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Semin Hear 2013; 34(04): 278-287
DOI: 10.1055/s-0033-1356640
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Acoustic Change Complex in Young Children with Hearing Loss: A Preliminary Study

Amy S. Martinez
1   Division of Clinical and Translational Research, House Research Institute, Los Angeles, California
,
Laurie S. Eisenberg
1   Division of Clinical and Translational Research, House Research Institute, Los Angeles, California
,
Arthur Boothroyd
2   City University of New York, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
15 October 2013 (online)

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Abstract

The acoustic change complex (ACC) is a cortical auditory evoked potential elicited in response to a change in an ongoing sound. The ACC may have promise for assessing speech perception in infants and toddlers. In this preliminary study, the ACC was elicited in adults and young children in response to changes in speech stimuli representing vowel height /u/-/a/ and vowel place /u/-/i/ contrasts. The participants were adults with normal hearing (n = 3), children with normal hearing (n = 5), and children with mild to moderately severe bilateral sensorineural hearing loss (n = 5). The children with hearing loss were hearing aid users. The ages ranged from 2 years 3 months to 6 years 3 months for the children and 44 to 55 years for the adults. Robust P1-N1-P2 responses were present for the adults and P1-N2 responses were present for all but the youngest child with hearing loss. The ACC response for the vowel place contrast was less robust than that for the vowel height contrast in one child with substantial hearing loss. The findings from this preliminary study support the conclusion that the ACC can be used successfully to assess auditory resolution in most young children.

Keywords

Acoustic change complex - cortical evoked potentials - auditory speech perception - childhood hearing loss
 

