National Center for Rehabilitative Auditory Research

国家听力康复研究中心

• 批准号: 10268979
• 负责人: Martin Patrick Feeney
• 金额: --
• 依托单位: PORTLAND VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-10-01 至 2022-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268979
• 关键词: Acoustics; Adult; Aging; Area; Audiology; Auditory; Auditory Evoked Potentials; Auditory system; Behavioral; Caring; Clinical Assessment Tool; Clinical assessments; Cognitive Therapy; Collaborations; Communities; Conflict (Psychology); Cues; Detection; Development; Devices; Diabetes Mellitus; Diagnosis; Disease; Education and Outreach; Equilibrium; Evaluation; Fall prevention; Financial compensation; Frequencies; Functional disorder; Funding; Gait; Goals; Health; Health Services Research; Health behavior; Healthcare; Healthcare Systems; Hearing; Hearing Aids; Hearing problem; Hyperacusis; Infrastructure; Legal patent; Long-Term Effects; Longitudinal Studies; Methods; Modeling; Monitor; Multi-Institutional Clinical Trial; Musculoskeletal Equilibrium; Noise; Noise-Induced Hearing Loss; Outcome; Peer Review; Physiological; Post-Traumatic Stress Disorders; Prevention; Primary Prevention; Rehabilitation Centers; Rehabilitation therapy; Research; Research Personnel; Research Training; Risk; Sensorineural Hearing Loss; Sensory; Sensory Aids; Series; Services; Speech Perception; Standardization; Strategic Planning; Students; System; TBI Patients; Technology; Tinnitus; Training; Translational Research; Traumatic Brain Injury; United States National Institutes of Health; Veterans; age effect; auditory feedback; auditory rehabilitation; balance prosthesis; base; blast exposure; clinical implementation; disability; epidemiology study; equilibration disorder; externship; falls; hearing impairment; hearing screening; hidden hearing loss; improved; military service; motivational enhancement therapy; motor deficit; neuroimaging; noise exposure; ototoxicity; outreach program; portability; prediction algorithm; prevent; programs; repetitive transcranial magnetic stimulation; research and development; research clinical testing; symposium; targeted treatment; uptake

The Center model employed by the National Center for Rehabilitative Auditory Research (NCRAR) uses core funding to provide infrastructure that supports core investigators, who then leverage this support to garner external peer-reviewed funding, and to support education/outreach activities. Research is planned in the areas of Diagnosis and Assessment, Rehabilitation, and Prevention of auditory and balance dysfunction in Veterans. Education/outreach programs will include biennial conferences, a monthly seminar series, NIH-funded T-35 audiology student research training, and year-long externships for 4th year Au.D. students in collaboration with the VA Portland Health Care System (VAPORHCS) Audiology Service. Technology-wise, further development is planned for NCRAR's OtoID, a patent-pending high-frequency portable audiometer, and for an upgrade to a recently patented Tinnitus Evaluation System, which will be used in a study to standardize tinnitus evaluation. Some examples of studies planned in each of our key research areas are: Diagnosis and Assessment 1) standardization of assessment for tinnitus and hyperacusis; 2) continued development of wideband auditory assessment tools for the clinical evaluation of hearing in Veterans; 3) clinical assessment of central auditory deficits resulting from blast exposure, traumatic brain injury (TBI), and their interaction with post-traumatic stress disorder; 4) new physiologic and behavioral methods to identify “hidden hearing loss” resulting from excessive noise exposure; 5) effects of aging and TBI on dynamic gait control and balance dysfunction; 6) a longitudinal study of auditory dysfunction in Veterans with diabetes to understand the long-term effects of diabetes on the auditory system; and 7) use of behavioral methods to assess the effects of imprecise temporal processing and reduced frequency selectivity associated with sensorineural hearing loss, and the use of auditory evoked potentials to explore the effects of aging and hearing loss on speech perception in noise. Rehabilitation 1) refinement of Progressive Tinnitus Management (PTM) as an interdisciplinary, stepped- care program that combines acoustic therapy and Cognitive-Behavioral Therapy. In collaboration with Health Services Research and Development (HSR&D) and researchers at the VAPORHCS, PTM will be readied for implementation throughout VA; 2) a multi-center clinical trial of repetitive transcranial magnetic stimulation (rTMS) for the relief of tinnitus, along with efforts to identify best methods for magnet placement; 3) continued research on hearing-aid orientation and use of motivational interviewing to improve hearing aid outcome; 4) studies on hearing health behaviors to increase hearing health care uptake and successful rehabilitation; 5) balance rehabilitation using auditory feedback, and targeted therapy for balance disorders based on identified sensory and/or motor deficits in patients with TBI; and 6) use of neuroimaging methods to determine the impact of training on the use of assistive ambulatory devices in Veterans with MS. Prevention 1) continuation of an epidemiology study on noise induced hearing loss and tinnitus in recently discharged Veterans with the goal of developing algorithms for predicting risk of tinnitus and hearing loss with the goal of preventing the development of tinnitus and hearing loss during military service; 2) clinical implementation of NCRAR's comprehensive VA ototoxicity monitoring program in collaboration with HSR&D researchers at VAPORHCS; 3) continued focus on community-based adult hearing screening will be explored using the results of ongoing studies and the principles of Health-Behaviors research; 4) falls prevention using ambulatory device training and automated falls detection in Veterans with MS; and 5) effect of cued step timing on dynamic balance to serve as the basis for a balance prosthesis. KEYWORDS: hearing loss, tinnitus, postural balance, diagnosis, rehabilitation, primary prevention, sensory aids, translational research

