Binaural Interference in a Child: A Case Study

2007 ◽  
Vol 18 (06) ◽  
pp. 515-521 ◽  
Author(s):  
Janet R. Schoepflin
Keyword(s):  
Word Recognition ◽  
Pure Tone ◽  
Recognition Performance ◽  
Auditory Deprivation ◽  
The Asymmetry ◽  
Estudio De Caso

A case study of a child (KB) who demonstrated binaural interference is reported. KB wore unilateral amplification from 1.6 to 4.6 years of age, at which time word-recognition scores under phones were markedly asymmetric, reflecting significantly better performance for the aided ear than the unaided ear, despite similar unaided pure-tone sensitivity. Suspecting the asymmetry in word-recognition performance might be the result of auditory deprivation, bilateral amplification was prescribed at 4.6 years of age. Three months later, adverse changes in the child's behavior were reported. At 5.3 years, significant interaural asymmetry was noted in word-recognition scores under phones, in unilateral-aided word-recognition scores (90% vs. 36%), and in the bilateral-aided score (56%), supporting the presence of binaural interference. Se reporta el estudio de caso de un niño (KB) quién demostró un interferencia binaural. KB utilizó amplificación unilateral desde la edad de 1.6 a los 4.6 años, donde sus puntajes de reconocimiento de palabras bajo auriculares eran marcadamente asimétricos, reflejando un desempeño significativamente mejor en el oído amplificado que en el no amplificado, a pesar de una sensibilidad tonal sin amplificación similar para los dos oídos. Bajo la sospecha de que la asimetría en el reconocimiento de palabras se debiera a un deprivación auditiva, se prescribió una amplificación binaural a la edad de 4.6 años. Tres meses después, se reportaron cambios adversos en la conducta del niño. A los 5.3 años, se notó una significativa asimetría interauricular en los puntajes de reconocimiento de palabras con auriculares, en reconocimiento de palabras con amplificación unilateral (90% vs. 36%), y el puntaje bilateral con amplificación (56%), apoyando la presencia de una interferencia binaural.

Auditory Deprivation in Adults with Asymmetric, Sensorineural Hearing Impairment

2006 ◽  
Vol 17 (10) ◽  
pp. 747-762 ◽  
Author(s):  
Carol A. Silverman ◽  
Shlomo Silman ◽  
Michele B. Emmer ◽  
Janet R. Schoepflin ◽  
John J. Lutolf
Keyword(s):  
Word Recognition ◽  
Hearing Impairment ◽  
Pure Tone ◽  
Recognition Performance ◽  
Sensorineural Hearing ◽  
Control Group ◽  
Auditory Deprivation ◽  
Sensorineural Hearing Impairment ◽  
Group A ◽  
Over Time

The purpose of this investigation was to prospectively examine performance on the pure-tone air-conduction threshold, speech-recognition threshold, and suprathreshold word-recognition tests over time in 21 monaurally aided (experimental group) and 28 unaided adults (control group) with asymmetric, sensorineural hearing impairment.The results revealed significant declines on the mean suprathreshold word-recognition scores over time at one and two years post-baseline for the worse ears of the control participants; no declines occurred in the worse ears of the experimental participants or in the better ears of either group. A slight, significant increase in the pure-tone average occurred for the better ears of both groups. The findings are consistent with the presence of an auditory deprivation effect on suprathreshold word-recognition ability in the control group, suggesting that lack of amplification leads to decline in word-recognition performance over time in the worse ears of adults with asymmetric sensorineural hearing impairment.

