The Effect of a Words-in-Noise Training Method on Speech Perception in Noise of Children with Unilateral Hearing Loss
-
Maziar Khorshidi
,
Nematollah Rouhbakhsh
,
Farzaneh Fatahi
,
Nasrin Yazdani
,
Mehdi Yaseri
,
Saeid Aarabi
Abstract
Background and Aim: Despite more affordable and advanced technologies for early detection of congenital hearing loss, unilateral hearing loss is the prevalent form of hearing loss affecting school-aged children. This study aimed to examine the impact of Words-in-Noise (WIN) training on speech perception of noise in children with unilateral hearing loss.
Methods: Thirteen children aged 8 to 12 years with unilateral hearing loss underwent a WIN training program in noise. The participants were tested before and after training on word identification in noise and cortical auditory evoked potentials.
Results: A comparison of the mean signal-to-noise ratio 50% between pre- and post-training indicated that signal-to-noise ratio 50% score decreased after training sessions. WIN training reduced the latency in N1 and P2 waves in the Fz electrode and the N1 wave in the Pz electrode and increased the amplitude of the waves in the Fz and Pz electrodes. The observed data suggest that all participants’ performance improved on word identification in noise and some electrophysiological parameters. Cortical auditory evoked potentials components changes did not correlate with the WIN scores.
Conclusion: The Persian version of the WIN training improved speech perception ability in the presence of competitive noise in children with unilateral hearing loss. Therefore, this software solution can partially solve speech comprehension problems with noise in these children.
[1] Krishnan LA, Van Hyfte S. Management of unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2016;88:63-73. [DOI:10.1016/j.ijporl.2016.06.048]
[2] van Wieringen A, Boudewyns A, Sangen A, Wouters J, Desloovere C. Unilateral congenital hearing loss in children: Challenges and potentials. Hear Res. 2019;372:29-41. [DOI:10.1016/j.heares.2018.01.010]
[3] Wetke R. [Unilateral hearing loss in children]. Ugeskr Laeger. 2018;180(12):V05170413. Danish.
[4] Fitzpatrick EM, Whittingham J, Durieux-Smith A. Mild bilateral and unilateral hearing loss in childhood: a 20-year view of hearing characteristics, and audiologic practices before and after newborn hearing screening. Ear Hear. 2014;35(1):10-8. [DOI:10.1097/AUD.0b013e31829e1ed9]
[5] Paul A, Marlin S, Parodi M, Rouillon I, Guerlain J, Pingault V, et al. Unilateral Sensorineural Hearing Loss: Medical Context and Etiology. Audiol Neurootol. 2017;22(2):83-8. [DOI:10.1159/000474928]
[6] Lieu JE, Tye-Murray N, Karzon RK, Piccirillo JF. Unilateral hearing loss is associated with worse speech-language scores in children. Pediatrics. 2010;125(6):e1348-55. [DOI:10.1542/peds.2009-2448]
[7] Bovo R, Martini A, Agnoletto M, Beghi A, Carmignoto D, Milani M, et al. Auditory and academic performance of children with unilateral hearing loss. Scand Audiol Suppl. 1988;30:714.
[8] Anne S, Lieu JEC, Cohen MS. Speech and Language Consequences of Unilateral Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2017;157(4):572-9. [DOI:10.1177/0194599817726326]
[9] Bamiou DE, Musiek FE, Luxon LM. Aetiology and clinical presentations of auditory processing disorders--a review. Arch Dis Child. 2001;85(5):361-5. [DOI:10.1136/adc.85.5.361]
[10] Matos IL, Ferreira MC, Mondelli MFCG. Analysis of speech perception with amplification devices in subjects with ear malformation and unilateral hearing loss. Codas. 2020;32(4):e20190047. [DOI:10.1590/2317-1782/20202019047]
[11] Katz J. APD evaluation to therapy: The Buffalo Model. 2007. Available at: http://www.audiologyonline.com/articles/apd-valuation-to-therapy-buffalo-945. November: 25.2016.
