Journal of the American Academy of Audiology最新文献

{"title":"Is the Otolithic Function Affected in Patients with Obstructive Sleep Apnea Syndrome?","authors":"Merve Ozses, Serpil Mungan Durankaya, Enis A Guneri, İbrahim Öztura, Mustafa C Ecevit, Hülya Ellidokuz, Günay Kirkim","doi":"10.1055/s-0044-1791216","DOIUrl":"10.1055/s-0044-1791216","url":null,"abstract":"<p><strong>Background: </strong> While cardiovascular and neurological diseases induced by obstructive sleep apnea syndrome (OSAS) hypoxia are well established, the association between neuro-otological diseases and OSAS is not entirely understood. Vestibular and audiological tests have been used to evaluate the degeneration of neurons in the brainstem caused by recurrent hypoxia.</p><p><strong>Purpose: </strong> Evaluation of the vestibular-evoked myogenic potential (VEMP) test findings applied to detect the possible influence on the vestibular reflex arc due to hypoxia in patients diagnosed with OSAS using Activity-Specific Balance Confidence (ABC) and Berg Balance Scale (BBS) scales determination of scores.</p><p><strong>Research design: </strong> This was a cross-sectional study.</p><p><strong>Study sample: </strong> Participants aged 18 to 60 who underwent polysomnography due to snoring/sleep apnea were divided into an OSAS, and a control group of subjects were also included. Each group consisted of 20 participants.</p><p><strong>Data collection and analysis: </strong> All participants were evaluated with cervical VEMP (cVEMP) and ocular VEMP (oVEMP) tests. The groups were compared regarding variables such as the rate of oVEMP and cVEMP waves obtained, the interval between the waves, and the latency and amplitude. Also, BBS and ABC scales were applied to all participants.</p><p><strong>Results: </strong> The cVEMP (50%) and oVEMP (45%) response rates and amplitudes were significantly lower in the OSAS group. No significant difference was found between the groups when comparing other VEMP parameters. However, a statistically significant decrease was observed in the ABC and BBS scores in the OSAS group.</p><p><strong>Conclusion: </strong> The identification of VEMP alterations in the OSAS group is a clear indication that the vestibular reflex pathways may be adversely affected by hypoxia. Personal rehabilitation programs can be created by evaluating activities of daily living with the ABC and static and dynamic balances with BBS in patients with OSAS.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"234-240"},"PeriodicalIF":1.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>JAAA</i> CEU Program.","authors":"","doi":"10.1055/s-0044-1801838","DOIUrl":"https://doi.org/10.1055/s-0044-1801838","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"35 7","pages":"214-216"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrode Montage for Bilateral Cervical Vestibular-Evoked Myogenic Potential Testing.","authors":"Jessie N Patterson, Nour El Hidek, Kristen L Janky","doi":"10.1055/a-2250-3096","DOIUrl":"10.1055/a-2250-3096","url":null,"abstract":"<p><strong>Background: </strong> Cervical vestibular-evoked myogenic potentials (cVEMPs) are predominantly ipsilateral, myogenic responses originating from saccular activation. Some individuals have contralateral-crossed cVEMP responses with monaural air-conducted stimulation (ACS) which can contaminate cVEMP responses with bilateral stimulation. While the origin of the contralateral-crossed response is under debate, its presence has implications for cVEMP testing with midline bone conduction vibration (BCV).</p><p><strong>Purpose: </strong> The purpose of this study was to determine the origin of the contralateral-crossed cVEMP response. It was hypothesized that the crossed response is due to electrode contamination and would disappear with a modified electrode montage.</p><p><strong>Research design: </strong> This is a cross-sectional research study.</p><p><strong>Study sample: </strong> Fifteen healthy participants (30 ears; mean age: 27.4 19-39; 10 females).</p><p><strong>Data collection and analysis: </strong> Participants completed cVEMP testing using three stimulation methods (monoaural ACS, binaural ACS, and midline BCV) and two electrode montages (sternum reference and Fp reference).</p><p><strong>Results: </strong> In the monoaural ACS with sternum reference condition, 53.3% ears had contralateral-crossed cVEMP responses that were in-phase with the ipsilateral response for all but three ears. Whereas in the monoaural ACS with Fp reference condition, 3% had a contralateral-crossed cVEMP response. ACS and BCV cVEMP corrected amplitudes were significantly larger in the sternum reference conditions, which is attributed to artificial enhancement from the in-phase contralateral-crossed responses.</p><p><strong>Conclusions: </strong> The significant reduction of contralateral-crossed responses in the Fp reference condition suggests that the contralateral-crossed cVEMP response is due to reference electrode contamination and may be a more appropriate reference placement when completing cVEMPs with midline BCV.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"165-171"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139502716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported Hearing Quality of Life for Adolescent Cochlear Implant Recipients: A Longitudinal Study.","authors":"Lisa S Davidson, Ann E Geers, Rosalie M Uchanski, Kathryn Siu","doi":"10.1055/s-0044-1791212","DOIUrl":"10.1055/s-0044-1791212","url":null,"abstract":"<p><strong>Background: </strong> Clinicians are increasingly interested in self-reported hearing-specific quality of life (HQoL) for cochlear implant (CI) recipients, including pediatric CI recipients.