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Seminars in Hearing Feb 2024Tinnitus acoustic therapy is defined as any use of sound where the intent is to alter the tinnitus perception and/or the reactions to tinnitus in a clinically beneficial... (Review)
Review
Tinnitus acoustic therapy is defined as any use of sound where the intent is to alter the tinnitus perception and/or the reactions to tinnitus in a clinically beneficial way. The parameters of sound that may cause beneficial effects, however, are currently only theorized with limited data supporting their effectiveness. Residual inhibition is the temporary suppression or elimination of tinnitus that is usually observed following appropriate auditory stimulation. Our pilot study investigated the effects of a therapeutic acoustic stimulus that was individually customized to maximize residual inhibition of tinnitus and extend its duration to determine if there could be a sustained suppression of the tinnitus signal (i.e., reduced tinnitus loudness) and a reduction in the psychological and emotional reactions to tinnitus. This pilot study had two objectives: (1) to evaluate the feasibility of residual inhibition technique therapy through daily use of hearing aids and (2) to determine its effects by measuring reactionary changes in tinnitus with the Tinnitus Functional Index (TFI) and perceptual changes in tinnitus loudness. A total of 20 adults (14 males, 6 females; mean age: 58 years, SD = 12.88) with chronic tinnitus were enrolled in a four-visit study that consisted of the following: (1) baseline visit and initiation of the intervention period, (2) a 1-month postintervention visit, (3) 2-month postintervention visit and initiation of a wash-out period, and (4) a 3-month visit to assess the wash-out period and any lasting effects of the intervention. The intervention consisted of fitting bilateral hearing aids and creating an individualized residual inhibition stimulus that was streamed via Bluetooth from a smartphone application to the hearing aids. The participants were instructed to wear the hearing aids and stream the residual inhibition stimulus all waking hours for the 2-month intervention period. During the wash-out period, the participants were instructed to use the hearing aids for amplification, but the residual inhibition stimulus was discontinued. At all visits, the participants completed the TFI, study-specific self-report measures to document perceptions of tinnitus, a psychoacoustic test battery consisting of tinnitus loudness and pitch matching, and a residual inhibition test battery consisting of minimum masking and minimum residual inhibition levels. At the end of the trial, participants were interviewed about the study experience and acceptability of the residual inhibition treatment technique. Repeated measures analyses of variance (ANOVA) were conducted on the two main outcomes (TFI total score and tinnitus loudness) across all four visits. The results showed a significant main effect of visit on the TFI total score ( < 0.0001). Specifically, the results indicated a significant reduction in TFI total scores from baseline to the 1-month post-intervention period, which remained stable across the 2-month post-intervention period and the wash-out period. The ANOVA results did not show a significant change in tinnitus loudness as a function of visit ( = 0.480). The majority of the participants reported a positive experience with the study intervention at their exit interview. This pilot study demonstrated that residual inhibition as a sound therapy for tinnitus, specifically through the daily use of hearing aids, was feasible and acceptable to individuals suffering from chronic tinnitus. In addition, participants showed improvement in reactions to tinnitus as demonstrated by sustained reduction in TFI scores on average over the course of the treatment period. Achieving residual inhibition may also provide patients a feeling of control over their tinnitus, and this may have a synergistic effect in reducing the psychological and emotional distress associated with tinnitus. There was no significant reduction in long-term tinnitus loudness resulting from the residual inhibition treatment; however, the current pilot study may not have had sufficient power to detect such a change. The combination of tinnitus suppression and improved psychosocial/emotional reactions to tinnitus may result in a better quality of life in both the short and long term. A larger-scale study is needed to determine the validity of using residual inhibition as a clinical therapy option and to ascertain any effects on both perception and reactions to tinnitus.
PubMed: 38370522
DOI: 10.1055/s-0043-1770153 -
The Journal of the Acoustical Society... Sep 2023Both dynamic variation of interaural time difference (ITD) and static spectral cues provide information for front-back discrimination and vertical localization. However,...
