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Tubomanometry and Symptom Outcomes in Eustachian Tube Dysfunction Associated with Chronic Nasal Disease. 慢性鼻疾病相关咽鼓管功能障碍的咽鼓管测量和症状结局。
IF 1.7
Audiology Research Pub Date : 2026-05-10 DOI: 10.3390/audiolres16030070
Sofia Anastasiadou, Petros Karkos, Jannis Constantinidis, George Psillas
{"title":"Tubomanometry and Symptom Outcomes in Eustachian Tube Dysfunction Associated with Chronic Nasal Disease.","authors":"Sofia Anastasiadou, Petros Karkos, Jannis Constantinidis, George Psillas","doi":"10.3390/audiolres16030070","DOIUrl":"10.3390/audiolres16030070","url":null,"abstract":"<p><p><b>Background</b>: Eustachian Tube Dysfunction (ETD) presents significant diagnostic challenges, particularly in patients with chronic nasal disease, which often mimic or complicate ETD symptoms. Tubomanometry (TMM) is emerging as an objective tool for diagnosing ETD, but its application in patients with concurrent nasal pathologies remains underexplored. <b>Methods</b>: One hundred patients with concurrent ETD and chronic nasal disease were recruited. They were categorized into three groups: chronic rhinitis (35 patients, group A), nasal septal deviation (31 patients, group B) and chronic rhinosinusitis with polyps (34 patients, group C). Treatments included nasal irrigation, septoplasty, and nasal polypectomy with functional endoscopic sinus surgery, respectively. The TMM parameters (R, C2 and C2-C1 scores) were assessed before and after interventions. The patient reported outcome measures (ETDQ-7 and NOSE scores) were also recorded and statistically correlated with TMM measures. <b>Results</b>: Group A showed improvements in R, C2 and C2-C1 scores and mild post-treatment reductions in ETDQ-7 and NOSE scores. Similar improvements were observed in Group B, with significant symptom reduction post-septoplasty, particularly on the side of the nasal septal deviation. Group C demonstrated the greatest improvement, with significant improvements in TMM values and substantial reductions in both ETDQ-7 and NOSE scores. The statistical results revealed correlations between the treatment of nasal pathologies and ETDQ-7 and NOSE scores. <b>Conclusions</b>: All TMM parameters improved in each group following the nasal intervention. This study highlights the utility of TMM in evaluating ETD in the context of chronic nasal disease and suggests that treating underlying nasal conditions can significantly alleviate ETD symptoms.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study Protocol: Psychometric Testing of the German Vestibular Schwannoma Quality of Life Index-A Multicenter Study on Quality of Life and Patient-Centered Care in Vestibular Schwannoma. 研究方案:德国前庭神经鞘瘤生活质量指数的心理测量测试-一项关于前庭神经鞘瘤生活质量和以患者为中心的护理的多中心研究。
IF 1.7
Audiology Research Pub Date : 2026-05-09 DOI: 10.3390/audiolres16030068
Mareike Rutenkröger, Lasse Dührsen, Maximilian Scheer, Sandro M Krieg, Jannik Walter, Andrea Baehr, Bastian Baselt, Alexander Huber, Isabelle Scholl
{"title":"Study Protocol: Psychometric Testing of the German Vestibular Schwannoma Quality of Life Index-A Multicenter Study on Quality of Life and Patient-Centered Care in Vestibular Schwannoma.","authors":"Mareike Rutenkröger, Lasse Dührsen, Maximilian Scheer, Sandro M Krieg, Jannik Walter, Andrea Baehr, Bastian Baselt, Alexander Huber, Isabelle Scholl","doi":"10.3390/audiolres16030068","DOIUrl":"10.3390/audiolres16030068","url":null,"abstract":"<p><p>Vestibular schwannomas (VSs) are benign tumors of the vestibulocochlear nerve that often cause significant neurological and functional impairment, affecting patients' overall quality of life (QoL). While clinical assessments have traditionally focused on hearing preservation and tumor control, patients often emphasize other critical symptoms such as dizziness, pain, cognitive difficulties and satisfaction with care. Therefore, patient-centered care that addresses the full range of patient experiences is essential. Despite its importance, patient-centered care in VS remains underexplored. This study will address this gap by psychometrically validating the German version of the Vestibular Schwannoma Quality of Life (VSQOL) Index, a newly developed QoL tool that includes key patient-centered domains. The primary objective is to validate the reliability and validity of the German VSQOL Index. The secondary aim is to assess VS patients' experience of patient-centered care and its impact on their well-being. This multicenter, cross-sectional study will involve German-speaking VS patients from several clinical centers in Germany and Switzerland as well as an online cohort. Psychometric testing of the German VSQOL will include reliability assessments (e.g., Cronbach's alpha, test-retest reliability), confirmatory factor analysis and convergent validity. In parallel, the study will assess patient-centered experiences of care using the EPAT questionnaire. Ethical approval has been obtained and all participants will be asked to provide written informed consent. The results will be shared through scientific publications and conferences, as well as with patient groups, in order to support improvements in clinical care.