</p><p><strong>Purpose: </strong> (1) To compare HQoL of adolescent CI recipients to those of peers with typical hearing (TH); (2) to examine, longitudinally, HQoL for a set of CI recipients; and (3) to determine the effects of child, demographic, audiological, speech perception, and language variables on adolescent HQoL.</p><p><strong>Research design: </strong> Hearing Environments and Reflections on Quality of Life (HEARQL) questionnaires were completed by children with CIs at elementary (HEARQL-26) and adolescent (HEARQL-28) ages.</p><p><strong>Study sample: </strong> Eighty CI recipients and 21 children with TH.</p><p><strong>Data collection and analysis: </strong> HEARQL-28 scores for the CI and TH groups were compared using nonparametric tests. Regression models were used to examine longitudinal results and to explore predictor variables for adolescent CI participants' HEARQL-28 scores.</p><p><strong>Results: </strong> HEARQL-28 scores for CI participants were lower than those of peers with TH. For both CI and TH adolescents, the HEARQL subscale with the lowest score is \"Hearing Situations.\" CI participants' HEARQL scores at elementary age were not significantly correlated with scores at adolescence. Over 70% of unexplained variance remains even after inclusion of variables with established contributions to traditional CI benefit.</p><p><strong>Conclusions: </strong> Self-reported HEARQL scores are largely unexplained for pediatric CI recipients; multidisciplinary explorations of other sources of variance, such as social, emotional, and psychosocial factors, should be pursued.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"178-184"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Accuracy of Wideband Absorbance under Various Pressure Conditions in Identifying Infants with a Conductive Hearing Loss.","authors":"Sreedevi Aithal, Venkatesh Aithal, Joseph Kei, Matthew Wilson","doi":"10.1055/s-0044-1791213","DOIUrl":"10.1055/s-0044-1791213","url":null,"abstract":"<p><strong>Objective: </strong> The objectives of the study were to (i) evaluate the effectiveness of wideband absorbance (WBA) at ambient pressure (WBA_amb), tympanic peak pressure (WBA_TPP), and 0 daPa (WBA₀) to identify conductive hearing loss (CHL) in infants and (ii) compare the sensitivity and specificity of the three WBA tests with that of high-frequency tympanometry (HFT) and transient-evoked otoacoustic emissions (TEOAE).</p><p><strong>Method: </strong> A total of 31 ears with hearing thresholds no greater than 20 dB HL (reference group from 20 infants [mean age: 3.1 weeks]) and 47 ears with CHL from 31 infants (mean age: 3.4 weeks) were included in the study. Hearing threshold was determined using air-conduction tone-burst auditory brainstem response (TB-ABR) test, whereas CHL was determined using both air- and bone-conduction TB-ABR tests. HFT with a 1000-Hz probe tone, TEOAE, and WBA tests were conducted on all participants.</p><p><strong>Results: </strong> WBA_amb, WBA_TPP, and WBA₀ of the CHL group were significantly lower than that of the reference group across a wide frequency range. Area under the receiver operating characteristic (AROC) curve for detecting CHL varied from 0.51 to 0.9 depending on the frequency. The highest AROC was obtained at 1.25 kHz for WBA_amb (0.79), at 1.5 kHz for WBA_TPP (0.9) and at 1 kHz for WBA₀ (0.80). The sensitivity and specificity were 0.98 and 0.45, respectively for HFT, and 1.0 and 0.6, respectively for TEOAE. In comparison, the WBA test had slightly lower sensitivity but higher specificity than the HFT and TEOAE tests.</p><p><strong>Conclusion: </strong> WBA_TPP at 1.5 kHz can identify CHL in infants as good as, if not more accurately than, WBA_amb or WBA_0. WBA_TPP test had good balance of high sensitivity and specificity compared with HFT and TEOAE. The three WBA tests are useful tools for identifying CHL in infants under 6 weeks of age.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"193-203"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Adaptive and Nonadaptive Gap Detection in Noise Test in Typically Developing Children and Adults.","authors":"Sangamanatha Ankmnal Veeranna, Lyerly Christensen, Jennifer Candace-Ann Chapman","doi":"10.1055/s-0044-1791211","DOIUrl":"10.1055/s-0044-1791211","url":null,"abstract":"<p><strong>Purpose: </strong> The purpose of this study is to examine whether the gap detection thresholds (GDT) obtained are similar between an adaptive and nonadaptive procedure in children and adults.</p><p><strong>Study design: </strong> Standard group comparison.</p><p><strong>Study sample: </strong> Eighteen typically developing children and 20 young adults with hearing thresholds of 25 dB HL or lower participated in this study.</p><p><strong>Methods: </strong> Forced choice (FC) adaptive GDTs were obtained using psychoacoustic software, and nonadaptive GDTs were obtained using a clinically available gap in noise (GIN) test.</p><p><strong>Results: </strong> Both children and adults showed significantly lower GDTs for the FC adaptive procedure when compared with thresholds obtained using the nonadaptive GIN test. GDTs were less variable for FC adaptive procedure when compared with the nonadaptive procedure.</p><p><strong>Conclusion: </strong> Lower and less variable GDTs can be obtained from children and adults using an FC adaptive procedure.