Word Recognition in Multitalker Babble Measured with Two Psychophysical Methods

2005 ◽  
Vol 16 (08) ◽  
pp. 622-630 ◽  
Author(s):  
Richard H. Wilson ◽  
Christopher A. Burks ◽  
Deborah G. Weakley
Keyword(s):  
Word Recognition ◽  
Background Noise ◽  
Pure Tone ◽  
Recognition Performance ◽  
Random Presentation ◽  
Presentation Level ◽  
Significant Difference ◽  
Northwestern University ◽  
And Performance ◽  
The Relationship

The purpose of this experiment was to determine the relationship between psychometric functions for words presented in multitalker babble using a descending presentation level protocol and a random presentation level protocol. Forty veterans (mean = 63.5 years) with mild-to-moderate sensorineural hearing losses were enrolled. Seventy of the Northwestern University Auditory Test No. 6 words spoken by the VA female speaker were presented at seven signal-to-babble ratios from 24 to 0 dB (10 words/step). Although the random procedure required 69 sec longer to administer than the descending protocol, there was no significant difference between the results obtained with the two psychophysical methods. There was almost no relation between the perceived ability of the listeners to understand speech in background noise and their measured ability to understand speech in multitalker babble. Likewise, there was a tenuous relation between pure-tone thresholds and performance on the words in babble and between recognition performance in quiet and performance on the words in babble.

scholarly journals Sensorineural Hearing Loss following Carbon Monoxide Poisoning

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Joseph P. Pillion
Keyword(s):  
Carbon Monoxide ◽  
Hearing Loss ◽  
Brain Injury ◽  
Word Recognition ◽  
Sensorineural Hearing Loss ◽  
Recognition Performance ◽  
Carbon Monoxide Poisoning ◽  
Sensorineural Hearing ◽  
Severe Degree

A case study is presented of a 17-year-old male who sustained an anoxic brain injury and sensorineural hearing loss secondary to carbon monoxide poisoning. Audiological data is presented showing a slightly asymmetrical hearing loss of sensorineural origin and mild-to-severe degree for both ears. Word recognition performance was fair to poor bilaterally for speech presented at normal conversational levels in quiet. Management considerations of the hearing loss are discussed.

Clinical Experience with the Words-in-Noise Test on 3430 Veterans: Comparisons with Pure-Tone Thresholds and Word Recognition in Quiet

2011 ◽  
Vol 22 (07) ◽  
pp. 405-423 ◽  
Author(s):  
Richard H. Wilson
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Word Recognition ◽  
Pure Tone ◽  
Recognition Performance ◽  
Laboratory Studies ◽  
Auditory Function ◽  
Pure Tone Average ◽  
Correct Point ◽  
Audiologic Evaluation

Background: Since the 1940s, measures of pure-tone sensitivity and speech recognition in quiet have been vital components of the audiologic evaluation. Although early investigators urged that speech recognition in noise also should be a component of the audiologic evaluation, only recently has this suggestion started to become a reality. This report focuses on the Words-in-Noise (WIN) Test, which evaluates word recognition in multitalker babble at seven signal-to-noise ratios and uses the 50% correct point (in dB SNR) calculated with the Spearman-Kärber equation as the primary metric. The WIN was developed and validated in a series of 12 laboratory studies. The current study examined the effectiveness of the WIN materials for measuring the word-recognition performance of patients in a typical clinical setting. Purpose: To examine the relations among three audiometric measures including pure-tone thresholds, word-recognition performances in quiet, and word-recognition performances in multitalker babble for veterans seeking remediation for their hearing loss. Research Design: Retrospective, descriptive. Study Sample: The participants were 3430 veterans who for the most part were evaluated consecutively in the Audiology Clinic at the VA Medical Center, Mountain Home, Tennessee. The mean age was 62.3 yr (SD = 12.8 yr). Data Collection and Analysis: The data were collected in the course of a 60 min routine audiologic evaluation. A history, otoscopy, and aural-acoustic immittance measures also were included in the clinic protocol but were not evaluated in this report. Results: Overall, the 1000–8000 Hz thresholds were significantly lower (better) in the right ear (RE) than in the left ear (LE). There was a direct relation between age and the pure-tone thresholds, with greater change across age in the high frequencies than in the low frequencies. Notched audiograms at 4000 Hz were observed in at least one ear in 41% of the participants with more unilateral than bilateral notches. Normal pure-tone thresholds (≤20 dB HL) were obtained from 6% of the participants. Maximum performance on the Northwestern University Auditory Test No. 6 (NU-6) in quiet was ≥90% correct by 50% of the participants, with an additional 20% performing at ≥80% correct; the RE performed 1–3% better than the LE. Of the 3291 who completed the WIN on both ears, only 7% exhibited normal performance (50% correct point of ≤6 dB SNR). Overall, WIN performance was significantly better in the RE (mean = 13.3 dB SNR) than in the LE (mean = 13.8 dB SNR). Recognition performance on both the NU-6 and the WIN decreased as a function of both pure-tone hearing loss and age. There was a stronger relation between the high-frequency pure-tone average (1000, 2000, and 4000 Hz) and the WIN than between the pure-tone average (500, 1000, and 2000 Hz) and the WIN. Conclusions: The results on the WIN from both the previous laboratory studies and the current clinical study indicate that the WIN is an appropriate clinic instrument to assess word-recognition performance in background noise. Recognition performance on a speech-in-quiet task does not predict performance on a speech-in-noise task, as the two tasks reflect different domains of auditory function. Experience with the WIN indicates that word-in-noise tasks should be considered the “stress test” for auditory function.