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-Stimulus Head Position and Its Effect on Sound Localization Metrics in Children. 儿童刺激前头部位置及其对声音定位指标的影响。
IF 1.7
Audiology Research Pub Date : 2026-04-30 DOI: 10.3390/audiolres16030066
Elisabeth Zangerl, Franz Muigg, Josef Seebacher, Simone Graf, Philipp Zelger
{"title":"Pre-Stimulus Head Position and Its Effect on Sound Localization Metrics in Children.","authors":"Elisabeth Zangerl, Franz Muigg, Josef Seebacher, Simone Graf, Philipp Zelger","doi":"10.3390/audiolres16030066","DOIUrl":"10.3390/audiolres16030066","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the impact of initial head position prior to stimulus presentation on sound localization accuracy in children. The quadratic angular root mean square error (RMSE) and the linear mean-absolute-error (MAE) have been considered for this study.</p><p><strong>Material and methods: </strong>A total of 28 normal-hearing children (ages 6-10) participated in sound localization. The participants localized sounds presented from five speakers at the frontal semicircle. Head positions at stimulus onset were tracked using glasses with a built-in webcam. The localization results were analyzed with and without correcting for the offset from the frontal direction of the initial head position prior to stimulus presentation.</p><p><strong>Results: </strong>The initial head position prior to stimulus presentation significantly affected the RMSE but had no influence on the MAE. This effect was stronger in younger children. The MAE showed fewer changes in head position due to its linear nature, which reduces the effect of large errors. An analysis of the children's initial head positions revealed a tendency to deviate from the frontal direction. Therefore, the initial head position prior to stimulus presentation should be considered when calculating localization measures.</p><p><strong>Conclusions: </strong>The initial head position prior to a stimulus can distort the RMSE in directional hearing tests for children, while the MAE remains robust against such deviations.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Hearing Intervention on Cognitive Function in Patients with Presbycusis: A Systematic Review and Meta-Analysis. 听力干预对老年性耳聋患者认知功能的影响:系统回顾和荟萃分析。
IF 1.7
Audiology Research Pub Date : 2026-04-30 DOI: 10.3390/audiolres16030067
Yuxuan Li, Luofei Zhang, Jia Chen, Beibei Yang
{"title":"Effects of Hearing Intervention on Cognitive Function in Patients with Presbycusis: A Systematic Review and Meta-Analysis.","authors":"Yuxuan Li, Luofei Zhang, Jia Chen, Beibei Yang","doi":"10.3390/audiolres16030067","DOIUrl":"10.3390/audiolres16030067","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to systematically assess the impact of hearing interventions on cognitive function in older adults with presbycusis.</p><p><strong>Methods: </strong>A comprehensive search was conducted across PubMed, EMBASE, and Web of Science databases from their inception to 22 June 2025 to identify eligible randomized clinical trials or cohort studies that used designated cognitive scales or cognitive test measures. Two separate meta-analyses were conducted: one using uncontrolled pre-post comparisons and another restricted to studies that included concurrent untreated control groups.</p><p><strong>Results: </strong>A total of 22 studies were identified, comprising 9 focused on hearing aid use and 13 on cochlear implantation. Ultimately, 19 studies were included in the quantitative analysis: 7 on hearing aid use and 12 on cochlear implantation. The pooled analysis of hearing intervention across 17 studies involving 1562 patients indicated a 4% improvement in cognitive test scores post-intervention compared with pre-intervention (ratio of means: 1.04; 95% CI: 1.03-1.05; <i>p</i> < 0.001). However, in the 4 controlled studies that included an untreated comparator group (815 intervention, 7450 control participants), hearing intervention did not confer a statistically significant cognitive benefit over no intervention (SMD = 0.03; 95% CI: -0.04 to 0.09; <i>p</i> = 0.369).</p><p><strong>Conclusions: </strong>Current controlled evidence does not support the claim that hearing interventions preserve or enhance cognitive function in older adults with presbycusis.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Speech Data for Improved Audiological Evaluation in the Romani Language. 用于改进罗姆语听力学评价的语音数据。