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"172-177"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Remote Hearing Aid Adjustment Technology on the Current Practice of Tele-Audiology among Audiologists in Malaysia.","authors":"T Kar Quar, Y Feng Lim, Mohd F N Rashid, S Ying Chu, F Yen Chong","doi":"10.1055/s-0044-1791214","DOIUrl":"10.1055/s-0044-1791214","url":null,"abstract":"<p><strong>Objective: </strong> Many hearing aid manufacturers have developed application programs that allow audiologists to fine-tune or adjust their patients' hearing aids remotely. This study aims to explore audiologists' experiences in using the remote hearing aid adjustment in Malaysia.</p><p><strong>Method: </strong> This is a qualitative research design where focus group discussions among audiologists were held. The interview data were analyzed using reflexive thematic analysis to identify patterns and reconstruct meaning.</p><p><strong>Study sample: </strong> Ten audiologists with at least 1 year of work experience in providing remote hearing aid adjustment services to adult patients were recruited.</p><p><strong>Results: </strong> Even though there has been an increased utilization of remote fine-tuning among audiologists in Malaysia due to the coronavirus disease 2019 pandemic, its use among audiologists remains limited at present. Five thematic areas were identified: \"Adoption of Practice,\" \"Challenges and Limitations,\" \"Benefits and Opportunities,\" \"Satisfaction,\" and \"Recommendations for Improvement.\" The TedAP challenges (T-technical challenges: e-ease of use, d-digital competency; A-abuse of system, and P-physical examinations) have been identified under the \"Challenges and Limitations\" theme. Suggestions for improvement include integrating the applications and video calls on a common platform, assigning a \"standby\" trained audiologist, and incorporating remote fine-tuning into audiology education.</p><p><strong>Conclusion: </strong> Challenges and limitations associated with the provision of tele-audiology have been documented based on the views and experiences of audiologists in Malaysia. Despite the barriers, audiologists acknowledged the benefits associated with remote systems and recommendations were provided to improve the services. The results of this study could contribute to the increase in the use of tele-audiology in Malaysia. This would be instrumental in developing further the audiology profession in terms of the adoption of tele-audiology and telehealth in Malaysia.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"204-213"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JAAA CEU Program.","authors":"","doi":"10.1055/s-0044-1801838","DOIUrl":"https://doi.org/10.1055/s-0044-1801838","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"35 7-08","pages":"214-216"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evaluation of Language Development and Working Memory in Children with Hearing Loss.","authors":"Perihan Dumanlar, Pelin Pistav Akmese, Gulce Kirazli, Tayfun Kirazli","doi":"10.1055/s-0044-1790279","DOIUrl":"10.1055/s-0044-1790279","url":null,"abstract":"<p><strong>Background: </strong> Children with hearing loss (HL) have difficulty in performing the complex functions of language, especially in noisy environments. Cognitive processes such as working memory and short-term memory are effective on individual differences in language skills in children with HL.</p><p><strong>Purpose: </strong> The present study aimed to evaluate the vocabulary and syntax skills in language development areas and working memory of children with HL and to compare these results with those of their peers with normal hearing (NH).</p><p><strong>Research design: </strong> In this study, a causal-comparative research model was used to measure vocabulary and syntax skills, which are among the working memory and language development skills of children with NH and those with HL.</p><p><strong>Study sample: </strong> A total of 88 children, 44 children with HL aged 60 to 107 (months) and age- and gender-matched 44 children with NH, were included in the study.</p><p><strong>Intervention: </strong> Evaluation was made in two sessions of 20 minutes for each participant.</p><p><strong>Data collection and analysis: </strong> The language development and working memory of 44 children with HL and 44 children with NH were evaluated and the two groups were compared with each other. The Working Memory Scale (WMS) was used to evaluate the working memory of the participants and three subtests (vocabulary, sentence repetition, and sentence comprehension) of the Test of Language Development-Primary Fourth Edition: Turkish Version (TOLD-P:4) were used to evaluate language development. SPSS 23.0 program was used in the analysis of the data.</p><p><strong>Results: </strong> Children with HL obtained lower scores than their peers with NH in all three TOLD-P subtests. Children with HL obtained significantly lower scores in WMS verbal memory and general WMS scores compared with NH children. A positive correlation was found between WMS Verbal Memory Scores and TOLD-P sentence comprehension and sentence repetition scores. WMS Visual Memory Scores predicted the group with HL and all TOLD-P scores and Verbal Memory Scores predicted the group with NH.</p><p><strong>Conclusion: </strong> Working memory skills are the predictor of language comprehension, reasoning, learning, literacy skills, and language development. Thus, including working memory skills as well as language skills in the education programs of children with HL contributes to the children's development.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":" ","pages":"105-114"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JAAA CEU Program.","authors":"","doi":"10.1055/s-0044-1801786","DOIUrl":"10.1055/s-0044-1801786","url":null,"abstract":"","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":"35 5-06","pages":"161-164"},"PeriodicalIF":1.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}