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Semin Hear 2005; 26(3): 127-136
DOI: 10.1055/s-2005-916374
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Beyond the Ear: Physiological Perspectives on Auditory Rehabilitation

Kelly L. Tremblay1
  • 1Associate Professor, Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington
Further Information

Publication History

Publication Date:
06 September 2005 (online)

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ABSTRACTS

Despite much research focusing on hearing aid and cochlear implant devices, their engineering, and how they might be modified to ensure better use, research still cannot fully explain why two individuals with the same configuration of hearing loss demonstrate significantly different improvements in speech understanding with similar hearing devices. One potential source of performance variability might be the central auditory system. Here we review the use of speech-evoked cortical potentials to investigate issues of performance variability and auditory rehabilitation. Specifically addressed are issues pertaining to the neural detection of time-varying speech cues, auditory training, and aging.

KEYWORDS

Auditory evoked potentials - neural plasticity - hearing aid acclimatization - cochlear implants - auditory training - auditory rehabilitation

REFERENCES

  • 1 National Institute on Deafness and other Communication Disorders. http://www.nidcd.nih.gov. Accessed August 11, 2005
    Google Scholar
  • 2 Herbst K RG. Psychosocial consequences of disorders of hearing in the elderly. In: Hinchcliffe R Hearing and Balance in the Elderly Edinburgh; Churchill Livingstone 1983: 174-200
    Google Scholar
  • 3 Kochkin S. Marke Trak V: “why my hearing aids are in the drawer”: the consumer perspective.  Hear J. 2000;  53 34-42
    PubMedGoogle Scholar
  • 4 Steinschneider M, Arezzo J, Vaughan J HG. Speech evoked activity in the auditory radiations and cortex of the awake monkey.  Brain Res. 1982;  252 353-365
    CrossrefPubMedGoogle Scholar
  • 5 Steinschneider M, Schroeder C E, Arezzo J C, Vaughan H G. Physiologic correlates of the voice onset time boundary in primary auditory cortex (A1) of the awake monkey: temporal response patterns.  Brain Lang. 1995;  48 326-340
    CrossrefPubMedGoogle Scholar
  • 6 Steinschneider M, Volkov I O, Noh M D, Garell P C, Howard M AR. Temporal encoding of the voice-onset-time phonetic parameter by field potentials recorded directly from human auditory cortex.  J Neurophysiol. 1999;  82 2346-2357
    PubMedGoogle Scholar
  • 7 Phillips D P, Hall S E. Response timing constraints on the cortical representation of sound time structure.  J Acoust Soc Am. 1990;  88 1403-1411
    PubMedGoogle Scholar
  • 8 Eggermont J. Representation of a voice onset time continuum in primary auditory cortex of the cat.  J Acoust Soc Am. 1995;  98 911-920
    PubMedGoogle Scholar
  • 9 Eggermont J J. Neural correlates of gap detection in three auditory cortical fields in the cat.  J Neurophysiol. 1999;  81 2570-2581
    PubMedGoogle Scholar
  • 10 Eggermont J J. Neural responses in primary auditory cortex mimic psychophysical, across-frequency-channel, gap-detection thresholds.  J Neurophysiol. 2000;  84 1453-1463
    PubMedGoogle Scholar
  • 11 Schreiner C E, Mendelson J, Raggio M W, Brosch M, Krueger K. Temporal processing in cat primary auditory cortex.  Acta Otolaryngol. 1997;  532(suppl) 54-60
    PubMedGoogle Scholar
  • 12 Ahissar E, Nagarajan S, Ahissar M, Protopapas A, Mahncke H, Merzenich M M. Speech comprehension is correlated with temporal response patterns recorded from auditory cortex.  Proc Natl Acad Sci USA. 2001;  98 13367-13372
