1. Auditory plasticity refers to the ability of the auditory system to change in response to experience and environmental conditions.
2. The auditory system develops both anatomically and functionally after birth, with many capabilities like sound detection, discrimination, and localization continuing to mature into childhood.
3. Early auditory experiences, particularly with speech and music, are important for the development and maturation of the auditory system. There appear to be sensitive periods where exposure can influence development.
The document discusses auditory long latency evoked potentials (ALLR), specifically the P1-N1-P2 complex, including the generators and neural sources of the components, factors that affect the recording and morphology of the response such as stimulus characteristics and subject factors like age and maturation, and the clinical utility of ALLR in evaluating hearing function. The P1-N1-P2 complex is generated across multiple auditory areas including primary and secondary auditory cortices and is modulated by both physical stimulus properties and cognitive/attentional factors, while maturation and aging impact the morphology and latency of the response.
Immittance audiometry uses measurements of acoustic impedance and admittance to assess middle ear function. It is a non-invasive and non-behavioral test. Key measures include tympanometry to evaluate the mobility of the eardrum and ossicular chain, and acoustic reflex thresholds to assess the function of the middle ear muscles and brainstem pathways. Abnormal immittance test results can help diagnose conditions like middle ear fluid, ossicular discontinuity, or retrocochlear lesions.
Diagnostic test battery in audiology for different age groupssusipriya4
This document outlines diagnostic tests for different age groups to assess auditory function in children. It describes behavioral observation for infants 0-6 months, visual reinforcement audiometry for children 6-30 months to estimate hearing sensitivity, and conditioned play audiometry for children 30 months to 4 years to determine frequency-specific hearing thresholds. Speech audiometry is recommended for children 6 months and older to assess speech perception abilities. Physiologic tests like immittance testing, otoacoustic emissions, and auditory brainstem response are also described. The appropriate test battery is individualized for each child based on their age and development.
The document discusses electronystagmography (ENG), which tests eye movements using electronic recordings. It lists the main tests done with ENG, including gaze tests, optokinetic nystagmus tests, positional tests, and caloric tests. The caloric test induces nystagmus using temperature changes to evaluate vestibular system function. The document also lists various eye movement findings that can be detected through ENG testing, such as nystagmus, dissociations, dysrythmias, and positional nystagmus.
The document discusses auditory brainstem response (ABR) testing, which is used to evaluate hearing in newborns. ABR testing uses electrodes to measure electrical activity in the brainstem in response to auditory clicks or tones. It is an effective screening tool for detecting hearing loss, with a high sensitivity and specificity. ABR testing can identify abnormalities in the auditory nerve or brainstem that may indicate conditions like acoustic neuromas. It provides objective information about hearing thresholds and neural conduction in the auditory pathway.
The document discusses the history, components, types, needs, candidacy, and surgery of bone anchored hearing aids (BAHA), which transmit sound to the cochlea via bone conduction by bypassing abnormalities of the outer and middle ear through an implanted titanium fixture. It traces the development of BAHA from its origins in the 1950s to current digital processors. BAHA consists of a titanium screw surgically implanted in the skull that protrudes a titanium abutment connecting to an external sound processor.
ECochG is a variant of brainstem audio evoked response (ABR) where the recording electrode is placed as close as practical to the cochlea. We will use the abbreviation ECOG and ECochG interchangeably below. ECOG is preferable to us as it is shorter.
ECOG is intended to diagnose Meniere's disease, and particular, hydrops (swelling of the inner ear). ECOG may also be abnormal in perilymph fistula, and in superior canal dehiscence. The common feature connecting these illnesses is an imbalance in pressure between the endolymphatic and perilymphatic compartment of the inner ear.
ECOG can also be used to show that the cochlea is normal, in persons who are deaf. The cochlear microphonic of ECOG may be normal in auditory neuropathy (Santarelli and Arslan 2002) as well as other disorders in which the cochlea is preserved but the auditory nerve is damaged (Yokoyama, Nishida et al. 1999).
Finally, ECOG's have also been used to as a indicator of the temporary threshold shift that may follow noise injury (Nam et al, 2004).
Audiology began as the study of hearing but has evolved into a healthcare profession focused on diagnosing and treating hearing and balance disorders. Audiologists are trained to identify, assess, diagnose, treat, and manage conditions affecting the auditory and vestibular systems through behavioral, physiologic, and electrophysiologic testing. The profession has developed from roots in speech pathology programs after World War II to a clinical doctorate degree (Au.D.) as the standard for entry-level practice in many countries. Audiologists work in a variety of settings and their scope of practice continues to expand with technological and clinical advances.
The document discusses auditory long latency evoked potentials (ALLR), specifically the P1-N1-P2 complex, including the generators and neural sources of the components, factors that affect the recording and morphology of the response such as stimulus characteristics and subject factors like age and maturation, and the clinical utility of ALLR in evaluating hearing function. The P1-N1-P2 complex is generated across multiple auditory areas including primary and secondary auditory cortices and is modulated by both physical stimulus properties and cognitive/attentional factors, while maturation and aging impact the morphology and latency of the response.
Immittance audiometry uses measurements of acoustic impedance and admittance to assess middle ear function. It is a non-invasive and non-behavioral test. Key measures include tympanometry to evaluate the mobility of the eardrum and ossicular chain, and acoustic reflex thresholds to assess the function of the middle ear muscles and brainstem pathways. Abnormal immittance test results can help diagnose conditions like middle ear fluid, ossicular discontinuity, or retrocochlear lesions.
Diagnostic test battery in audiology for different age groupssusipriya4
This document outlines diagnostic tests for different age groups to assess auditory function in children. It describes behavioral observation for infants 0-6 months, visual reinforcement audiometry for children 6-30 months to estimate hearing sensitivity, and conditioned play audiometry for children 30 months to 4 years to determine frequency-specific hearing thresholds. Speech audiometry is recommended for children 6 months and older to assess speech perception abilities. Physiologic tests like immittance testing, otoacoustic emissions, and auditory brainstem response are also described. The appropriate test battery is individualized for each child based on their age and development.
The document discusses electronystagmography (ENG), which tests eye movements using electronic recordings. It lists the main tests done with ENG, including gaze tests, optokinetic nystagmus tests, positional tests, and caloric tests. The caloric test induces nystagmus using temperature changes to evaluate vestibular system function. The document also lists various eye movement findings that can be detected through ENG testing, such as nystagmus, dissociations, dysrythmias, and positional nystagmus.
The document discusses auditory brainstem response (ABR) testing, which is used to evaluate hearing in newborns. ABR testing uses electrodes to measure electrical activity in the brainstem in response to auditory clicks or tones. It is an effective screening tool for detecting hearing loss, with a high sensitivity and specificity. ABR testing can identify abnormalities in the auditory nerve or brainstem that may indicate conditions like acoustic neuromas. It provides objective information about hearing thresholds and neural conduction in the auditory pathway.
The document discusses the history, components, types, needs, candidacy, and surgery of bone anchored hearing aids (BAHA), which transmit sound to the cochlea via bone conduction by bypassing abnormalities of the outer and middle ear through an implanted titanium fixture. It traces the development of BAHA from its origins in the 1950s to current digital processors. BAHA consists of a titanium screw surgically implanted in the skull that protrudes a titanium abutment connecting to an external sound processor.
ECochG is a variant of brainstem audio evoked response (ABR) where the recording electrode is placed as close as practical to the cochlea. We will use the abbreviation ECOG and ECochG interchangeably below. ECOG is preferable to us as it is shorter.
ECOG is intended to diagnose Meniere's disease, and particular, hydrops (swelling of the inner ear). ECOG may also be abnormal in perilymph fistula, and in superior canal dehiscence. The common feature connecting these illnesses is an imbalance in pressure between the endolymphatic and perilymphatic compartment of the inner ear.
ECOG can also be used to show that the cochlea is normal, in persons who are deaf. The cochlear microphonic of ECOG may be normal in auditory neuropathy (Santarelli and Arslan 2002) as well as other disorders in which the cochlea is preserved but the auditory nerve is damaged (Yokoyama, Nishida et al. 1999).
Finally, ECOG's have also been used to as a indicator of the temporary threshold shift that may follow noise injury (Nam et al, 2004).
Audiology began as the study of hearing but has evolved into a healthcare profession focused on diagnosing and treating hearing and balance disorders. Audiologists are trained to identify, assess, diagnose, treat, and manage conditions affecting the auditory and vestibular systems through behavioral, physiologic, and electrophysiologic testing. The profession has developed from roots in speech pathology programs after World War II to a clinical doctorate degree (Au.D.) as the standard for entry-level practice in many countries. Audiologists work in a variety of settings and their scope of practice continues to expand with technological and clinical advances.
Videostroboscopy is a useful technique for evaluating the larynx. It uses synchronized flashing light passed through an endoscope to visualize vocal fold vibration in slow motion. This allows examination of vocal fold biomechanics, laryngeal mucosa, and mucosal vibration. Videostroboscopy can detect vocal fold lesions and other pathologies, helping to plan surgery and treatments for voice problems. The procedure involves calibrating a microphone, inserting a rigid or flexible endoscope, and having the patient phonate so vocal fold vibration can be observed. Common findings include vocal cysts, polyps, and nodules, which impact mucosal wave and glottic closure.
