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Updated: Jan 18, 2026

Assessment of Audio-Tactile Sensory Substitution Training in Participants with Profound Deafness Using the Event-Related Potential Technique
Published on: September 7, 2022
Auditory Change Complex Responses to Spectrotemporally Modulated Stimuli
Lisbeth Birkelund Simonsen1,2,3, Jaime A Undurraga1,4, Abigail Anne Kressner2,3
1Interacoustics Research Unit, Interacoustics A/S, Kgs. Lyngby, Denmark.
An electrophysiological Audible Contrast Threshold (E-ACT) test using tonal carriers and averaged brain responses is effective for hearing assessments. This method optimizes auditory change complex (ACC) detection for individuals unable to complete traditional hearing tests.
Area of Science:
- Auditory Neuroscience
- Electrophysiology
- Hearing Science
Background:
- The Audible Contrast Threshold (ACT) test is a non-language-dependent hearing assessment tool.
- Current ACT requires active participation, posing challenges for infants and individuals with developmental differences.
- An electrophysiological version (E-ACT) is needed to overcome participation limitations.
Purpose of the Study:
- To design and specify an electrophysiological ACT (E-ACT) using auditory change complex (ACC) responses.
- To investigate optimal stimulus carriers, hemispheric differences, and ACC change direction for E-ACT design.
- To compare strategies for defining individual E-ACT thresholds.
Main Methods:
- Two experiments with 65 adult participants with normal hearing thresholds were conducted.
- Stimuli included spectrotemporally modulated targets alternating with unmodulated references.
- Electroencephalogram (EEG) data were analyzed using the Fmpi detector to assess ACC responses.
Main Results:
- Tonal-carrier stimuli yielded significantly more detected ACC responses than noise-carrier stimuli.
- Higher ACC detection rates were observed from the right mastoid compared to the left; averaging both mastoids yielded the highest rate.
- The reference-to-target ('On') change direction showed a higher detection rate than target-to-reference ('Off').
Conclusions:
- The E-ACT should utilize tonal-carrier stimuli for optimal performance.
- Individual E-ACT thresholds should be determined using the average of left and right hemispheric ACC responses.
- Using the individually strongest direction of auditory change during initial recording is recommended for threshold definition.
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