Influence Of Hearing Loss Research Articles

The Influence of Hearing Loss on the Pupil Response to Degraded Speech.

Current evidence regarding the influence of hearing loss on the pupil response elicited by speech perception is inconsistent. This might be partially due to confounding effects of age. This study aimed to compare pupil responses in age-matched groups of normal-hearing (NH) and hard of hearing (HH) listeners during listening to speech. We tested the baseline pupil size and mean and peak pupil dilation response of 17 NH participants (Mage = 46 years; age range: 20-62 years) and 17 HH participants (Mage = 45 years; age range: 20-63 years) who were pairwise matched on age and educational level. Participants performed three speech perception tasks at a 50% intelligibility level: noise-vocoded speech and speech masked with either stationary noise or interfering speech. They also listened to speech presented in quiet. Hearing loss was associated with poorer speech perception, except for noise-vocoded speech. In contrast to NH participants, performance of HH participants did not improve across trials for the interfering speech condition, and it decreased for speech in stationary noise. HH participants had a smaller mean pupil dilation in degraded speech conditions compared to NH participants, but not for speech in quiet. They also had a steeper decline in the baseline pupil size across trials. The baseline pupil size was smaller for noise-vocoded speech as compared to the other conditions. The normalized data showed an additional group effect on the baseline pupil response. Hearing loss is associated with a smaller pupil response and steeper decline in baseline pupil size during the perception of degraded speech. This suggests difficulties of the HH participants to sustain their effort investment and performance across the test session.

Socioeconomic position and hearing loss: current understanding and recent advances.

The purpose of this review is to describe recent literature examining the relationship between socioeconomic position (SEP) and hearing loss, including the impact of hearing loss on several socioeconomic outcomes over the life course. Additionally, we highlight current policy advances in recent years and review alternative models of hearing care that aim to address disparities related to SEP and hearing healthcare. Applying a social epidemiologic lens to hearing health gives insight into the role of material and social contexts in understanding and improving hearing health outcomes. Recent studies investigating the intersection of SEP and hearing health highlight the disparities that exist for individuals with low SEP as well as the influence of hearing loss on SEP. Individuals with hearing loss are more likely to be unemployed, have lower educational attainment, lower income, and are less likely to use hearing aids and access hearing care. Legislation addressing cost and access to hearing care as well as transforming the current landscape of hearing care, is essential to creating equitable care for individuals, especially older adults, with low SEP. With the expected rise in prevalence of hearing loss over the next 40 years, hearing care that is affordable and accessible is a public health priority. As hearing loss is associated with negative outcomes for individuals with low SEP, advances in legislation and care delivery models are necessary in order to include populations traditionally unserved by current hearing healthcare.

Assessment of Quality of Life in Adults with Hearing Impairment

Background: Hearing loss (HL) in adults is loss of ability to perceive surrounding environmental sounds. There may be environmental or genetic cause of this disability. Presently expectancy of old adult age is going to increase as in the same way hearing problems and its negative impact on health wellbeing standard of living also increased, the beneficial of current study is to be addressed, or give awareness about health consequences to adult population with hearing impairment.
 Aim: To determine the quality of life in adults with hearing impairment.
 Place and Duration of Study: Riphah international University, Lahore campus between December 2018 to May 2019.
 Methodology: A cross sectional survey was conducted on 67 adults with hearing impairment (sample size was calculated on the base of prevalence of hearing loss in the Express Tribute, (March 4, 2014) which was a Pakistani study on hearing impaired population the president of famous organization the developmental diseases and community of auditory handicap MR Afzal estimated the occurrence of auditory deficits in Pakistan region was in between 7 to 8 percent on per 10,000 living birth ,this prevalence was used to calculate sample size by using online calculator).(1), their age range were 18 to 55 (elder adults) and 56 to 97(older adults). Data collection tool which was used in this research was 15D Quality of life questionnaire to find out the influence of hearing loss (HL) on daily living activities in adult’s life. Sampling technique used in this research was convenient sampling. For this purpose, descriptive analysis was done for demographics and chi square was used for inferential analysis by using SPSS20. Endnote was used for references.
 Results: There are four domains of quality of life (speech, usual activities, mental functioning, and vitality status of participants) which have highly significant relationship value(<0.001) with hearing impairment, in other domains of quality of life p value is less then (<0.05) this means that other domains of quality of life have also significant relationship with hearing impairment except visual or sexual activity of the participants which have no significant association p- value(>0.05)with hearing impairment.
 Conclusion: Research concluded that domains of quality of life are significantly associated with hearing loss which have negative impact on the QOL(quality of life) except visual or sexual activity, but these two domains may also indirectly have associated or may affect the quality of life individually in adults with hearing impairment.

