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Quantitative Assessment of Cortical Auditory-tactile Processing in Children with Disabilities
Published on: January 29, 2014
Reduced medial olivocochlear bundle system function in children with auditory processing disorders
Chava Muchnik1, Daphne Ari-Even Roth, Rima Othman-Jebara
1Department of Communication Disorders, Sackler Faculty of Medicine, Tel Aviv University, Israel. muchinik@post.tau.ac.il
Insights
Children with auditory processing disorders (APD) show reduced medial olivocochlear bundle (MOCB) activity, impacting their ability to hear in noisy environments. This study highlights a potential auditory inhibitory function deficit in APD.
Area of Science:
- Auditory Neuroscience
- Pediatric Audiology
Background:
- Children with auditory processing disorders (APD) often struggle to understand speech amidst background noise.
- The medial olivocochlear bundle (MOCB) is implicated in enhancing speech perception in noise.
- MOCB function is assessed via the suppression of transient evoked otoacoustic emissions (TEOAE) by contralateral acoustic stimulation (CAS).
Purpose of the Study:
- To investigate the MOCB's suppression effect on TEOAE in children diagnosed with APD.
- To determine if reduced MOCB activity is a characteristic of APD in pediatric populations.
Main Methods:
- Compared TEOAE suppression effects between 15 APD children (8-13 years) with learning disabilities and 15 age/gender-matched controls.
- Evaluated MOCB function by measuring TEOAE levels with and without contralateral acoustic stimulation (CAS).
Main Results:
- APD children exhibited a significantly reduced TEOAE suppression effect compared to controls.
- Higher baseline TEOAE levels were observed in the APD group.
- These findings suggest reduced MOCB activity in APD children.
Conclusions:
- Some children with APD demonstrate diminished activity in the MOCB system.
- This reduced activity may signify impaired auditory inhibitory function.
- Deficits in auditory inhibition could explain difficulties in understanding speech in noisy settings for APD children.
Abstract:
A common complaint of children with auditory processing disorders (APD) is difficulty in understanding speech in the presence of background noise. Evidence from animal and human studies has suggested that the medial olivocochlear bundle (MOCB) may play a role in hearing in noise. The MOCB function can be evaluated by the suppression effect of the transient evoked otoacoustic emissions (TEOAE) in response to contralateral acoustic stimulation (CAS). The present study was conducted to investigate the suppression effect of TEOAE in APD children. The study groups comprised 15 APD children aged 8-13 years associated with learning disabilities and 15 controls matched for gender and age. The suppression effect of TEOAE was evaluated by comparing the TEOAE levels with and without CAS. A significantly reduced suppression effect of TEOAE was demonstrated in the APD group, when compared to the controls. In addition, higher TEOAE levels were found in the APD group, suggesting inherent reduced MOCB activity on the outer hair cells in APD children. These results imply that some APD children present low activity of the MOCB system, which may indicate a reduced auditory inhibitory function and affect their ability to hear in the presence of background noise.
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