Clinical Importance of Binaural Information: Extending Auditory Assessment in Clinical Populations Using a Portable Testing Platform.
Clinical Importance of Binaural Information: Extending Auditory Assessment in Clinical Populations Using a Portable Testing Platform.
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DOI：
10.1044/2021_aja-20-00168
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发表时间：
2021-09-10
影响因子：
1.8
通讯作者：
Gallun FJ
中科院分区：
文献类型：
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作者：
Diedesch AC;Bock SJA;Gallun FJ
本研究的目的是使用基本听觉处理测试的可变性，以识别那些可以在临床上用于描述纯音听力图和临床噪声中言语测试之外的功能性听力能力的测试。使用便携式自动快速测试系统在校准的iPad上对9名年轻的听力正常参与者（M年龄= 21.3，SD = 2.5）和7名听力受损参与者（M年龄= 64.9，SD = 13.5）进行了心理声学测试。参与者在一个安静的房间里完成了10个心理声学子测试。相关性分析被用来比较性能的心理声学测试电池与性能的临床语音噪声测试和4频率纯音平均（4FreqPTA）。频谱处理能力与4FreqPTA高度相关，时间处理能力在听力受损组中表现出最小的变异性。涉及双耳处理的测试捕获了与4FreqPTA或噪声中语音性能无关的听力受损听众的变异性。测试捕捉使用双耳线索的能力可能会增加信息，以目前的临床协议揭示了患者的听觉投诉。需要更大样本量的进一步测试，以确认双耳测量的必要性，并为临床环境开发规范性数据。
The purpose of this study is to use variability on tests of basic auditory processing to allow identification of those tests that could be used clinically to describe functional hearing ability beyond the pure-tone audiogram and clinical speech-in-noise tests. Psychoacoustic tests implemented using the Portable Automated Rapid Testing system on a calibrated iPad were evaluated for nine young normal-hearing participants (M age = 21.3, SD = 2.5) and seven hearing-impaired participants (M age = 64.9, SD = 13.5). Participants completed 10 psychoacoustic subtests in a quiet room. Correlational analyses were used to compare performance on the psychoacoustic test battery with performance on a clinical speech-in-noise test and with the 4-frequency pure-tone average (4FreqPTA). Spectral processing ability was highly correlated with 4FreqPTA, and temporal processing ability showed minimal variability across the hearing-impaired group. Tests involving binaural processing captured variability across hearing-impaired listeners not associated with 4FreqPTA or speech-in-noise performance. Tests that capture the ability to use binaural cues may add information to what current clinical protocols reveal about patients with auditory complaints. Further testing with a larger sample size is needed to confirm the need for binaural measurements and to develop normative data for clinical settings.