[12] Lee H, Lee H, Noh H. Prediction of uptake and retention of conventional hearing aids in Korean pediatric patients with unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2019;116:130-4. [DOI:10.1016/j.ijporl.2018.10.037]
[13] Lieu JE. Speech-language and educational consequences of unilateral hearing loss in children. Arch Otolaryngol Head Neck Surg. 2004;130(5):524-30. [DOI:10.1001/archotol.130.5.524]
[14] Purcell PL, Jones-Goodrich R, Wisneski M, Edwards TC, Sie KC. Hearing devices for children with unilateral hearing loss: Patient- and parent-reported perspectives. Int J Pediatr Otorhinolaryngol. 2016;90:43-8. [DOI:10.1016/j.ijporl.2016.08.029]
[15] Bishop CE, Eby TL. The current status of audiologic rehabilitation for profound unilateral sensorineural hearing loss. Laryngoscope. 2010;120(3):552-6. [DOI:10.1002/lary.20735]
[16] Bess FH, Dodd-Murphy J, Parker RA. Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Ear Hear. 1998;19(5):339-54. [DOI:10.1097/00003446-199810000-00001]
[17] Firszt JB, Reeder RM, Dwyer NY, Burton H, Holden LK. Localization training results in individuals with unilateral severe to profound hearing loss. Hear Res. 2015;319:48-55. [DOI:10.1016/j.heares.2014.11.005]
[18] Legris E, Roux S, Aoustin JM, Galvin J, Bakhos D. Cortical auditory responses according to hearing rehabilitation in unilateral hearing loss. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(6):439-45. [DOI:10.1016/j.anorl.2019.08.001]
[19] Romero ACL, Frizzo ACF, Chagas EFB, Isaac ML. Cortical auditory evoked potential in babies and children listeners. Braz J Otorhinolaryngol. 2020;86(4):395-404. [DOI:10.1016/j.bjorl.2019.01.007]
[20] Koravand A, Jutras B, Lassonde M. Abnormalities in cortical auditory responses in children with central auditory processing disorder. Neuroscience. 2017;346:135-148. [DOI:10.1016/j.neuroscience.2017.01.011]
[21] Lotfi Y, Salim S, Mehrkian S, Ahmadi T, Biglarian A. The Persian version of words-in-noise test for young population: development and validation. Aud Vestib Res. 2016;25(4):194-200.
[22] Burk MH, Humes LE, Amos NE, Strauser LE. Effect of training on word-recognition performance in noise for young normal-hearing and older hearing-impaired listeners. Ear Hear. 2006;27(3):263-78. [DOI:10.1097/01.aud.0000215980.21158.a2]
[23] Zhang M, Moncrieff D, Johnston D, Parfitt M, Auld R. A preliminary study on speech recognition in noise training for children with hearing loss. Int J Pediatr Otorhinolaryngol. 2021;149:110843. [DOI:10.1016/j.ijporl.2021.110843]
[24] Jutras B, Lafontaine L, East MP, Noël M. Listening in noise training in children with auditory processing disorder: exploring group and individual data. Disabil Rehabil. 2019;41(24):2918-26. [DOI:10.1080/09638288.2018.1482377]
[25] Millward KE, Hall RL, Ferguson MA, Moore DR. Training speech-in-noise perception in mainstream school children. Int J Pediatr Otorhinolaryngol. 2011;75(11):1408-17. [DOI:10.1016/j.ijporl.2011.08.003]
[26] Katz J, Cohen CF. Auditory Training for Children with Processing Disorders. Journal of Childhool Communication Disorders. 1985;9(1):65-81. [DOI:10.1177/152574018500900106]
[27] Masters MG, Stecker NA, Katz J. Central auditory processing disorders: mostly management. 160 Gould St., Needham Heights, MA: Allyn & Bacon; 1998.
