Elaine C Thompson1,2, Jennifer Krizman1,2, Travis White-Schwoch1,2, Trent Nicol1,2, Cynthia R LaBella3,4, Nina Kraus1,2,5,6,7. 1. a Auditory Neuroscience Laboratory , Northwestern University , Evanston , IL , USA. 2. b Department of Communication Sciences , Northwestern University , Chicago , IL , USA. 3. f Division of Pediatric Orthopaedics & Sports Medicine , Ann & Robert H. Lurie Children's Hospital of Chicago , Chicago , IL , USA. 4. g Department of Pediatrics , Northwestern University Feinberg School of Medicine , Chicago , IL , USA. 5. c Institute for Neuroscience , Northwestern University , Evanston , IL , USA. 6. d Department of Neurobiology , Northwestern University , Evanston , IL , USA. 7. e Department of Otolaryngology , Northwestern University , Evanston , IL , USA.
Abstract
OBJECTIVE: Concussions can result in auditory processing deficits even in the absence of hearing loss. In children and adolescents, the extent to which these impairments have functional consequences for everyday listening, such as the ability to understand speech in noisy environments, is unknown. RESEARCH DESIGN: Case-control study. SUBJECTS AND METHODS: Forty youth comprised the participants: 20 had sustained a concussion and were recovering from their injury, and 20 controls had sustained non-concussive orthopaedic (e.g. musculoskeletal) injuries. All were evaluated on the Hearing in Noise Test, an audiologic index of the ability to hear sentences in adverse listening conditions. RESULTS: Children and adolescents recovering from concussions demonstrated an overall impaired ability to perceive speech in noisy backgrounds compared to a peer control group. This deficit also emerged across trials in the most taxing listening condition, and with respect to published, age-normative values. CONCLUSIONS: Functional listening skills-such as the ability to understand speech in noise, and the ability to sustain performance over time in taxing auditory conditions-may be compromised in children with concussions. These impairments may exacerbate cognitive and academic challenges associated with concussion injuries, and should be considered in return-to-learn and return-to-play decisions.
OBJECTIVE: Concussions can result in auditory processing deficits even in the absence of hearing loss. In children and adolescents, the extent to which these impairments have functional consequences for everyday listening, such as the ability to understand speech in noisy environments, is unknown. RESEARCH DESIGN: Case-control study. SUBJECTS AND METHODS: Forty youth comprised the participants: 20 had sustained a concussion and were recovering from their injury, and 20 controls had sustained non-concussive orthopaedic (e.g. musculoskeletal) injuries. All were evaluated on the Hearing in Noise Test, an audiologic index of the ability to hear sentences in adverse listening conditions. RESULTS:Children and adolescents recovering from concussions demonstrated an overall impaired ability to perceive speech in noisy backgrounds compared to a peer control group. This deficit also emerged across trials in the most taxing listening condition, and with respect to published, age-normative values. CONCLUSIONS: Functional listening skills-such as the ability to understand speech in noise, and the ability to sustain performance over time in taxing auditory conditions-may be compromised in children with concussions. These impairments may exacerbate cognitive and academic challenges associated with concussion injuries, and should be considered in return-to-learn and return-to-play decisions.
Authors: Travis White-Schwoch; Albert K Magohe; Abigail M Fellows; Catherine C Rieke; Brandon Vilarello; Trent Nicol; Enica R Massawe; Ndeserua Moshi; Nina Kraus; Jay C Buckey Journal: Clin Neurophysiol Date: 2020-05-22 Impact factor: 3.708
Authors: Ryan A Bartholomew; Rory J Lubner; Renata M Knoll; Iman Ghanad; David Jung; Joseph B Nadol; Victor E Alvarez; Aaron Remenschneider; Elliott D Kozin Journal: Laryngoscope Investig Otolaryngol Date: 2020-03-16