IF 1.7
Audiology Research Pub Date : 2026-04-28 DOI: 10.3390/audiolres16030065
Eva Kiktová, Július Zimmermann
{"title":"Speech Data for Improved Audiological Evaluation in the Romani Language.","authors":"Eva Kiktová, Július Zimmermann","doi":"10.3390/audiolres16030065","DOIUrl":"10.3390/audiolres16030065","url":null,"abstract":"<p><strong>Background: </strong>This paper describes the development of speech materials in the Romani language intended for audiological and comprehension assessment of Romani-speaking children and adults living in Slovakia. The work responds to the documented lack of linguistic resources and test stimuli in Romani, which limits the accuracy of speech perception and comprehension testing.</p><p><strong>Method: </strong>The existing state of communication-assessment tests used in Slovakia was reviewed, and new Romani-language materials for audiology and comprehension testing were created. The work focused on developing word lists, matrix-based sentence tests, and comprehension sentences that were linguistically verified by native Romani speakers.</p><p><strong>Results: </strong>A set of Romani speech stimuli was developed, including a ten-word screening list, a 50-word illustrated set for pediatric audiometry, an adaptive matrix sentence test for advanced assessment, and a collection of comprehension sentences targeting various linguistic structures.</p><p><strong>Conclusions: </strong>The newly created Romani-language test materials address the absence of suitable diagnostic tools in Slovakia and provide culturally and linguistically appropriate resources for more accurate audiological and comprehension assessment.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148035996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tinnitus and Reactions to Tinnitus: A Cross-Sectional Survey Across Different Tinnitus Durations. 耳鸣和耳鸣反应:不同耳鸣持续时间的横断面调查。
IF 1.7
Audiology Research Pub Date : 2026-04-27 DOI: 10.3390/audiolres16030064
Anna Carolina Marques Perrella de Barros, Joel Isaac Berger, Richard S Tyler
{"title":"Tinnitus and Reactions to Tinnitus: A Cross-Sectional Survey Across Different Tinnitus Durations.","authors":"Anna Carolina Marques Perrella de Barros, Joel Isaac Berger, Richard S Tyler","doi":"10.3390/audiolres16030064","DOIUrl":"10.3390/audiolres16030064","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Tinnitus and reactions to the tinnitus are different dimensions that can be explored in research and in clinical settings. Notably, these dimensions can elucidate priorities and the most problematic areas for patient-centered approaches. The aim of this study is to determine how tinnitus is perceived and impacts people who have experienced tinnitus for different durations. <b>Methods:</b> People with tinnitus were invited to participate in a survey at the University of Iowa Tinnitus Website. 709 people responded and documented their perceived sound, problems experienced, and duration of tinnitus. We assessed correlations between the duration of tinnitus and the pitch rating, the loudness rating, and the Tinnitus Primary Function Questionnaire scores. Additionally, we performed a multiple linear regression analysis, considering the dependent variable 'duration of tinnitus', to explore associations between duration of tinnitus and the aforementioned factors. This was a cross-sectional study based on comparisons of responses from patients with different tinnitus durations, rather than examining the same patients longitudinally. <b>Results:</b> The analysis demonstrated that respondents with a longer duration of tinnitus reported higher loudness ratings (<i>p</i> = 0.010). However, their reactions to tinnitus (Tinnitus Primary Function Questionnaire) were associated with a decrease compared with a shorter duration of tinnitus (<i>p</i> = 0.048). There was no association between pitch rating and duration of tinnitus. <b>Conclusions:</b> Our findings indicated louder tinnitus was associated with a longer duration of tinnitus. However, in general, the functional impact of the tinnitus was associated with a decrease. Notably, there was considerable variability among individuals, suggesting that additional factors contribute to these relationships. These findings can be considered in treatment decisions and counseling strategies.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of Older Adults Seeking Hearing Aids for the First Time and Initial Fitting Parameters in Mainland China. 中国大陆老年人首次使用助听器的特征及初始拟合参数