Both dynamic variation of interaural time difference (ITD) and static spectral cues provide information for front-back discrimination and vertical localization. However, the contributions of the two cues are still unclear. The static spectral cue has conventionally been regarded as the dominant one. In the present work, psychoacoustic experiments were conducted to examine the contribution of dynamic ITD and static spectral cues to vertical localization in the median plane. By modifying the head-related transfer functions used in a dynamic virtual auditory display, binaural signals with conflicting dynamic ITD and spectral cues that were either static or dynamically modified according to instantaneous head position were created. The results indicated that the dynamic ITD and static spectral cues contribute to vertical localization at low and high frequencies, respectively. For full a bandwidth stimulus, conflicting dynamic ITD and static spectral cues usually result in two separated virtual sources at different elevations corresponding to the spatial information conveyed by the low- and high-frequency bands, respectively. In most cases, no fused localization occurs in the high-level cognition system. Therefore, dynamic ITD and static spectral cues contribute to vertical localization at different frequency ranges, and neither of them dominates vertical localization in the case of wideband stimuli.
Topics: Cues; Cognition; Psychoacoustics; Sound Localization
PubMed: 37721403
DOI: 10.1121/10.0020909 -
Ear and HearingUnderstanding speech-in-noise (SiN) is a complex task that recruits multiple cortical subsystems. Individuals vary in their ability to understand SiN. This cannot be...
OBJECTIVES
Understanding speech-in-noise (SiN) is a complex task that recruits multiple cortical subsystems. Individuals vary in their ability to understand SiN. This cannot be explained by simple peripheral hearing profiles, but recent work by our group ( Kim et al. 2021 , Neuroimage ) highlighted central neural factors underlying the variance in SiN ability in normal hearing (NH) subjects. The present study examined neural predictors of SiN ability in a large cohort of cochlear-implant (CI) users.
DESIGN
We recorded electroencephalography in 114 postlingually deafened CI users while they completed the California consonant test: a word-in-noise task. In many subjects, data were also collected on two other commonly used clinical measures of speech perception: a word-in-quiet task (consonant-nucleus-consonant) word and a sentence-in-noise task (AzBio sentences). Neural activity was assessed at a vertex electrode (Cz), which could help maximize eventual generalizability to clinical situations. The N1-P2 complex of event-related potentials (ERPs) at this location were included in multiple linear regression analyses, along with several other demographic and hearing factors as predictors of SiN performance.
RESULTS
In general, there was a good agreement between the scores on the three speech perception tasks. ERP amplitudes did not predict AzBio performance, which was predicted by the duration of device use, low-frequency hearing thresholds, and age. However, ERP amplitudes were strong predictors for performance for both word recognition tasks: the California consonant test (which was conducted simultaneously with electroencephalography recording) and the consonant-nucleus-consonant (conducted offline). These correlations held even after accounting for known predictors of performance including residual low-frequency hearing thresholds. In CI-users, better performance was predicted by an increased cortical response to the target word, in contrast to previous reports in normal-hearing subjects in whom speech perception ability was accounted for by the ability to suppress noise.
CONCLUSIONS
These data indicate a neurophysiological correlate of SiN performance, thereby revealing a richer profile of an individual's hearing performance than shown by psychoacoustic measures alone. These results also highlight important differences between sentence and word recognition measures of performance and suggest that individual differences in these measures may be underwritten by different mechanisms. Finally, the contrast with prior reports of NH listeners in the same task suggests CI-users performance may be explained by a different weighting of neural processes than NH listeners.
Topics: Humans; Cochlear Implants; Speech; Individuality; Cochlear Implantation; Noise; Speech Perception
PubMed: 37144890
DOI: 10.1097/AUD.0000000000001357 -
Frontiers in Neuroscience 2024Musical roundness perception relies on consonance/dissonance within a rule-based harmonic context, but also on individual characteristics of the listener. The present...