This document provides guidance on performing speech audiometry tests, including speech reception threshold (SRT), word recognition score (WRS), and speech-in-noise tests. It discusses procedures for determining SRT and WRS, considerations for non-native English speakers and those with hearing loss, and the clinical significance of test results including how they can indicate site of lesion. Masking procedures are also outlined to limit interference between ears during testing.
1. Hearing tests are important for children to identify any hearing loss as early as possible to help with speech and language development.
2. Common hearing tests for infants include otoacoustic emissions testing, auditory brainstem response testing, and auditory steady state response testing which are painless tests to check the infant's hearing.
3. Hearing tests for toddlers include visual reinforcement audiometry which uses visual rewards to condition the child's response to sounds, and play audiometry which uses games and toys to test hearing.
Cochlear implants can help those with severe to profound hearing loss by making speech a viable communication option. They improve speech perception, production, and reading outcomes. Candidates undergo testing to determine candidacy and benefit from a hearing aid trial first. Imaging is needed to assess anatomy and rule out contraindications like 8th nerve lesions. Successful implantation requires a collaborative team approach and post-operative rehabilitation. Risks include wound issues, facial nerve stimulation, and device problems.
This document discusses various tests used to assess and diagnose different types of hearing loss, including conductive, sensorineural, and mixed hearing loss. It describes tuning fork tests like the Rinne test, Weber test, and Schwabach's test. It also discusses audiometry tests like pure tone audiometry and impedance audiometry, including tympanometry and acoustic reflex testing. The document provides interpretations of results from these tests to determine the nature and site of lesions causing different hearing disorders.
This document provides an overview of auditory middle latency response (AMLR) testing, including:
1. A brief history and the development of AMLR from early clinical studies to its current uses for evaluating auditory thresholds and cortical function.
2. Details on stimulus parameters like rate, intensity and transducer type that influence AMLR waveforms.
3. Descriptions of the anatomy and physiology underlying AMLR waves like Na, Pa and Pb, and how various pathologies can affect the waves.
4. Guidelines for acquisition parameters like electrodes, filtering and analysis windows to reliably detect AMLR components.
5. Factors like age, attention, drugs and medical
1. Auditory-verbal therapy (AVT) is an approach that uses techniques to promote optimal language acquisition through listening for children with hearing loss using hearing aids, cochlear implants, and other technology. It emphasizes speech and listening development.
2. AVT includes early identification of hearing loss, fitting of amplification devices, guidance for parents, and one-on-one therapy to help children learn to listen and communicate through spoken language.
3. The goals of AVT are to help children develop auditory skills like sound awareness and processing of language to facilitate natural communication development and inclusion in mainstream classrooms.
This document discusses the electroacoustic characteristics and clinical fitting techniques of hearing aids. It describes key parameters used to measure hearing aid performance such as gain, output sound pressure level (OSPL90), and frequency response. These measurements are standardized by ANSI and involve presenting specific input signals to measure the hearing aid's output. The document also discusses techniques for selecting appropriate hearing aids based on a patient's hearing loss, physical conditions, and preferences. Selection involves considering factors like circuitry, style, controls, and using trials to determine the best fitting device.
This document discusses auditory brainstem response (ABR) testing, which objectively assesses the integrity of the auditory nerve and brainstem pathways. ABR involves recording electrical potentials in response to auditory stimuli using electrodes placed on the scalp. Different wave components in the response reflect activity at different points along the auditory pathway from the auditory nerve to the brainstem. ABR is used to diagnose auditory nerve and brainstem disorders, estimate hearing thresholds, and screen for hearing loss in newborns. The document outlines the ABR procedure and interpretation of results.
Acoustic immittance measurements objectively assess middle ear function using tympanometry, acoustic reflex thresholds, and acoustic reflex decay. Tympanometry involves placing a probe in the ear canal to measure how acoustic admittance changes as pressure is varied. Normal tympanograms are Type A, while abnormal types include flat (Type B), negative pressure (Type C), stiff (Type As), and flaccid (Type AD). Acoustic reflex thresholds measure the lowest level needed to elicit the stapedius muscle reflex, providing information about the middle ear, cochlea, auditory nerve and brainstem. Acoustic reflex decay tests the sustainability of the reflex over 10 seconds of continuous stimulation.
- A cochlear loss typically results in acoustic reflexes present at normal hearing levels (below 100 dB HL), but at reduced sensation levels (less than 65 dB above the hearing threshold). Significant reflex decay is not expected.
- A conductive loss usually results in absent ipsilateral acoustic reflexes in the ear with the loss. A contralateral reflex may be present if the loss is unilateral and not severe. Any reflex found would be at a normal sensation level but a higher hearing level due to the elevated threshold.
- A retrocochlear loss may result in absent reflexes or ones present at elevated hearing and sensation levels. Early on a reflex may be present but reflex decay would be found.
Otoacoustic emissions are low-intensity sounds generated by the inner ear that can be measured in the ear canal. They are produced by the outer hair cells' electromotility in response to sound stimulation. There are two main mechanisms that produce otoacoustic emissions - nonlinear distortion, attributed to outer hair cell action, and linear reflection from impedance mismatches in the cochlea. Measuring otoacoustic emissions can reveal the integrity of outer hair cell function. The different types of otoacoustic emissions include spontaneous, transient-evoked, distortion product, and stimulus frequency emissions.
This document discusses techniques for counseling patients about hearing loss and fitting hearing aids. It emphasizes presenting an accurate portrayal of a patient's residual hearing ability by mapping their auditory area using thresholds and supra-threshold testing. This identifies the areas of permanent hearing loss and stimulates the remaining areas with hearing aids to provide realistic expectations of improved hearing without exceeding discomfort levels. The goal is for patients to understand the extent of their loss and be satisfied with the benefits of amplification.
Venting in earmolds serves several purposes: 1) To allow low-frequency signals to escape or enter the ear canal, 2) To decrease occlusion effects and pressure buildup, and 3) To allow for ear canal aeration. The size and shape of the vent impacts its acoustic properties - smaller vents have greater venting effects while larger vents decrease venting. Proper vent selection is important for hearing aid function and feedback as venting interacts with features like gain, noise reduction, and microphone directivity. Parallel vents are preferred over diagonal vents which can increase feedback.
Theories and psychological bases of recruitmentsharonieltsttt
The document discusses theories of loudness perception and recruitment. It defines intensity as the physical magnitude of sound, while loudness refers to the perception of intensity as soft or loud. Loudness is affected by both intensity and other factors like bass and treble controls. Equal loudness contours show that more intensity is needed at lower frequencies to achieve equal loudness. Loudness recruitment means that loudness grows abnormally rapidly with increasing intensity above threshold in hearing impaired individuals. This results in smaller intensity increments sounding equally loud compared to normal hearing. Recruitment is associated with cochlear lesions, while its absence indicates retrocochlear pathology.
Cochlear implants are hearing prosthetics that can restore hearing for those with severe to profound hearing loss. They consist of external and internal components. The external components collect sound, process it and transmit signals to the internal implant. The internal implant stimulates the auditory nerve to provide a sense of sound. Candidates undergo testing, counseling and rehabilitation training. If approved, they have surgery to implant the device, then attend programming sessions to tune the implant to their hearing needs through mapping. Ongoing listening practice and support from a cochlear implant team helps the recipient learn to hear and understand sound.
Organic voice disorders include laryngeal reflux, congenital abnormalities, contact ulcers, leukoplakia, cancer, sulcus vocalis, and papilloma. Laryngeal reflux involves acid irritating the larynx and can cause hoarseness and throat clearing. Congenital abnormalities like laryngomalacia and subglottal stenosis can result in breathing and phonation difficulties. Contact ulcers may form from vocal abuse/misuse and can cause vocal fatigue and pain. Leukoplakia is a pre-cancerous whitish lesion on the vocal folds that impacts vocal quality and mass. Cancer is caused by factors like smoking and requires surgical treatment. Sulcus vocalis impairs
The use of voice is an integral part of communication; our voice is one of the defining features of our individuality, and it shares a lot of information about you, your voice tells others if you are happy or sad, healthy or unwell, young or old. Our voice can also reveal to others our background, such as the region of the world where we live, and even our social economic status, when a voice produced that perceived by others as unusual or strange and draws attention to the person who is speaking, it is quite likely the person is demonstrating a voice disorder.
So, I am happy to introduce this presentation about Pubertal voice disorders & Puberphonia, I would like this presentation to be useful and add a lot of information on this topic.
Early detection of hearing loss is important because undetected hearing loss can impair intellectual development, cause poor speech and language development, and lead to serious communication handicaps. The most common causes of hearing loss in children are hereditary factors (49%) and non-hereditary infections, drugs, prematurity, and hypoxia acquired before or after birth (51%). Screening tests for children include auditory brainstem response testing, tympanometry, and pure tone audiometry. Rinne's test and Weber's test using tuning forks can also help evaluate hearing ability.
