Development of a Training Software to Improve Speech-in- Noise Perception in the Elderly with Noise-Induced Hearing Loss
Background and Aim: The incidence of noise-induced hearing loss (NIHL) is increasing rapidly worldwide. It has been shown that the long-term exposure to noise leads to permanent hearing loss. There is currently no treatment for NIHL and it is mainly managed by preventive measures. This study aimed to develop a training software to improve speech-in-noise (SIN) perception in the elderly suffering from mild-to-moderate NIHL due to temporal fine structure (TFS) damage.
Methods: This is a non-randomized clinical trial conducted on 8 older men aged 60-75 years (Mean age = 68 ± 4.5 years) with mild-to-moderate NIHL at high frequencies (43.75±6.0 dB HL) with at least for five years of work in noisy environment. They received rehabilitation using a researcher-developed training software targeted TFS for five weeks. To assess the efficiency of the training software, the signal-to-noise ratio for 50% correct scores (SNR-50%) was calculated using the word-in-noise test before and after the trial.
Results: The SNR-50% improved significantly in all participants from 13±2.63 dB to 6.10±2.85 dB (p<0.001). In the multiple linear regression model, the rehabilitation by the training software predicted 68% of improvement in SNR-50% (coefficient of determination=0.676).
Conclusion: Rehabilitation by the training software developed based on TFS can improve SIN perception in the elderly with NIHL.
 Shi L, Chang Y, Li X, Aiken S, Liu L, Wang J. Cochlear synaptopathy and noise-induced hidden hearing loss. Neural Plast. 2016;2016:6143164. [DOI:10.1155/2016/6143164]
 Kujawa SG, Liberman MC. Synaptopathy in the noise-exposed and aging cochlea: Primary neural degeneration in acquired sensorineural hearing loss. Hear Res. 2015;330(Pt B):191-9. [DOI:10.1016/j.heares.2015.02.009]
 Medina-Garin DR, Dia A, Bedubourg G, Deparis X, Berger F, Michel R. Acute acoustic trauma in the French armed forces during 2007-2014. Noise Health. 2016;18(85):297-302. [DOI:10.4103/1463-1741.195802]
 Daniel E. Noise and hearing loss: A review. J Sch Health. 2007;77(5):225-31. [DOI:10.1111/j.1746-1561.2007.00197.x]
 Gilbert G, Lorenzi C. The ability of listeners to use recovered envelope cues from speech fine structure. J Acoust Soc Am. 2006;119(4):2438-44. [DOI:10.1121/1.2173522]
 Moore BCJ. The role of temporal fine structure processing in pitch perception, masking, and speech perception for normalhearing and hearing-impaired people. J Assoc Res Otolaryngol. 2008;9(4):399-406. [DOI:10.1007/s10162-008-0143-x]
 Ding T, Yan A, Liu K. What is noise-induced hearing loss? Br J Hosp Med (Lond). 2019;80(9):525-9. [DOI:10.12968/hmed.2019.80.9.525]
 Plack CJ, Barker D, Prendergast G. Perceptual consequences of “hidden” hearing loss. Trends Hear. 2014;18:2331216514550621. [DOI:10.1177/2331216514550621]
 Kumar UA, Ameenudin S, Sangamanatha A V. Temporal and speech processing skills in normal hearing individuals exposed to occupational noise. Noise Health. 2012;14(58):100-5. [DOI:10.4103/1463-1741.97252]
 Humes LE, Dubno JR, Gordon-Salant S, Lister JJ, Cacace AT, Cruickshanks KJ, et al. Central presbycusis: a review and evaluation of the evidence. J Am Acad Audiol. 2012;23(8):635-66. [DOI:10.3766/jaaa.23.8.5]
 Kalluri S, Humes LE. Hearing technology and cognition. Am J Audiol. 2012;21(2):338-43. [DOI:10.1044/1059-0889(2012/12-0026)]
 Pichora-Fuller MK, Levitt H. Speech comprehension training and auditory and cognitive processing in older adults. Am J Audiol. 2012;21(2):351-7. [DOI:10.1044/1059-0889(2012/12-0025)]
 Le Prell CG, Dell S, Hensley B, Hall3rd JW , Campbel KCM, Antonelli PJ, et al. Digital music exposure reliably induces temporary threshold shift in normal-hearing human subjects. Ear Hear. 2012;33(6):e44-58. [DOI:10.1097/AUD.0b013e31825f9d89]
 Lin HW, Furman AC, Kujawa SG, Liberman MC. Primary neural degeneration in the guinea pig cochlea after reversible noiseinduced threshold shift. J Assoc Res Otolaryngol. 2011;12(5):605-16. [DOI:10.1007/s10162-011-0277-0]
 Mannström P, Kirkegaard M, Ulfendahl M. Repeated moderate noise exposure in the rat-an early adulthood noise exposure model. J Assoc Res Otolaryngol. 2015;16(6):763-72. [DOI:10.1007/s10162-015-0537-5]
 Killion MC, Niquette PA, Gudmundsen GI, Revit LJ, Banerjee S. Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearingimpaired listeners. J Acoust Soc Am. 2004;116(4 Pt 1):2395-405. [DOI:10.1121/1.1784440]
 Chang Y-S, Bang KH, Jeong B, Lee G-G. Effects of early intratympanic steroid injection in patients with acoustic trauma caused by gunshot noise. Acta Otolaryngol. 2017;137(7):716-9. [DOI:10.1080/00016489.2017.1280850]
 May T, Kowalewski B, Dau T. Signal-to-noise-ratio-aware dynamic range compression in hearing aids. Trends Hear. 2018;22:2331216518790903. [DOI:10.1177/2331216518790903]
 Van Eynde C, Denys S, Desloovere C, Wouters J, Verhaert N. Speech-in-noise testing as a marker for noise-induced hearing loss and tinnitus. B-ENT. 2016;Suppl 26(1):185-91.