    CrossrefPubMedGoogle Scholar
  • 13 Harrison R V, Stanton S G, Ibrahim D, Nagasawa A, Mount R J. Neonatal cochlear hearing loss results in developmental abnormalities of the central auditory pathways.  Acta Otolaryngol. 1993;  113 296-302
    PubMedGoogle Scholar
  • 14 Irvine D R, Rajan R. Injury-induced reorganization of frequency map in adult auditory cortex: the role of unmasking of normally-inhibited inputs.  Acta Otolaryngol Suppl. 1997;  532 39-45
    PubMedGoogle Scholar
  • 15 Irvine D RF, Rajan R, Robertson D. Plasticity in auditory cortex of adult mammals with restricted cochlear lesions. In: Naresh Singh R Nervous Systems: Principles of Design and Function New Delhi; Oscar Publications 1992: 319-350
    Google Scholar
  • 16 Kitzes L M. Some physiological consequences of neonatal cochlear destruction in the inferior colliculus of the gerbil, Meriones unguiculatus .  Brain Res. 1984;  306 171-178
    CrossrefPubMedGoogle Scholar
  • 17 Kitzes L M. Anatomical and physiological changes in the brainstem induced by neonatal ablation of the cochlea. In: Auditory System Plasticity and Regeneration. New York; Thieme Medical 1996: 256-274
    Google Scholar
  • 18 Larsen S A, Kirchoff T M. Anatomical evidence of synaptic plasticity in the cochlear nuclei of white-deaf cats.  Neurology. 1992;  115 151-157
    PubMedGoogle Scholar
  • 19 Moore D R. Postnatal development of the mammalian central auditory system and the neural consequences of auditory deprivation.  Acta Otolaryngol Suppl. 1985;  421 19-30
    PubMedGoogle Scholar
  • 20 Popelar J, Erre J P, Aran J M, Cazals Y. Plastic changes in the ipsi-contralateral differences of auditory cortex and inferior colliculus evoked potentials after injury to one ear in the adult guinea pig.  Hear Res. 1994;  72 125-134
    CrossrefPubMedGoogle Scholar
  • 21 Rajan R, Irvine D R. Absence of plasticity of the frequency map in dorsal cochlear nucleus of adult cats after unilateral partial cochlear lesions.  J Comp Neurol. 1998;  399 35-46
    PubMedGoogle Scholar
  • 22 Reale R A, Brugge J F, Chan J CK. Maps of auditory cortex in cats reared after unilateral cochlear ablation in the neonatal period.  Brain Res. 1987;  431 281-290
    PubMedGoogle Scholar
  • 23 Robertson D, Irvine D RF. Plasticity of frequency organization in auditory cortex of guinea pigs with partial unilateral deafness.  J Comp Neurol. 1989;  282 456-471
    PubMedGoogle Scholar
  • 24 Schwaber M K, Garraghty P E, Kaas J H. Neuroplasticity of the adult primate auditory cortex following cochlear hearing loss.  Am J Otol. 1993;  14 252-258
    PubMedGoogle Scholar
  • 25 Willott J F. Physiological plasticity in the auditory system and its possible relevance to hearing aid use, deprivation effects, and acclimatization.  Ear Hear. 1996;  17(3 suppl) 66-77
    PubMedGoogle Scholar
  • 26 Kilgard M P, Pandya P K, Vazquez J L, Rathbun D L, Engineer N D, Moucha R. Spectral features control temporal plasticity in auditory cortex.  Audiol Neurootol. 2001;  6 196-202
    CrossrefPubMedGoogle Scholar
  • 27 Kilgard M, Merzenich M. Plasticity of temporal information processing in the primary auditory cortex.  Nat Neurosci. 1998;  1 727-731
    CrossrefPubMedGoogle Scholar
  • 28 Leake P, Snyder R, Rebscher S, Moore C, Vollmer M. Plasticity in central representations in the inferior colliculus induced by chronic single-vs.-two channel electrical stimulation by a implant after neonatal deafness.  Hear Res. 2000;  147 221-241
    CrossrefPubMedGoogle Scholar
