听觉脑干植入术后的特殊言语和语言结果:案例研究指导。

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY American Journal of Audiology Pub Date : 2023-12-04 Epub Date: 2023-11-06 DOI:10.1044/2023_AJA-23-00099
Carolyn J Herbert, William G Kronenberger, Kim Wolfert, Rick F Nelson, Charles W Yates, David B Pisoni
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引用次数: 0

摘要

目的:在大多数接受听觉脑干植入物(ABI)的患者中,经常观察到较大的个体差异和较差的语音识别结果。一份ABI接受者具有异常良好的语音识别结果的病例报告提供了一个更好地理解结果可变性和个体差异背后的核心信息处理机制的机会。方法:报告一例成年ABI接受者(ID-006),患有语言后获得性2型神经纤维瘤病(NF2)相关听力损失,术后语音识别评分异常。使用一组新的评估指标来评估ID-006的听觉、认知和语言信息处理技能。结果:ABI激活17年后,ID-006在安静的AzBio句子中的正确率为77.6%。在听觉处理任务中,ID-006在有意义句子的任务中得分较高,而在完全依赖可听性的任务中则得分较低。ID-006在一些认知和语言信息处理任务上也表现出了异常强大的能力。结论:一组新的信息处理测试的结果表明,ID-006广泛依赖自上而下的预测处理和认知控制策略来有效地编码和处理ABI提供的听觉信息。研究结果表明,目前对结果和益处的测量应该超越传统的语音识别测量,包括更敏感和稳健的语音识别度量,以及神经认知测量,如执行功能、工作记忆和词汇访问。
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Extraordinary Speech and Language Outcomes After Auditory Brainstem Implantation: Guidance From a Case Study.

Purpose: Large individual differences and poor speech recognition outcomes are routinely observed in most patients who have received auditory brainstem implants (ABIs). A case report of an ABI recipient with exceptionally good speech recognition outcomes presents an opportunity to better understand the core information processing mechanisms that underlie variability and individual differences in outcomes.

Method: A case study is reported of an adult ABI recipient (ID-006) with postlingually acquired, Neurofibromatosis Type 2 (NF2)-related hearing loss who displayed exceptional postoperative speech recognition scores. A novel battery of assessment measures was used to evaluate ID-006's auditory, cognitive, and linguistic information processing skills.

Results: Seventeen years following ABI activation, ID-006 scored 77.6% correct on the AzBio Sentences in quiet. On auditory processing tasks, ID-006 scored higher on tasks with meaningful sentences and much lower on tasks that relied exclusively on audibility. ID-006 also demonstrated exceptionally strong abilities on several cognitive and linguistic information processing tasks.

Conclusions: Results from a novel battery of information processing tests suggest that ID-006 relies extensively on top-down predictive processing and cognitive control strategies to efficiently encode and process auditory information provided by his ABI. Results suggest that current measures of outcomes and benefits should be expanded beyond conventional speech recognition measures to include more sensitive and robust measures of speech recognition as well as neurocognitive measures such as executive function, working memory, and lexical access.

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来源期刊
American Journal of Audiology
American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
3.00
自引率
16.70%
发文量
163
审稿时长
>12 weeks
期刊介绍: Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
期刊最新文献
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