[28] Hayes EA, Warrier CM, Nicol TG, Zecker SG, Kraus N. Neural plasticity following auditory training in children with learning problems. Clin Neurophysiol. 2003;114(4):673-84. [DOI:10.1016/S1388-2457(02)00414-5]
[29] Legris E, Galvin J, Roux S, Gomot M, Aoustin JM, Marx M, et al. Cortical reorganization after cochlear implantation for adults with single-sided deafness. PLoS One. 2018;13(9):e0204402. [DOI:10.1371/journal.pone.0204402]
[30] Wunderlich JL, Cone-Wesson BK. Maturation of CAEP in infants and children: a review. Hear Res. 2006;212(1-2):212-23. [DOI:10.1016/j.heares.2005.11.008]
[31] Shtyrov Y, Kujala T, Ilmoniemi RJ, Näätänen R. Noise affects speech-signal processing differently in the cerebral hemispheres. Neuroreport. 1999;10(10):2189-92. [DOI:10.1097/00001756-199907130-00034]
[32] Russo NM, Hornickel J, Nicol T, Zecker S, Kraus N. Biological changes in auditory function following training in children with autism spectrum disorders. Behav Brain Funct. 2010;6:60. [DOI:10.1186/1744-9081-6-60]
[33] Jirsa RE. The clinical utility of the P3 AERP in children with auditory processing disorders. J Speech Hear Res. 1992;35(4):903-12. [DOI:10.1044/jshr.3504.903]
[34] Barlow N, Purdy SC, Sharma M, Giles E, Narne V. The Effect of Short-Term Auditory Training on Speech in Noise Perception and Cortical Auditory Evoked Potentials in Adults with Cochlear Implants. Semin Hear. 2016;37(1):84-98. [DOI:10.1055/s-0035-1570335]
[35] Wilson RH, Cates WB. A comparison of two word-recognition tasks in multitalker babble: Speech Recognition in Noise Test (SPRINT) and Words-in-Noise Test (WIN). J Am Acad Audiol. 2008;19(7):548-56. [DOI:10.3766/jaaa.19.7.4]
[36] Wong PC, Uppunda AK, Parrish TB, Dhar S. Cortical mechanisms of speech perception in noise. J Speech Lang Hear Res. 2008;51(4):1026-41. [DOI:10.1044/1092-4388(2008/075)]
[37] Shafer VL, Yu YH, Wagner M. Maturation of cortical auditory evoked potentials (CAEPs) to speech recorded from frontocentral and temporal sites: three months to eight years of age. Int J Psychophysiol. 2015;95(2):77-93. [DOI:10.1016/j.ijpsycho.2014.08.1390] [PMCID
[2] van Wieringen A, Boudewyns A, Sangen A, Wouters J, Desloovere C. Unilateral congenital hearing loss in children: Challenges and potentials. Hear Res. 2019;372:29-41. [DOI:10.1016/j.heares.2018.01.010]
[3] Wetke R. [Unilateral hearing loss in children]. Ugeskr Laeger. 2018;180(12):V05170413. Danish.
[4] Fitzpatrick EM, Whittingham J, Durieux-Smith A. Mild bilateral and unilateral hearing loss in childhood: a 20-year view of hearing characteristics, and audiologic practices before and after newborn hearing screening. Ear Hear. 2014;35(1):10-8. [DOI:10.1097/AUD.0b013e31829e1ed9]
[5] Paul A, Marlin S, Parodi M, Rouillon I, Guerlain J, Pingault V, et al. Unilateral Sensorineural Hearing Loss: Medical Context and Etiology. Audiol Neurootol. 2017;22(2):83-8. [DOI:10.1159/000474928]
[6] Lieu JE, Tye-Murray N, Karzon RK, Piccirillo JF. Unilateral hearing loss is associated with worse speech-language scores in children. Pediatrics. 2010;125(6):e1348-55. [DOI:10.1542/peds.2009-2448]
[7] Bovo R, Martini A, Agnoletto M, Beghi A, Carmignoto D, Milani M, et al. Auditory and academic performance of children with unilateral hearing loss. Scand Audiol Suppl. 1988;30:714.
