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Related Experiment Video

Updated: Feb 4, 2026

Evaluation of Auditory Brainstem Response in Chicken Hatchlings
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Evaluation of Auditory Brainstem Response in Chicken Hatchlings

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Age-Related Changes in Speech Recognition Performance-Intensity Functions and Auditory Brainstem Responses.

Bruna S Mussoi1

  • 1Department of Audiology and Speech Pathology, The University of Tennessee Health Science Center, Knoxville, Tennessee, USA.

Ear and Hearing
|February 3, 2026
PubMed
Summary
This summary is machine-generated.

Aging impairs speech recognition in noise and auditory brainstem responses (ABR). While reduced ABR wave I/V ratios suggest cochlear synaptopathy in older adults, this did not correlate with speech recognition performance, challenging current theories.

Keywords:
AgingAuditory Brainstem ResponsesCochlear synaptopathyPerformance-intensity functionsSpeech recognition

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Area of Science:

  • Auditory Neuroscience
  • Gerontology
  • Speech Perception

Background:

  • Age-related hearing decline is multifactorial.
  • Cochlear synaptopathy is a potential peripheral auditory contributor to age-related speech recognition deficits.
  • Previous human studies on age-related cochlear synaptopathy have yielded inconclusive results.

Purpose of the Study:

  • To investigate the impact of aging on speech recognition performance-intensity functions in noise and high-level auditory brainstem responses (ABRs).
  • To examine the association between these measures in younger and older adults.
  • To assess the role of cochlear synaptopathy in age-related auditory changes.

Main Methods:

  • Nineteen younger (18-36 yrs) and 19 older adults (65-81 yrs) with normal audiometry participated.
  • Speech recognition performance-intensity functions were measured using words in multitalker babble across various signal-to-noise ratios (SNRs).
  • High-level auditory brainstem responses (ABRs) were recorded at two presentation rates (11.3/sec and 41.3/sec) using click stimuli.

Main Results:

  • Older adults required more favorable SNRs for equivalent speech recognition performance compared to younger adults.
  • A reduction in ABR wave I/V amplitude ratios was observed in older adults, consistent with cochlear synaptopathy.
  • No significant association was found between speech recognition performance-intensity function metrics and ABR I/V amplitude ratios.

Conclusions:

  • Aging negatively affects speech recognition in noise and ABR responses.
  • While reduced ABR wave I/V ratios suggest age-related cochlear synaptopathy, this did not correlate with speech recognition performance.
  • These findings challenge the direct link between cochlear synaptopathy and observed speech recognition deficits in aging individuals.