IF 1.7
Audiology Research Pub Date : 2026-04-23 DOI: 10.3390/audiolres16030063
Lena L N Wong, Sin P Lai, Elaine Ng, Alessandro Pasta, Asterios Nastas
{"title":"Characteristics of Older Adults Seeking Hearing Aids for the First Time and Initial Fitting Parameters in Mainland China.","authors":"Lena L N Wong, Sin P Lai, Elaine Ng, Alessandro Pasta, Asterios Nastas","doi":"10.3390/audiolres16030063","DOIUrl":"10.3390/audiolres16030063","url":null,"abstract":"<p><p><b>Objectives</b>: This data-driven study aimed to explore the characteristics and initial hearing aid (HA) fitting parameters among older adults in Mainland China. <b>Methods</b>: Data were extracted from Oticon's internal database, focusing on 82,834 older adults aged 55 or above who sought HAs for the first time. <b>Results:</b> Demographic details (e.g., age and gender), hearing-related data (e.g., the severity of hearing loss), and HA parameters (i.e., laterality of fitting, HA style, earpieces, gain settings, directionality settings, and noise reduction settings) were analyzed. The mean age was 71. There were more males (54.7%) than females, and the majority (78.1%) had at least moderately severe hearing loss. Bilateral fittings were common (76.6%), with receiver-in-canal (RIC) HAs being the dominant style (80%) and open fittings prevalent (44.1%). HA gain was set to below prescribed targets, along with adaptive directionality (93.4%) and low noise reduction levels (>68%). <b>Conclusions:</b> These findings offer insights into the Chinese hearing healthcare market. Future research should incorporate data from follow-up sessions to provide a more comprehensive understanding of the landscape, such as adjustments needed after initial fitting after first-time users have spent some time adapting to the use of HAs.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13214494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Results from a Pressureless Middle Ear Diagnostic and Its Relation to the Types of Tympanometry Results. 中耳无压诊断的早期结果及其与鼓室测量结果类型的关系。
IF 1.7
Audiology Research Pub Date : 2026-04-22 DOI: 10.3390/audiolres16030062
Daniel Polterauer-Neuling, Maike Polterauer-Neuling, Peter Zoth, Carmen Molenda
{"title":"Early Results from a Pressureless Middle Ear Diagnostic and Its Relation to the Types of Tympanometry Results.","authors":"Daniel Polterauer-Neuling, Maike Polterauer-Neuling, Peter Zoth, Carmen Molenda","doi":"10.3390/audiolres16030062","DOIUrl":"10.3390/audiolres16030062","url":null,"abstract":"<p><strong>Background/objectives: </strong>In addition to the clinical gold standard, tympanometry, several alternatives for middle ear diagnostics have evolved over the past decades. With the so-called pressureless acoustic impedance test, the Neuranix Medwave, another device, came into play.</p><p><strong>Methods: </strong>Using a retrospective, anonymous study design, descriptive data were reported, and the correlation between Medwave's results and tympanometry types was evaluated. Also, the correlation between the patients' age and the Medwave resulting parameters was evaluated. We were able to show changes in the measurement results over time in the case of paracentesis and tube insertion.</p><p><strong>Results: </strong>The analyzed data show that it is possible to differentiate between tympanometry result type A and type B using the Medwave resulting parameter resonance frequency (\"fR\"), but not when using peak admittance (\"P\"). Between all other types, it was not possible to differentiate using the Medwave resulting parameters, nor fR nor P. Due to the low statistical power, this may be due to a type II error. Regarding age, a correlation was found only for the tympanometry result type A. The case over time showed a clear difference in the affected ear between the time before and after the ear surgeries, as well as the contralateral healthy ear.</p><p><strong>Conclusions: </strong>While this study indicates the potential use of the PLAI technology, especially as a tool in situations where traditional tympanometry is not feasible, the results need to be interpreted with caution. Further validation with larger and more balanced groups of participants is necessary to confirm these initial findings and to more clearly define the clinical utility of this technology.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Age-Related Hearing Loss a Modifiable Risk Factor for Cognitive Decline? Mechanisms, Evidence, and Future Directions. 年龄相关性听力损失是认知能力下降的可改变危险因素吗?机制、证据和未来方向。