INTRODUCTION
Musical roundness perception relies on consonance/dissonance within a rule-based harmonic context, but also on individual characteristics of the listener. The present work tackles these aspects in a combined psychoacoustic and neurophysiological study, taking into account participant's musical aptitude.
METHODS
Our paradigm employed cadence-like four-chord progressions, based on Western music theory. Chord progressions comprised naturalistic and artificial sounds; moreover, their single chords varied regarding consonance/dissonance and harmonic function. Thirty participants listened to the chord progressions while their cortical activity was measured with magnetoencephalography; afterwards, they rated the individual chord progressions with respect to their perceived roundness.
RESULTS
Roundness ratings differed according to the degree of dissonance in the dominant chord at the progression's third position; this effect was pronounced in listeners with high musical aptitude. Interestingly, a corresponding pattern occurred in the neuromagnetic N1m response to the chord (i.e., at the progression's resolution), again with somewhat stronger differentiation among musical listeners. The N1m magnitude seemed to increase during chord progressions that were considered particularly round, with the maximum difference after the final chord; here, however, the musical aptitude effect just missed significance.
DISCUSSION
The roundness of chord progressions is reflected in participant's psychoacoustic ratings and in their transient cortical activity, with stronger differentiation among listeners with high musical aptitude. The concept of roundness might help to reframe consonance/dissonance to a more holistic, gestalt-like understanding that covers chord relations in Western music.
PubMed: 38650622
DOI: 10.3389/fnins.2024.1383554 -
Heliyon Apr 2024In order to improve the interior sound quality of electric vehicles (EVs) under acceleration and uniform speed conditions, to balance the comfort and dynamics of the...
In order to improve the interior sound quality of electric vehicles (EVs) under acceleration and uniform speed conditions, to balance the comfort and dynamics of the interior sound, and to improve the accuracy and performance of the active sound generation system (ASGS), this article carries out the research related to the parameter design, sound calibration, evaluation methodology, and control system of the EV ASGS. Propose an in-vehicle sound design method focusing on three dimensions, including engine order composition, spectral energy distribution, and sound amplitude enhancement in the typical speed range, and determine the in-vehicle sound design scheme and the total sound value target. Focus on the sound parameter design, calibration and evaluation methods of EV ASGS considering the frequency response characteristics of the loudspeaker, sound amplitude control accuracy, sound quality, and psychoacoustic parameters, clarify the active sound parameter settings of EVs, complete the analysis of sound extraction methods, complete the engine order sound fitting, and design the ASGS of the EV interior by combining the subjective and objective evaluations. Develop the control software and hardware of the ASGS, complete the construction and accuracy verification of the ASGS based on the in-vehicle sound system, and realize the sound calibration of the ASGS under the static conditions of the real vehicle and the verification of the target achievement. The real-vehicle test shows that the ASGS reduces the sharpness of 1.0 acum and 0.52 acum under acceleration and constant speed conditions, respectively, and improves the comfort and dynamics of in-vehicle sound. The objective and subjective evaluation results show that the parameter design, selection and accuracy of the sound calibration and evaluation methods of the ASGS in the EV determines the accuracy and effect of the ASGS.
PubMed: 38590864
DOI: 10.1016/j.heliyon.2024.e27407 -
Brain Sciences Sep 2023Student audiology training in tinnitus evaluation and management is heterogeneous and has been found to be insufficient. We designed a new clinical simulation laboratory...
PURPOSE
Student audiology training in tinnitus evaluation and management is heterogeneous and has been found to be insufficient. We designed a new clinical simulation laboratory for training students on psychoacoustic measurements of tinnitus: one student plays the role of the tinnitus patient, wearing a device producing a sound like tinnitus on one ear, while another student plays the role of the audiologist, evaluating their condition. The objective of the study was to test this new clinical simulation laboratory of tinnitus from the perspective of the students.
METHOD
This study reports the findings from twenty-one audiology students (20 female and 1 male, mean age = 29, SD = 7.7) who participated in this laboratory for a mandatory audiology class at the Laval University of Quebec. Three students had hearing loss (one mild, two moderate). All students played the role of both the clinician and the patient, alternately. They also had to fill out a questionnaire about their overall experience of the laboratory.
