Children With Bilateral Cochlear Implants Show Emerging Spatial Hearing of Stationary and Moving Sound.

IF 3 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Trends in Hearing Pub Date : 2025-01-01 Epub Date: 2025-07-04 DOI:10.1177/23312165251356333
Robel Z Alemu, Alan Blakeman, Angela L Fung, Melissa Hazen, Jaina Negandhi, Blake C Papsin, Sharon L Cushing, Karen A Gordon
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Abstract

Spatial hearing in children with bilateral cochlear implants (BCIs) was assessed by: (a) comparing localization of stationary and moving sound, (b) investigating the relationship between sound localization and sensitivity to interaural level and timing differences (ILDs/ITDs), (c) evaluating effects of aural preference on sound localization, and (d) exploring head and eye (gaze) movements during sound localization. Children with BCIs (n = 42, MAge = 12.3 years) with limited duration of auditory deprivation and peers with typical hearing (controls; n = 37, MAge = 12.9 years) localized stationary and moving sound with unrestricted head and eye movements. Sensitivity to binaural cues was measured by a lateralization task to ILDs and ITDs. Spatial separation effects were measured by spondee-word recognition thresholds (SNR thresholds) when noise was presented in front (colocated/0°) or with 90° of left/right separation. BCI users had good speech reception thresholds (SRTs) in quiet but higher SRTs in noise than controls. Spatial separation of noise from speech revealed a greater advantage for the right ear across groups. BCI users showed increased errors localizing stationary sound and detecting moving sound direction compared to controls. Decreased ITD sensitivity occurred with poorer localization of stationary sound in BCI users. Gaze movements in BCI users were more random than controls for stationary and moving sounds. BCIs support symmetric hearing in children with limited duration of auditory deprivation and promote spatial hearing which is albeit impaired. Spatial hearing was thus considered to be "emerging." Remaining challenges may reflect disruptions in ITD sensitivity and ineffective gaze movements.

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植入双侧人工耳蜗的儿童表现出对静止和运动声音的空间听力。
对双侧人工耳蜗(bci)儿童的空间听力进行评估:(a)比较静止和运动声音的定位,(b)研究声音定位与耳间水平和时间差异(ILDs/ITDs)敏感性之间的关系,(c)评估听觉偏好对声音定位的影响,以及(d)探索声音定位过程中头部和眼睛(凝视)的运动。持续时间有限的脑机接口儿童(n = 42,年龄= 12.3岁)和听力正常的同龄人(对照组;n = 37, MAge = 12.9岁)定位静止和移动的声音,头部和眼睛的运动不受限制。对双耳线索的敏感性是通过对ILDs和ITDs的侧化任务来测量的。当噪声出现在前方(并置/0°)或左右间隔为90°时,采用自发词识别阈值(SNR阈值)测量空间分离效果。脑机接口使用者在安静环境下的语音接收阈值(srt)较好,但在噪声环境下的srt高于对照组。声音与言语的空间分离显示右耳在各组中具有更大的优势。与对照组相比,脑机接口使用者在定位静止声音和检测移动声音方向方面的错误增加。在脑机接口使用者中,固定音定位较差会导致ITD敏感性下降。脑机接口用户的凝视运动比静止和移动声音的控制组更具随机性。脑机接口支持有限时间听觉剥夺儿童的对称听力,并促进空间听力受损。因此,空间听觉被认为是“新兴的”。其余的挑战可能反映了过渡段敏感性的中断和无效的凝视运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Trends in Hearing
Trends in Hearing AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGYOTORH-OTORHINOLARYNGOLOGY
CiteScore
4.50
自引率
11.10%
发文量
44
审稿时长
12 weeks
期刊介绍: Trends in Hearing is an open access journal completely dedicated to publishing original research and reviews focusing on human hearing, hearing loss, hearing aids, auditory implants, and aural rehabilitation. Under its former name, Trends in Amplification, the journal established itself as a forum for concise explorations of all areas of translational hearing research by leaders in the field. Trends in Hearing has now expanded its focus to include original research articles, with the goal of becoming the premier venue for research related to human hearing and hearing loss.
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