Wong Annabelle Ching Wah, McPherson Bradley
Division of Speech and Hearing Sciences, Faculty of Education, University of Hong Kong , China.
Int J Audiol. 2015 Jan;54(1):29-36. doi: 10.3109/14992027.2014.952457.
Auditory processing disorder patients may have deficits in auditory temporal resolution. This study explored: (1) the ear specific norms for young adults using the adaptive tests of temporal resolution (ATTR); (2) the reliability of ATTR using two different modes of stimuli presentation; and (3) the concurrent validity of ATTR with reference to the gaps-in-noise (GIN) test.
GIN and ATTR were administered through a standard audiometer and headphones. As ATTR can also be completed using a computer with commercially available headphones, thresholds from these two variants were compared.
Thirty normal-hearing young adults were recruited.
The mean ATTR gap detection thresholds (GDTs) derived under audiometer administration were 4.60 ms (SD 1.49) and 4.97 ms (SD 1.98) for the left and right ear, respectively. The approximated threshold (A. th.), an equivalent measure to the GDT in the GIN, mean values were 5.37 ms (SD 0.98) and 5.33 ms (SD 1.07) for left and right ears, respectively. No significant threshold difference was found between the ATTR variants. A positive, moderate correlation was found, and Bland-Altman plot analysis revealed good agreement, between GDT and A.th.
ATTR and GIN results were moderately associated. Moreover, the ATTR was found to have high test-retest reliability and high specificity for the current participants.
听觉处理障碍患者可能在听觉时间分辨率方面存在缺陷。本研究探讨了:(1)使用时间分辨率自适应测试(ATTR)的年轻成年人的耳特异性标准;(2)使用两种不同刺激呈现模式的ATTR的可靠性;(3)ATTR相对于噪声间隙(GIN)测试的同时效度。
通过标准听力计和耳机进行GIN和ATTR测试。由于ATTR也可以使用配备市售耳机的计算机完成,因此比较了这两种变体的阈值。
招募了30名听力正常的年轻成年人。
在听力计测试中得出的平均ATTR间隙检测阈值(GDT),左耳为4.60毫秒(标准差1.49),右耳为4.97毫秒(标准差1.98)。近似阈值(A.th.),在GIN中与GDT等效的测量值,左耳和右耳的平均值分别为5.37毫秒(标准差0.98)和5.33毫秒(标准差1.07)。在ATTR变体之间未发现显著的阈值差异。发现GDT与A.th.之间存在正的、中等程度的相关性,并且Bland-Altman图分析显示两者具有良好的一致性。
ATTR和GIN结果具有中等程度的相关性。此外,发现ATTR对当前参与者具有较高的重测可靠性和较高的特异性。