轻至中度听力损失儿童的听觉调节加工

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-03-30 DOI:10.1016/j.ijporl.2025.112330

Ferdous Rasouli , Parisa Jalilzadeh Afshari , Enayatollah Bakhshi

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引用次数: 0

摘要

背景和目的听力损失的儿童在嘈杂的环境（如教室）中往往难以理解言语，从而导致教育和交流方面的挑战。听觉时间谱基础的检测和判别是语音理解的基础。因此，在本研究中，我们研究了轻度至中度听力损失（MMHL）儿童如何处理这些听觉调节及其与噪音中言语感知的关系，并将其表现与正常听力儿童进行了比较。方法选择31例轻中度感音神经性听力损失（SNHL）患儿和34例听力正常（NH）患儿，年龄8 ~ 12岁。在获得同意后，参与者接受了测试，包括频谱调制纹波测试（SMRT）， 10、50和200 Hz的幅度调制检测测试（amdt），以及使用噪声中单词（WIN）和BKB-SIN测试进行的噪声中语音感知（SPiN）评估。对两组结果进行比较，评估听力损失严重程度的影响和测试之间的相关性，以及每组内双耳的评分比较。结果两组（MMHL组和NH组）在SMRT、amdt和SPiN测试中差异均有统计学意义(p <；0.05)，其中NH组评分较好。然而，轻度和中度听力损失之间没有显著差异(p >；0.05)。SMRT和amdt与WIN测试没有相关性(p >；0.05)。值得注意的是，两组的SMRT和BKB测试之间存在显著相关性。两组较高amdt发生率与BKB结果之间也发现了零星相关性(p <；0.05)。两耳之间的得分在所有测试中没有显着差异(p >；0.05)。结论轻度至中度SNHL患儿使用频谱和时间调制信息的能力较差，在嘈杂环境下难以理解言语。非语言频谱和时间调节测试需要最小的认知努力，对于评估这些儿童的感知障碍和制定听觉康复计划是有价值的。

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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Auditory modulation processing in children with mild to moderate hearing loss

Background and objective

Children with hearing loss often have difficulty understanding speech in noisy environments like classrooms, leading to educational and communication challenges. Detecting and discriminating auditory spectro-temporal fundamentals is essential for speech comprehension. So, in this study, we investigated how children with mild to moderate hearing loss (MMHL) process these auditory modulations and their relation to speech perception in noise, comparing their performance to that of children with normal hearing.

Methods

This cross-sectional study selected 31 children with mild to moderate sensorineural hearing loss (SNHL) and 34 normally hearing (NH) children, aged 8 to 12. After obtaining consent, participants underwent tests, including the Spectral Modulation Ripple Test (SMRT), Amplitude Modulation Detection Tests (AMDTs) at 10, 50, and 200 Hz, and Speech Perception in Noise (SPiN) assessments using Word-in-Noise (WIN) and BKB-SIN tests, conducted monaurally. Results were compared between the two groups, evaluating the effects of hearing loss severity and correlations among the tests, as well as score comparisons from both ears within each group.

Results

Significant differences were observed between groups (MMHL and NH) in SMRT, AMDTs, and SPiN tests (p < 0.05), with the NH group scoring better. However, no significant differences were observed between mild and moderate hearing loss (p > 0.05). There was no correlation between SMRT and AMDTs with the WIN test (p > 0.05). Notably, significant correlations were found between SMRT and BKB tests in both groups. Sporadic correlations were also identified between AMDTs at higher rates and BKB results for both groups (p < 0.05). Scores between the two ears showed no significant differences across all tests (p > 0.05).

Conclusion

Children with Mild to moderate SNHL have a lesser ability to use spectral and temporal modulation information, making it difficult for them to understand speech in noisy environments. Nonverbal spectral and temporal modulation tests require minimal cognitive effort and are valuable for evaluating perceptual disorders and developing auditory rehabilitation programs for these children.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.