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1.
J Am Acad Audiol ; 2024 Apr 03.
Article in English | MEDLINE | ID: mdl-38569513

ABSTRACT

PURPOSE: Mismatch negativity (MMN) reflects a pre-perceptual neurophysiological response that is generated subconsciously due to the interruption of a memory trace of ongoing sensory events in the environment. It has been widely used by researchers to understand complex perceptual mechanisms. Furthermore, it has been recommended as an objective tool to investigate disorders related to auditory cognition in hearing aid and cochlear implant users. Many researchers suggest that utilizing a larger acoustic difference between standard and deviant stimuli within the oddball paradigm will lead to a more robust MMN response. The purpose of the present study is to examine if increasing the abstract phonemic contrast between standard and deviant stimuli in the oddball paradigm leads to a more robust MMN response. METHODS: Fourteen young female adults participated in the present study. To ensure that the MMN response was elicited by phonemic and not acoustic differences in the stimuli, a one-to-many ratio was created for the abstract phonemic features while controlling the acoustic features when designing the oddball paradigm as described by Phillips et al. (2000). MMN amplitude was measured at the Cz and Fz electrodes in 2 conditions, with 2 trials in each condition. In condition 1, the standards and deviants differed by one distinctive feature: voicing in trial 1 (/tӕ/ was standard and /dӕ/ was deviant), and place of articulation in trial 2 (/bӕ/ was standard and /dӕ/ was deviant). In condition 2, the standards and deviants differed across two distinctive features: voicing and place of articulation. In trial 1, /pӕ/ was standard and /dӕ/ was deviant; in trial 2, /dӕ/ was standard and /pӕ/ was deviant. RESULTS: MMN amplitudes elicited by two distinctive features were significantly larger than MMN amplitudes elicited by one distinctive feature (p<0.001). Trials 1 and 2 in each condition showed no statistical difference, and they were repeatable and highly correlated. Recordings from the Cz and Fz electrodes showed no statistical difference and were highly correlated and similar in morphology. CONCLUSIONS: It is known in the literature that increasing acoustic complexity elicits a more robust MMN. The present study showed that this assumption can be extended to abstract phonemic complexity. Increasing the phonemic complexity by utilizing more distinctive features in the oddball paradigm increased the amplitude and robustness of the MMN.

2.
J Am Acad Audiol ; 32(6): 366-373, 2021 06.
Article in English | MEDLINE | ID: mdl-34731904

ABSTRACT

BACKGROUND: Understanding the functional differences between crossed and uncrossed medial olivocochlear (MOC) neurons has been of interest to researchers for decades. Previous reports revealed conflicting results about which MOC pathway, crossed or uncrossed, is stronger in humans. Both crossed and uncrossed MOC neurons synapse at the base of the outer hair cells (OHCs) in each ear. OHCs generate the cochlear microphonic, which is a major contributor to the cochlear response (CR) PURPOSE: The current study investigated the effects of eliciting the crossed and uncrossed MOC reflex (MOCR) on CR in humans with three levels of noise. RESEARCH DESIGN: Normal-hearing, young adults (n = 16) participated in this study. The CR was recorded using 500 Hz tone-burst stimuli presented at 80 dB nHL. To examine the crossed and uncrossed MOCR, CR was recorded without and with continuous ipsilateral or contralateral broadband noise (BBN) at three levels (40, 50, and 60 dB SPL). DATA ANALYSIS: Analysis of the CR was completed using the amplitude of the response extracted using fast Fourier transform. Statistical analysis was completed using repeated measures analysis of variance and post-hoc analysis. RESULTS: Compared with baseline, the presentation of BBN, specifically contralaterally, resulted in CR enhancement with no significant difference as a function of the three BBN levels. Greater enhancement of the CR amplitude was observed with contralateral than ipsilateral BBN elicitor. CONCLUSIONS: The current findings suggest that a contralateral elicitor of the uncrossed MOC pathway results in a larger CR amplitude enhancement compared with an ipsilateral elicitor of the crossed MOC pathway, regardless of the elicitor level. Eliciting the MOCR appears to modulate the OHCs function. Furthermore, assessing the MOCR with the 500 Hz CR with BBN elicitors at moderate levels should separate its effects (i.e., increase response amplitude) from those associated with the middle ear muscle reflex (i.e., reduce response amplitude).


Subject(s)
Cochlea , Reflex , Acoustic Stimulation , Hearing Tests , Humans , Noise
3.
J Am Acad Audiol ; 32(3): 137-143, 2021 03.
Article in English | MEDLINE | ID: mdl-34062604