This document summarizes the effects of sensory-neural hearing deprivation on young children's language development. It discusses the parts of the nervous system involved in hearing and language, including the outer, middle, and inner ear. It describes how sensorineural hearing loss, which damages the inner ear or auditory pathways, can negatively impact a child's ability to learn sounds and language through hearing. This can inhibit the production of new neural connections needed for speech. The course helped the author better analyze child development and language acquisition, which will benefit their work as an early childhood educator and instructor by providing guidelines for effective intervention.
Videostroboscopy is a useful technique for evaluating the larynx. It uses synchronized flashing light passed through an endoscope to visualize vocal fold vibration in slow motion. This allows examination of vocal fold biomechanics, laryngeal mucosa, and mucosal vibration. Videostroboscopy can detect vocal fold lesions and other pathologies, helping to plan surgery and treatments for voice problems. The procedure involves calibrating a microphone, inserting a rigid or flexible endoscope, and having the patient phonate so vocal fold vibration can be observed. Common findings include vocal cysts, polyps, and nodules, which impact mucosal wave and glottic closure.
This document provides guidance on performing speech audiometry tests, including speech reception threshold (SRT), word recognition score (WRS), and speech-in-noise tests. It discusses procedures for determining SRT and WRS, considerations for non-native English speakers and those with hearing loss, and the clinical significance of test results including how they can indicate site of lesion. Masking procedures are also outlined to limit interference between ears during testing.
1. Hearing tests are important for children to identify any hearing loss as early as possible to help with speech and language development.
2. Common hearing tests for infants include otoacoustic emissions testing, auditory brainstem response testing, and auditory steady state response testing which are painless tests to check the infant's hearing.
3. Hearing tests for toddlers include visual reinforcement audiometry which uses visual rewards to condition the child's response to sounds, and play audiometry which uses games and toys to test hearing.
Cochlear implants can help those with severe to profound hearing loss by making speech a viable communication option. They improve speech perception, production, and reading outcomes. Candidates undergo testing to determine candidacy and benefit from a hearing aid trial first. Imaging is needed to assess anatomy and rule out contraindications like 8th nerve lesions. Successful implantation requires a collaborative team approach and post-operative rehabilitation. Risks include wound issues, facial nerve stimulation, and device problems.
This document discusses various tests used to assess and diagnose different types of hearing loss, including conductive, sensorineural, and mixed hearing loss. It describes tuning fork tests like the Rinne test, Weber test, and Schwabach's test. It also discusses audiometry tests like pure tone audiometry and impedance audiometry, including tympanometry and acoustic reflex testing. The document provides interpretations of results from these tests to determine the nature and site of lesions causing different hearing disorders.
This document provides an overview of auditory middle latency response (AMLR) testing, including:
1. A brief history and the development of AMLR from early clinical studies to its current uses for evaluating auditory thresholds and cortical function.
2. Details on stimulus parameters like rate, intensity and transducer type that influence AMLR waveforms.
3. Descriptions of the anatomy and physiology underlying AMLR waves like Na, Pa and Pb, and how various pathologies can affect the waves.
4. Guidelines for acquisition parameters like electrodes, filtering and analysis windows to reliably detect AMLR components.
5. Factors like age, attention, drugs and medical
1. Auditory-verbal therapy (AVT) is an approach that uses techniques to promote optimal language acquisition through listening for children with hearing loss using hearing aids, cochlear implants, and other technology. It emphasizes speech and listening development.
2. AVT includes early identification of hearing loss, fitting of amplification devices, guidance for parents, and one-on-one therapy to help children learn to listen and communicate through spoken language.
3. The goals of AVT are to help children develop auditory skills like sound awareness and processing of language to facilitate natural communication development and inclusion in mainstream classrooms.
This document discusses the electroacoustic characteristics and clinical fitting techniques of hearing aids. It describes key parameters used to measure hearing aid performance such as gain, output sound pressure level (OSPL90), and frequency response. These measurements are standardized by ANSI and involve presenting specific input signals to measure the hearing aid's output. The document also discusses techniques for selecting appropriate hearing aids based on a patient's hearing loss, physical conditions, and preferences. Selection involves considering factors like circuitry, style, controls, and using trials to determine the best fitting device.
This document discusses auditory brainstem response (ABR) testing, which objectively assesses the integrity of the auditory nerve and brainstem pathways. ABR involves recording electrical potentials in response to auditory stimuli using electrodes placed on the scalp. Different wave components in the response reflect activity at different points along the auditory pathway from the auditory nerve to the brainstem. ABR is used to diagnose auditory nerve and brainstem disorders, estimate hearing thresholds, and screen for hearing loss in newborns. The document outlines the ABR procedure and interpretation of results.
Acoustic immittance measurements objectively assess middle ear function using tympanometry, acoustic reflex thresholds, and acoustic reflex decay. Tympanometry involves placing a probe in the ear canal to measure how acoustic admittance changes as pressure is varied. Normal tympanograms are Type A, while abnormal types include flat (Type B), negative pressure (Type C), stiff (Type As), and flaccid (Type AD). Acoustic reflex thresholds measure the lowest level needed to elicit the stapedius muscle reflex, providing information about the middle ear, cochlea, auditory nerve and brainstem. Acoustic reflex decay tests the sustainability of the reflex over 10 seconds of continuous stimulation.
- A cochlear loss typically results in acoustic reflexes present at normal hearing levels (below 100 dB HL), but at reduced sensation levels (less than 65 dB above the hearing threshold). Significant reflex decay is not expected.
- A conductive loss usually results in absent ipsilateral acoustic reflexes in the ear with the loss. A contralateral reflex may be present if the loss is unilateral and not severe. Any reflex found would be at a normal sensation level but a higher hearing level due to the elevated threshold.
- A retrocochlear loss may result in absent reflexes or ones present at elevated hearing and sensation levels. Early on a reflex may be present but reflex decay would be found.
Otoacoustic emissions are low-intensity sounds generated by the inner ear that can be measured in the ear canal. They are produced by the outer hair cells' electromotility in response to sound stimulation. There are two main mechanisms that produce otoacoustic emissions - nonlinear distortion, attributed to outer hair cell action, and linear reflection from impedance mismatches in the cochlea. Measuring otoacoustic emissions can reveal the integrity of outer hair cell function. The different types of otoacoustic emissions include spontaneous, transient-evoked, distortion product, and stimulus frequency emissions.
This document discusses techniques for counseling patients about hearing loss and fitting hearing aids. It emphasizes presenting an accurate portrayal of a patient's residual hearing ability by mapping their auditory area using thresholds and supra-threshold testing. This identifies the areas of permanent hearing loss and stimulates the remaining areas with hearing aids to provide realistic expectations of improved hearing without exceeding discomfort levels. The goal is for patients to understand the extent of their loss and be satisfied with the benefits of amplification.
Venting in earmolds serves several purposes: 1) To allow low-frequency signals to escape or enter the ear canal, 2) To decrease occlusion effects and pressure buildup, and 3) To allow for ear canal aeration. The size and shape of the vent impacts its acoustic properties - smaller vents have greater venting effects while larger vents decrease venting. Proper vent selection is important for hearing aid function and feedback as venting interacts with features like gain, noise reduction, and microphone directivity. Parallel vents are preferred over diagonal vents which can increase feedback.
Theories and psychological bases of recruitmentsharonieltsttt
The document discusses theories of loudness perception and recruitment. It defines intensity as the physical magnitude of sound, while loudness refers to the perception of intensity as soft or loud. Loudness is affected by both intensity and other factors like bass and treble controls. Equal loudness contours show that more intensity is needed at lower frequencies to achieve equal loudness. Loudness recruitment means that loudness grows abnormally rapidly with increasing intensity above threshold in hearing impaired individuals. This results in smaller intensity increments sounding equally loud compared to normal hearing. Recruitment is associated with cochlear lesions, while its absence indicates retrocochlear pathology.
Cochlear implants are hearing prosthetics that can restore hearing for those with severe to profound hearing loss. They consist of external and internal components. The external components collect sound, process it and transmit signals to the internal implant. The internal implant stimulates the auditory nerve to provide a sense of sound. Candidates undergo testing, counseling and rehabilitation training. If approved, they have surgery to implant the device, then attend programming sessions to tune the implant to their hearing needs through mapping. Ongoing listening practice and support from a cochlear implant team helps the recipient learn to hear and understand sound.
Organic voice disorders include laryngeal reflux, congenital abnormalities, contact ulcers, leukoplakia, cancer, sulcus vocalis, and papilloma. Laryngeal reflux involves acid irritating the larynx and can cause hoarseness and throat clearing. Congenital abnormalities like laryngomalacia and subglottal stenosis can result in breathing and phonation difficulties. Contact ulcers may form from vocal abuse/misuse and can cause vocal fatigue and pain. Leukoplakia is a pre-cancerous whitish lesion on the vocal folds that impacts vocal quality and mass. Cancer is caused by factors like smoking and requires surgical treatment. Sulcus vocalis impairs
The use of voice is an integral part of communication; our voice is one of the defining features of our individuality, and it shares a lot of information about you, your voice tells others if you are happy or sad, healthy or unwell, young or old. Our voice can also reveal to others our background, such as the region of the world where we live, and even our social economic status, when a voice produced that perceived by others as unusual or strange and draws attention to the person who is speaking, it is quite likely the person is demonstrating a voice disorder.
