Fawen Zhang, Kelli McGuire, Madeline Skeeters, Matthew Barbara, Pamara F Chang, Nanhua Zhang, Jing Xiang, Bin Huang
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As controls for cognitive function, young normal-hearing (YNH, mean age=23.83 years) and older normal-hearing (ONH, mean age=52.67 years) listener groups were subjected to Brain-Check testing.</p><p><strong>Results: </strong>CI users exhibited poorer cognitive function than the normal hearing groups in all tasks except for immediate and delayed recognition. The highest percentage of CI users who had \"possible\" and \"likely\" cognitive impairment, based on BrainCheck scores (ranging from 0-200), was observed in tests assessing executive function. The composite cognitive score across domains tended to be related to subjective hearing (p=0.07).</p><p><strong>Conclusions: </strong>The findings of the current study suggest that CI users had a higher likelihood of cognitive impairment in the executive function domain than in lower-level domains. 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引用次数: 0
摘要
背景和目标： ：人工耳蜗（CI）是用于治疗重度至永久性听力损失的有效修复设备。本研究通过使用基于网络的认知测试平台（即 BrainCheck）对 CI 用户的认知功能进行了检测，并探讨了认知功能与听力主观评价之间的相关性：42 名 CI 用户（平均年龄：58.90 岁）接受了听力主观评价调查，其中 20/42 参与了 BrainCheck 认知测试（即时识别、轨迹制作 A、轨迹制作 B、Stroop、数字符号替换和延迟识别）。作为认知功能的对照组，听力正常的年轻人（YNH，平均年龄=23.83 岁）和听力正常的老年人（ONH，平均年龄=52.67 岁）也接受了脑检查测试：除即时识别和延迟识别外，CI 使用者在所有任务中的认知功能都比正常听力组差。根据 BrainCheck 分数（0-200 分不等），在评估执行功能的测试中，"可能 "和 "可能 "存在认知障碍的 CI 使用者比例最高。各领域的认知综合得分往往与主观听力有关（P=0.07）：目前的研究结果表明，与较低水平的领域相比，CI 使用者在执行功能领域出现认知障碍的可能性更高。BrianCheck在线认知测试为人工耳蜗使用者自我评估认知功能提供了一个方便有效的工具。
Cognitive Functions and Subjective Hearing in Cochlear Implant Users.
Background and objectives: A cochlear implant (CI) is an effective prosthetic device used to treat severe-to-profound hearing loss. The present study examined cognitive function in CI users by employing a web-based cognitive testing platform, i.e., BrainCheck, and explored the correlation between cognitive function and subjective evaluation of hearing.
Subjects and methods: Forty-two CI users (mean age: 58.90 years) were surveyed in the subjective evaluation of hearing, and 20/42 participated in the BrainCheck cognitive tests (immediate recognition, Trail Making A, Trail Making B, Stroop, digit symbol substitution, and delayed recognition). As controls for cognitive function, young normal-hearing (YNH, mean age=23.83 years) and older normal-hearing (ONH, mean age=52.67 years) listener groups were subjected to Brain-Check testing.
Results: CI users exhibited poorer cognitive function than the normal hearing groups in all tasks except for immediate and delayed recognition. The highest percentage of CI users who had "possible" and "likely" cognitive impairment, based on BrainCheck scores (ranging from 0-200), was observed in tests assessing executive function. The composite cognitive score across domains tended to be related to subjective hearing (p=0.07).
Conclusions: The findings of the current study suggest that CI users had a higher likelihood of cognitive impairment in the executive function domain than in lower-level domains. BrianCheck online cognitive testing affords a convenient and effective tool to self-evaluate cognitive function in CI users.
期刊介绍：
Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.
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