CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(02): e362-e369
DOI: 10.1055/s-0042-1743202
Systematic Review

Acoustic Change Complex as a Neurophysiological Tool to Assess Auditory Discrimination Skill: A Review

1   Sri Jagdamba Charitable Eye Hospital and Cochlear Implant Center, Sri Ganganagar, Rajasthan, India
,
1   Sri Jagdamba Charitable Eye Hospital and Cochlear Implant Center, Sri Ganganagar, Rajasthan, India
,
2   Department of Audiology, All India Institute of Speech and Hearing, Mysore, Karnataka, India
› Author Affiliations
Funding Sources The authors have not received any sponsorship or funding related to this research.

Abstract

Introduction Acoustic change complex (ACC) is a type of event-related potential evoked in response to subtle change(s) in the continuing stimuli. In the presence of a growing number of investigations on ACC, there is a need to review the various methodologies, findings, clinical utilities, and conclusions of different studies by authors who have studied ACC.

Objective The present review article is focused on the literature related to the utility of ACC as a tool to assess the auditory discrimination skill in different populations.

Data Synthesis Various database providers, such as Medline, Pubmed, Google, and Google Scholar, were searched for any ACC-related reference. A total of 102 research papers were initially obtained using descriptors such as acoustic change complex, clinical utility of ACC, ACC in children, ACC in cochlear implant users, and ACC in hearing loss. The titles, authors, and year of publication were examined, and the duplicates were eliminated. A total of 31 research papers were found on ACC and were incorporated in the present review. The findings of these 31 articles were reviewed and have been reported in the present article.

Conclusion The present review showed the utility of ACC as an objective tool to support various subjective tests in audiology.

Statement of Ethics

The authors have no ethical conflicts to disclose.


Ethical Approval

Ethical approval was obtained from the ethical committee of the Sri Jagdamba Charitable Eye Hospital, Sri Ganganagar, Rajasthan, India.