  • 29 Ponton C W, Moore J K, Eggermont J J. Auditory brainstem response generation by parallel pathways: differential maturation of axonal conduction time and synaptic transmission.  Ear Hear. 1996;  17 402-410
    CrossrefPubMedGoogle Scholar
  • 30 Eggermont J J, Ponton C W, Don M, Waring M D, Kwong B. Maturational delays in cortical evoked potentials in cochlear implant users.  Acta Otolaryngol. 1997;  117 161-163
    PubMedGoogle Scholar
  • 31 Tremblay K, Kraus N, Carell T, McGee T. Central auditory system plasticity: generalization to novel stimuli following listening training.  J Acoust Soc Am. 1997;  102 3762-3773
    CrossrefPubMedGoogle Scholar
  • 32 Tremblay K, Kraus N, McGee T, Ponton C, Otis B. Central auditory plasticity: changes in the N1-P2 complex after speech-sound training.  Ear Hear. 2001;  22 79-90
    CrossrefPubMedGoogle Scholar
  • 33 Tremblay K, Kraus N, McGee T. The time course of auditory perceptual learning: neurophysiologic changes during speech-sound training.  Neuroreport. 1998;  9 3557-3560
    CrossrefPubMedGoogle Scholar
  • 34 Tremblay K L, Kraus N. Auditory training induces asymmetrical changes in cortical neural activity.  J Speech Lang Hear Res. 2002;  45 564-572
    CrossrefPubMedGoogle Scholar
  • 35 Stelmachowicz P G, Kopun J, Mace A, Lewis D E. The perception of amplified speech by listeners with hearing loss: acoustic correlates.  J Acoust Soc Am. 1995;  98 1388-1399
    CrossrefPubMedGoogle Scholar
  • 36 Tyler R S, Summerfield A Q. Cochlear implantation: relationships with research on auditory deprivation and acclimatization.  Ear Hear. 1996;  17(3 suppl) 38-50
    PubMedGoogle Scholar
  • 37 Boothroyd A, Springer N, Smith L, Schulman J. Amplitude compression and profound hearing loss.  J Speech Hear Res. 1988;  31 362-376
    PubMedGoogle Scholar
  • 38 Dreschler W A. Phoneme perception via hearing aids with and without compression and the role of temporal resolution.  Audiology. 1989;  28 49-60
    PubMedGoogle Scholar
  • 39 Faulkner A, Ball V, Rosen S, Moore B C, Fourcin A. Speech pattern hearing aids for the profoundly hearing impaired: speech perception and auditory abilities.  J Acoust Soc Am. 1992;  91 2136-2155
    CrossrefPubMedGoogle Scholar
  • 40 Festen J M, Van Dijkhuizen J N, Plomp R. Considerations on adaptive gain and frequency response in hearing aids.  Acta Otolaryngol Suppl. 1990;  469 196-201
    PubMedGoogle Scholar
  • 41 Humes L E. Issues in evaluating the effectiveness of hearing aids in the elderly: what to measure and when.  Semin Hear. 2001;  22 303-315
    Article in Thieme ConnectPubMedGoogle Scholar
  • 42 Mare M J, Dreschler W A, Verschuure H. The effects of input-output configuration in syllabic compression on speech perception.  Hear Res. 1992;  35 675-685
    PubMedGoogle Scholar
  • 43 Plomp R. The negative effect of amplitude compression in multichannel hearing aids in the light of the modulation-transfer function.  J Acoust Soc Am. 1988;  83 2322-2327
    CrossrefPubMedGoogle Scholar
  • 44 Souza P E, Turner C W. Multichannel compression, temporal cues, and audibility.  J Speech Lang Hear Res. 1998;  41 315-326
    PubMedGoogle Scholar
  • 45 Verschuure J, Maas A JJ, Stikvoort E, de Jong M, Goedegebure A, Dreschler W A. Compression and its effect on the speech signal.  Ear Hear. 1996;  17 162-175
    PubMedGoogle Scholar
  • 46 Hillyard SA PT. On and off components in the auditory evoked potential.  Percept Psychophys. 1978;  24 391-398
    PubMedGoogle Scholar
