The Impact of Traumatic Brain Injury on Binaural Processing in Young and Middle-Age Adults.

Purpose: This study examined the impact of traumatic brain injury (TBI) on selfperceived hearing and suprathreshold binaural processing in young and middleage adults. Method: Ninety-three adults with normal hearing (thresholds ≤ 25 dB HL, 250-- 4000 Hz) participated in one of four groups: 38 young a...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 10; pp. 4037 - 4052
Autores principales: Roup, Christina M., Lander, Devan, Powell, Julie, Hoffman, Jennifer
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Oct2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 66
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00725
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        atl: The Impact of Traumatic Brain Injury on Binaural Processing in Young and Middle-Age Adults.
      aug:
        au:
          Roup, Christina M.
          Lander, Devan
          Powell, Julie
          Hoffman, Jennifer
        affil:
          Department of Speech and Hearing Science, The Ohio State University, Columbus
          Debra B. Romas & Associates, Mount Vernon, OH
          OhioHealth, Columbus d Vanderbilt University, Nashville, TN
      su:
        Ohio
        Hearing
        Age distribution
        Disease risk factors
        Adults
        Middle age
        Speech perception
        Statistics
        One-way analysis of variance
        Comparative studies
        Word deafness
        Verbal behavior testing
        Questionnaires
        Scale analysis (Psychology)
        Analysis of covariance
        Descriptive statistics
        Research funding
        Brain injuries
        Data analysis
        Articulation (Speech)
        Disease complications
      sug:
        subj:
          Hearing
          Age distribution
          Disease risk factors
          Adults
          Middle age
          Ohio
          Speech perception
          Statistics
          One-way analysis of variance
          Comparative studies
          Word deafness
          Verbal behavior testing
          Questionnaires
          Scale analysis (Psychology)
          Analysis of covariance
          Descriptive statistics
          Research funding
          Brain injuries
          Data analysis
          Articulation (Speech)
          Disease complications
      ab: Purpose: This study examined the impact of traumatic brain injury (TBI) on selfperceived hearing and suprathreshold binaural processing in young and middleage adults. Method: Ninety-three adults with normal hearing (thresholds ≤ 25 dB HL, 250-- 4000 Hz) participated in one of four groups: 38 young adults, 23 young adults with TBI, 16 middle-age adults, and 16 middle-age adults with TBI. Selfperceived hearing difficulty was measured via questionnaires. Binaural processing was measured using dichotic word recognition, the Listening in Spatialized Noise--Sentences Test (LiSN-S), and the 500-Hz masking level difference (MLD). For each participant, a composite binaural processing (CBP) score was calculated to obtain a global metric of binaural processing performance. The CBP was composed of six measures from the three behavioral tests, including the S0N0 and SπN0 thresholds from the 500-Hz MLD, the low- and high-cue speech recognition thresholds from the LiSN-S, and the free and directed recall ear advantages from the dichotic word test. Results: The middle-age TBI group reported significantly greater degrees of self-perceived hearing difficulty than the other groups. On average, the middleage TBI group performed poorer on the individual binaural processing tests; however, the differences were significant for the S0N0 and SπN0 MLD thresholds only. Results for the global metric of binaural processing revealed significantly poorer CBP scores for the middle-age TBI group compared to the other groups. Conclusions: Results demonstrate that both age and a positive history of TBI contributed to deficits in suprathreshold binaural processing. Middle-age adults with a history of TBI are at risk for experiencing presenescent deficits in suprathreshold binaural processing deficits, despite having clinically normal hearing.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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