ABSTRACT

BACKGROUND: The acceptable noise level (ANL) is a measurement used to quantify how much noise a person is willing to accept while listening to speech. ANL has been used to predict success with hearing aid use. However, physiological correlates of the ANL are poorly understood. One potential physiological correlate is the medial olivocochlear reflex (MOCR), which decreases the output of the cochlea and is thereby expected to increase noise tolerance. PURPOSE: This study investigates the relationship between contralateral activation of the MOCR and tolerance of background noise. RESEARCH DESIGN: This study recruited 22 young adult participants with normal hearing. ANL was measured using the Arizona Travelogue recording under headphones presented at the most comfortable level (MCL) with and without multitalker babble noise. The MOCR strength was evaluated in all participants by measuring the cochlear microphonic (CM) with and without 40 dB sound pressure level contralateral broadband noise (CBBN). DATA ANALYSIS: The CM observed in response to a 500-Hz tone was measured with and without CBBN, and changes in response to fast Fourier transform amplitude at 500 Hz were used as an indicator of the MOCR effect. The ANL was calculated by subtracting the maximum acceptable background noise level from the MCL. Participants were divided into two groups based on their ANL: low-ANL (ANL < 7 dB) and moderate-ANL (ANL ≥ 7 dB). An independent samples t-test was used to compare CM enhancement between low-ANL and moderate-ANL groups. Additionally, Pearson's correlation was used to investigate the relationship between the ANL and the MOCR effect on the CM. RESULTS: The results indicated that presentation of CBBN increased the CM amplitude, consistent with eliciting the MOCR. Participants in the low-ANL group had significantly larger CM enhancement than moderate-ANL participants. The results further revealed a significant correlation between the ANL and the MOCR effect on the CM. CONCLUSION: This study suggests that a stronger MOCR, as assessed using CM enhancement, is associated with greater noise tolerance. This research provides a possible objective measure to predict background tolerance in patients and adds to our understanding about the MOCR function in humans.


Subject(s)
Hearing Aids , Noise , Auditory Perception , Humans , Reflex , Speech , Young Adult
4.
Hear Res ; 389: 107925, 2020 04.
Article in English | MEDLINE | ID: mdl-32088636

ABSTRACT

The role of the medial olivocochlear (MOC) reflex has been investigated by assessing changes of cochlear responses (CR) in humans. The CR consists of pre-neural and neural potentials originating from the inner ear, and at high signal levels is dominated by cochlear microphonic (CM). The CM originates from the outer hair cells, where the MOC fibers synapse, and there is little research about using it to investigate the MOC reflex in humans. The current study aimed to investigate the effect of contralateral activation of the MOC reflex on the CR in humans. The CR was recorded in female adults (n = 16) to 500 and 2000 Hz tone burst stimuli presented at 80 dB nHL with and without contralateral broadband noise (CBBN) at 40 dB SPL. Two different methods were utilized to quantify and analyze the CR data: peak amplitude and power spectrum. Results revealed enhancement of the CR amplitude with activation of the MOC reflex. Furthermore, on average, enhancement in the CR amplitude was observed to 500 Hz, but not 2000 Hz stimulus. The CR power spectrum findings revealed similar findings to the peak amplitude. These findings indicate the MOC effect is measurable when using a low frequency stimulus, but not high frequency. Moreover, the CR could be used as a potential tool to study the MOC reflex in humans.


Subject(s)
Cochlea/physiology , Olivary Nucleus/physiology , Reflex , Acoustic Stimulation , Adult , Audiometry, Evoked Response , Auditory Pathways/physiology , Evoked Potentials, Auditory , Female , Humans , Otoacoustic Emissions, Spontaneous , Reaction Time , Time Factors , Young Adult
5.
Ear Hear ; 38(2): 244-254, 2017.
Article in English | MEDLINE | ID: mdl-27861251

ABSTRACT

OBJECTIVES: Using the continuous loop averaging deconvolution (CLAD) technique for conventional electrocochleography (ECochG) and auditory brainstem response (ABR) recordings, the effects of testing at high stimulus rates may have the potential to diagnose disorders of the inner ear and auditory nerve. First, a body of normative data using the CLAD technique must be established. DESIGN: Extratympanic click ECochG and ABR to seven stimulus rates using CLAD were measured simultaneously from a tympanic membrane electrode and surface electrodes on the forehead and mastoid of 42 healthy individuals. RESULTS: Results showed that the compound action potential (AP) of the ECochG and waves I, III, and V of the ABR decreased in amplitude and increased in latency as stimulus rate was increased from standard 7.1 clicks/s up to 507.81 clicks/s, with sharp reduction in AP amplitude at 97.66 clicks/s and reaching asymptote at 292.97 clicks/s. The summating potential (SP) of the ECochG, however, stayed relatively stable, resulting in increased SP/AP ratios with increasing rate. The SP/AP amplitude ratio showed more stability than AP amplitude findings, thus it is recommended for use in evaluation of cochlear and neural response. CONCLUSIONS: Results of both amplitude and latency data from this normative neural adaptation function of the auditory pathway serves as guide for improving diagnostic utility of both ECochG and ABR using CLAD as a reliable technique in distinguishing inner ear and auditory nerve disorders.


Subject(s)
Acoustic Stimulation/methods , Action Potentials/physiology , Audiometry, Evoked Response , Cochlear Nerve/physiology , Ear, Inner/physiology , Evoked Potentials, Auditory, Brain Stem/physiology , Hearing/physiology , Acoustic Impedance Tests , Adolescent , Adult , Audiometry, Pure-Tone , Female , Healthy Volunteers , Humans , Male , Middle Aged , Reference Values , Young Adult
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