Relative contributions of auditory and cognitive functions on speech recognition in quiet and in noise among older adults

Mukari, Siti Zamratol Mai Sarah; Yusof, Yusmeera; Ishak, Wan Syafira; Maamor, Nashrah; Chellapan, Kalaivani; Dzulkifli, Mariam Adawiah

doi:10.1016/j.bjorl.2018.10.010

Cited by 11 publications

(10 citation statements)

References 45 publications

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“…The benefits of the proposal in the case presented were evident in the results after reassessment (Chart 2). The inclusion of cognitive aspects agrees with a recent study, which referred to the importance of this aspect in the ability to recognize speech in noise in the elderly (4) . Still, in relation to the skills selected for this protocol, according to the suggestions of the expert judges, it should be noted that although the skills (Chart 1) have obtained 100% agreement between them, it is understood that, in many cognitive tasks, they may exist, in addition to attention, other skills involved, such as memory.…”

Section: Discussionsupporting

confidence: 89%

“…At the time, the authors also suggested guidelines for improving the acoustic environment and communication strategies (3) . However, in the elderly population, besides the hearing issues, the need to stimulate cognition is evident, as there is a relationship between sensory aging and cognitive decline and, therefore, one influences the other and, consequently, causes damages in communication, speech recognition in noise and quality of life of the elderly (4) .…”

Section: Introductionmentioning

confidence: 99%

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Treinamento cognitivo e auditivo acusticamente não controlado para população idosa: um estudo de caso

Moreira

Brasil

Malavolta

et al. 2021

Audiol., Commun. Res.

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RESUMO O objetivo do trabalho foi criar um protocolo de treinamento auditivo e cognitivo para idosos e analisar a sua eficácia. O estudo foi realizado em três etapas: (1) seleção de materiais, compreendendo materiais existentes e outros confeccionados pelos autores; (2) análise de juízes especialistas, para consenso quanto às habilidades avaliadas e tipo de treinamento; (3) aplicação do protocolo em um caso clínico, com realização de uma bateria de testes para avaliação pré e pós-intervenção, consistindo em avaliação cognitiva e auditiva (comportamental e eletrofisiológica). Foi possível a estruturação do protocolo de acordo com as sugestões das juízas especialistas, o que gerou uma nova proposta de treinamento auditivo e cognitivo com 39 tarefas, dispostas em seis sessões. Com a aplicação do protocolo no caso clínico, observaram-se modificações positivas nos dois aspectos treinados. A nova proposta terapêutica foi concluída e aplicada. O sujeito do caso clínico obteve melhoras pós-intervenção e a eficácia foi verificada por meio dos testes comportamentais de processamento auditivo central, de rastreio cognitivo e do potencial evocado auditivo de longa latência.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Treinamento cognitivo e auditivo acusticamente não controlado para população idosa: um estudo de caso

Moreira

Brasil

Malavolta

et al. 2021

Audiol., Commun. Res.

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“…3 Although hearing acuity plays a primary role in speech recognition, cognition and central auditory function also contribute significantly, especially, in noisy environments. [4][5][6] In view of multiple factors contributing to speech recognition difficulties, it is expected that hearing aid use alone cannot produce the listening skills required for communication. 7 A more comprehensive rehabilitation approach, which includes auditorycognitive training, might produce better results.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a newly developed auditory–cognitive training system on speech recognition, central auditory processing and cognitive ability among older adults with normal cognition and with neurocognitive impairment

