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噪声和年龄对婴儿脑干对言语反应的影响。

Effects of noise and age on the infant brainstem response to speech.

机构信息

Department of Audiology, University of the Pacific, 155 Fifth Street, San Francisco, CA 94103, United States; Department of Otolaryngology Head and Neck Surgery, Stanford Medical School, Stanford, CA, United States.

Center for Molecular and Behavioral Neuroscience, Rutgers University, Newark, NJ, United States.

出版信息

Clin Neurophysiol. 2018 Dec;129(12):2623-2634. doi: 10.1016/j.clinph.2018.08.005. Epub 2018 Aug 30.

Abstract

OBJECTIVE

Background noise makes hearing speech difficult for people of all ages. This difficulty can be exacerbated by co-occurring developmental deficits that often emerge in childhood. Sentence-type speech-in-noise (SIN) tests are available clinically but cannot be administered to very young individuals. Our objective was to examine the use of an electrophysiological test of SIN, suitable for infants, to track developmental trajectories.

METHODS

Speech-evoked brainstem potentials were recorded from 30 typically-developing infants in quiet and +10 dB SNR background noise. Infants were divided into two age groups (7-12 and 18-24 months) and examined across development. Spectral power of the frequency following response (FFR) was computed using a fast Fourier Transform. Cross-correlations between quiet and noise responses were computed to measure encoding resistance to noise.

RESULTS

Older infants had more robust FFR encoding in noise and had higher quiet-noise correlations than their younger counterparts. No group differences were observed in the quiet condition.

CONCLUSIONS

By two years of age, infants show less vulnerability to the disruptive effects of background noise, compared to infants under 12 months.

SIGNIFICANCE

Speech-in-noise electrophysiology can be easily recorded across infancy and provides unique insights into developmental differences that tests conducted in quiet may miss.

摘要

目的

背景噪声会使各个年龄段的人都难以听到言语。这种困难可能会因在儿童时期经常出现的共同发育缺陷而加剧。临床上有句子类型言语噪声测试(SIN),但不能用于非常年幼的个体。我们的目的是检验适合婴儿的 SIN 电生理测试的使用情况,以跟踪其发育轨迹。

方法

从 30 名正常发育的婴儿中记录安静和+10dB SNR 背景噪声下的言语诱发脑干电位。婴儿被分为两个年龄组(7-12 个月和 18-24 个月),并在整个发育过程中进行检查。使用快速傅里叶变换计算频率跟随反应(FFR)的频谱功率。计算安静和噪声响应之间的互相关以测量对噪声的编码抵抗能力。

结果

年龄较大的婴儿在噪声中的 FFR 编码更为稳健,与年龄较小的婴儿相比,其安静噪声相关性更高。在安静状态下未观察到组间差异。

结论

与 12 个月以下的婴儿相比,两岁的婴儿对背景噪声的干扰影响的敏感性较低。

意义

噪声中的言语电生理学可以在整个婴儿期轻松记录,并提供了在安静环境中进行测试可能错过的发育差异的独特见解。

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