Article Commentary: Hearing aids and cochlear damage: The case against fitting the pure tone audiogram

2009 ◽  
Vol 140 (5) ◽  
pp. 629-632 ◽  
Author(s):  
Chris Halpin ◽  
Steven D. Rauch
Keyword(s):  
Word Recognition ◽  
Hearing Aids ◽  
Pure Tone ◽  
Recognition Performance ◽  
Test Results ◽  
Reverse Engineer ◽  
Pure Tone Audiogram ◽  
Patient Complaints ◽  
Cochlear Damage ◽  
Audiometric Test

Herein we propose a different approach to hearing aids, an approach that flows logically from the pathophysiology of cochlear disorders. This approach challenges some central tenets of the industry by 1) suggesting that many, if not most, cases would be better served by flat, undistorted gain across all frequencies rather than by “fitting” gain to the audiogram; and 2) suggesting that most of the improvements in hearing aid technology are targeted at reducing patient complaints as opposed to increasing measurable word recognition performance. We recommend that it is better to accommodate the damaged cochlea in these cases than to attempt to reverse-engineer the audiometric test results.

The 500 Hz Masking-Level Difference and Word Recognition in Multitalker Babble for 40- to 89-Year-Old Listeners with Symmetrical Sensorineural Hearing Loss

2005 ◽  
Vol 16 (06) ◽  
pp. 367-382 ◽  
Author(s):  
Richard H. Wilson ◽  
Deborah G. Weakley
Keyword(s):  
Hearing Loss ◽  
Word Recognition ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Recognition Performance ◽  
Recognition Task ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Systematic Relationship ◽  
Masking Level Difference

The purpose of this study was to determine if performances on a 500 Hz MLD task and a word-recognition task in multitalker babble covaried or varied independently for listeners with normal hearing and for listeners with hearing loss. Young listeners with normal hearing (n = 25) and older listeners (25 per decade from 40–80 years, n = 125) with sensorineural hearing loss were studied. Thresholds at 500 and 1000 Hz were ≤30 dB HL and ≤40 dB HL, respectively, with thresholds above 1000 Hz <100 dB HL. There was no systematic relationship between the 500 Hz MLD and word-recognition performance in multitalker babble. Higher SoNo and SπNo; thresholds were observed for the older listeners, but the MLDs were the same for all groups. Word recognition in babble in terms of signal-to-babble ratio was on average 6.5 (40- to 49-year-old group) to 10.8 dB (80- to 89-year-old group) poorer for the older listeners with hearing loss. Neither pure-tone thresholds nor word-recognition abilities in quiet accurately predicted word-recognition performance in multitalker babble.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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