hearing aids and cochlear implants. Conclusions: For the first time in Ukraine the tables with words have been formed in the native language for the audiometry in children (starting from the preschool age). The studio recording of the speech discrimination test was done with the female voice. Hence the next phase of development of the Ukrainian speech tests for children is planned the sence of which will be to approbate and validate.

scholarly journals The Effect of Mild Hearing Impairment on Auditory Processing Tests

2004 ◽  
Vol 15 (01) ◽  
pp. 006-016 ◽  
Author(s):  
Karin Neijenhuis ◽  
Hans Tschur ◽  
Ad Snik
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Auditory Processing ◽  
Test Battery ◽  
Sensorineural Hearing ◽  
Central Auditory Processing ◽  
Central Auditory Processing Disorders ◽  
Presentation Level ◽  
Speech Reception ◽  
Filtered Speech

The application of auditory processing tests to patients with sensorineural hearing loss is controversial. Several studies have shown that it is difficult to separate peripheral from central hearing processes. In the present study, a Dutch auditory processing test battery was administered to 24 subjects with mild, relatively flat, symmetrical sensorineural hearing loss. Tests were administered twice; the second time, the presentation level in four out of the six tests was adjusted according to the speech reception threshold. The scores of the hearing-impaired subjects were significantly poorer than those of the subjects with normal hearing on five out of the six tests, even with the adjusted presentation level. Significant correlations were found between test scores and PTA (pure-tone average); scores on words-in-noise, filtered-speech and binaural-fusion tests were additionally corrected according to PTA. In contrast to previous studies in the literature, the present dichotic-digit and pattern-recognition tests were greatly influenced by mild hearing loss. Therefore, this auditory processing test battery cannot readily be used to diagnose central auditory processing disorders in patients with flat sensorineural hearing loss. At least, both adjustment of presentation level and additional correction are needed.

Auditory training in auditory processing disorders (APD)

2020 ◽  
Vol 33 (3) ◽  
Author(s):  
Magdalena Dunaj ◽  
Anna Lobaczuk-Sitnik ◽  
Malgorzata Rozanska ◽  
Emilia Duchnowska ◽  
Bozena Kosztyla-Hojna ◽  
...  
Keyword(s):  
Auditory Processing ◽  
Speech Therapy ◽  
Positive Impact ◽  
Therapeutic Process ◽  
Correct Diagnosis ◽  
Auditory Training ◽  
Diagnostic Code ◽  
Central Auditory Processing ◽  
Auditory Processing Disorders ◽  
Central Auditory Processing Disorders

Auditory processing disorders (APD) are characterized by a reduction in the efficiency of auditory processing, which results in a deficit in identifying and interpreting sounds by the brain. In 2017, auditory processing disorders were awarded an individual diagnostic code. Symptoms that indicate the presence of auditory processing disorders are numerous and non-specific. The primary symptom of impaired auditory processing is difficulty understanding speech in noise. This disorder affects about 5-7% of children. Most often, the result of at least two tests included in the set is considered to be the determinant which constitutes the basis for the diagnosis of disorders. In the diagnostic and therapeutic process of children with auditory processing disorders, the correct diagnosis is of key importance, thanks to which it will be possible to conduct an appropriate treatment. All therapeutic methods, tasks activating auditory perception and language skills should be selected reliably, individually for each participant of the therapy. The use of the so-called auditory training during corrective-compensatory and speech therapy classes in children with central auditory processing disorders should be the standard. It is the main method of treating children with central hearing impairment. Auditory training includes auditory education based on stimulating child’s auditory predispositions and on developing the ability to use them in order to gain better orientation in the environment. At present, therapists in Poland may use various types of therapeutic interactions that have a positive impact on the development of a child’s hearing skills. The aim of the work is to discuss auditory training and to present speech therapy exercises helpful in the therapeutic process of children with auditory processing disorders.

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