|
1
|
Ishino T, Nakagawa K, Higashikawa F, Hirokane S, Fujita R, Ishikawa C, Kawasumi T, Takemoto K, Oda T, Nishida M, Horibe Y, Chikuie N, Taruya T, Hamamoto T, Ueda T, Yuge L, Takeno S. Intelligibility Sound Therapy Enhances the Ability of Speech-in-Noise Perception and Pre-Perceptual Neurophysiological Response. BIOLOGY 2024; 13:1021. [PMID: 39765688 PMCID: PMC11673718 DOI: 10.3390/biology13121021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2024] [Revised: 12/03/2024] [Accepted: 12/05/2024] [Indexed: 01/11/2025]
Abstract
Aural rehabilitation with hearing aids can decrease the attentional requirements of cognitive resources by amplifying deteriorated-frequency sound in hearing loss patients and improving auditory discrimination ability like speech-in-noise perception. As aural rehabilitation with an intelligible-hearing sound also can be hopeful, the aim of this study was to evaluate the effectiveness of aural rehabilitation with intelligible-hearing sound for hearing loss patients. Adult native Japanese speakers (17 males and 23 females, 68.43 ± 9.23 years) with hearing thresholds exceeding 30 dB at any of the following frequencies: 125, 250, 500, 1000, 2000, 3000, 4000, 8000, 10,000, and 12,000 Hz in either ear, were recruited. on any side were recruited and underwent the Mini-Mental State Examination Japanese. We conducted a self-evaluation questionnaire for hearing problems of voice, a gap detection test, a fast speech test, a speech-in-noise test, a pure tone audiogram, and a speech perception test using a Japanese 67-S, cortical auditory-evoked fields, and magnetic mismatch negativity before and after the non-intelligible-hearing (N = 20) and intelligible-hearing (N = 20) sound therapy, which involved listening to music for one hour a day for 35 days. The better hearing ear was defined using a four-frequency pure-tone average at the thresholds of 500, 1000, 2000, and 4000 Hz. After the sound therapy, the speech-in-noise test with a signal-to-noise ratio +10 in the better hearing ear showed significant improvement (p < 0.05), and N1m-P2m amplitudes showed a significant increase in the Lt superior temporal gyrus in response to the stimulus from the better hearing ear (p < 0.05). A significant enhancement of the magnetic mismatch negativity amplitude at the Lt superior temporal gyrus was exhibited after the sound therapy (p < 0.01). Intelligible-hearing sound therapy can improve the ability of speech-in-noise perception in the better hearing ear and enhancement of central cortex response, which reflects the ability of working memory, was proved by cortical auditory-evoked fields and magnetic mismatch negativity. Intelligible-hearing sound therapy can be a valuable aural rehabilitation method for sensory neural hearing loss, the same as hearing aids.
Collapse
Affiliation(s)
- Takashi Ishino
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Kei Nakagawa
- Department of Biomechanics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan;
| | - Fumiko Higashikawa
- Medical Center for Translational and Clinical Research, Hiroshima University Hospital, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan;
| | - Sakura Hirokane
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Rikuto Fujita
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Chie Ishikawa
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Tomohiro Kawasumi
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Kota Takemoto
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Takashi Oda
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Manabu Nishida
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Yuichiro Horibe
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Nobuyuki Chikuie
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Takayuki Taruya
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Takao Hamamoto
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Tsutomu Ueda
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| | - Louis Yuge
- Department of Biomechanics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan;
| | - Sachio Takeno
- Department of Otorhinolaryngology, Head and Neck Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8551, Japan; (S.H.); (R.F.); (C.I.); (T.K.); (K.T.); (T.O.); (M.N.); (Y.H.); (N.C.); (T.T.); (T.H.); (T.U.); (S.T.)