So, I am happy to introduce this presentation about Pubertal voice disorders & Puberphonia, I would like this presentation to be useful and add a lot of information on this topic.
Early detection of hearing loss is important because undetected hearing loss can impair intellectual development, cause poor speech and language development, and lead to serious communication handicaps. The most common causes of hearing loss in children are hereditary factors (49%) and non-hereditary infections, drugs, prematurity, and hypoxia acquired before or after birth (51%). Screening tests for children include auditory brainstem response testing, tympanometry, and pure tone audiometry. Rinne's test and Weber's test using tuning forks can also help evaluate hearing ability.
This document summarizes the effects of sensory-neural hearing deprivation on young children's language development. It discusses the parts of the nervous system involved in hearing and language, including the outer, middle, and inner ear. It describes how sensorineural hearing loss, which damages the inner ear or auditory pathways, can negatively impact a child's ability to learn sounds and language through hearing. This can inhibit the production of new neural connections needed for speech. The course helped the author better analyze child development and language acquisition, which will benefit their work as an early childhood educator and instructor by providing guidelines for effective intervention.
1) Hearing loss in children can impact language development, academic performance, and social skills.
2) The document estimates that 1 to 3 per 1000 infants and 6 per 1000 children will have permanent sensorineural hearing loss.
3) Early identification of hearing loss before 6 months of age and prompt intervention is important to support auditory brain development and maximize outcomes for children.
Linking prenatal experience to the emerging musical mind Carlos Castañeda
This summary discusses how prenatal auditory experiences shape musical preferences and abilities. Sounds in the womb, like the mother's heartbeat and voice, begin influencing fetal auditory development in the third trimester. Newborns prefer their mother's voice and familiar music played during pregnancy. Prenatal exposure also impacts language discrimination and rhythmic processing abilities. However, abnormal prenatal experiences like premature birth can delay these developments and language milestones, suggesting proper prenatal auditory experiences are important for setting the trajectory of musical and language skills.
This document discusses language development from a prenatal perspective. It provides evidence that fetuses can hear and distinguish sounds from as early as 24-25 weeks gestation. Studies show that infants demonstrate a preference for their native language learned in utero. While infants are born with an innate ability to categorize speech sounds, their ability to distinguish non-native sounds declines after the first year as they tune into the phonemes of their ambient language. Theories such as the motor theory and universal theory attempted to explain this development process, but were later challenged by additional findings.
This document outlines protocols for assessing hearing in infants and children according to age. It describes signs of hearing loss in babies from 1 month to 12 months old and challenges children with hearing loss may face in toddler, preschool, and school years. The recommended diagnostic audiological assessment protocol includes a battery of age-appropriate tests, including case history, otoscopy, acoustic immittance, otoacoustic emissions, auditory brainstem response, behavioral observation audiometry, and standard audiometry. Tests are tailored to the child's developmental stage from birth to 5 years old to accurately diagnose hearing loss.
This document discusses hearing impairment and cochlear implants. It provides background on a 3-year-old male patient who was born with profound sensorineural hearing loss and was approved for cochlear implantation. The document covers topics like types of hearing loss, impact of hearing loss, who is a candidate for cochlear implants, how implants work, the surgery, and factors that influence success. It emphasizes that cochlear implants are effective for severe-to-profound deafness and require a multidisciplinary team approach including programming, therapy, and parental commitment post-surgery.
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A riveting, deeply personal account of history in the making—from the president who inspired us to believe in the power of democracy
In the stirring, highly anticipated first volume of his presidential memoirs, Barack Obama tells the story of his improbable odyssey from young man searching for his identity to leader of the free world, describing in strikingly personal detail both his political education and the landmark moments of the first term of his historic presidency—a time of dramatic transformation and turmoil.
Obama takes readers on a compelling journey from his earliest political aspirations to the pivotal Iowa caucus victory that demonstrated the power of grassroots activism to the watershed night of November 4, 2008, when he was elected 44th president of the United States, becoming the first African American to hold the nation’s highest office.
Reflecting on the presidency, he offers a unique and thoughtful exploration of both the awesome reach and the limits of presidential power, as well as singular insights into the dynamics of U.S. partisan politics and international diplomacy. Obama brings readers inside the Oval Office and the White House Situation Room, and to Moscow, Cairo, Beijing, and points beyond. We are privy to his thoughts as he assembles his cabinet, wrestles with a global financial crisis, takes the measure of Vladimir Putin, overcomes seemingly insurmountable odds to secure passage of the Affordable Care Act, clashes with generals about U.S. strategy in Afghanistan, tackles Wall Street reform, responds to the devastating Deepwater Horizon blowout, and authorizes Operation Neptune’s Spear, which leads to the death of Osama bin Laden.
A Promised Land is extraordinarily intimate and introspective—the story of one man’s bet with history, the faith of a community organizer tested on the world stage. Obama is candid about the balancing act of running for office as a Black American, bearing the expectations of a generation buoyed by messages of “hope and change,” and meeting the moral challenges of high-stakes decision-making. He is frank about the forces that opposed him at home and abroad, open about how living in the White House affected his wife and daughters, and unafraid to reveal self-doubt and disappointment. Yet he never wavers from his belief that inside the great, ongoing American experiment, progress is always possible.
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This document discusses central auditory processing and its components. It begins with definitions of central auditory processing as the brain's processing of sounds between the inner ear and brain. It then describes the key characteristics of sound including pitch, loudness, and quality. The document outlines the peripheral auditory pathway from the outer ear to the brain. It identifies the main processes of central auditory processing as awareness, discrimination, identification, and comprehension. It provides details on each process and how the brain performs these functions to understand sounds.
Cochlear implants can help provide a sense of sound to those with severe or profound hearing loss. The document discusses how cochlear implants work and their limitations compared to normal hearing. It also examines factors that affect performance with cochlear implants, such as age at implantation, duration of deafness, and commitment to therapy. Research found that children who received cochlear implants at younger ages had significantly better spoken language outcomes compared to older children, highlighting the importance of early intervention. While cochlear implants improve hearing, continued advances in technology and biological treatments are still needed to better replicate the full capabilities of normal hearing.
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This document provides an outline and overview of the neuropsychology of deafness. It discusses the anatomy and physiology of the ear and hearing mechanisms. It then examines the etiology and causes of deafness, including age of onset, and causes in adults and children. The document outlines the impact of deafness on cognitive development and neuropsychological performance in deaf children. It also discusses neural and cortical plasticity associated with sensory loss and cochlear implants. Finally, it covers insights into social cognition from deafness and the neurobiology of sign language.
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The document discusses the critical period for language acquisition in deaf children and the effects of early intervention. It summarizes a study that assessed language and speech outcomes in 58 deaf children who received hearing aids or cochlear implants at different ages. The study found that children who were amplified before 6 months of age achieved significantly higher language scores than those amplified between 6-12 months or 12-24 months. Children who received cochlear implants after 12-24 months showed better outcomes than those receiving hearing aids only, indicating electrical stimulation can still support language acquisition past the critical period. The document concludes early detection before 6 months is best for language outcomes, and cochlear implants may provide benefits even after 24 months.
Deafness and hearing loss refer to the partial or total inability to hear. There are different types and degrees of hearing loss including: mild, moderate, severe, and profound hearing loss or deafness. Hearing loss can be conductive, sensorineural, mixed, or auditory neuropathy spectrum disorder. ANSD affects the pathway between the inner ear and brain so sounds are detected normally but not sent to the brain clearly. ANSD is diagnosed through tests like OAEs, ABRs, and MEMRs. Treatment involves assistive devices like FM systems and hearing aids or cochlear implants along with speech therapy.
Deafness and hearing loss refer to the partial or total inability to hear. There are different types and degrees of hearing loss including mild, moderate, severe, and profound hearing loss. Deafness is a severe condition preventing sound reception, while hearing loss reduces sound ability. Auditory neuropathy spectrum disorder is a hearing problem where the ear detects sound normally but has trouble sending it to the brain. It is diagnosed through tests like otoacoustic emissions and auditory brainstem response and treated with assistive devices and therapy. Causes of hearing loss include age, noise exposure, heredity, illness, medications, and head injuries.
Early identification of hearing loss through universal newborn screening is important. Screening should involve testing all infants with otoacoustic emissions (OAEs) no later than 1 month of age. Any infants who do not pass should receive auditory brainstem response (ABR) testing no later than 3 months of age to confirm a diagnosis. Early intervention is crucial for infants diagnosed with hearing loss, as those identified by 6 months of age develop normal speech and language skills, while those identified later face delays. Screening protocols may differ between well baby nurseries using primarily OAEs and neonatal intensive care units using ABR from birth due to risk of neural hearing loss.
The document summarizes research on perceptual development in infancy. It discusses how infants perceive the world through their five senses of touch, taste, smell, hearing and vision. It outlines some of the key findings regarding how infants develop abilities like depth perception, object perception and linking information across senses. The document also notes debates around nature vs nurture influences on development and implications of the research.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
2. Major topics
Development as auditory plasticity
The development after birth
Which auditory capabilities improve after birth?