The Influence of Hearing Loss on Cognitive Control in an Auditory Conflict Task: Behavioral and Pupillometry Findings.

Purpose The pupil dilation response is sensitive not only to auditory task demand but also to cognitive conflict. Conflict is induced by incompatible trials in auditory Stroop tasks in which participants have to identify the presentation location (left or right ear) of the words "left" or "right." Previous studies demonstrated that the compatibility effect is reduced if the trial is preceded by another incompatible trial (conflict adaptation). Here, we investigated the influence of hearing status on cognitive conflict and conflict adaptation in an auditory Stroop task. Method Two age-matched groups consisting of 32 normal-hearing participants (M age = 52 years, age range: 25-67 years) and 28 participants with hearing impairment (M age = 52 years, age range: 23-64 years) performed an auditory Stroop task. We assessed the effects of hearing status and stimulus compatibility on reaction times (RTs) and pupil dilation responses. We furthermore analyzed the Pearson correlation coefficients between age, degree of hearing loss, and the compatibility effects on the RT and pupil response data across all participants. Results As expected, the RTs were longer and pupil dilation was larger for incompatible relative to compatible trials. Furthermore, these effects were reduced for trials following incompatible (as compared to compatible) trials (conflict adaptation). No general effect of hearing status was observed, but the correlations suggested that higher age and a larger degree of hearing loss were associated with more interference of current incompatibility on RTs. Conclusions Conflict processing and adaptation effects were observed on the RTs and pupil dilation responses in an auditory Stroop task. No general effects of hearing status were observed, but the correlations suggested that higher age and a greater degree of hearing loss were related to reduced conflict processing ability. The current study underlines the relevance of taking into account cognitive control and conflict adaptation processes.

Adaptation of the Arabic versions of the Hearing Handicap Inventory for adults and elderly with permanent sensorineural hearing loss

Objective: To translate the Hearing Handicap Inventory for Adults (HHIA) and Hearing Handicap Inventory for the Elderly (HHIE) into Arabic while ensuring that the reliability and validity are the same as those of the original English versions.Design: Descriptive, cross-sectional study.Study sample: In total, 115 individuals with hearing impairment and 114 controls with normal hearing completed the Arabic versions of HHIA/HHIE. Each subject underwent a complete audiological evaluation before answering the questionnaires. The construct and discriminant validities were determined in addition to the reliability, which was investigated by calculating the internal and test–retest consistencies.Results: Internal consistency between the total and subscale scores were excellent for the Arabic versions of HHIA and HHIE (Cronbach’s alpha: ∼0.90). With regard to the test–retest reproducibility, the Spearman’s correlation coefficient for consistency between total scores obtained at baseline and those obtained at 6 weeks was acceptable (r = 0.761, p < 0.0001). The total scores were statistically proportional to the degree of hearing loss. Moreover, the questionnaire successfully differentiated between individuals with hearing impairment and those with normal hearing.Conclusions: Our findings clarified that the Arabic versions of HHIA and HHIE are acceptable tools for evaluating the psychological influences of hearing loss in Arabic populations.

Influence of hearing loss and cognitive abilities on language development in CHARGE Syndrome.

Hearing loss and cognitive delay are frequently occurring features in CHARGE syndrome that may contribute to impaired language development. However, not much is known about language development in patients with CHARGE syndrome. In this retrospective study, hearing loss, cognitive abilities, and language development are described in 50 patients with CHARGE syndrome. After informed consent was given, data were collected from local medical files. Most patients (38.3%; 18/47 patients) had moderate hearing loss (41-70 dB) and 58.5% (24/41 patients) had an IQ below 70. The mean language quotients of the receptive and expressive language were more than one standard deviation below the norm. Both hearing loss and cognitive delay had an influence on language development. Language and cognitive data were not available for all patients, which may have resulted in a pre-selection of patients with a delay. In conclusion, while hearing thresholds, cognitive abilities and language development vary widely in CHARGE syndrome, they are mostly below average. Hearing loss and cognitive delay have a significant influence on language development in children with CHARGE syndrome. To improve our knowledge about and the quality of care we can provide to CHARGE patients, hearing and developmental tests should be performed regularly in order to differentiate between the contributions of hearing loss and cognitive delay to delays in language development, and to provide adequate hearing amplification in the case of hearing loss. © 2016 Wiley Periodicals, Inc.

Auditory Training: Evidence for Neural Plasticity in Older Adults.