| |
Collapse
|
|
2
|
Kaya NU, Aydin E, Akin Ocal FC, Satar B. The Effect of Different Adaptation Formulas on Mid-Latency Auditory Evoked Potentials in Adults with Hearing Aids. Audiol Neurootol 2024; 30:176-186. [PMID: 39522505 DOI: 10.1159/000541023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 08/14/2024] [Indexed: 11/16/2024] Open
Abstract
INTRODUCTION We were conducting this study to evaluate the effects of different hearing aid adaptation formulas on middle latency responses (MLR) in adult hearing aid users. METHODS The study included 72 participants: those with moderate hearing loss using hearing aids with two different formulas for the last year, those with moderate hearing loss not using hearing aids, and those without hearing loss. Sixteen participants using NAL-NL1 and NAL-RP formulas were group 1; twenty using NAL-NL2 and DSL formulas were group 2; fifteen with hearing loss not using devices were group 3; and twenty-one without hearing loss were group 4. We obtained and compared MLR responses, including Na latency, Pa latency, and Na-Pa amplitude. RESULTS Group 1 mean Na-Pa amplitude value was found to be higher than group 2 (p = 0.001). No significant difference was observed between group 1 and group 2 in terms of Na latency and Pa latency values (p = 0.001; p = 0.035). It was observed that the mean Na-Pa amplitude values in group 1 and group 2 were higher than group 3 (p = 0.001), but this elevation reached the level of statistical significance only in group 1. No difference was observed between group 1, group 2, and group 3 in terms of Na latency and Pa latency values (p = 0.001; p = 0.035). Compared with those without hearing loss (group 4), participants with hearing loss (group 1, group 2, and group 3) had longer Na latency and Pa latency values (p = 0.001; p = 0.035), and Na-Pa amplitudes were lower (p = 0.001). The effect of current (tested) hearing aid usage time on Na latency, Pa latency, and Na-Pa amplitude values of group 1 and group 2 was not observed. In all groups, there was a positive correlation between audiometric airway/bone conduction pure tone averages and speech acquisition threshold values, Na latency and Pa latency values, and a negative correlation between Na-Pa amplitude values. In all groups, there was a negative correlation between speech discrimination scores and Na and Pa latency values, as well as a positive correlation between Na and Pa amplitude values. There was a positive correlation between age and Pa latency values in all groups, as well as a negative correlation between Na and Pa amplitude values. CONCLUSION MLRs are affected by the presence of hearing loss, the use of hearing aids, and different hearing aid adaptation formulas. MLR measurements with a hearing aid can be used as an objective test to evaluate the benefit of hearing aid use.
Collapse
Affiliation(s)
- Nedim Ugur Kaya
- Department of Audiology, School of Health Sciences, Biruni University, Istanbul, Turkey
| | - Emine Aydin
- Department of Ear Nose Throat, University of Health Sciences, Faculty of Medicine, Ankara, Turkey
| | - F Ceyda Akin Ocal
- Department of Ear Nose Throat, University of Health Sciences, Faculty of Medicine, Ankara, Turkey
| | - Bulent Satar
- Department of Ear Nose Throat, University of Health Sciences, Faculty of Medicine, Ankara, Turkey
| |
Collapse
|
|
3
|
Kaplan-Neeman R, Greenbom T, Habiballah S, Henkin Y. Biomarkers of auditory cortical plasticity and development of binaural pathways in children with unilateral hearing loss using a hearing aid. Hear Res 2024; 451:109096. [PMID: 39116708 DOI: 10.1016/j.heares.2024.109096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 07/13/2024] [Accepted: 08/01/2024] [Indexed: 08/10/2024]
Abstract
Congenital or early-onset unilateral hearing loss (UHL) can disrupt the normal development of the auditory system. In extreme cases of UHL (i.e., single sided deafness), consistent cochlear implant use during sensitive periods resulted in cortical reorganization that partially reversed the detrimental effects of unilateral sensory deprivation. There is a gap in knowledge, however, regarding cortical plasticity i.e. the brain's capacity to adapt, reorganize, and develop binaural pathways in milder degrees of UHL rehabilitated by a hearing aid (HA). The current study was set to investigate early-stage cortical processing and electrophysiological manifestations of binaural processing by means of cortical auditory evoked potentials (CAEPs) to speech sounds, in children with moderate to severe-to-profound UHL using a HA. Fourteen children with UHL (CHwUHL), 6-14 years old consistently using a HA for 3.5 (±2.3) years participated in the study. CAEPs were elicited to the speech sounds /m/, /g/, and /t/ in three listening conditions: monaural [Normal hearing (NH), HA], and bilateral [BI (NH + HA)]. Results indicated age-appropriate CAEP morphology in the NH and BI listening conditions in all children. In the HA listening condition: (1) CAEPs showed similar morphology to that found in the NH listening condition, however, the mature morphology observed in older children in the NH listening condition was not evident; (2) P1 was elicited in all but two children with severe-to-profound hearing loss, to at least one speech stimuli, indicating effective audibility; (3) A significant mismatch in timing and synchrony between the NH and HA ear was found; (4) P1 was sensitive to the acoustic features of the eliciting stimulus and to the amplification characteristics of the HA. Finally, a cortical binaural interaction component (BIC) was derived in most children. In conclusion, the current study provides first-time evidence for cortical plasticity and partial reversal of the detrimental effects of moderate to severe-to-profound UHL rehabilitated by a HA. The derivation of a cortical biomarker of binaural processing implies that functional binaural pathways can develop when sufficient auditory input is provided to the affected ear. CAEPs may thus serve as a clinical tool for assessing, monitoring, and managing CHwUHL using a HA.