  • 47 Martin B A, Sigal A, Kurtzberg D, Stapells D R. The effects of decreased audibility produced by high-pass noise masking on cortical event-related potentials to speech sounds /ba/ and /da/.  J Acoust Soc Am. 1997;  101 1585-1599
    CrossrefPubMedGoogle Scholar
  • 48 Martin B A, Kurtzberg D, Stapells D R. The effects of decreased audibility produced by high-pass noise making on N1 and the mismatch negativity to speech sounds /ba/ and /da/.  J Speech Lang Hear Res. 1999;  42 271-286
    CrossrefPubMedGoogle Scholar
  • 49 Oates P A, Kurtzberg D, Stapells D R. Effects of sensorineural hearing loss on cortical event-related potential and behavioral measures of speech-sound processing.  Ear Hear. 2002;  23 399-415
    PubMedGoogle Scholar
  • 50 Tremblay K, Souza P, Piskosz M. Aging alters the neural representation of speech-cues.  Neuroreport. 2002;  13 1865-1870
    PubMedGoogle Scholar
  • 51 Tremblay K L, Piskosz M, Souza P. Effects of age and age-related hearing loss on the neural representation of speech cues.  Clin Neurophysiol. 2003;  114 1332-1343
    CrossrefPubMedGoogle Scholar
  • 52 Tremblay K, Billings C, Rohila N. Speech evoked cortical potentials: effects of age and stimulus presentation rate.  J Am Acad Audiol. 2004;  15 226-237
    Article in Thieme ConnectPubMedGoogle Scholar
  • 53 Wolpaw J R, Penry J K. A temporal component of the auditory evoked response.  Electroencephalogr Clin Neurophysiol. 1975;  39 609-620
    PubMedGoogle Scholar
  • 54 Naatanen R, Picton T. The N1 wave of the human electric and magnetic response to sound: a review and analysis of the component structure.  Psychophysiology. 1987;  24 375-425
    CrossrefPubMedGoogle Scholar
  • 55 Woods D. The component structure of the N1 wave of the human auditory evoked potential.  Electroencephalogr Clin Neurophysiol. 1995;  44(suppl) 102-109
    PubMedGoogle Scholar
  • 56 Ponton C, Juha-Pekka V, Tremblay K, Khosla D, Kwong B, Don M. Plasticity in the adult human central auditory system: evidence from late-onset profound unilateral deafness.  Hear Res. 2001;  154 32-44
    CrossrefPubMedGoogle Scholar
  • 57 Ponton C W, Don M, Eggermont J J, Waring M D, Kwong B, Masuda A. Auditory system plasticity in children after long periods of complete deafness.  Neuroreport. 1996;  8 61-65
    CrossrefPubMedGoogle Scholar
  • 58 Ponton C W, Moore J K, Eggermont J J. Prolonged deafness limits auditory system developmental plasticity: evidence from an evoked potentials study in children with cochlear implants.  Scand Audiol. 1999;  51(suppl) 13-22
    PubMedGoogle Scholar
  • 59 Menning H, Roberts L E, Pantev C. Plastic changes in the auditory cortex induced by intensive frequency discrimination training.  Neuroreport. 2000;  11 817-822
    CrossrefPubMedGoogle Scholar
  • 60 Fu Q J, Ponton C, Kwong B. Auditory resolution and speech performance in cochlear implant users. Presented at: Conference on Implantable Auditory Prostheses August 19-24, 2001 Pacific Grove, CA;
    Google Scholar
  • 61 Pisoni D, Aslin R N, Perey A J, Hennessy B L. Some effects of laboratory training on identification and discrimination of voicing contrasts in stop consonants.  J Exp Psychol Hum Percept Perform. 1982;  2 297-314
    PubMedGoogle Scholar
  • 62 Logan J S, Lively S E, Pisoni D B. Training Japanese listeners to identify English /r/ and /l/: a first report.  J Acoust Soc Am. 1991;  89 874-886
    PubMedGoogle Scholar
  • 63 Wright B A, Lombardino L J, King W M, Puranik C S, Leonard C M, Merzenich M M. Deficits in auditory temporal and spectral resolution in language-impaired children.  Nature. 1997;  387 176-178
    CrossrefPubMedGoogle Scholar