IF 1.7
Audiology Research Pub Date : 2026-04-21 DOI: 10.3390/audiolres16020061
Giovanni Motta, Giuseppe Tortoriello, Domenico Testa
{"title":"Is Age-Related Hearing Loss a Modifiable Risk Factor for Cognitive Decline? Mechanisms, Evidence, and Future Directions.","authors":"Giovanni Motta, Giuseppe Tortoriello, Domenico Testa","doi":"10.3390/audiolres16020061","DOIUrl":"10.3390/audiolres16020061","url":null,"abstract":"<p><p><b>Background</b>: Age-related hearing loss (ARHL) is the most common sensory disorder in older adults and has been identified as a potentially modifiable risk factor for cognitive decline and dementia. Increasing evidence suggests that auditory dysfunction may contribute to adverse cognitive trajectories through multiple interacting pathways. This narrative review examines the mechanisms underlying the association between ARHL and cognitive decline, evaluates the impact of hearing rehabilitation, and discusses future research priorities. <b>Methods</b>: A narrative synthesis of epidemiological, neurobiological, and interventional studies was conducted, with emphasis on longitudinal cohort studies, neuroimaging research, and clinical investigations of hearing aids (HAs) and cochlear implants (CIs). <b>Results</b>: ARHL is consistently associated with accelerated cognitive decline and increased dementia risk. Proposed mechanisms include sensory deprivation-related cortical reorganization, increased cognitive load during effortful listening, shared neuropathological processes, and social disengagement. Neuroimaging studies demonstrate structural and functional alterations in auditory and associative brain regions in individuals with hearing loss. Emerging evidence suggests that HA and CI may improve cognitive performance and potentially attenuate decline, although long-term randomized data remain limited. <b>Conclusions</b>: Current evidence supports ARHL as a clinically relevant and potentially modifiable contributor to cognitive decline. Clarifying causal pathways and optimizing early hearing rehabilitation strategies represent key priorities for future dementia prevention research.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13113544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Stimulus Complexity on the Phonemic Restoration Effect. 刺激复杂性对音位恢复效应的影响。
IF 1.7
Audiology Research Pub Date : 2026-04-15 DOI: 10.3390/audiolres16020060
Nirmal Srinivasan, Sadie O'Neill, Chhayakanta Patro
{"title":"Effects of Stimulus Complexity on the Phonemic Restoration Effect.","authors":"Nirmal Srinivasan, Sadie O'Neill, Chhayakanta Patro","doi":"10.3390/audiolres16020060","DOIUrl":"10.3390/audiolres16020060","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Phonemic restoration refers to improved speech understanding when periodic silent interruptions are replaced by a plausible masking sound, reflecting an interaction between perceptual continuity and top-down linguistic inference. This study tested whether the magnitude and rate dependence of phonemic restoration vary systematically with stimulus complexity, operationalized using speech materials that differ in response constraints and linguistic variability. <b>Methods:</b> Young adults with normal audiometric thresholds completed an interrupted-speech identification task using five corpora spanning closed-set and open-set speech corpora. Stimuli were periodically interrupted at 2 Hz and 3 Hz with a 50% duty cycle. For each corpus and rate, interruption intervals were either left silent or filled with speech-shaped noise. <b>Results:</b> Closed-set materials yielded higher intelligibility than open-set materials across conditions. Replacing silent gaps with speech-shaped noise improved intelligibility for all corpora. Importantly, the joint influence of interruption rate and gap-filler depended on the stimulus type: rate-by-filler interactions were most evident for the open-set corpora as compared to the closed-set corpora. Keyword identification varied systematically with word position for the open-set materials, indicating nonuniform vulnerability across sentence structures. <b>Conclusions:</b> These results indicate that phonemic restoration is robust but material-dependent. Stimulus complexity shapes how temporal sampling and masking plausibility combine to support perceptual repair, and open-set, high-variability materials are particularly sensitive to these interactions.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13113333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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