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Published on: September 7, 2022
Auditory perception in individuals with Friedreich's ataxia
Gary Rance1, Louise Corben, Elizabeth Barker
1Department of Otolaryngology, The University of Melbourne, Parkville, Vic., Australia. grance@unimelb.edu.au
Friedreich's ataxia (FRDA) often causes auditory processing disorders, impacting temporal and spectral cue perception. Regular auditory evaluations, including ABR and speech tests, are recommended for FRDA management.
Area of Science:
- Neuroscience
- Genetics
- Audiology
Background:
- Friedreich's ataxia (FRDA) is a genetic disorder characterized by progressive axonal degeneration, particularly affecting sensory nerves.
- Auditory system involvement is a recognized, yet often under-investigated, feature of FRDA.
Purpose of the Study:
- To investigate auditory perception and processing abilities in individuals diagnosed with Friedreich's ataxia.
- To correlate auditory processing deficits with speech understanding in FRDA patients.
Main Methods:
- Evaluated auditory processing using tasks assessing temporal and spectral cue perception in 14 FRDA subjects.
- Included control groups of healthy individuals and those with sensorineural hearing loss.
- Correlated auditory findings with open-set speech understanding and utilized auditory brainstem response (ABR) testing.
Main Results:
- Nine out of 14 FRDA individuals (64%) exhibited auditory processing disorder.
- Impaired detection of rapid signal changes (gap, amplitude modulation) and disrupted neural activity (ABR) were observed.
- Speech understanding deficits were linked to temporal processing impairments, specifically in consonant voice onset time and vowel duration.
Conclusions:
- Auditory pathway abnormalities are common in Friedreich's ataxia.
- Routine auditory assessment, incorporating ABR and speech perception tests, is crucial for FRDA management and intervention planning.
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