 Lazard DS, Vincent C, Venail F, Van de Heyning P, Truy E, Sterkers O, et al. Pre-, per- and postoperative factors affecting performance of post linguistically deaf adults using cochlear implants: a new conceptual model over time. PLoS One. 2012;7(11):e48739. [DOI:10.1371/journal.pone.0048739]
 Chermak GD, Musiek FE. Central auditory processing disorders: new perspectives. 1st ed. San Diego: Singular Publishing Group, Inc; 1997.
 Wilson RH, Farmer NM, Gandhi A, Shelburne E, Weaver J. Normative data for the words-in-noise test for 6-to 12-yearold children. J Speech Lang Hear Res. 2010;53(5):1111-21. [DOI:10.1044/1092-4388(2010/09-0270)]
 Wilson RH, McArdle R. Speech-in-noise measures: Variable versus fixed speech and noise levels. Int J Audiol. 2012;51(9):708-12. [DOI:10.3109/14992027.2012.684407]
 Wilson RH, Burks CA, Weakley DG. Word recognition in multitalker babble measured with two psychophysical methods. J Am Acad Audiol. 2005;16(8):622-30. [DOI:10.3766/jaaa.16.8.11]
 Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory recognition of words and digits in multitalker babble in learning-disabled children with dichotic listening deficit. Iranian Red Crescent Medical Journal. 2017;19(4). [DOI:10.5812/ircmj.42817]
 Hopkin K, Moore BCJ. Development of a fast method for measuring sensitivity to temporal fine structure information at low frequencies. Int J Audiol . 2010;49(12):940-6. [DOI:10.3109/14992027.2010.512613]
 Hopkin K, Moore BCJ. The contribution of temporal fine structure to the intelligibility of speech in steady and modulated noise. J Acoust Soc Am. 2009;125(1):442-6. [DOI:10.1121/1.3037233]
 Lorenzi C, Debruille L, Garnier S, Fleuriot P, Moore BCJ. Abnormal processing of temporal fine structure in speech for frequencies where absolute thresholds are normal. J Acoust Soc Am. 2009;125(1):27-30. [DOI:10.1121/1.2939125]
 Messier E, Ghoraani B. Development of MATLAB software to control data acquisition from a multichannel systems multi-electrode array. Annu Int Conf IEEE Eng Med Biol Soc. 2016;2016:3551-4. [DOI:10.1109/EMBC.2016.7591495]
 Marilyn Fingerhut M, Driscoll T, Nelson DI, Concha-Barrientos M, Punnett L, Pruss-Ustin A, et al. Contribution of occupational risk factors to the global burden of disease- a summary of findings. SJWEH Suppl 2005;no 1:58-61.
 Lin FR, Yaffe K, Xia J, Xue Q-L, Harris TB, Purchase-Helzner E, et al. Hearing loss and cognitive decline in older adults. JAMA Intern Med. 2013;173(4):293-9. [DOI:10.1001/jamainternmed.2013.1868]
 Kraaijenga VJC, Ramakers GGJ, Grolman W. The effect of earplugs in preventing hearing loss from recreational noise exposure a systematic review. JAMA Otolaryngol Head Neck Surg. 2016;142(4):389-94. [DOI:10.1001/jamaoto.2015.3667]
 Keppler H, Ingeborg D, Sofie D, Bart V. The effects of a hearing education program on recreational noise exposure, attitudes and beliefs toward noise, hearing loss, and hearing protector devices in young adults. Noise Health. 2015;17(78):253-62. [DOI:10.4103/1463-1741.165028]
 Lie A, Skogstad M, Johannessen HA, Tynes T, Mehlum IS, Nordby K-C, et al. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health. 2016;89(3):351-72. [DOI:10.1007/s00420-015-1083-5]
 Kale S, Micheyl C, Heinz MG. Effects of sensorineural hearing loss on temporal coding of harmonic and inharmonic tone complexes in the auditory nerve. Adv Exp Med Biol. 2013;787:109-18. [DOI:10.1007/978-1-4614-1590-9_13]
 Kirk KI, Tye-Murry N, Hurtig RR. The use of static and dynamic vowel cues by multichannel cochlear implant users. J Acoust Soc Am. 1992;91(6):3487-98. [DOI:10.1121/1.402838]
 Wilson RH, Watts KL. The words-in-noise test (WIN), List 3: A practice list. J Am Acad Audiol. 2012;23(2):92-6. [DOI:10.3766/jaaa.23.2.3]
|Issue||Vol 31 No 1 (2022)|
|Noise-induced hearing loss rehabilitation training temporal fine structure|
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