Author Contributions

H. K. S.: Conception of the work, interpretation, and drafting


T. J.: Drafting, critical evaluation, interpretation, and accuracy


P. K.: Final approval, accuracy, integrity, and drafting




Publication History

Received: 30 July 2020

Accepted: 17 May 2021

Article published online:
20 March 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Sanju HK, Kumar P. Enhanced auditory evoked potentials in musicians: A review of recent findings. J Otol 2016; 11 (02) 63-72
  • 2 Martin BA, Shafer VL, Morr ML, Kreuzer JA, Kurtzberg D. Maturation of mismatch negativity: a scalp current density analysis. Ear Hear 2003; 24 (06) 463-471
  • 3 Wunderlich JL, Cone-Wesson BK, Shepherd R. Maturation of the cortical auditory evoked potential in infants and young children. Hear Res 2006; 212 (1-2): 185-202
  • 4 Cooper RJ, Todd J, McGill K, Michie PT. Auditory sensory memory and the aging brain: A mismatch negativity study. Neurobiol Aging 2006; 27 (05) 752-762
  • 5 Martin JS, Jerger JF. Some effects of aging on central auditory processing. J Rehabil Res Dev 2005; 42 (4, Suppl 2) 25-44
  • 6 Korczak PA, Kurtzberg D, Stapells DR. Effects of sensorineural hearing loss and personal hearing AIDS on cortical event-related potential and behavioral measures of speech-sound processing. Ear Hear 2005; 26 (02) 165-185
  • 7 Oates PA, Kurtzberg D, Stapells DR. Effects of sensorineural hearing loss on cortical event-related potential and behavioral measures of speech-sound processing. Ear Hear 2002; 23 (05) 399-415
  • 8 Sharma A, Dorman MF, Spahr AJ. A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 2002; 23 (06) 532-539
  • 9 Gordon KA, Tanaka S, Papsin BC. Atypical cortical responses underlie poor speech perception in children using cochlear implants. Neuroreport 2005; 16 (18) 2041-2045
  • 10 Martin BA, Boothroyd A. Cortical, auditory, event-related potentials in response to periodic and aperiodic stimuli with the same spectral envelope. Ear Hear 1999; 20 (01) 33-44
  • 11 Ostroff JM, Martin BA, Boothroyd A. Cortical evoked response to acoustic change within a syllable. Ear Hear 1998; 19 (04) 290-297
  • 12 Martinez AS, Eisenberg LS, Boothroyd A. The Acoustic Change Complex in Young Children with Hearing Loss: A Preliminary Study. Semin Hear 2013; 34 (04) 278-287
  • 13 Ganapathy MK, Narne VK, Kalaiah MK, Manjula P. Effect of pre-transition stimulus duration on acoustic change complex. Int J Audiol 2013; 52 (05) 350-359
  • 14 Shetty HN, Puttabasappa M. Effect of stimuli, transducers and gender on acoustic change complex. Audiology Res 2012; 2 (01) e14
  • 15 He S, Grose JH, Teagle HF. et al. Acoustically evoked auditory change complex in children with auditory neuropathy spectrum disorder: a potential objective tool for identifying cochlear implant candidates. Ear Hear 2015; 36 (03) 289-301
  • 16 Brown CJ, Etler C, He S. et al. The electrically evoked auditory change complex: preliminary results from nucleus cochlear implant users. Ear Hear 2008; 29 (05) 704-717
  • 17 Kaukoranta E, Hari R, Lounasmaa OV. Responses of the human auditory cortex to vowel onset after fricative consonants. Exp Brain Res 1987; 69 (01) 19-23
  • 18 Harris KC, Mills JH, Dubno JR. Electrophysiologic correlates of intensity discrimination in cortical evoked potentials of younger and older adults. Hear Res 2007; 228 (1-2): 58-68
  • 19 Tremblay KL, Kalstein L, Billings CJ, Souza PE. The neural representation of consonant-vowel transitions in adults who wear hearing AIDS. Trends Amplif 2006; 10 (03) 155-162
  • 20 Mathew AK, Purdy SC, Welch D, Pontoppidan NH, Rønne FM. Electrophysiological and behavioural processing of complex acoustic cues. Clin Neurophysiol 2016; 127 (01) 779-789
  • 21 Cowan R, Ching T, Van Dun B. et al. Evaluating auditory discrimination in infants using visual reinforcement infant speech discrimination (VRISD) and the acoustic change complex (ACC). J Hear Sci 2017; 7 (01) 12-19
  • 22 Jerger J, Jerger S. Evoked response to intensity and frequency change. Arch Otolaryngol 1970; 91 (05) 433-436
  • 23 Näätänen R, Picton T. The N1 wave of the human electric and magnetic response to sound: a review and an analysis of the component structure. Psychophysiology 1987; 24 (04) 375-425
  • 24 Han JH, Dimitrijevic A. Acoustic change responses to amplitude modulation: a method to quantify cortical temporal processing and hemispheric asymmetry. Front Neurosci 2015; 9 (02) 38-43
  • 25 Small SA, Werker JF. Does the ACC have potential as an index of early speech discrimination ability? A preliminary study in 4-month-old infants with normal hearing. Ear Hear 2012; 33 (06) e59-e69
  • 26 Martin BA, Boothroyd A. Cortical, auditory, evoked potentials in response to changes of spectrum and amplitude. J Acoust Soc Am 2000; 107 (04) 2155-2161
  • 27 Kalaiah MK, Jude A, Malayil VP. Effect of inter-stimulus interval on the acoustic change complex elicited with tone-complex and speech stimuli. Indian J Otol 2017; 23 (02) 83-88
  • 28 Kalaiah MK. Acoustic change complex for frequency changes. Hear Balance Commun 2018; 16 (01) 29-35
  • 29 Friesen LM, Tremblay KL. Acoustic change complexes recorded in adult cochlear implant listeners. Ear Hear 2006; 27 (06) 678-685
  • 30 Martin BA. Can the acoustic change complex be recorded in an individual with a cochlear implant? Separating neural responses from cochlear implant artifact. J Am Acad Audiol 2007; 18 (02) 126-140
  • 31 Yau SH, Bardy F, Sowman PF, Brock J. The magnetic acoustic change complex and mismatch field: a comparison of neurophysiological measures of auditory discrimination. Aim Neuroscience 2017; 4 (01) 14-27
  • 32 Kang S, Woo J, Park H, Brown CJ, Hong SH, Moon IJ. Objective Test of Cochlear Dead Region: Electrophysiologic Approach using Acoustic Change Complex. Sci Rep 2018; 8 (01) 1-11
  • 33 Kumar P, Sanju HK, Hussain RO, Kaverappa Ganapathy M, Singh NK. Utility of acoustic change complex as an objective tool to evaluate difference limen for intensity in cochlear hearing loss and auditory neuropathy spectrum disorder. Am J Audiol 2020; 29 (03) 375-383
  • 34 Kumar P, Sanju HK, Singh NK. Neural representation of consonant-vowel transition in individuals with cochlear hearing loss and auditory neuropathy spectrum disorder. Eur Arch Otorhinolaryngol 2020; 277 (10) 2739-2744
  • 35 Kumar P, Singh NK, Ganapathy MK, Sanju HK, Apeksha K. Coding of consonant-vowel transition in children with central auditory processing disorder: an electrophysiological study. Eur Arch Otorhinolaryngol 2021; 278 (10) 3673-3681
  • 36 Kumar P, Singh NK, Sanju HK, Kaverappa GM. Feasibility of objective assessment of difference limen for intensity using acoustic change complex in children with central auditory processing disorder. Int J Pediatr Otorhinolaryngol 2020; 137 (01) 1-7
  • 37 Tremblay KL, Friesen L, Martin BA, Wright R. Test-retest reliability of cortical evoked potentials using naturally produced speech sounds. Ear Hear 2003; 24 (03) 225-232
  • 38 Hoppe U, Wohlberedt T, Danilkina G, Hessel H. Acoustic change complex in cochlear implant subjects in comparison with psychoacoustic measures. Cochlear Implants Int 2010; 11 (2, Suppl 1) 426-430
  • 39 Hemanth N, Manjula P. Hemispheric lateralization and acoustic change complex in individuals with normal hearing. Speech Lang Hear 2013; 16 (01) 28-36