  • References

  • 1 Resnick SB. Speech recognition testing: nonconventional testing techniques and application to children. In: Elkins E, , ed. Speech Recognition by the Hearing Impaired. ASHA Reports 1984. 14. 65-69
    Google Scholar
  • 2 Eilers RE, Wilson WR, Moore JM. Developmental changes in speech discrimination in infants. J Speech Hear Res 1977; 20 (4) 766-780
    PubMedGoogle Scholar
  • 3 Dawson PW, Nott PE, Clark GM, Cowan RSC. A modification of play audiometry to assess speech discrimination ability in severe-profoundly deaf 2–4 year old children. Ear Hear 1998; 19: 371-384
    CrossrefPubMedGoogle Scholar
  • 4 Eisenberg LS, Martinez AS, Boothroyd A. Auditory-visual and auditory-only perception on phonetic contrasts in children. Volta Review 2003; 103: 327-346
    PubMedGoogle Scholar
  • 5 Boothroyd A, Eisenberg LS, Martinez AS. An on-line imitative test of speech-pattern contrast perception (OlimSpac): developmental effects in normally hearing children. J Speech Lang Hear Res 2010; 53 (3) 531-542
    CrossrefPubMedGoogle Scholar
  • 6 Eisenberg LS, Martinez AS, Boothroyd A. Assessing auditory capabilities in young children. Int J Pediatr Otorhinolaryngol 2007; 71 (9) 1339-1350
    CrossrefPubMedGoogle Scholar
  • 7 Boothroyd A. Assessment of Auditory Speech-Perception Capacity. In: Eisenberg LS, , ed. Clinical Management of Children with Cochlear Implants. San Diego, CA: Plural Publishing; 2009: 189-216
    Google Scholar
  • 8 Martinez A, Eisenberg L, Boothroyd A, Visser-Dumont L. Assessing speech perception in infants: early results on VRASPAC. Otol Neurotol 2008; 29: 183-188
    CrossrefPubMedGoogle Scholar
  • 9 Ambrose SE. Phonological Awareness Development of Preschool Children with Cochlear Implants. [Ph.D. dissertation]. Lawrence, KS: University of Kansas; 2009
    PubMedGoogle Scholar
  • 10 Sharma A, Dorman MF, Spahr AJ. A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 2002; 23 (6) 532-539
    CrossrefPubMedGoogle Scholar
  • 11 Rance G, Cone-Wesson B, Wunderlich J, Dowell R. Speech perception and cortical event related potentials in children with auditory neuropathy. Ear Hear 2002; 23 (3) 239-253
    CrossrefPubMedGoogle Scholar
  • 12 Stapells DR. Cortical event-related potentials to auditory stimuli. In: Katz J, Burkard RF, Medwetsky L, , eds. Handbook of Clinical Audiology. 5th ed. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2002: 378-406
    Google Scholar
  • 13 Clynes M. Dynamics of vertex evoked potentials: the RM brain function. Proceedings from a paper presented at: Annual Meeting of US National Aeronautics and Space Administration and the American Institute for Biological Sciences; September 1968; San Francisco, CA, US
    PubMedGoogle Scholar
  • 14 Ruhm HB, Jansen JW. Rate of stimulus change and the evoked response: I. Signal rise-time. J Aud Res 1969; 3: 211-216
    PubMedGoogle Scholar
  • 15 Spoor A, Timmer F, Odenthal DW. The evoked auditory response (EAR) to intensity modulated and frequency modulated tones and tone bursts. Int J Audiol 1969; 8 (2–3) 410-415
    CrossrefPubMedGoogle Scholar
  • 16 Lenhardt ML. Effects of frequency modulation on auditory averaged evoked response. Audiology 1971; 10 (1) 18-22
    CrossrefPubMedGoogle Scholar
  • 17 Arlinger SD, Jerlvall LB, Ahrén T, Holmgren EC. Slow evoked cortical responses to linear frequency ramps of a continuous pure tone. Acta Physiol Scand 1976; 98 (4) 412-424
    CrossrefPubMedGoogle Scholar
  • 18 Kohn M, Lifshitz K, Litchfield D. Averaged evoked potentials and frequency modulation. Electroencephalogr Clin Neurophysiol 1978; 45 (2) 236-243
    PubMedGoogle Scholar
  • 19 Kohn M, Lifshitz K, Litchfield D. Average evoked potentials and amplitude modulation. Electroencephalogr Clin Neurophysiol 1980; 50 (1–2) 134-140
    PubMedGoogle Scholar
  • 20 Yingling CD, Nethercut GE. Evoked responses to frequency shifted tones: tonotopic and contextual determinants. Int J Neurosci 1983; 22 (1–2) 107-118
    CrossrefPubMedGoogle Scholar
  • 21 Kaukoranta E, Hari R, Lounasmaa OV. Responses of the human auditory cortex to vowel onset after fricative consonants. Exp Brain Res 1987; 69 (1) 19-23
    CrossrefPubMedGoogle Scholar
  • 22 Näätänen R, Picton T. The N1 wave of the human electric and magnetic response to sound: a review and an analysis of the component structure. Psychophysiology 1987; 24 (4) 375-425
    CrossrefPubMedGoogle Scholar
  • 23 Imaizumi S, Mori K, Kiritani S, Yumoto M. Neural representation of concurrent sounds: a magnetoencephalographic study. Electroencephalogr Clin Neurophysiol 1996; (S47) 191
    PubMedGoogle Scholar
  • 24 Hari R. Activation of the human auditory cortex by speech sounds. Acta Otolaryngol Suppl 1991; 491 (S491) 132-137 , discussion 138
    CrossrefPubMedGoogle Scholar
  • 25 Tremblay KL, Friesen LM, Martin BA, Wright R. Test-retest reliability of cortical evoked potentials using naturally produced speech sounds. Ear Hear 2003; 24 (3) 225-232
    CrossrefPubMedGoogle Scholar
  • 26 Harris KC, Mills JH, Dubno JR. Electrophysiologic correlates of intensity discrimination in cortical evoked potentials of younger and older adults. Hear Res 2007; 228 (1–2) 58-68
    CrossrefPubMedGoogle Scholar
  • 27 Ross B, Tremblay KL, Picton TW. Physiological detection of interaural phase differences. J Acoust Soc Am 2007; 121 (2) 1017-1027
