Literature DB >> 34456301

Acoustic Change Complex and Visually Reinforced Infant Speech Discrimination Measures of Vowel Contrast Detection.

Barbara K Cone1, Spencer Smith2, Diane E Cheek Smith1.   

Abstract

OBJECTIVES: To measure the effect of stimulus rate and vowel change direction on the acoustic change complex (ACC) latencies and amplitudes and compare ACC metrics to behavioral measures of vowel contrast detection for infants tested under the age of 1 year. We tested the hypothesis that the direction of spectral energy shift from a vowel change would result in differences in the ACC, owing to the sensitivity of cortical neurons to the direction of frequency change. We evaluated the effect of the stimulus rate (1/s versus 2/s) on the infants' ACC. We evaluated the ACC amplitude ratio's sensitivity (proportion of ACCs present for each change trial) and compared it to perceptual responses obtained using a visually reinforced infant speech discrimination paradigm (VRISD). This report provides normative data from infants for the ACC toward the ultimate goal of developing a clinically useful index of neural capacity for vowel discrimination.
DESIGN: Twenty-nine infants, nine females, 4.0 to 11.8 months of age, participated. All participants were born at full term and passed their newborn hearing screens. None had risk factors for hearing or neurologic impairment. Cortical auditory evoked potentials were obtained in response to synthesized vowel tokens /a/, /i/, /o/, and /u/ presented at a rate of 1- or 2/s in an oddball stimulus paradigm with a 25% probability of the deviant stimulus. All combinations of vowel tokens were tested at the two rates. The ACC was obtained in response to the deviant stimulus. The infants were also tested for vowel contrast detection using a VRISD paradigm with the same combinations of vowel tokens used for the ACC. The mean age at the time of the ACC test was 5.4 months, while the mean age at the behavioral test was 6.8 months.
RESULTS: Variations in ACC amplitude and latency occurred as a function of the initial vowel token and the contrast token. However, the hypothesis that the direction of vowel (spectral) change would result in significantly larger change responses for high-to-low spectral changes was not supported. The contrasts with /a/ as the leading vowel of the contrast pair resulted in the largest ACC amplitudes than other conditions. Significant differences in the ACC presence and amplitude were observed as a function of rate, with 2/s resulting in ACCs with the largest amplitude ratios. Latency effects of vowel contrast and rate were present, but not systematic. The ACC amplitude ratio's sensitivity for detecting a vowel contrast was greater for the 2/s rate than the 1/s rate. For an amplitude ratio criterion of ≥1.5, the sensitivity was 93% for ACC component P2-N2 at 2/s, whereas at 1/s sensitivity was 70%. VRISD tests of vowel-contrast detection had a 71% hit and a 21% false-positive rate. Many infants who could not reach performance criteria for VRISD had ACC amplitude ratios of ≥2.0.
CONCLUSIONS: The ACC for vowel contrasts presented at a rate of 2/s is a robust index of vowel-contrast detection when obtained in typically developing infants under the age of 1 year. The ACC is present in over 90% of infants tested at this rate when an amplitude ratio criterion of ≥1.5 is used to define a response. The amplitude ratio appears to be a sensitive metric for the difference between a control and contrast condition. The ACC can be obtained in infants who do not yet exhibit valid behavioral responses for vowel change contrasts and may be useful for estimating neural capacity for discriminating these sounds.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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Year:  2022        PMID: 34456301      PMCID: PMC8873241          DOI: 10.1097/AUD.0000000000001116

Source DB:  PubMed          Journal:  Ear Hear        ISSN: 0196-0202            Impact factor:   3.562


  56 in total

1.  Cortical, auditory, evoked potentials in response to changes of spectrum and amplitude.

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Authors:  M Cheour; P H Leppänen; N Kraus
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4.  Detection Rates of Cortical Auditory Evoked Potentials at Different Sensation Levels in Infants with Sensory/Neural Hearing Loss and Auditory Neuropathy Spectrum Disorder.

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Journal:  Semin Hear       Date:  2016-02

5.  Cortical Auditory Evoked Potentials Reveal Changes in Audibility with Nonlinear Frequency Compression in Hearing Aids for Children: Clinical Implications.

Authors:  Teresa Y C Ching; Vicky W Zhang; Sanna Hou; Patricia Van Buynder
Journal:  Semin Hear       Date:  2016-02

Review 6.  Cortical development and neuroplasticity in Auditory Neuropathy Spectrum Disorder.

Authors:  Anu Sharma; Garrett Cardon
Journal:  Hear Res       Date:  2015-06-10       Impact factor: 3.208

Review 7.  Maturation of CAEP in infants and children: a review.

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Journal:  Hear Res       Date:  2006-02-09       Impact factor: 3.208

8.  Minimal response levels for visual reinforcement audiometry in infants.

Authors:  G Parry; C Hacking; J Bamford; J Day
Journal:  Int J Audiol       Date:  2003-10       Impact factor: 2.117

9.  Role of Cortical Auditory Evoked Potentials in Reducing the Age at Hearing Aid Fitting in Children With Hearing Loss Identified by Newborn Hearing Screening.

Authors:  Kinjal Mehta; Peter Watkin; Margaret Baldwin; Josephine Marriage; Merle Mahon; Deborah Vickers
Journal:  Trends Hear       Date:  2017 Jan-Dec       Impact factor: 3.293

10.  Cortical Auditory Evoked Potentials in Response to Frequency Changes with Varied Magnitude, Rate, and Direction.

Authors:  Bernard M D Vonck; Marc J W Lammers; Marjolijn van der Waals; Gijsbert A van Zanten; Huib Versnel
Journal:  J Assoc Res Otolaryngol       Date:  2019-06-05
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1.  Electrophysiological responses to spectral ripple envelope phase inversion in typical hearing 2- to 4-month-olds.

Authors:  David Horn; Max Walter; Jay Rubinstein; Bonnie K Lau
Journal:  Proc Meet Acoust       Date:  2022-05-05
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