RESULTS
The qualitative analysis revealed three main themes: "Benefits of the laboratory on future practice", "Barriers and facilitators of the psychoacoustic assessment", and "Awareness of living with tinnitus". The participants reported that this experience would have a positive impact on their ability to manage tinnitus patients in their future career.
CONCLUSION
This fast, cheap, and effective clinical simulation method could be used by audiology and other healthcare educators to strengthen students' skills and confidence in tinnitus evaluation and management. The protocol is made available to all interested parties.
PubMed: 37759939
DOI: 10.3390/brainsci13091338 -
Data in Brief Dec 2023This dataset comprises motion capture, audio, and questionnaire data from violinists who underwent four augmented reality training sessions spanning a month. The motion...
This dataset comprises motion capture, audio, and questionnaire data from violinists who underwent four augmented reality training sessions spanning a month. The motion capture data was meticulously recorded using a 42-marker Qualisys Animation marker set, capturing movement at a high rate of 120 Hz. Audio data was captured using two condenser microphones, boasting a bit depth of 24 and a sampling rate of 48 kHz. The dataset encompasses recordings from 2 violin orchestra section leaders and 11 participants. Initially, we collected motion capture (MoCap) and audio data from the section leaders, who performed 2 distinct musical pieces. These recordings were then utilized to create 2 avatars, each representing a section leader and their respective musical piece. Subsequently, each avatar was assigned to a group of violinists, forming groups of 5 and 6 participants. Throughout the experiment, participants rehearsed one piece four times using a 2D representation of the avatar, and the other piece four times using a 3D representation. During the practice sessions, participants were instructed to meticulously replicate the avatar's bowing techniques, encompassing gestures related to bowing, articulation, and dynamics. For each trial, we collected motion capture, audio data, and self-reported questionnaires from all participants. The questionnaires included the Witmer presence questionnaire, a subset of the Makransky presence questionnaire, the sense of musical agency questionnaire, as well as open-ended questions for participants to express their thoughts and experiences. Additionally, participants completed the Immersive Tendencies questionnaire, the Music Sophistication Index questionnaire, and provided demographic information before the first session commenced.
PubMed: 37869620
DOI: 10.1016/j.dib.2023.109663 -
Behavior Research Methods Jan 2024HALT (The Headphone and Loudspeaker Test) Part II is a continuation of HALT Part I. The main goals of this study (HALT Part II) were (a) to develop screening tests and...
HALT (The Headphone and Loudspeaker Test) Part II is a continuation of HALT Part I. The main goals of this study (HALT Part II) were (a) to develop screening tests and strategies to discriminate headphones from loudspeakers, (b) to come up with a methodological approach to combine more than two screening tests, and (c) to estimate data quality and required sample sizes for the application of screening tests. Screening Tests A and B were developed based on psychoacoustic effects. In a first laboratory study (N = 40), the two tests were evaluated with four different playback devices (circumaural and intra-aural headphones; external and laptop loudspeakers). In a final step, the two screening tests A and B and a previously established test C were validated in an Internet-based study (N = 211). Test B showed the best single-test performance (sensitivity = 80.0%, specificity = 83.2%, AUC = .844). Following an epidemiological approach, the headphone prevalence (17.67%) was determined to calculate positive and negative predictive values. For a user-oriented, parameter-based selection of suitable screening tests and the simple application of screening strategies, an online tool was programmed. HALT Part II is assumed to be a reliable procedure for planning and executing screenings to detect headphone and loudspeaker playback. Our methodological approach can be used as a generic technique for optimizing the application of any screening tests in psychological research. HALT Part I and II complement each other to form a comprehensive overall concept to control for playback conditions in Internet experiments.
