Department of Audiology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Biostatistics, Iran University of Medical Sciences, Tehran, Iran.
J Am Acad Audiol. 2021 Mar;32(3):171-179. doi: 10.1055/s-0041-1722983. Epub 2021 Apr 19.
Temporal resolution is essential to speech acoustic perception. However, it may alter in individuals with auditory disorders, impairing the development of spoken and written language. The envelope of speech signals contains amplitude modulation (AM) that has critical information. Any problem reducing the listener's sensitivity to these amplitude variations (auditory temporal acuity) is likely to cause speech comprehension problems. The modulation detection threshold (MDT) test is a measure for evaluating temporal resolution. However, this test cannot be used for patients with poor cooperation; therefore, objective evaluation of MDT is essential.
The main aim of this study is to find the association between the auditory steady-state response (ASSR) and psychoacoustic measurement of MDT at different intensity levels and to assess the amplitude and phase of ASSR as a function of modulation depth.
This was a correlational research.
Eighteen individuals (nine males and nine females) with normal hearing sensitivity, aged between 18 and 23 years, participated in this study.
ASSR was recorded at fixed AM rates and variable AM depths for carrier frequencies of 1,000 and 2,000 Hz with varying intensities. The least AM depth, efficient to evoke an ASSR response, was interpreted as the physiological detection threshold of AM. The ASSR amplitude and phase, as a function of AM depth, were also evaluated at an intensity level of 60 dB hearing level (HL) with modulation rates of 40 and 100 Hz. Moreover, the Natus instrument (Biologic Systems) was used for the electrophysiological measurements. An AC40 clinical audiometer (Intra-acoustic, Denmark) was also used for the psychoacoustic measurement of MDT in a similar setting to ASSR, using the two-alternative forced choice method. Pearson's correlation test and linear regression model and paired -test were used for statistical analyses.
A significant positive correlation was found between psychoacoustic and electrophysiological measurements at a carrier frequency of 1000 Hz, with a modulation rate of 40 Hz at intensity levels of 60 dB HL ( = 0.63, = 0.004), 50 dB HL ( = 0.52, = 0.02). A significant positive correlation was also found at a carrier frequency of 2000 Hz, with a modulation rate of 47 Hz at 60 dB HL ( = 0.55, = 0.01) and 50 dB HL ( = 0.67, = 0.002) and a modulation rate of 97 Hz at 60 dB HL ( = 0.65, = 0.003). Moreover, a significant association was found between the modulation depth and ASSR amplitude and phase increment at carrier frequencies of 1,000 and 2000 Hz, with modulation rates of 40 and 100 Hz.
There was a significant correlation between ASSR and behavioral measurement of MDT, even at low intensities with low modulation rates of 40 and 47 Hz. The ASSR amplitude and phase increment was a function of modulation depth increase. The findings of this study can be used as a basis for evaluating the relationship between two approaches in the clinical population.
时间分辨率对于言语听觉感知至关重要。然而,听觉障碍患者的时间分辨率可能会发生变化,从而影响口语和书面语言的发展。言语信号的包络包含了具有关键信息的幅度调制(AM)。任何降低听众对这些幅度变化(听觉时间锐度)敏感度的问题都可能导致言语理解问题。调制检测阈值(MDT)测试是评估时间分辨率的一种方法。然而,这种测试不能用于合作能力差的患者;因此,客观评估 MDT 是必要的。
本研究的主要目的是探讨听觉稳态反应(ASSR)与不同强度水平下的心理声学调制检测阈值(MDT)测量之间的关系,并评估调制深度对 ASSR 幅度和相位的影响。
这是一项相关性研究。
18 名听力正常的个体(9 名男性和 9 名女性),年龄在 18 至 23 岁之间,参与了这项研究。
在固定调制率和可变调制深度下,对载波频率为 1000 和 2000 Hz 的 ASSR 进行记录,同时还记录了不同强度水平下的 ASSR。最浅的调制深度,有效激发 ASSR 反应的深度,被解释为 AM 的生理检测阈值。还在 60 分贝听力级(HL)的强度水平下,以 40 和 100 Hz 的调制率评估 ASSR 幅度和相位随调制深度的变化。此外,Natus 仪器(Biologic Systems)用于电生理测量。AC40 临床听力计(Intra-acoustic,丹麦)也用于在与 ASSR 相似的设置中进行 MDT 的心理声学测量,使用二择一强制选择法。采用 Pearson 相关检验、线性回归模型和配对 t 检验进行统计分析。
在载波频率为 1000 Hz、调制率为 40 Hz、强度水平为 60 dB HL 时,心理声学和电生理测量之间存在显著的正相关关系( = 0.63, = 0.004),在 50 dB HL 时也存在显著的正相关关系( = 0.52, = 0.02)。在载波频率为 2000 Hz、调制率为 47 Hz、强度水平为 60 dB HL 时也存在显著的正相关关系( = 0.55, = 0.01)和 50 dB HL 时也存在显著的正相关关系( = 0.67, = 0.002),在 60 dB HL 时也存在显著的正相关关系( = 0.65, = 0.003)。此外,在载波频率为 1000 和 2000 Hz、调制率为 40 和 100 Hz 时,调制深度与 ASSR 幅度和相位增量之间存在显著的相关性。
即使在调制率为 40 和 47 Hz 的低强度下,ASSR 与 MDT 的行为测量之间也存在显著的相关性。ASSR 幅度和相位增量是调制深度增加的函数。本研究的结果可以作为评估两种方法在临床人群中的关系的基础。