国家康复听觉研究中心(NCRAR)使用的中心模型 提供支持核心调查人员的基础设施的核心资金，然后他们利用这种支持来获得 外部同行审查的资金，并支持教育/外联活动。计划在这些地区进行研究 退伍军人听力和平衡功能障碍的诊断和评估、康复和预防。 教育/外展计划将包括两年一次的会议，每月一次的研讨会系列，由NIH资助的T-35 听力学学生研究培训，为四年级研究生提供为期一年的实习机会，与 退伍军人管理局波特兰医疗保健系统(VAPORHCS)听力服务。在技术方面，进一步发展 计划用于NCRAR的OtoID，这是一种正在申请专利的高频便携式听力计，并计划升级到 最近获得专利的耳鸣评估系统，将用于一项标准化耳鸣评估的研究。 我们在每个主要研究领域计划进行的研究的一些例子如下： 诊断和评估1)耳鸣和听力亢进评估的标准化；2)继续 用于退伍军人临床听力评估的宽带听力评估工具的开发；3) 冲击波暴露、创伤性脑损伤(TBI)和 他们与创伤后应激障碍的相互作用；4)新的生理和行为方法来识别 过度噪声暴露导致的“隐性听力损失”；5)衰老和脑外伤对动态步态的影响 控制和平衡功能障碍；6)糖尿病退伍军人听觉功能障碍的纵向研究 了解糖尿病对听觉系统的长期影响；以及7)使用行为方法 评估与以下相关的不精确的时间处理和降低的频率选择性的影响 感觉神经性听力损失，并使用听觉诱发电位来探索衰老和听力损失的影响 噪声中听力损失对言语知觉的影响。 康复1)完善渐进性耳鸣管理(PTM)作为一种跨学科的、分步骤的 将听觉疗法和认知行为疗法结合在一起的关怀计划。与Health协作 服务研发(HSR&D)和VAPORHCS、PTM的研究人员将做好准备 在VA中实施；2)重复经颅磁刺激的多中心临床试验 (RTMS)缓解耳鸣，同时努力确定放置磁铁的最佳方法；3)继续 助听器定位和使用激励性访谈提高助听器效果的研究 研究听力健康行为，以提高听力保健意识和成功康复；5) 使用听觉反馈的平衡康复，以及基于已识别的平衡障碍的靶向治疗 脑损伤患者的感觉和/或运动障碍；以及6)使用神经成像方法确定 训练对患有MS的退伍军人使用辅助移动设备的影响 预防1)最近继续进行噪声性听力损失和耳鸣的流行病学研究 退役退伍军人，目标是开发预测耳鸣和听力损失风险的算法 预防兵役期间耳鸣和听力损失的目标；2)临床 NCRAR与HSR&D合作实施全面的VA耳毒性监测计划 VAPORHCS的研究人员；3)将继续关注基于社区的成人听力筛查 利用正在进行的研究的结果和健康行为研究的原则；4)使用 患有多发性硬化症的退伍军人的步行装置训练和自动跌倒检测；以及5)提示步态计时的影响 关于动态平衡作为平衡假体的基础。 关键词：听力损失、耳鸣、体位平衡、诊断、康复、一级预防、感觉 艾滋病，翻译研究