[8] Anne S, Lieu JEC, Cohen MS. Speech and Language Consequences of Unilateral Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2017;157(4):572-9. [DOI:10.1177/0194599817726326]
[9] Bamiou DE, Musiek FE, Luxon LM. Aetiology and clinical presentations of auditory processing disorders--a review. Arch Dis Child. 2001;85(5):361-5. [DOI:10.1136/adc.85.5.361]
[10] Matos IL, Ferreira MC, Mondelli MFCG. Analysis of speech perception with amplification devices in subjects with ear malformation and unilateral hearing loss. Codas. 2020;32(4):e20190047. [DOI:10.1590/2317-1782/20202019047]
[11] Katz J. APD evaluation to therapy: The Buffalo Model. 2007. Available at: http://www.audiologyonline.com/articles/apd-valuation-to-therapy-buffalo-945. November: 25.2016.
[12] Lee H, Lee H, Noh H. Prediction of uptake and retention of conventional hearing aids in Korean pediatric patients with unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2019;116:130-4. [DOI:10.1016/j.ijporl.2018.10.037]
[13] Lieu JE. Speech-language and educational consequences of unilateral hearing loss in children. Arch Otolaryngol Head Neck Surg. 2004;130(5):524-30. [DOI:10.1001/archotol.130.5.524]
[14] Purcell PL, Jones-Goodrich R, Wisneski M, Edwards TC, Sie KC. Hearing devices for children with unilateral hearing loss: Patient- and parent-reported perspectives. Int J Pediatr Otorhinolaryngol. 2016;90:43-8. [DOI:10.1016/j.ijporl.2016.08.029]
[15] Bishop CE, Eby TL. The current status of audiologic rehabilitation for profound unilateral sensorineural hearing loss. Laryngoscope. 2010;120(3):552-6. [DOI:10.1002/lary.20735]
[16] Bess FH, Dodd-Murphy J, Parker RA. Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Ear Hear. 1998;19(5):339-54. [DOI:10.1097/00003446-199810000-00001]
[17] Firszt JB, Reeder RM, Dwyer NY, Burton H, Holden LK. Localization training results in individuals with unilateral severe to profound hearing loss. Hear Res. 2015;319:48-55. [DOI:10.1016/j.heares.2014.11.005]
[18] Legris E, Roux S, Aoustin JM, Galvin J, Bakhos D. Cortical auditory responses according to hearing rehabilitation in unilateral hearing loss. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(6):439-45. [DOI:10.1016/j.anorl.2019.08.001]
[19] Romero ACL, Frizzo ACF, Chagas EFB, Isaac ML. Cortical auditory evoked potential in babies and children listeners. Braz J Otorhinolaryngol. 2020;86(4):395-404. [DOI:10.1016/j.bjorl.2019.01.007]
[20] Koravand A, Jutras B, Lassonde M. Abnormalities in cortical auditory responses in children with central auditory processing disorder. Neuroscience. 2017;346:135-148. [DOI:10.1016/j.neuroscience.2017.01.011]
[21] Lotfi Y, Salim S, Mehrkian S, Ahmadi T, Biglarian A. The Persian version of words-in-noise test for young population: development and validation. Aud Vestib Res. 2016;25(4):194-200.