The importance of early experience; speech, music
Maturation of auditory circuits in brain
Plasticity in adult(Which hearing capabilities )
Mechanisms of plasticity
Learning/top-down processes in human
. Plasticity with forms of altered auditory experience
1. Bilateral HL/deaf/after CI
2. Unilateral HL
3. Tinnitus
Cross-modal plasticity:Whole-brain level
Intra-modal plasticity: within the auditory system
3. Development
as an auditory
plasticity
Auditory development is a broadly defined term, which
refers to the fact that perception is influenced by a
combination of innate, genetically programmed changes
in anatomy and physiology, combined with auditory
experience
the capacity to vary in developmental pattern, in phenotype, or in
behavior according to varying environmental conditions
4. 1.
Anatomic
plasticity
/Embryo and
pharyngeal
arches
Anatomy: Pharyngeal arches are paired structures that
grow on either side of the future head and neck of the
developing embryo and fuse at the centerline.
Pharyngeal arches produce the cartilage, bone, nerves,
muscles, glands, and connective tissue of the face and
neck.
9. neural tube
Neurons of central auditory pathway : are produced in ventricular
zone of embryo’s neural tube
Then they migrate to final destination to brain
12. Making
specific
synaptic
connection
After generating neurons
During migration
Sending out axons toward their targets
Chemical guidance cues
Role of receptors
Exploring growth cones
TrkB andTrkC receptor
(BDNF and NT-3)
Topographic map
14. Myelination
For rapid and reliable connection of AP
Begins at 26th week of gestation
First synapses to sound can be measured( ERP)
First reactions in the end of second trimester
By the end of pregnancy : not only can sounds, but also can
discriminate between sounds
15. Gene
expression
Forming the otocyst : expression of proneural bHLH
transcription factor Neurogenin 1 (Neurog1)
Neuronal precursors: expression of another bHLH
transcription factor, Neurod1
Specification and segregation of auditory and vestibular
neurons are not fully understood. Probably; Neurog1
expression
Guidance the topographic map formation: two
neurotrophin receptors,TrkB andTrkC (BDNF and NT-3)
16. After birth
Has the development of auditory system’s anatomy
completed at birth time?
17. “External and
middle ears”
External canal is shorter and straighter than it is in adults
the increase in ear canal diameter and length during the first 2
years of life
the development of the middle-ear cavity volume, which extends
into the late teenage years, which is likely to influence the
mechanics involved in middle-ear function
substantial effects on how sounds are absorbed, processed, filtered,
and transmitted to the auditory system
18. “Basilar
membrane
and cochlea”
Little is known about maturation of the basilar membrane
OAEs have become a highly utilized tool for investigating
maturation of cochlear function, and thus also for identifying
immature and abnormal peripheral auditory function.
At birth, in contrast with the immature outer and middle ear, the
inner ear seems to be more mature, as characterized by OAEs .
23. Quite
sophisticated
capacity to
make sense of
auditory world
in infantsVs
animal species
Distinguish between different phonemes
Sensitive to pitch and rhythm of their mother’s voice
Various aspects of music perception
Able to distinguish different scales and chords
Preference for consonant over dissonant
Sensitive to the beat of rhythmic sound pattern
24. Human infant
vs adult infant
Threshold detection ( specially in low frequency) : 10 years
Frequency selectivity (over several years)
Frequency resolution ( mature earlier)
Sound localization ( 5 years)
Binaural masking level ( 5years)
Precedence effect ( couple of years)
Backward masking (15 years)
25. Detection of
sound
(Threshold
detection)
Infants can have thresholds up to 25 dB worse than adults
a 10–15 dB gap by the time that children reach 5 years of age
depends on the frequency
Mechanisms:
Growth of the external ear and increases in the efficiency of
middle ear transmission
OAE; frequency tuning at the level of the cochlea
Primary neural maturation is probably also involved in threshold
maturation
Improvements in synaptic transmission efficiency within the
brainstem
26. Frequency
discrimination
Definition: the ability to perceive a change in the frequency of
tonal stimuli
Test : train of tones, and switching them to a tone of difference
frequency misstream, then checking the behavioral changes
Adult: ~1% change in the frequency
Results:
1. At 3 month: discrimination ability is poorer for 4000-Hz tones
than 500-Hz tones
2. At 6 months : the pattern is reversed and infants are better at
discriminating changes imposed on 4000-Hz tones than 500-Hz
tones
Adult-like performance: is reached between 6 and 12 months of
age
Point: considerable maturation between 3 and 6 months of age/
The importance of memory and attention load
27. Intensity
discrimination
Definition: the ability to detect a change in the level (in dB sound
pressure level) at which a sound source is presented
Test : measuring the ability of a listener to detect a change from a
background stimulus
Adult: can hear differences in intensity as small as 1–2 dB
Results:
1. Infants between the ages of 5 and 7 months need approximately 6 dB
difference
2. Infants are particularly worse than adults for low-frequency stimuli
(~400 Hz) than high-frequency stimuli (4000 Hz)
Adult-like performance: continues into childhood
Point: intensity discrimination is more immature than frequency
discrimination early in life
28. Auditory scene
analysis(ASA)
The basic process through which the neural
mechanisms involved in perception are able to parse
out various sound sources and assign meaning to
appropriate sound sources
A more specific example of ASA that occurs for speech
sounds is the cocktail-party effect
29. Energetic
masking
Definition: In energetic masking, one sound interferes with our
ability to detect or otherwise hear another sound because the two
sounds excite similar auditory neurons in the periphery, thereby
limiting the extent to which information about the target can be
perceived in the presence of the masker
Results:
1. thresholds of infants aged 6–24 months are higher than those
of adults by 15–25 dB
2. A more rapid maturation for hearing signals in noise, with high-
frequency thresholds
30. Auditory
streaming
Definition: the notion that when listeners are presented with sounds
that share some dimensions and vary along other dimensions, they
perceive them either as one coherent sound, or as two distinct sounds
Results:
Older children( ages 9–11 years ) like adults, required small
differences between the frequencies of the two tone
younger children : 8 years old or younger required larger frequency
differences
2. infants by the age of ~4 months infants can use similar acoustic cues
to those used by adults
Adult-like performance: starts from school-age years
Point: ASA, as measured with auditory streaming, develops well into
school-age years
32. Sound
localization
Definition: a perceptual representation of where sounds are
located relative to the head.
Test :minimum audible angle (MAA), the smallest change in the
angular position of a sound source that can be reliably
discriminated
Adult: 10.2° ± 10.72° SD
Results:
1. Newborn infants orient towards the direction of auditory stimuli
within hours after birth/ unconditioned, or reflexive, integrate
auditory and visual information
2. largest decrease in MAA occurs between 2 months of age and 2
years of age, with continued improvement through 5 years of age
Adult-like performance: 5 years of age
Point: auditory cortex plays a key role in determining the ability
of an animal to localize, and to learn to localize or to relearn novel
maps of space
33. Sound
localization
First is that lesions of the auditory cortex (the primary
auditory cortex (A1) in particular) lead to a reduction in
the ability of animals to relearn spatial hearing maps
Second, their behavior improves most dramatically
with training and feedback
non-sensory factors are likely to be involved in the
emergence and preservation of spatial hearing maps.
35. The
importance of
early
experience;
speech
Importance of sensory experience
Reduced auditory input has profound impact on development od
central auditory system
During the first year : can perceive phonetic contrast in their
mother tongue/ lose sensitivity to sounds in foreign languages
This process occurs : as early as 6 month ages for vowels and by
10 months for consonant
36. The
importance of
early
experience;
speech
Over the same period , learn to get sensitive to the correspondence
between speech and talker’s face in their own language
The importance of social interaction in maturation
Sensitive period: lasts for about 7 years/other cognitive abilities will
improve
Example: vocal learning in songbirds
1. Sensitive period
2. Highly variable vocal attempts
3. Auditory feedback during a sensorimotor
4. Crystalized
Speech
Babbling
37. ERP responses
in infancy
Language functions are lateralized
But less specialized
Recorded responses are much slower compared to adult
ERPs: by 7.5 months of age, the brain is more sensitive to phonetic
contrast in child’s native language than in non-native language
Neural correlate of word learning: the first year of life
Violation of syntactic word result in ERP differences : at around 30
months
38. The
importance of
early
experience;
music
Another related area: Music
Remarkable advance sensitivity to to different aspect of music
At first: infant respond similar way to music of any culture
6 month: sensitive to rhythmic variation in music of different cultures
12 month: show a culture –specific bias
After that: brief exposure would improve/ adult: it is not the case
Existence of sensitive period in music perception
Passive exposure : leads to change in neural sensitivity
Training effect
39. The
importance of
early
experience;
music
Example: absolute pitch
musicians with Absolute Pitch have greater volume in their
auditory cortex than musicians without the ability, or non-
musician controls
Sensitive period
The difference: left superior temporal sulcus (STS)
STS :involved in categorization tasks, its activation might
suggest that AP musicians involve categorization region in tonal
tasks.
