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Published on: June 25, 2019
Cingulo-Opercular Function During Word Recognition in Noise for Older Adults with Hearing Loss.
Kenneth I Vaden1, Stefanie E Kuchinsky2, Jayne B Ahlstrom1
1a Hearing Research Program, Department of Otolaryngology-Head and Neck Surgery , Medical University of South Carolina , Charleston , South Carolina , USA.
Adaptive control, involving cingulo-opercular brain activity, aids word recognition in noise for older adults with hearing loss. This benefit was consistent across different hearing loss severity levels.
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Cognitive Neuroscience
Background:
- Adaptive control, indicated by cingulo-opercular (CO) brain region activity, enhances performance on difficult tasks by monitoring outcomes and adjusting behavior.
- CO function aids word recognition in noise for normal-hearing individuals.
- Auditory system impairments may reduce the benefits of adaptive control for communication.
Purpose of the Study:
- To investigate the role of CO engagement in supporting word recognition in noise for older adults with varying degrees of hearing loss (HL).
Main Methods:
- Participants were divided into Less HL (n=12) and More HL (n=12) groups based on pure tone average (PTA).
- A word recognition task in multitalker babble at varying signal-to-noise ratios (SNRs) was conducted during sparse acquisition fMRI.
- Participants were middle-aged to older adults (64.1 ± 8.4 years) with no neurological or psychiatric diagnoses.
Main Results:
- Elevated CO activity predicted increased likelihood of correct word recognition on subsequent trials, irrespective of hearing loss group.
- The More HL group showed greater blood oxygen-level-dependent (BOLD) contrast in occipital and parietal regions during word recognition errors compared to the Less HL group.
- Greater CO activity during errors correlated with better overall word recognition performance across all participants.
Conclusions:
- The trial-level benefit of CO activity for word recognition in noise was equivalent between the Less HL and More HL groups.
- CO-mediated adaptive control contributes to word recognition in noise for older adults with mild to moderate hearing loss, provided speech audibility and performance levels are comparable.
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