Yusof

Mukari

Dzulkifli

et al. 2019

Geriatrics Gerontology Int

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Aim To evaluate the efficacy of a newly developed auditory–cognitive training system on speech recognition, central auditory processing and cognition among older adults with normal cognition (NC) and with neurocognitive impairment (NCI). Methods A double‐blind quasi‐experiment was carried out on NC (n = 43) and NCI (n = 33) groups. Participants in each group were randomly assigned into treatment and control programs groups. The treatment group underwent auditory–cognitive training, whereas the control group was assigned to watch documentary videos, three times per week, for 8 consecutive weeks. Study outcomes that included Montreal Cognitive Assessment, Malay Hearing in Noise Test, Dichotic Digit Test, Gaps in Noise Test and Pitch Pattern Sequence Test were measured at 4‐week intervals at baseline, and weeks 4, 8 and 12. Results Mixed design anova showed significant training effects in total Montreal Cognitive Assessment and Dichotic Digit Test in both groups, NC (P < 0.001) and NCI (P < 0.01). The NC group also showed significant training effects in the Malay Hearing in Noise Test (quiet) (P < 0.01), Gaps in Noise Test (P < 0.001) and Pitch Pattern Sequence Test (humming) (P < 0.05). All training effects were sustained up to 4 weeks after the training ended. Conclusions The present study suggests that the newly developed auditory–cognitive training system has the potential to improve general cognition and some of the auditory processing abilities in both the NC and NCI groups. Because of the short test–retest intervals used in the present study, it is possible that the training effects were influenced by learning effect and, therefore, should be considered cautiously. Geriatr Gerontol Int 2019; 19: 768–773.

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“…Although the association between speech perception in silence and high-frequency thresholds in pure-tone audiometry has not been reported in cochlear-implanted patients, previous reports showed the association of speech perception in non-implanted patients with hearing loss, especially at high frequencies (15,18). Another study, in non-implanted patients, showed the importance of preservation of the extended high frequencies (>8,000 Hz) and the performance in noise (19).…”

Section: Discussionmentioning

confidence: 95%

Restoration of High Frequency Auditory Perception After Robot-Assisted or Manual Cochlear Implantation in Profoundly Deaf Adults Improves Speech Recognition

et al. 2021

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Background and Purpose: Robot-assisted cochlear implantation has recently been implemented in clinical practice; however, its effect on hearing outcomes is unknown. The aim of this preliminary study was to evaluate hearing performance 1 year post-implantation whether the electrode array was inserted manually or assisted by a robot.Methods: Forty-two profoundly deaf adults were implanted either manually (n = 21) or assisted by a robot (RobOtol®, Collin, Bagneux, France) with three different electrode array types. Participants were paired by age, and electrode array type. The scalar position of the electrode array in the cochlea was assessed by 3D reconstruction from the pre- and post-implantation computed tomography. Pure-tone audiometry and speech perception in silence (percentage of disyllabic words at 60 dB) were tested on the implanted ear 1 year post-implantation in free-field conditions. The pure-tone average was calculated at 250–500–750 Hz, 500–1,000–2,000–3,000 Hz, and 3,000–4,000–8,000 Hz for low, mid, and high frequencies, respectively.Results: One year after cochlear implantation, restoration of the high-frequency thresholds was associated with better speech perception in silence, but not with low or mid frequencies (p < 0.0001; Adjusted R2 = 0.64, polynomial non-linear regression). Although array translocation was similar using either technique, the number of translocated electrodes was lower when the electrode arrays had been inserted with the assistance of the robot compared with manual insertion (p = 0.018; Fisher's exact test).Conclusion: The restoration of high-frequency thresholds (3,000–4,000–8,000 Hz) by cochlear implantation was associated with good speech perception in silence. The numbers of translocated electrodes were reduced after a robot-assisted insertion.

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Relative contributions of auditory and cognitive functions on speech recognition in quiet and in noise among older adults

Cited by 11 publications

References 45 publications

Treinamento cognitivo e auditivo acusticamente não controlado para população idosa: um estudo de caso

Treinamento cognitivo e auditivo acusticamente não controlado para população idosa: um estudo de caso

Efficacy of a newly developed auditory–cognitive training system on speech recognition, central auditory processing and cognitive ability among older adults with normal cognition and with neurocognitive impairment

Restoration of High Frequency Auditory Perception After Robot-Assisted or Manual Cochlear Implantation in Profoundly Deaf Adults Improves Speech Recognition

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