Functional difference in auditory BS in musician
40. The
importance of
early
experience;
music
Musical disorders:
Functional difference in auditory BS in musician
Tone deaf:
unable to perceive differences of musical pitch accurately.
Occurs in 10 percent of people
Reduced links between parts of brain which are involved in sound
processing and those responsible for vocal production
reduction in the size off the “arcuate fasciculus” (a fiber that connects
temporal lobe to frontal lobe of cortex)
Plasticity??
43. Maturation of
auditory
circuits in brain
Plasticity of the frequency map:
1. manipulations of the environment
2. changes to the auditory system itself
including associative learning
3. release of neuromodulatory transmitters
4. Aging
5. extended exposure to sounds
6. lesioning of the peripheral receptor surface
44. 1.Spectral
integration
Point :A critical aspect of any functional map is the
parameter resolution that the map can provide
Research results:
1. frequency discrimination training : increased cortical
representation of the trained frequency range in the
tonotopic map/ sharpness of tuning in the range of the
frequency trained
45. Spectral
integration
2. Spectral integration bandwidth ----- spatial variability and
modulation rate
Modulated stimuli repeatedly delivered to one site on the
receptor surface: increase spectral bandwidth
unmodulated stimuli delivered to different locations:
decrease RF size
Long-term exposure of adult animals to broad-band noise:
increase the spectral bandwidth of neurons
Training: decrease the spectral bandwidth
46. Response
Magnitude
Point: associative plasticity can create or refine an intensity-
specific maximal firing rate
In sound intensity discrimination task: in AI following paired
stimulus reinforcement and instrumental conditioning
paradigms, became more strongly nonlinear
code for sound intensity within AI can be derived from
intensity-tuned neurons
47. Response
Magnitude
The primary sensory cortex is positioned at a confluence of:
1. bottom-up dedicated sensory inputs
2. top-down inputs related to higher-order sensory features
3. attentional state
4. behavioral reinforcement
Enduring receptive field plasticity in the adult auditory cortex
may be shaped by :
1. task-specific top-down inputs that interact with bottom-up
sensory inputs
2. reinforcement-based neuromodulator release
48. Response
Timing
The relative and absolute timing of cortical responses is
a highly relevant aspect of cortical processing
Plasticity effects on the timing of cortical responses
Behavioral training and nucleus basalis stimulation
can enhance the ability of cortical neurons to phase-
lock to faster amplitude modulation signals
Training and enrichment:
1.faster and briefer responses to sound onsets
2. enhanced phase-locking to modulated sounds
Long-term exposure to broad-band noise resulted, by
contrast, in longer peak latencies and longer
response durations
50. Sound
Location
At first : neural sensitivity to ILD and ITD are
observed in MSO and LSO
After experience : inhibitory projection from MNTB
to LSO…. Neural sensitivity to ILD
Many of connections die off and those remain
……switch to inhibitory
After experience: given to the size of head,
precisely timed inhibitory input to MSO …. Neural
sensitivity to ITD
57. Mechanisms
of Map
Plasticity
representational maps of auditory features remain
plastic throughout the lifespan
How about “rules”?
Age with sensitivity to passive experience:
onset of hearing and ending at some time before sexual
maturity
repeated presentation of artificial meaningless sounds
in adult animals: have no long-term effect on map
organization (aversive)
58. Mechanisms of
Map Plasticity
tonotopic remapping in subcortical auditory nuclei :
longer exposure periods and are more transient than
tonotopic map plasticity in AI
cortex may be the primary site of plasticity
59. 1.Stimulus-
specific
adaptation
(SSA)
Stimulus-specific adaptation is a reduction in the
response of a neuron to a repeated stimulus
1.auditory cortex (AI)
2.midbrain and thalamus (IC) and (MGB)
Which parts:
(the external and dorsal cortices of the IC and the medial and dorsal divisions
of the MGB)
61. 1.Stimulus-
specific
adaptation
(SSA)
SSA has many properties in common with behavioural
habituation
auditory cortical habituation:
1. little attention
2. a decrease in the responses of layer 2/3 pyramidal
neurons………. activity of somatostatin-expressing
inhibitory neurons
62. 2.
Neuromodulator
y and synaptic
mechanisms of
plasticity
most forms of auditory cortical plasticity are changes in synaptic
efficacy within existing patterns of connectivity
63. 2.
Neuromodulator
y and synaptic
mechanisms of
plasticity/ACh
The neocortex receives diffuse extra thalamic projections from five
different subcortical cell groups in learning-related cortical
plasticity
cholinergic and noradrenergic systems arising in the nucleus basalis
(NB) and locus coeruleus, respectively
A particular frequency shifted the tuning of AI neurons towards the
stimulation frequency, such that there was an expanded
representation of that frequency
produces a stimulus-specific rapid reduction in inhibition
followed by an increase in excitation at the paired frequency
64. 2.
Neuromodulator
y and synaptic
mechanisms of
plasticity/GABA
In contrast to the changes in frequency selectivity associated with
learning and attention, those produced by cochlear lesions do
not involve cholinergic modulation
65. 2.
Neuromodulat
ory and
synaptic
mechanisms of
plasticity/
GABA
Shortly after the onset of hearing:
1. GABA-mediated two-tone suppression is weak
2. GABAA receptor subunit composition is immature
3. inhibitory synaptic currents are sluggish with
frequency tuning that is not yet precisely co-
registered with excitation
As sound-evoked inhibition becomes sharper and more
robust, repeated exposure to pure tones is no longer
able to induce a long-term remodeling of frequency
tuning
66. 2.
Neuromodulator
y and synaptic
mechanisms of
plasticity/GABA
STD: short-term depression
STF: short-term facilitation
PTP: posttetanic potentiation
LTD: Long-term depression
LTF : Long-term potentiation
68. 3.Learning/top
-down
processes
The degree of plasticity may determine the strength of learning
Classical conditioning with a tonal conditioned stimulus (CS):
1. an increase in the response at the CS frequency
2. Increase in contrast sensitivity
3. decrease in response at the pre-training best frequency (BF)
Can be very quick
Short-live or long lasting(based on task)
First stage: reduction in auditory cortex inhibition
Role of the cholinergic input originating in the nucleus basalis
(NB)
Modulated by top-down influences from “higher-order” cortical
areas mediating attention
71. 3.Learning/top
-down
processes
Only auditory cortical ?
similar effects of learning and attention have been
reported in the medial geniculate body (MGB) and
inferior colliculus (IC) as centrifugal influences from
auditory cortex
73. 4. Plasticity
with forms of
altered
auditory
experience/
disorders
Compensatory plasticity
Cross-modal plasticity
Intra-modal plasticity
Cross-modal plasticity and intra-modal plasticity
74. Cross-modal
plasticity:
Whole-brain
level
1.Visuo-auditory plasticity in deafness:
attempts to compensate: contextual cues, including speech-
reading
activation of superior temporal lobe ,or primary part by
speechreading
2.Visuo-auditory plasticity after cochlear implantation
Audiovisual integration(35%)
Cortical plasticity and audiovisual integration
76. Intra-modal
plasticity:
within the
auditory
system
Brain plasticity after
unilateral hearing loss
5weeks
physiological and
cytoarchitectonic
mechanisms described :
1. a loss of contralateral
inhibition
2. 2.reinforcement of
the number of fiber
connections along the
healthy ear auditory
pathway
77. Brain plasticity
after unilateral
hearing loss
The lateralization in NH
subjects : contralateral
In unilateral deafness:
ipsilateral dominance
a deficit in sound
localization
performances
weaker involvement of
auditory dorsal stream
in UHL patients
compared with controls
78. Tinnitus as
plasticity
a certain degree of
hearing loss and other
peripheral nerve input
reduction:
1.Reduction in input
2.Compensation of
nervous system
3. Reduction in inhibitory
effect on efferent nerves
4. Increased spontaneous
discharge activity of the
auditory cortex
79. Tinnitus as
plasticity/
Changes of
central
neurotransmitt
ers
The main neurotransmitters in the auditory pathway are GABA, 5-
hydroxytryptamine (5-HT), glutamic acid, dopamine, etc.
A GABAergic neuron is an inhibitory neurotransmitter in auditory
cortex.
A decrease of GABA receptors may also be an important
mechanism of tinnitus
82. References
1.Auditory map plasticity: Diversity in causes and consequences
2. Plasticity in the Auditory System,Dexter R. F. Irvine
3. Development of Auditory Cortex Circuits ,Minzi Chang1 , and Patrick O.
Kanold1
4. Brain plasticityandhearingdisorders, Malzaher
,NVannson,ODeguine,MMarx,PascalBarone,Kstrelnikov
5. Molecular Aspects of the Development and Function of Auditory Neurons,
Gabriela Pavlinkova
6.Myelin Development, Plasticity, and Pathology in the Auditory System,
Patrick Long1,§, GuoqiangWan2,§, MichaelT. Roberts1, and Gabriel Corfas1
7.Development of the auditory system,Ruth Litovsky
8. Infant auditory capabilities, Lynne A.Werner, PhD
9. Analysis on the neurological mechanism of acupuncture treatment in
Idiopathic tinnitus based on the theory of “central plasticity”, Peng-Xi Zhang1,
Tong-Sheng Su2*
83. Bibliography
1.Frontal Cortex Activation Causes Rapid Plasticity of, Auditory Cortical
Processing, Daniel E. Winkowski,1* Sharba Bandyopadhyay,1,2* Shihab A.