[22] Burk MH, Humes LE, Amos NE, Strauser LE. Effect of training on word-recognition performance in noise for young normal-hearing and older hearing-impaired listeners. Ear Hear. 2006;27(3):263-78. [DOI:10.1097/01.aud.0000215980.21158.a2]
[23] Zhang M, Moncrieff D, Johnston D, Parfitt M, Auld R. A preliminary study on speech recognition in noise training for children with hearing loss. Int J Pediatr Otorhinolaryngol. 2021;149:110843. [DOI:10.1016/j.ijporl.2021.110843]
[24] Jutras B, Lafontaine L, East MP, Noël M. Listening in noise training in children with auditory processing disorder: exploring group and individual data. Disabil Rehabil. 2019;41(24):2918-26. [DOI:10.1080/09638288.2018.1482377]
[25] Millward KE, Hall RL, Ferguson MA, Moore DR. Training speech-in-noise perception in mainstream school children. Int J Pediatr Otorhinolaryngol. 2011;75(11):1408-17. [DOI:10.1016/j.ijporl.2011.08.003]
[26] Katz J, Cohen CF. Auditory Training for Children with Processing Disorders. Journal of Childhool Communication Disorders. 1985;9(1):65-81. [DOI:10.1177/152574018500900106]
[27] Masters MG, Stecker NA, Katz J. Central auditory processing disorders: mostly management. 160 Gould St., Needham Heights, MA: Allyn & Bacon; 1998.
[28] Hayes EA, Warrier CM, Nicol TG, Zecker SG, Kraus N. Neural plasticity following auditory training in children with learning problems. Clin Neurophysiol. 2003;114(4):673-84. [DOI:10.1016/S1388-2457(02)00414-5]
[29] Legris E, Galvin J, Roux S, Gomot M, Aoustin JM, Marx M, et al. Cortical reorganization after cochlear implantation for adults with single-sided deafness. PLoS One. 2018;13(9):e0204402. [DOI:10.1371/journal.pone.0204402]
[30] Wunderlich JL, Cone-Wesson BK. Maturation of CAEP in infants and children: a review. Hear Res. 2006;212(1-2):212-23. [DOI:10.1016/j.heares.2005.11.008]
[31] Shtyrov Y, Kujala T, Ilmoniemi RJ, Näätänen R. Noise affects speech-signal processing differently in the cerebral hemispheres. Neuroreport. 1999;10(10):2189-92. [DOI:10.1097/00001756-199907130-00034]
[32] Russo NM, Hornickel J, Nicol T, Zecker S, Kraus N. Biological changes in auditory function following training in children with autism spectrum disorders. Behav Brain Funct. 2010;6:60. [DOI:10.1186/1744-9081-6-60]
[33] Jirsa RE. The clinical utility of the P3 AERP in children with auditory processing disorders. J Speech Hear Res. 1992;35(4):903-12. [DOI:10.1044/jshr.3504.903]
[34] Barlow N, Purdy SC, Sharma M, Giles E, Narne V. The Effect of Short-Term Auditory Training on Speech in Noise Perception and Cortical Auditory Evoked Potentials in Adults with Cochlear Implants. Semin Hear. 2016;37(1):84-98. [DOI:10.1055/s-0035-1570335]
[35] Wilson RH, Cates WB. A comparison of two word-recognition tasks in multitalker babble: Speech Recognition in Noise Test (SPRINT) and Words-in-Noise Test (WIN). J Am Acad Audiol. 2008;19(7):548-56. [DOI:10.3766/jaaa.19.7.4]
[36] Wong PC, Uppunda AK, Parrish TB, Dhar S. Cortical mechanisms of speech perception in noise. J Speech Lang Hear Res. 2008;51(4):1026-41. [DOI:10.1044/1092-4388(2008/075)]
[37] Shafer VL, Yu YH, Wagner M. Maturation of cortical auditory evoked potentials (CAEPs) to speech recorded from frontocentral and temporal sites: three months to eight years of age. Int J Psychophysiol. 2015;95(2):77-93. [DOI:10.1016/j.ijpsycho.2014.08.1390] [PMCID
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| Issue | Vol 32 No 3 (2023) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v32i3.12939 | |
| Keywords | ||
| Unilateral hearing loss word in noise training children listening in noise | ||
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How to Cite
1.
Khorshidi M, Rouhbakhsh N, Fatahi F, Yazdani N, Yaseri M, Aarabi S. The Effect of a Words-in-Noise Training Method on Speech Perception in Noise of Children with Unilateral Hearing Loss. Aud Vestib Res. 2023;32(3):224-232.