Collapse
Affiliation(s)
- Ricky Kaplan-Neeman
- Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Hearing, Speech, and Language Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Tzvia Greenbom
- Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Hearing, Speech, and Language Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Suhaill Habiballah
- Department of Communication Disorders, Haifa University, Haifa, Israel; Alango Technologies LTD, Tirat Carmel, Israel
| | - Yael Henkin
- Department of Communication Disorders, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel; Hearing, Speech, and Language Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
| |
Collapse
|
|
4
|
Biot L, Jacxsens L, Cardon E, Versnel H, Rhebergen KS, Boerboom RA, Gilles A, Van Rompaey V, Lammers MJW. Validation of the acoustic change complex (ACC) prediction model to predict speech perception in noise in adult patients with hearing loss: a study protocol. Diagn Progn Res 2024; 8:1. [PMID: 38263270 PMCID: PMC10807087 DOI: 10.1186/s41512-024-00164-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 01/15/2024] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND Speech perception tests are essential to measure the functional use of hearing and to determine the effectiveness of hearing aids and implantable auditory devices. However, these language-based tests require active participation and are influenced by linguistic and neurocognitive skills limiting their use in patients with insufficient language proficiency, cognitive impairment, or in children. We recently developed a non-attentive and objective speech perception prediction model: the Acoustic Change Complex (ACC) prediction model. The ACC prediction model uses electroencephalography to measure alterations in cortical auditory activity caused by frequency changes. The aim is to validate this model in a large-scale external validation study in adult patients with varying degrees of sensorineural hearing loss (SNHL) to confirm the high predictive value of the ACC model and to assess its test-retest reliability. METHODS A total of 80 participants, aged 18-65 years, will be enrolled in the study. The categories of severity of hearing loss will be used as a blocking factor to establish an equal distribution of patients with various degrees of sensorineural hearing loss. During the first visit, pure tone audiometry, speech in noise tests, a phoneme discrimination test, and the first ACC measurement will be performed. During the second visit (after 1-4 weeks), the same ACC measurement will be performed to assess the test-retest reliability. The acoustic change stimuli for ACC measurements consist of a reference tone with a base frequency of 1000, 2000, or 4000 Hz with a duration of 3000 ms, gliding to a 300-ms target tone with a frequency that is 12% higher than the base frequency. The primary outcome measures are (1) the level of agreement between the predicted speech reception threshold (SRT) and the behavioral SRT, and (2) the level of agreement between the SRT calculated by the first ACC measurement and the SRT of the second ACC measurement. Level of agreement will be assessed with Bland-Altman plots. DISCUSSION Previous studies by our group have shown the high predictive value of the ACC model. The successful validation of this model as an effective and reliable biomarker of speech perception will directly benefit the general population, as it will increase the accuracy of hearing evaluations and improve access to adequate hearing rehabilitation.
Collapse
Affiliation(s)
- Lana Biot
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium.
| | - Laura Jacxsens
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium
| | - Emilie Cardon
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium
| | - Huib Versnel
- Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
- UMC Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands
| | - Koenraad S Rhebergen
- Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
- UMC Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands
| | - Ralf A Boerboom
- Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
- UMC Utrecht Brain Center, Utrecht University, Utrecht, the Netherlands
| | - Annick Gilles
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium
| | - Vincent Van Rompaey
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium
| | - Marc J W Lammers
- Resonant labs Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital (UZA), Edegem, Belgium
| |
Collapse
|
|
5
|
León Méndez MDC, Fernández García L, Daza González MT. Effectiveness of rhythmic training on linguistics skill development in deaf children and adolescents with cochlear implants: A systematic review. Int J Pediatr Otorhinolaryngol 2023; 169:111561. [PMID: 37088038 DOI: 10.1016/j.ijporl.2023.111561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 04/17/2023] [Accepted: 04/18/2023] [Indexed: 04/25/2023]
Abstract
OBJECTIVE This review compiles the scientific evidence to date on the effectiveness of musical/rhythmic training for improving and/or enhancing the development of language skills in deaf children aged 6-16 years with cochlear implants. METHODS PubMed, ScienceDirect, and Web of Science were used for the research following the PRISMA protocol. RESULTS The reviewed studies indicate that rhythmic training can improve language skills (perception, production, and comprehension) in this population, as well as in other cognitive skills. CONCLUSION Although further research is still needed, the current evidence can help identify new and more effective early intervention methods for deaf children.
Collapse
Affiliation(s)
| | - Laura Fernández García
- Department of Psychology, University of Almería, Almería, Spain; Center for Neuropsychological Assessment and Rehabilitation (CERNEP), University of Almería, Almería, Spain
| | - María Teresa Daza González
- Department of Psychology, University of Almería, Almería, Spain; Center for Neuropsychological Assessment and Rehabilitation (CERNEP), University of Almería, Almería, Spain.
| |
Collapse
|