Shamma,1,3 and Patrick O Kanold1,2
2. Role of attention in the generation and modulation of tinnitus, Larry E.
Robertsa,∗, FatimaT. Husainb,c,d,1, Jos J. Eggermonte
3. Spatial tuning of neurons in the inferior colliculus of the big brown bat:
effects of sound level, stimulus type and multiple sound sources
4. Temporal plasticity in the primary auditory cortex, induced by operant
perceptual learning ,Shaowen Bao, Edward F Chang, Jennifer Woods &
Michael M Merzenich
5. Associative learning shapes the neural code for stimulus magnitude in
primary auditory cortex Daniel B. Polley*, Marc A. Heiser, David T. Blake,
Christoph E. Schreiner, and Michael M. Merzenich
6. Tone Deafness: A New Disconnection Syndrome? Psyche Loui,1 David
Alsop,2 and Gottfried Schlaug1
7. Perceiving pitch absolutely: Comparing absolute and relative pitch
possessors in a pitch memory task ,Katrin Schulze, Nadine Gaab and
Gottfried Schlaug
Editor's Notes
Should change based on new topics
Auditory neurons mature
and extend their peripheral neurites, starting in the base of the cochlea, around E12.5 in
the mouse [21,39,40]. Auditory neurons express two neurotrophin receptors, TrkB and
TrkC, depending on their position along the axis of the cochlea, suggesting that these
molecular differences in axons from different regions of the cochlea guide the topographic
map formation [21]. Both receptors present in the developing auditory neurons and their
respective neurotrophins (BDNF and NT-3), expressed by the sensory epithelia, are crucial
not only for axon guidance but, overall, for neuronal survival, as well as synaptogenesis
and the maturation of firing properties
Development of excitatory and inhibitory neurons during
the embryonic period. a Cortical excitatory neurons were generated
from the radial glial cells and migrate towards their final location
within cortical plate (CP) guided by Cajal-Retzius cells. The
first generated neurons are the subplate (SP) neurons, followed by
deeper layer neurons and upper layer neurons that sequentially
migrate into the CP. Cajal-Retzius cells and some subplate neurons
largely disappear over development. b Inhibitory neurons
are generated from the ganglionic eminence (GE) starting around
embryonic days (E)10 and migrate tangentially to the cortex (left).
The presence of inhibitory neurons in the intermediate/ventricular
zone and marginal zone can be detected at the lateral region of
the murine cortex as early as E12.5 (left). Some of these inhibitory
neurons will continue to migrate towards the dorsomedial region of
the cortex, however, whether the timing of these neurons invading
the cortical plate happens concurrently is unclear (middle). Around
P14, the inhibitory neurons evenly distributed within the cortex
(right). ACtx, auditory cortex; L, layer; MZ, marginal zone; SVZ/VZ,
subventricular zone/ventricular zone; VCtx, visual cortex
Fig. 3 Transient circuits between subplate neurons and thalamocortical
axons in auditory cortex. a The first generated neurons are
the subplate neurons (SP, gray). These neurons can be detected as
early as E11 in the auditory cortex (ACtx), almost similar timing
as the thalamic nuclei that are generated in the medial geniculate
body (MGB) around E10. The thalamocortical axons from the thalamus
contact subplate neurons in ACtx around E13.5. b Thalamocortical
axons from the medial geniculate nucleus (MGN) arrive in
the SP of ACtx (red) earlier than those from the lateral geniculate
nucleus (LGN) in the SP of visual cortex (VCtx, blue). Around postnatal
days (P) 5, the thalamocortical fibers arrived in the VCtx layer
(L) 4, earlier than those in ACtx. c SP neurons project to thalamorecipient
L4 and L1 as well as to MGB during early postnatal ages.
Complexin 3 (Cplx3, green) is expressed in SP neurons and strong
puncta immunolabeling can be detected at (i) the thalamus surrounding
the ventral division of MGN (MGBv), and in (ii) the L4
and L1. Vesicular glutamate transporter 2 (vGlut2, magenta) labelling
thalamocortical fibers and thalamorecipient L4. d A transient
circuit is formed between the SP and MGB during the early embryonic
period, and the SP neurons were projecting to the future L4
neurons (left). During the development, the TCAs from MGB will
penetrate the cortex and move towards the L4 neurons (middle). In
the adult, when the connections between MGB and L4 are established,
the subplate network diminished (right). During this process,
SP might be considered a proto-organizational structure, ensuring
that L4 is organized in a tonotopic manner. Pseudo-colored represents
different frequencies in the tonotopic map. MGBd, dorsal
division of MGN; scale bar for c is 1 mm; scale bar for (i, ii) is
50 μm
Fig. 4 Schematic figure of connections in primary auditory cortical
development. Ages refer to mice. a Projections from the medial
geniculate body (MGB) arrive in the subplate layers of primary
auditory cortex (A1) during embryonic development. After birth,
the thalamocortical axons from both MGBd and MGBv refine and
terminate into their appropriate target and some SP neurons start
to disappear. b In the first postnatal week, L2/3 neurons (purple)
establish intracortical networks with their surrounding neurons.
Besides ascending L4 inputs, between P9 and P16, L2/3 neurons
also receive extensive inputs from L5/6 neurons. Such connections
disappear in adulthood. c During early development, long-range
corticocortical connections between primary and secondary areas
are established mainly by the lower layer and possibly subplate
neurons (left). As the cortex matures, the upper layer neurons form
long-range corticocortical connections between primary and secondary
cortical areas (middle). As the thalamocortical inputs innervate
layer 4 and during maturation of upper layer neurons, the corticocortical
connections in the lower layers decrease. MZ, marginal
zone; CP, cortical plate
Older children( ages 9–11 years ) like adults, required small differences between the frequencies of the two tone sequences in order to perceptually segregate them into two “streams”
younger children : 8 years old or younger required larger frequency differences in order to hear the tone sequences as segregated
2. infants by the age of ~4 months infants can use similar acoustic cues to those used by adults
Adult-like performance: starts from school-age years
Point: These findings suggest that ASA, as measured with auditory streaming, develops well into school-age years
Schematic of the directionally dependent cues that would be potentially available to listeners in the horizontal plane for a broadband sound. The left panel shows the sound emitted from a loudspeaker and arriving at the left ear first and with greater intensity. The right panel shows the measurements at the ear canal of the two ears; both interaural time difference (ITD) and interaural level difference (ILD) cues are present. (Reproduced from Litovsky and Madell, 2009.)
We found a common activation pattern for both groups that included the superior
temporal gyrus (STG) extending into the adjacent superior temporal sulcus (STS), the inferior
parietal lobule (IPL) extending into the adjacent intraparietal sulcus (IPS), the posterior part of the
inferior frontal gyrus (IFG), the pre-supplementary motor area (pre-SMA), and superior lateral
cerebellar regions.
Technical problems: changes as a function of stimulus intensity
very sharp tuning of less than a third octave to very broad tuning of several octaves width
Technical problems:
response magnitude is strongly related to sound intensity
Figure 2 Training enhances cortical responses to high-rate noise pulses. (a) Raster plot examples of the cortical responses to pulsed noises. The repetition
rates of the noise pulses are indicated on the vertical axis. Red lines indicate pulse durations. The experimental case (top plot) was from a neuron that
responded well to 20 pps noise pulses, which does not represent mean properties of this group. (b) Repetition rate transfer functions of cortical responses
to noise pulses (*P < 0.001, experimental versus naive and control groups). Error bars depict s.e.m. (c) Highest temporal rate at which cortical responses
were half of the maximum (fh1/2). There is a significant rightward shift of the fh1/2 distributions for experimental animals compared to naive and control
animals (P < 0.05), manifesting enhanced responses to higher-rate noise pulses. (d) fh1/2 of neurons with different characteristic frequencies. Enhanced
temporal response dynamics were seen in neurons of different CFs (*P < 0.05). Error bars depict s.e.m. (e) Representative A1 fh1/2 maps.
Upper panel: Example of composite bar graph showing spike counts throughout the receptive field. The height of each bar represents spike count at the corresponding position. Lower panel: Example of an auditory spatial receptive field as calculated by the Isoline program. The point of maximal response or center point is indicated by the black dot. The 75% maximal response area is indicated by dark shading and the 50% maximal response area is indicated by light shading. Each contour line represents a step of 12.5%. All receptive fields are shown using these conventions
In neuroscience, synaptic plasticity is the ability of synapses to strengthen or weaken over time, in response to increases or decreases in their activity.[1] Since memories are postulated to be represented by vastly interconnected neural circuits in the brain, synaptic plasticity is one of the important neurochemical foundations of learning and memory (see Hebbian theory).
