Technologic Advances in Aural Rehabilitation: Applications and Innovative Methods of Service Delivery

Sweetow, Robert W.; Sabes, Jennifer Henderson

doi:10.1177/1084713807301321

Cited by 32 publications

(34 citation statements)

References 29 publications

(39 reference statements)

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“…QuickSIN SeRTs averaged +0.35 dB (range -0.50 to 1.50). HINT and QuickSIN thresholds varied significantly across subjects (F (15,30) = 3.26, p < 0.003, and F 15, 30 = 6.21, p < 0.0001, respectively). HINT thresholds were not significantly correlated with audiometric thresholds (r = -0.06, not significant), but a positive correlation was found between QuickSIN and audiometric thresholds (r = 0.45, t(14) = 2.13, p < 0.05).…”

Section: Correlations Between Sert Testing and Castmentioning

confidence: 96%

“…For example, Ferguson and KewleyPort found that patients with mild SNHL accurately identified 73 percent of vowels at speech-to-babble ratios of -3 dB, i.e., well below typical SeRTs [8]. As a result, improving consonant comprehension is a major focus of current research on hearing aid design [9][10][11] and adaptive perceptual training [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Measuring consonant identification in nonsense syllables, words, and sentences

Woods

Yund²,

Herron³

2010

JRRD

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Abstract-Sensorineural hearing loss (SNHL) produces deficits in speech comprehension in noise that primarily are due to impairments in identifying consonants. Here, we describe the California Syllable Test (CaST) that quantifies the identification of common American English consonants. In experiment I, 16 young subjects with normal hearing identified 720 consonant-vowel-consonant (CVC) syllables in three test sessions. Consonants were identified slightly more accurately in words than nonsense syllables, and small interactions were found between the processing of initial and final consonants. Consonant-identification performance correlated strongly with sentence reception thresholds (SeRTs) measured with both the Hearing in Noise Test and QuickSIN (Etymotic Research; Elk Grove Village, Illinois). At SeRTs, subjects with normal hearing could identify 32.5% of consonants in isolated CVCs. In experiment II, a patient with moderate SNHL showed large elevations in consonant-identification thresholds and smaller elevations in SeRTs. At SeRT levels, the patient could identify only 12.5% of consonants in isolated CVCs, indicating that sentence comprehension relied disproportionately on vowel cues and semantic constraints. Consonant-profile analysis revealed disproportional impairments in identifying consonants dependent on high-frequency acoustic cues. Consonant confusion analysis revealed a reorganization of consonant perception. The CaST is a promising tool for evaluating consonantspecific processing deficits in patients with hearing impairment.

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Section: Correlations Between Sert Testing and Castmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Measuring consonant identification in nonsense syllables, words, and sentences

Woods

Yund²,

Herron³

2010

JRRD

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“…A battery of central auditory tests was delivered. It consisted of the Gaps‐in‐Noise test (Auditec, St Louis, MO), Quick Speech‐in‐Noise (Etymotic Research Inc.; Elk Grove Village, IL), Quick Time Compressed Sentence Test and Quick Competing Speaker Sentence Test (Neurotone, Inc, Redwood City, CA), Revised Speech Perception in Noise Test, and Listening in Spatialized Noise–Sentences Task (Phonak, Warrenville, IL). Subjects wore Etymotic Research (ER‐3A) insert earphones during testing.…”

Section: Methodsmentioning

confidence: 99%

Vocal motor control and central auditory impairments in unilateral vocal fold paralysis

et al. 2018

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Objectives To evaluate differences in vocal motor control and central auditory processing between treated unilateral vocal fold paralysis (UVFP) and healthy control cohorts. Study Design Cross‐sectional. Methods Ten UVFP study patients treated by type I thyroplasty with stable voices were compared to 12 control subjects for vocal motor control using a pitch perturbation response task and central auditory processing performance using a battery of complex sound intelligibility assays that included adverse temporal and noise conditions. Standard clinical evaluations of voice production and peripheral audiometric sensitivity were performed. Results Vocal motor control was impaired in treated UVFP. The UVFP cohort exhibited a 32.5% reduction in the instantaneous, subconscious compensatory response to pitch feedback perturbation in the interval between 150 ms and 550 ms following onset (P < 0.0001, linear mixed effects model). This impairment cannot simply be ascribed to vocal motor capacity insufficiency in the UVFP cohort because both cohorts demonstrated comparable functional capacity to perform the vocal motor task. The UVFP cohort also showed greater propensity for central auditory processing impairment (P < 0.05), notably for temporal compression and added noise challenges. Conclusion Combined central vocal motor control and auditory processing impairments in treated UVFP highlight reciprocal interdependency of sensory and motor systems. This pilot study suggests that peripheral motor impairment of the larynx can degrade central auditory processing, which in turn may contribute to vocal motor control impairment. A more complete restoration communicative function in UVFP will require deeper understanding of sensory, motor, and sensorimotor aspects of the human communication loop. Level of Evidence 3b Laryngoscope, 129:2112–2117, 2019

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“…However, in both cases, the interactivity of the self-administered computer-based training is limited to a set of listening exercises that test fundamental aspects of music perception and it is not known whether such programmes fully meet the needs of users. Sweetow and Sabes (2007) propose that rehabilitation programmes should be interactive, practical, and accessible, difficult enough to maintain interest and yet easy enough to minimise frustration and fatigue. In addition to these recommendations, we propose that in order to develop successful aural rehabilitation programmes and protocols that address the users' needs and aspirations, a participatory design approach is essential from the outset.…”

Section: Related Researchmentioning

confidence: 99%

“…From observing attendees' engagement with the app it was clear that this activity encouraged experimentation with combinations of instruments, much like the 'trial and error' approach advocated by Gfeller et al (2001), in order to determine what is readily perceptible and how the polyphony affects instrument and song recognition. Interactive: The positive reaction of the workshop attendees to the mock-up apps and recommendations made by Sweetow and Sabes (2007) indicated that the IMAP should be interactive, engrossing the user and promoting thoughtful experimentation.…”

Section: The Ermmentioning

confidence: 99%