Improvements in digital amplification, cochlear implants, and other innovations have extended the potential for improving hearing function; yet, there remains a need for further hearing improvement in challenging listening situations, such as when trying to understand speech in noise or when listening to music. Here, we review evidence from animal and human models of plasticity in the brain's ability to process speech and other meaningful stimuli. We considered studies targeting populations of younger through older adults, emphasizing studies that have employed randomized controlled designs and have made connections between neural and behavioral changes. Overall results indicate that the brain remains malleable through older adulthood, provided that treatment algorithms have been modified to allow for changes in learning with age. Improvements in speech-in-noise perception and cognition function accompany neural changes in auditory processing. The training-related improvements noted across studies support the need to consider auditory training strategies in the management of individuals who express concerns about hearing in difficult listening situations. Given evidence from studies engaging the brain's reward centers, future research should consider how these centers can be naturally activated during training.

Influence of Hearing Loss on Children’s Identification of Spondee Words in a Speech-Shaped Noise or a Two-Talker Masker

Influence of Hearing Loss on Children’s Identification of Spondee Words in a Speech-Shaped Noise or a Two-Talker Masker

The influence of hearing loss on transport safety and mobility

Purpose: To examine how road users with different degree of hearing loss experience safety and mobility in transport situations, compared to road users with normal hearing.Methods: A questionnaire ...

Plasticity of tonotopic maps in humans: influence of hearing loss, hearing aids and cochlear implants

Conclusion: This paper reviews psychoacoustical and electrophysiological evidence for reorganization of the human central auditory system in case of auditory deprivation and rehabilitation. Objective: To investigate the plasticity of cortical tonotopic maps in cochlear-damaged subjects. Methods: Frequency discrimination scores were analysed in subjects with high frequency hearing loss to test for potential perceptual correlates of auditory deprivation- and rehabilitation-induced plasticity. In cochlear implant patients, electrically evoked auditory cortical responses were obtained using EEG to study scalp potential maps. Results: Perceptual changes in frequency discrimination were observed at the lesion-edge frequency of steeply sloping hearing loss. Although these results are not direct proof of cortical plasticity, no peripheral phenomenon has been found to explain them. The reversal of such auditory deprivation-induced plasticity, a phenomenon that may be termed rehabilitation plasticity, can be studied in hearing-impaired subjects fitted with a hearing aid. Cochlear implant subjects provide another interesting model for studying rehabilitation plasticity in that even profound to total deafness is made partially reversible by cochlear implantation. We found that the auditory cortex of deaf subjects with at least 3 months of cochlear implant experience is organized in a way similar to the tonotopy described in normal-hearing subjects.

Enhancement of steady-state auditory evoked magnetic fields in tinnitus.

The steady-state auditory evoked magnetic field and the Pbm, the magnetic counterpart of the second frontocentrally positive middle latency component of the transitory auditory evoked potential, were measured in ten tinnitus patients using a 122-channel gradiometer system. The patients had varying degrees of hearing loss. In all patients, the tinnitus frequency was located above the frequency of the audiometric edge, i.e. the location on the frequency axis above which hearing loss increases more rapidly. Stimuli were amplitude-modulated sinusoids with carrier frequencies at the tinnitus frequency, the audiometric edge, two frequencies below the audiometric edge, and two frequencies between the audiometric edge and the tinnitus frequency. Below the audiometric edge, the root-mean-square field amplitude of the steady-state response computed across the whole head as well as the contralateral and the ipsilateral dipole moment decreased as a function of carrier frequency. With carrier frequency above the audiometric edge, the steady-state response increased again. The amplitudes of the transitory Pbm component were patterned in a qualitatively similar way, but without the differences being significant. For the steady-state response, both whole-head root-mean-square field amplitude and the dipole moment of the sources at the tinnitus frequency showed significant positive correlations with subjective ratings of tinnitus intensity and intrusiveness. These correlations remained significant when the influence of hearing loss was partialled out. The observed steady-state response amplitude pattern likely reflects an enhanced state of excitability of the frequency region in primary auditory cortex above the audiometric edge. The relationship of tinnitus to auditory cortex hyperexcitability and its independence of hearing loss is discussed with reference to loss of surround inhibition in and map reorganization of primary auditory cortex.

Influence of hearing loss on the perceptual strategies of children and adults.

To accommodate growing vocabularies, young children are thought to modify their perceptual weights as they gain experience with speech and language. The purpose of the present study was to determine whether the perceptual weights of children and adults with hearing loss differ from those of their normal-hearing counterparts. Adults and children with normal hearing and with hearing loss served as participants. Fricative and vowel segments within consonant-vowel-consonant stimuli were presented at randomly selected levels under two conditions: unaltered and with the formant transition removed. Overall performance for each group was calculated as a function of segment level. Perceptual weights were also calculated for each group using point-biserial correlation coefficients that relate the level of each segment to performance. Results revealed child-adult differences in overall performance and also revealed an effect of hearing loss. Despite these performance differences, the pattern of perceptual weights was similar across all four groups for most conditions.

