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Reliability of Interaural Time Difference-Based Localization Training in Elderly Individuals with Speech-in-Noise
Maryam Delphi1, M-Yones Lotfi1, Abdollah Moossavi2
1Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Journal of Medical Sciences
|December 14, 2017
Summary
This study shows that interaural time difference in the envelope (ITD ENV) training reliably improves speech perception in noise for elderly individuals. The benefits of this auditory training are sustained for at least two months post-intervention.
Area of Science:
- Auditory Neuroscience
- Speech Perception
- Gerontology
Background:
- Interaural-time-difference (ITD) training enhances sound localization.
- Limited research exists on ITD in the envelope (ITD ENV) for speech-in-noise perception training.
- Elderly individuals often experience difficulties with speech-in-noise perception.
Purpose of the Study:
- To investigate the reliability of an ITD ENV-based training program.
- To assess the impact of ITD ENV training on speech-in-noise perception in elderly individuals.
- To determine the long-term effects of this auditory training.
Main Methods:
- An interventional study involving 16 elderly men (55-65 years) with normal hearing and speech-in-noise disorder.
- A localization training program focused on ITD ENV.
- Speech-in-noise tests administered before training, immediately after, and at a 2-month follow-up.
- Statistical analysis using the Friedman test and SPSS software.
Main Results:
- Significant improvements in speech-in-noise perception scores were observed across the three time points (P=0.001).
- No significant difference was found between scores immediately after training and at the 2-month follow-up (P=0.212), indicating sustained benefits.
- The training program demonstrated reliability in enhancing auditory processing.
Conclusions:
- ITD ENV-based localization training is a reliable method for improving speech-in-noise perception in elderly individuals.
- The positive effects of the training are durable, persisting for at least two months.
- This auditory training offers a promising intervention for age-related hearing difficulties.