Plastic change often results from the alteration of the number of neurotransmitter receptors located on a synapse.[2] There are several underlying mechanisms that cooperate to achieve synaptic plasticity, including changes in the quantity of neurotransmitters released into a synapse and changes in how effectively cells respond to those neurotransmitters.[3] Synaptic plasticity in both excitatory and inhibitory synapses has been found to be dependent upon postsynaptic calcium release.[2]
pairing activation of the cholinergic fibres via NB stimulation with tonal stimulation at a particular frequency shifted the tuning of AI neurons towards the stimulation frequency, such that there was an expanded representation of that frequency
The nucleus basalis, also known as the nucleus basalis of Meynert or nucleus basalis magnocellularis, is a group of neurons located mainly in the substantia innominata of the basal forebrain
basal forebrain
Cholinergic neuromodulatory systems. (a) The basal forebrain cholinergic system (shown for the rat, adapted from Sarter et al., 2009, with permission). Cholinergicneurons originate from the nucleus basalis of Meynert, the substantia innominata and the vertical and horizontal nuclei of the diagonal band of Broca (collectively termedthe BF) and innervate all cortical areas and layers. The prefrontal cortex (PFC) is the only cortical region, in rodents and primates, that is known to project back to theBF both directly and indirectly through the nucleus accumbens (NAc). This organization provides an avenue for top-down control of the BF by the PFC. The BF, PFC andNAc are further innervated by dopaminergic neurons from the ventral tegmental area (VTA, dashed lines), while dopaminergic neurons are in turn contacted by PFCprojections allowing interactions between attention and reward/arousal pathways. Not shown are projections to the BF from thalamic sensory nuclei via the amygdala,return projections to thalamic and subcortical structures, or parallel GABAergic projections from the BF targeting inhibitory cortical interneurons (Freund and Meskenaite,1992). (b) Pontomesencephalic cholinergic system. Subcortical cholinergic projections from the pontomesencephalic tegmentum (PMT, shaded pink) and superior olivarycomplex (SOC, shaded blue) to the cochlear nucleus (CN) are shown. Arrows indicate projections from the SOC and two nuclei of the PMT, the pedunculopontine tegmentalnucleus (PPT) and the laterodorsal tegmental nucleus (LDT), to the CN. Also depicted are ascending projections from the PMT to the thalamus and cortex, and return projectionsfrom layer V pyramidal cells in auditory cortex to the PMT which provide a pathway for top-down influences. (Adapted from Mellott et al., 2011, with permission; SCP:superior cerebellar peduncle; IC: inferior colliculus.) (For interpretation of the references to color in this figure legend, the reader is referred to the web version of the article).
انتقال سیناپسی پویا است و قدرت پاسخ پس سیناپسی در پاسخ به فعالسازی مکرر سیناپس تغییر میکند. قدرت سیناپسی در طیّ facilitation, augmentation و potentiation افزایش می یابد و درحالی که با depression و attenuationکاهش می یابد. این تغییرات به شکل long term و short term اند. افزایش کوتاه مدت short-term facilitation (STF) و posttetanic potentiation (PTP) و کاهش کوتاه مدت پاسخ سیناپس short-term depression (STD)نام دارد. و به مثابه تغییرات کوتاه مدت، تغییرات بلندمدت سیناپسی در در سطح عملکرد عصب و در سیستم شنوایی داریم که Long-term potentiation و long-term depression یعنی LTD و LTP نام دارند. با کمک شواهد حیوانی و به وسیله روش های فارماکولوژیک در مناطق مختلف از جمله مهارهای فارماکولوژیک منطقه BSدریافته اند که STP را در CN، LSOC،MSOC، MNTB و NLL ثبت شده اند. STF در ساختارهای CN، SOC، NLL، IC و PTP در MNTB وجود دارد. LTP در DCN و MNTB و سیناپتیک پلاستیسیتی LTD در DCN نمایان شده است.”
Mechanisms and unsolved mysteries underlying auditory cortical map reorganization. (a) Tonotopic best frequency (BF) map reconstructed from ~50 extracellular multiunit recording sites from the middle layers of mouse AI, each spaced ~100 μm apart (data from [18]) In addition to receiving heavy feedforward sensory input from the medial geniculate body, AI tonotopic organization is influenced by long-range neuromodulatory inputs such as dopaminergic (DA) inputs from the ventral tegmental area [141], noradrenergic (NA) inputs from locus coeruleus [142], serotinergic inputs from the dorsal raphe (5-HT) [143], glutamatergic inputs from the frontal cortex [144], and cholinergic (ACh) input from nucleus basalis [49]. Of these systems, retuning of auditory response properties by cholingeric modulation is by far the best understood. (b) Recent research has described a cortical microcircuit that translates associative learning cues from nucleus basalis into lasting reorganization of auditory response properties. During auditory fear learning, nociceptive inputs activate basalis afferents innervating layer I of auditory cortex, which excite layer I interneurons via nicotinic ACh receptors. These interneurons, in turn, inhibit parvalbumin+ interneurons in layer 2/3, thereby disinhibiting layer 2/3 pyramidal neurons and enabling plastic reorganization of sound-related excitatory inputs conveyed from layer IV neurons. However, basalis afferents also convey associative learning signals to deeper layers of the auditory cortex, where their effects are thought to be mediated by muscarinic ACh receptors. More work will be needed to reconstruct the organization of parallel microcircuits that translate basalis signals into plasticity of the deeper input/output layers of AI. (c) The synaptic basis for associative retuning of frequency selectivity has been characterized in experiments that isolate excitatory and inhibitory synaptic conductances
Schreiner and Polley Page 24
Curr Opin Neurobiol. Author manuscript; available in PMC 2015 February 01.
NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript
onto AI neurons before and after a single tone frequency is repeatedly paired with electrical stimulation of nucleus basalis [117]. Before pairing, tone-evoked synaptic excitation and inhibition are precisely co-tuned for frequency. Within minutes of pairing, sound-evoked inhibition is selectively weakened at the paired frequency, followed by an intermediate unbalanced period when excitation has shifted to the paired frequency but inhibition is disorganized. Within an hour after pairing, synaptic excitation and inhibition have co-registered and remain tuned to the paired frequency for at least several hours before returning to their pre-pairing baseline tuning absent further bouts of associative learning cues from basalis. (d) Auditory maps can also be reorganized through non-associative plasticity mechanisms. For instance, within minutes following exposure to intense noise, spectral and temporal organization of sound-evoked inhibitory synaptic inputs are dysregulated, producing poorly selective ‘noisy’ receptive field organization [145]. Over the course of several weeks, AI neurons become re-tuned to sound frequencies bordering the cochlear lesion [64, 131] in a manner that may depend on homeostatic plasticity mechanisms [137] rather than associative plasticity mechanisms such as modulation from nucleus basalis [146]. (e) Additional work will be needed to unveil the specific homeostatic mechanisms that enable receptive field renormalization following auditory deafferentation. For instance, compensatory plasticity could be supported by scaling up postsynaptic responses to a reduced afferent signal, by changing the balance of synaptic excitation (E) and inhibition (I), or by altering the intrinsic electrical excitability of neurons through changing the levels or type of voltage-gated ion channels, as has been demonstrated in the auditory brainstem following changes in afferent activity levels [147, 148], but not in the cortex.
igure 2 | Auditory information convergence in the lateral amygdala (LA). An auditory signal reaches the auditory thalamus in 7–9 ms. From there, it is sent to the lateral amygdala (LA) either directly ('low road'), or via a longer route, through the auditory cortices, for higher processing of the auditory signal, therefore providing the LA with more detailed information ('high road'). Therefore, information processed through the high road (blue) reaches the LA later than the direct thalamic processed information (green). Cells in the LA are interconnected and provide a recurrent structure for possible reverberating activity in the LA, facilitating coincidence detection between afferent information and intra-amygdala processing, thus enabling Hebbian plasticity for storage of emotional memory traces in the LA.
Perceptual learning”
tasks involving the detection, discrimination, or identification of
sensory stimuli
The improvements in performance that occur with such training are referred to as perceptual learning
The most commonly studied form of auditory perceptual learning in electrophysiological studies in animals has been frequency discrimination, but the nature of the changes in the AI underlying such learning remains unclear
STS: superior temporal sulcus, STG: superior temporal gyrus
Regression analysis and auditory streams. In the
top panel, A1 refers to the primary auditory cortex. The
directions of the auditory dorsal and ventral streams are
depicted. In the bottom panel the primary auditory cortex
is outlined in white. Blue areas are results of the
regression analysis and show brain regions linked to
auditory performances (the dorsal stream in the posterior
superior temporal gyrus), which are less implicated in
unilaterally deaf patients compared with normal-hearing
controls.
-HT receptors, 5-hydroxytryptamine receptors, or serotonin receptors, are a group of G protein-coupled receptor and ligand-gated ion channels found in the central and peripheral nervous systems.[1][2][3] They mediate both excitatory and inhibitory neurotransmission. The serotonin receptors are activated by the neurotransmitter serotonin, which acts as their natural ligand.
The serotonin receptors modulate the release of many neurotransmitters, including glutamate, GABA, dopamine, epinephrine / norepinephrine, and acetylcholine, as well as many hormones, including oxytocin, prolactin, vasopressin, cortisol, corticotropin