Binaural processing in adults with a history of traumatic brain injury

Abstract

An auditory processing deficit is a perceptual issue affecting how the central auditory nervous system understands and makes use of auditory information. Auditory processing deficits are typically associated with the pediatric population; however, anecdotal clinical evidence and the recent focus on central auditory effects of traumatic brain injury (TBI) suggests that auditory processing deficits may be prevalent among adults with a history of TBI. Individuals with symptoms of an auditory processing deficit often score within the normal range on standard clinical assessments. The objectiveof the current study, therefore, was to target measures of binaural processing to identify and characterize auditory processing deficits among adults with a history of TBI. Two groups were recruited: adults with a history of TBI and a control group. Binaural processing was measured with: 1) the Revised Speech Perception in Noise test measured in soundfield; 2) dichotic word recognition without and with low-pass filtering measured in the free recall and directed recall conditions; 3) the 500-Hz masking level difference; and 4) the Listening in Spatialized Noise Sentences Test. Results suggest that individuals with a history of TBI have lower than normal binaural performance.