Development of a Training Software to Improve Speech-in- Noise Perception in the Elderly with Noise-Induced Hearing Loss
,
Abstract
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.
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[6] 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]
[7] 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]
[8] 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]
[9] Plack CJ, Barker D, Prendergast G. Perceptual consequences of “hidden” hearing loss. Trends Hear. 2014;18:2331216514550621. [DOI:10.1177/2331216514550621]
[10] 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]
[11] 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]
[12] Kalluri S, Humes LE. Hearing technology and cognition. Am J Audiol. 2012;21(2):338-43. [DOI:10.1044/1059-0889(2012/12-0026)]
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[14] 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]
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[16] 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]
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[18] 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]
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[21] 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]
[22] Chermak GD, Musiek FE. Central auditory processing disorders: new perspectives. 1st ed. San Diego: Singular Publishing Group, Inc; 1997.
[23] 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)]
[24] 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]
[25] 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]
[26] 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]
[27] 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]
[28] 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]
[29] 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]
[30] 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]
[31] 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.
[32] 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]
[33] 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]
[34] 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]
[35] 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]
[36] 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]
[37] 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]
[38] 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]
[2] 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]
[3] 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]
[4] 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]
[5] 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]
[6] 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]
[7] 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]
[8] 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]
[9] Plack CJ, Barker D, Prendergast G. Perceptual consequences of “hidden” hearing loss. Trends Hear. 2014;18:2331216514550621. [DOI:10.1177/2331216514550621]
[10] 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]
[11] 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]
[12] Kalluri S, Humes LE. Hearing technology and cognition. Am J Audiol. 2012;21(2):338-43. [DOI:10.1044/1059-0889(2012/12-0026)]
[13] 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)]
[14] 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]
[15] 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]
[16] 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]
[17] 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]
[18] 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]
[19] 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]
[20] 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.
[21] 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]
[22] Chermak GD, Musiek FE. Central auditory processing disorders: new perspectives. 1st ed. San Diego: Singular Publishing Group, Inc; 1997.
[23] 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)]
[24] 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]
[25] 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]
[26] 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]
[27] 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]
[28] 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]
[29] 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]
[30] 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]
[31] 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.
[32] 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]
[33] 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]
[34] 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]
[35] 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]
[36] 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]
[37] 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]
[38] 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]
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| Issue | Vol 31 No 1 (2022) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v31i1.8133 | |
| Keywords | ||
| Noise-induced hearing loss rehabilitation training temporal fine structure | ||
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How to Cite
1.
Rasouli Fard P, Jarollahi F, Sameni SJ, Kamali M. Development of a Training Software to Improve Speech-in- Noise Perception in the Elderly with Noise-Induced Hearing Loss. Aud Vestib Res. 2022;31(1):38-44.