  • 64 Goswami U, Thomson J, Richardson U et al.. Amplitude envelope onsets and developmental dyslexia: a new hypothesis.  Proc Natl Acad Sci USA. 2002;  6 10911-10916
    PubMedGoogle Scholar
  • 65 Jerger J, Jerger S, Oliver T, Pirozzolo F. Speech understanding in the elderly.  Ear Hear. 1989;  10 79-89
    PubMedGoogle Scholar
  • 66 Schneider B, Speranza F, Pichora-Fuller M K. Age-related changes in temporal resolution: envelope and intensity effects.  Can J Exp Psychol. 1998;  52 184-191
    PubMedGoogle Scholar
  • 67 Schneider B A, Pichora-Fuller M K. Age-related changes in temporal processing: implications for speech perception.  Semin Hear. 2001;  22 227-239
    Article in Thieme ConnectPubMedGoogle Scholar
  • 68 Schneider B A, Daneman M, Pichora-fuller M K. Listening in aging adults: from discourse comprehension to psychoacoustics.  Can J Exp Psychol. 2002;  56 139-152
    PubMedGoogle Scholar
  • 69 Strouse A, Ashmead D H, Ohde R N, Grantham D W. Temporal processing in the aging auditory system.  J Acoust Soc Am. 1998;  104 2385-2399
    CrossrefPubMedGoogle Scholar
  • 70 Walton J, Orlando M, Burkard R. Auditory brainstem response forward-masking recovery functions in older humans with normal hearing.  Hear Res. 1999;  127 86-94
    CrossrefPubMedGoogle Scholar
  • 71 Gordon-Salant S, Fitzgibbons P J. Profile of auditory temporal processing in older listeners.  J Speech Lang Hear Res. 1999;  42 300-311
    CrossrefPubMedGoogle Scholar
  • 72 Tallal P, Miller S L, Bedi G et al.. Language comprehension in language-learning impaired children improved with acoustically modified speech.  Science. 1996;  271 81-84
    CrossrefPubMedGoogle Scholar
  • 73 Habib M, Rey V, Daffaure V et al.. Phonological training in children with dyslexia using temporally modified speech: a three-step pilot investigation.  Int J Lang Commun Disord. 2002;  37 289-308
    PubMedGoogle Scholar
  • 74 Hayes E, Warrier C M, Nicol T G, Zecker S G, Kraus N. Neural plasticity following auditory training in children with learning problems.  Clin Neurophysiol. 2003;  114 673-684
    CrossrefPubMedGoogle Scholar
  • 75 Irvine D RF, Rajan R. Injury-and use-related plasticity in the primary sensory cortex of adult mammals: possible relationship to perceptual learning.  Clin Exp Pharmacol Physiol. 1996;  23 939-947
    PubMedGoogle Scholar
  • 76 Watson C S. Auditory perceptual learning and the cochlear implant.  Am J Otol. 1991;  12(suppl) 73-79
    PubMedGoogle Scholar
  • 77 Robinson K, Summerfield A Q. Adult auditory learning and training.  Ear Hear. 1996;  17(3 suppl) 51-65
    PubMedGoogle Scholar
  • 78 Purdy S C, Kelly A S, Thorne P R. Auditory evoked potentials as measures of plasticity in humans.  Audiol Neurootol. 2001;  6 211-215
    PubMedGoogle Scholar
  • 79 Palmer C V, Nelson C T, Lindley IV G A. The functionally and physiologically plastic adult auditory system.  J Acoust Soc Am. 1998;  103 1705-1721
    CrossrefPubMedGoogle Scholar
  • 80 Turner C W, Bentler R A. Does hearing aid benefit increase over time?.  J Acoust Soc Am. 1998;  104 3673-3674
    CrossrefPubMedGoogle Scholar
  • 81 Humes L E, Garner C B, Wilson D L, Barlow N N. Hearing-aid outcome measured following one month of hearing aid use by the elderly.  J Speech Lang Hear Res. 2001;  44 469-486
    CrossrefPubMedGoogle Scholar
  • 82 Carhart R. Auditory Training. New York; Holt, Rinehart and Winston 1960
    Google Scholar

Kelly L TremblayPh.D. 

Department of Speech and Hearing Sciences, 1417 NE 42nd St., University of Washington

Seattle, WA 98105

Email: tremblay@u.washington.edu

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