听觉神经密度和同步对老年耳植入物使用者语音理解的贡献
Kara C Schvartz-Leyzac1, Carolyn M McClaskey2, James W Dias2
1Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, SC, 29425, USA. leyzac@musc.edu.
概括
听觉神经 (AN) 不同步,而不是密度,在老年耳植入物 (CI) 用户中显著影响语音理解. 这一发现对于改善老龄化人口中CI结果至关重要.
科学领域:
- 神经科学是一个神经科学.
- 听力学 听力学是指听力学.
- 老年学是一门学科.
背景情况:
- 大多数成年耳植入物 (CI) 用户都超过65岁.
- 听觉神经 (AN) 病理生理学有助于与年龄相关的非植入式老年人语音理解的下降.
- 在CI使用者中,与年龄相关的AN变化尚未得到充分理解.
研究的目的:
- 调查AN密度和异步如何影响老年CI用户的语音识别.
- 探索年龄,AN结构/功能和CI表现之间的关系.
主要方法:
- 在47名成年CI接受者中检查了电引起的化合物作用潜力 (ECAP).
- 测量了AN密度的相间间隙 (IPG) 效应和AN异步的N1-P2间峰延迟.
主要成果:
- 在CI使用者中,AN密度和异步随着年龄的增长而恶化.
- 较差的AN失调独立地预测了噪音中的更差的语音识别.
- 在老年CI使用者中观察到较低的AN密度和较差的神经同步.
结论:
- 对于CI用户来说,与年龄相关的语音理解下降的主要因素是AN异步,而不是密度.
- 这些发现增强了对CI对成年人语音感知神经贡献的理解.
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