Perceptual auditory stream segregation of sequences of complex sounds in subjects with normal and impaired hearing.

The influence of hearing loss and aging on the perceptual organization of sound sequences was investigated by comparing the ability of young normal-hearing subjects and elderly subjects having either impaired or normal hearing for their age to form perceptual auditory streams from sequences of harmonic complex tones as a function of differences in fundamental frequency (F0). The sequences consisted of repeating triplets of harmonic complex tones separated by a silence (ABA-). In conditions in which the F0s of the A and B tone were so low that the harmonics could not be individually resolved by the peripheral auditory system even in the young normal-hearing subjects, those subjects showed similar stream segregation performance to the elderly hearing-impaired subjects. In contrast, when the F0s of the tones were high enough for the harmonics to be largely resolved at the auditory periphery in normal-hearing subjects, but presumably unresolved in the elderly subjects, the former showed significantly more stream segregation than the latter. These results, which cannot be consistently explained in terms of age differences, suggest that auditory stream segregation is adversely affected by reduced peripheral frequency selectivity of elderly individuals. This finding has implications for the understanding of the listening difficulties experienced by elderly individuals in cocktail-party situations.

Click-evoked otoacoustic emissions and hearing threshold in sensorineural hearing loss.

The influence of hearing loss on the click-evoked otoacoustic emissions (EOAE) were studied in 931 ears. The EOAEs were never found when hearing loss on the best hearing frequency was above 40 dB HL. The presence of EOAEs reflects the hearing threshold at the best hearing frequency, not only at the middle frequencies.

The benefit of hearing aids: influence of hearing loss and age.

The relation between accessible benefit and hearing loss in combination with age of the patient is analysed. The degree of hearing loss and improvement derived by hearing aid use as found in this work is based on the individually determined speech reception threshold (SRT) for the condition with and without hearing aid in a noiseless environment. It was found that a significant correlation exists between hearing loss and SRT gain by the hearing aid (difference between unaided and aided speech reception threshold) for a pure-tone hearing loss of less than 40 dB at 500 Hz, irrespective of age, whereas for a hearing impairment of 40-60 dB, the gain by using the hearing aid is dependent on the age of the patient. A multiple regression analysis was performed to study the relation between benefit and hearing loss for the two groups of hearing impairment and different age groups.

The influence of hearing loss on directional hearing.

Fifty patients with cochlear hearing loss were tested with phase audiometry. Thirty-three of the patients had unilateral hearing loss at 500 Hz and 17 bilateral, symmetrical hearing loss at 500 Hz. Those patients who had slight hearing loss (less than 40 dB HL) had as a rule normal directional hearing. Those who had hearing loss exceeding 40 dB HL at 500 Hz usually had abnormal directional hearing. The sound lateralization ability was independent of whether the hearing loss was unilateral or bilateral.

Further interpretation of the threshold of octave masking (TOM) test.

The threshold of octave masking (TOM) test was administered to normal-hearing and sensorineural-impaired listeners at four test frequencies; 500, 1000, 2000 and 4000 Hz. The TOM value was found to be inversely proportional to the degree of hearing loss at the masker frequency. Results indicate that the TOM test is capable of distinguishing subjects with sensorineural involvement from those with normal hearing and of providing a measure of the degree of sensory dysfunction. Examination of the slope of octave masking dysfunction. Examination of the slope of octave masking revealed that once the influence of hearing loss is overcome at higher intensities the sensorineural ear performs essentially the same as the normal ear in a tone-on-tone masking task.

Some Quantitative Consequences of Hearing Loss from the Standpoint of Communication Theory

A model based upon simple elements permits summary description of many experimental observations on hearing. Only two mechanisms are required: One element emits unit responses whose number is proportional to the amplitude of the sound. It is followed by a selector mechanism, analogous to a resonant circuit, that integrates the responses. Correspondingly, just two parameters are involved: the threshold of hearing and the “Q” of the selector mechanism. Experimental evidence from noise-masked audiometry [T. Palva, A. Goodman, and I. J. Hirsh, Laryngoscope 63, 842–860 (1953)] indicates that the selector mechanism is unimpaired in many cases of sensorineural loss. The prevalent type of loss reflects a depression in the number of unit responses to sound of a particular amplitude. Loss with recruitment implies a basic number of spontaneous unit responses. The influence of hearing loss upon the perception of frequency differences and intensity changes can be computed. When noise is presented with the signal, its influence upon recognition of signals, the perception of frequency differences, and intensity fluctuations can be predicted. The model indicates quantitatively what has been recognized qualitatively: that amplification does not restore full discrimination in the presence of sensorineural loss. [This work was begun under sponsorship of the U. S. Office of Naval Research, and continued while the author was a guest at Imperial College.]