Topics: Humans; Acoustic Stimulation; Predictive Value of Tests; Data Accuracy; Prevalence
PubMed: 36650403
DOI: 10.3758/s13428-022-02048-3 -
PeerJ 2023Most studies on pitch shift provoked by hearing loss have been conducted using pure tones. However, many sounds encountered in everyday life are harmonic complex tones....
BACKGROUND
Most studies on pitch shift provoked by hearing loss have been conducted using pure tones. However, many sounds encountered in everyday life are harmonic complex tones. In the present study, psychoacoustic experiments using complex tones were performed on healthy participants, and the possible mechanisms that cause pitch shift due to hearing loss are discussed.
METHODS
Two experiments were performed in this study. In experiment 1, two tones were presented, and the participants were asked to select the tone that was higher in pitch. Partials with frequencies less than 250, 500, 750, or 1,000 Hz were eliminated from the harmonic complex tones and used as test tones to simulate low-tone hearing loss. Each tone pair was constructed such that the tone with a lower fundamental frequency (F0) was higher in terms of the frequency of the lowest partial. Furthermore, partials whose frequencies were greater than 1,300 or 1,600 Hz were also eliminated from these test tones to simulate high-tone hearing loss or modified sounds that patients may hear in everyday life. When a tone with a lower F0 was perceived as higher in pitch, it was considered a pitch shift from the expected tone. In experiment 2, tonal sequences were constructed to create a passage of the song "Lightly Row." Similar to experiment 1, partials of harmonic complex tones were eliminated from the tones. After listening to these tonal sequences, the participants were asked if the sequences sounded correct based on the melody or off-key.
RESULTS
The results showed that pitch shifts and the melody sound off-key when lower partials are eliminated from complex tones, especially when a greater number of high-frequency components are eliminated.
CONCLUSION
Considering that these experiments were performed on healthy participants, the results suggest that the pitch shifts from the expected tone when patients with hearing loss hear certain complex tones, regardless of the underlying etiology of the hearing loss.
Topics: Humans; Hearing Loss; Deafness; Hearing; Computer Simulation; Niacinamide
PubMed: 37727688
DOI: 10.7717/peerj.16053 -
Ear and HearingFollowing a review of the demographic and clinical characteristics of all pediatric patients diagnosed with auditory neuropathy spectrum disorder (ANSD) by a pediatric...
OBJECTIVES
Following a review of the demographic and clinical characteristics of all pediatric patients diagnosed with auditory neuropathy spectrum disorder (ANSD) by a pediatric health care system from 2005 to 2020, the present report highlights the type and timing of intervention and outcomes in the same 260 patients with ANSD.
DESIGN
This was a retrospective study reviewing the demographic data, medical history, imaging studies, audiological and speech language data, type of audiological intervention (hearing aids or cochlear implants), and mode of communication in 260 pediatric patients diagnosed with ANSD over a 15-year period.
RESULTS
A significant decrease over time in the age at hearing aid fitting was observed. While a similar reduction in the age at implantation occurred over time, cochlear implantation is still rarely performed by 12 months of age in most ANSD patients. Among bilateral ANSD patients fitted with hearing aids, the majority (89.2%) did not benefit from conventional amplification and most received cochlear implants. Some hearing aid benefit for speech and language development was observed in 5.8%, though communication difficulties were persistent and most used a combination of oral and sign language for communication. Only six patients (5%) received significant benefit from their hearing aids for speech and language development.
CONCLUSIONS
This review of ANSD management over a 15-year period reveals that hearing aids are not a viable option to develop speech and language for most infants and children with ANSD. This finding confirms previous reports and suggest that while hearing aid trials are warranted, children must be tracked closely so as to avoid delays in decision making. Cochlear implantation constitutes the major (if not only) rehabilitative intervention that allows for speech perception in patients who do not benefit from conventional amplification.
Topics: Child; Humans; Infant; Cochlear Implantation; Cochlear Implants; Hearing Aids; Hearing Loss, Central; Retrospective Studies; Speech Perception
PubMed: 37036283
DOI: 10.1097/AUD.0000000000001366