Comparison of Auditory Steady-State Responses With Conventional Audiometry in Older Adults

Overview

Journal Front Neurol

Specialty Neurology

Date 2022 Aug 1

PMID 35911911

Authors

Hadeel Y Tarawneh

Hamid R Sohrabi

Wilhelmina H A M Mulders

Ralph N Martins

Dona M P Jayakody

Affiliations

Soon will be listed here.

Abstract

Behavioral measures, such as pure-tone audiometry (PTA), are commonly used to determine hearing thresholds, however, PTA does not always provide reliable hearing information in difficult to test individuals. Therefore, objective measures of hearing sensitivity that require little-to-no active participation from an individual are needed to facilitate the detection and treatment of hearing loss in difficult to test people. Investigation of the reliability of the auditory steady-state response (ASSR) for measuring hearing thresholds in older adults is limited. This study aimed to investigate if ASSR can be a reliable, objective measure of frequency specific hearing thresholds in older adults. Hearing thresholds were tested at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz in 50 participants aged between 60 and 85 years old, using automated PTA and ASSR. Hearing thresholds obtained from PTA and ASSR were found to be significantly correlated (p < .001) in a cohort consisting of participants with normal hearing or mild hearing loss. ASSR thresholds were significantly higher as compared to PTA thresholds, but for the majority of cases the difference remained within the clinically acceptable range (15 dB). This study provides some evidence to suggest that ASSR can be a valuable tool for estimating objective frequency-specific hearing thresholds in older adults and indicate that ASSR could be useful in creating hearing treatment plans for older adults who are unable to complete behavioral PTA. Further research on older adults is required to improve the methodological features of ASSR to increase consistency and reliability, as well as minimize some of the limitations associated with this technique.

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References

Stapells D, GALAMBOS R, COSTELLO J, Makeig S . Inconsistency of auditory middle latency and steady-state responses in infants. Electroencephalogr Clin Neurophysiol. 1988; 71(4):289-95. DOI: 10.1016/0168-5597(88)90029-9. View

Gorga M, Neely S, Hoover B, Dierking D, Beauchaine K, Manning C . Determining the upper limits of stimulation for auditory steady-state response measurements. Ear Hear. 2004; 25(3):302-7. PMC: 2561260. DOI: 10.1097/01.aud.0000130801.96611.6b. View

Sohrabi H, Weinborn M, Laske C, Bates K, Christensen D, Taddei K . Subjective memory complaints predict baseline but not future cognitive function over three years: results from the Western Australia Memory Study. Int Psychogeriatr. 2018; 31(4):513-525. DOI: 10.1017/S1041610218001072. View

Clark J . Uses and abuses of hearing loss classification. ASHA. 1981; 23(7):493-500. View

JEWETT D, Williston J . Auditory-evoked far fields averaged from the scalp of humans. Brain. 1971; 94(4):681-96. DOI: 10.1093/brain/94.4.681. View

Picton T, John M, Dimitrijevic A, Purcell D . Human auditory steady-state responses. Int J Audiol. 2003; 42(4):177-219. DOI: 10.3109/14992020309101316. View

Parthasarathy A, Herrmann B, Bartlett E . Aging alters envelope representations of speech-like sounds in the inferior colliculus. Neurobiol Aging. 2018; 73:30-40. PMC: 6251750. DOI: 10.1016/j.neurobiolaging.2018.08.023. View

Lins O, Picton T . Auditory steady-state responses to multiple simultaneous stimuli. Electroencephalogr Clin Neurophysiol. 1995; 96(5):420-32. DOI: 10.1016/0168-5597(95)00048-w. View

Kuwada S, Anderson J, Batra R, Fitzpatrick D, Teissier N, DAngelo W . Sources of the scalp-recorded amplitude-modulation following response. J Am Acad Audiol. 2002; 13(4):188-204. View

10.

Swanepoel D, Biagio L . Validity of diagnostic computer-based air and forehead bone conduction audiometry. J Occup Environ Hyg. 2011; 8(4):210-4. DOI: 10.1080/15459624.2011.559417. View

11.

Valdes J, Perez-Abalo M, Martin V, Savio G, Sierra C, Rodriguez E . Comparison of statistical indicators for the automatic detection of 80 Hz auditory steady state responses. Ear Hear. 1997; 18(5):420-9. DOI: 10.1097/00003446-199710000-00007. View

12.

Chia E, Wang J, Rochtchina E, Cumming R, Newall P, Mitchell P . Hearing impairment and health-related quality of life: the Blue Mountains Hearing Study. Ear Hear. 2007; 28(2):187-95. DOI: 10.1097/AUD.0b013e31803126b6. View

13.

Manrique-Huarte R, Calavia D, Huarte Irujo A, Giron L, Manrique-Rodriguez M . Treatment for Hearing Loss among the Elderly: Auditory Outcomes and Impact on Quality of Life. Audiol Neurootol. 2016; 21 Suppl 1:29-35. DOI: 10.1159/000448352. View

14.

Roque L, Karawani H, Gordon-Salant S, Anderson S . Effects of Age, Cognition, and Neural Encoding on the Perception of Temporal Speech Cues. Front Neurosci. 2019; 13:749. PMC: 6659127. DOI: 10.3389/fnins.2019.00749. View

15.

Polonenko M, Maddox R . Optimizing Parameters for Using the Parallel Auditory Brainstem Response to Quickly Estimate Hearing Thresholds. Ear Hear. 2021; 43(2):646-658. PMC: 8881303. DOI: 10.1097/AUD.0000000000001128. View

16.

Ahn J, Lee H, Kim Y, Yoon T, Chung J . Comparing pure-tone audiometry and auditory steady state response for the measurement of hearing loss. Otolaryngol Head Neck Surg. 2007; 136(6):966-71. DOI: 10.1016/j.otohns.2006.12.008. View

17.

Tlumak A, Durrant J, Delgado R . The Effect of Advancing Age on Auditory Middle- and Long-Latency Evoked Potentials Using a Steady-State-Response Approach. Am J Audiol. 2015; 24(4):494-507. DOI: 10.1044/2015_AJA-15-0036. View

18.

Peterein J, Neely J . Auditory brainstem response testing in neurodiagnosis: structure versus function. J Am Acad Audiol. 2012; 23(4):269-275. DOI: 10.3766/jaaa.23.4.5. View

19.

Mick P, Parfyonov M, Wittich W, Phillips N, Guthrie D, Pichora-Fuller M . Associations between sensory loss and social networks, participation, support, and loneliness: Analysis of the Canadian Longitudinal Study on Aging. Can Fam Physician. 2018; 64(1):e33-e41. PMC: 5962968. View

20.

Polonenko M, Maddox R . The Parallel Auditory Brainstem Response. Trends Hear. 2019; 23:2331216519871395. PMC: 6852359. DOI: 10.1177/2331216519871395. View