    CrossrefPubMedGoogle Scholar
  • 28 Dimitrijevic A, Michalewski HJ, Zeng FG, Pratt H, Starr A. Frequency changes in a continuous tone: auditory cortical potentials. Clin Neurophysiol 2008; 119 (9) 2111-2124
    CrossrefPubMedGoogle Scholar
  • 29 Ostroff JM, Martin BA, Boothroyd A. Cortical evoked response to acoustic change within a syllable. Ear Hear 1998; 19 (4) 290-297
    CrossrefPubMedGoogle Scholar
  • 30 Martin BA, Boothroyd A. Cortical, auditory, event-related potentials in response to periodic and aperiodic stimuli with the same spectral envelope. Ear Hear 1999; 20 (1) 33-44
    CrossrefPubMedGoogle Scholar
  • 31 Martin BA, Boothroyd A. Cortical, auditory, evoked potentials in response to changes of spectrum and amplitude. J Acoust Soc Am 2000; 107 (4) 2155-2161
    CrossrefPubMedGoogle Scholar
  • 32 Ostroff J. Parametric Study of the Acoustic Change Complex Elicited by Second Formant Change in Synthetic Vowel Stimuli [Ph.D. dissertation]. New York, NY: City University of New York; 1999
    PubMedGoogle Scholar
  • 33 Friesen LM, Tremblay KL. Acoustic change complexes recorded in adult cochlear implant listeners. Ear Hear 2006; 27 (6) 678-685
    CrossrefPubMedGoogle Scholar
  • 34 Martin BA. Can the acoustic change complex be recorded in an individual with a cochlear implant? Separating neural responses from cochlear implant artifact. J Am Acad Audiol 2007; 18 (2) 126-140
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Tremblay KL, Billings CJ, Friesen LM, Souza PE. Neural representation of amplified speech sounds. Ear Hear 2006; 27 (2) 93-103
    CrossrefPubMedGoogle Scholar
  • 36 Hall JW, Martin BA. Auditory evoked response advances: from the laboratory to the clinic. Paper presented at: Annual Meeting of the American Academy of Audiology; April 3, 2009; Dallas, TX
    PubMedGoogle Scholar
  • 37 Sharma A, Kraus NJ, McGee TJ, Nicol TG. Developmental changes in P1 and N1 central auditory responses elicited by consonant-vowel syllables. Electroencephalogr Clin Neurophysiol 1997; 104 (6) 540-545
    CrossrefPubMedGoogle Scholar
  • 38 Ponton CW, Eggermont JJ, Kwong B, Don M. Maturation of human central auditory system activity: evidence from multi-channel evoked potentials. Clin Neurophysiol 2000; 111 (2) 220-236
    CrossrefPubMedGoogle Scholar
  • 39 Ceponiene R, Rinne T, Näätänen R. Maturation of cortical sound processing as indexed by event-related potentials. Clin Neurophysiol 2002; 113 (6) 870-882
    CrossrefPubMedGoogle Scholar
  • 40 Wunderlich JL, Cone-Wesson BK, Shepherd R. Maturation of the cortical auditory evoked potential in infants and young children. Hear Res 2006; 212 (1–2) 185-202
    CrossrefPubMedGoogle Scholar
  • 41 Martin BA, Boothroyd A, Ali D, Leach-Berth T. Stimulus presentation strategies for eliciting the acoustic change complex: increasing efficiency. Ear Hear 2010; 31 (3) 356-366
    CrossrefPubMedGoogle Scholar
  • 42 Boothroyd A. Auditory perception of speech contrasts by subjects with sensorineural hearing loss. J Speech Hear Res 1984; 27 (1) 134-144
    CrossrefPubMedGoogle Scholar
  • 43 Jasper HH. The ten twenty system of the International Federation. Electroencephalogr Clin Neurophysiol 1958; 10: 371-375
    PubMedGoogle Scholar
  • 44 Semlitsch HV, Anderer P, Schuster P, Presslich O. A solution for reliable and valid reduction of ocular artifacts, applied to the P300 ERP. Psychophysiology 1986; 23 (6) 695-703
    CrossrefPubMedGoogle Scholar
  • 45 Kraus N, McGee T, Carrell T, Sharma A, Micco A, Nicol T. Speech-evoked cortical potentials in children. J Am Acad Audiol 1993; 4 (4) 238-248
    PubMedGoogle Scholar
  • 46 Ceponiene R, Lepistö T, Alku P, Aro H, Näätänen R. Event-related potential indices of auditory vowel processing in 3-year-old children. Clin Neurophysiol 2003; 114 (4) 652-661
    CrossrefPubMedGoogle Scholar
  • 47 Gilley PM, Sharma A, Dorman M, Martin K. Developmental changes in refractoriness of the cortical auditory evoked potential. Clin Neurophysiol 2005; 116 (3) 648-657
    CrossrefPubMedGoogle Scholar
  • 48 Wunderlich JL, Cone-Wesson BK. Maturation of CAEP in infants and children: a review. Hear Res 2006; 212 (1–2) 212-223
    CrossrefPubMedGoogle Scholar
  • 49 Tremblay K. Scollie S, Abrams H, Sullivan J, McMahon C. Hearing aids and the brain: what's the connection. Int J Otolaryngol , In press
    PubMedGoogle Scholar
  • 50 Billings CJ, Papesh MA, Penman TM, Baltzell LS, Gallun FJ. Clinical use of aided cortical auditory evoked potentials as a measure of physiological detection or physiological discrimination. Int J Otolaryngol 2012; 2012: 365752
    PubMedGoogle Scholar
  • 51 Billings CW. Uses and limitations of electrophysiology with hearing aids. Semin Hear 2013; 34 (4) 257-269
    Article in Thieme ConnectPubMedGoogle Scholar
  • 52 Marynewich S, Jenstad LM, Stapells DR. Slow cortical potentials and amplification-part I: n1-p2 measures. Int J Otolaryngol 2012; 2012: 921513
    PubMedGoogle Scholar
  • 53 Easwar V, Purcell DW, Scollie SD. Electroacoustic comparison of hearing aid output of phonemes in running speech versus isolation: implications for aided cortical auditory evoked potentials testing. Int J Otolaryngol 2012; 2012: 518202
    PubMedGoogle Scholar