This review examines how visual information enhances speech perception in individuals with hearing loss, focusing on the impact of age, linguistic stimuli, and specific hearing loss factors on the effectiveness of audiovisual (AV) integration. While existing studies offer varied and sometimes conflicting findings regarding the use of visual cues, our analysis shows that these key factors can distinctly shape AV speech perception outcomes. For instance, younger individuals and those who receive early intervention tend to benefit more from visual cues, particularly when linguistic complexity is lower. Additionally, languages with dense phoneme spaces demonstrate a higher dependency on visual information, underscoring the importance of tailoring rehabilitation strategies to specific linguistic contexts. By considering these influences, we highlight areas where understanding is still developing and suggest how personalized rehabilitation strategies and supportive systems could be tailored to better meet individual needs. Furthermore, this review brings attention to important aspects that warrant further investigation, aiming to refine theoretical models and contribute to more effective, customized approaches to hearing rehabilitation.
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http://dx.doi.org/10.3389/fpsyg.2024.1399084 | DOI Listing |
J Neurosci
January 2025
Neuroscience and Cognitive Science Program, University of Maryland, College Park, Maryland, 20742.
Hearing is an active process in which listeners must detect and identify sounds, segregate and discriminate stimulus features, and extract their behavioral relevance. Adaptive changes in sound detection can emerge rapidly, during sudden shifts in acoustic or environmental context, or more slowly as a result of practice. Although we know that context- and learning-dependent changes in the sensitivity of auditory cortical (ACX) neurons support many aspects of perceptual plasticity, the contribution of subcortical auditory regions to this process is less understood.
View Article and Find Full Text PDFeNeuro
January 2025
Neurophysiology of Everyday Life Group, Department of Psychology, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany
A comprehensive analysis of everyday sound perception can be achieved using Electroencephalography (EEG) with the concurrent acquisition of information about the environment. While extensive research has been dedicated to speech perception, the complexities of auditory perception within everyday environments, specifically the types of information and the key features to extract, remain less explored. Our study aims to systematically investigate the relevance of different feature categories: discrete sound-identity markers, general cognitive state information, and acoustic representations, including discrete sound onset, the envelope, and mel-spectrogram.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
January 2025
Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, PA 15213.
The auditory system is unique among sensory systems in its ability to phase lock to and precisely follow very fast cycle-by-cycle fluctuations in the phase of sound-driven cochlear vibrations. Yet, the perceptual role of this temporal fine structure (TFS) code is debated. This fundamental gap is attributable to our inability to experimentally manipulate TFS cues without altering other perceptually relevant cues.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
January 2025
Department of Otolaryngology, China-Japan Friendship Hospital, Beijing, China.
Objectives: This study examined the relationships between electrophysiological measures of the electrically evoked auditory brainstem response (EABR) with speech perception measured in quiet after cochlear implantation (CI) to identify the ability of EABR to predict postoperative CI outcomes.
Methods: Thirty-four patients with congenital prelingual hearing loss, implanted with the same manufacturer's CI, were recruited. In each participant, the EABR was evoked at apical, middle, and basal electrode locations.
Alzheimers Dement
December 2024
Newcastle University, Newcastle upon Tyne, United Kingdom.
Background: Hearing loss is associated with cognitive and neuroimaging markers of Alzheimer's disease dementia but it is unclear how specific measures relate to these after accounting for a range of hearing abilities.
Method: 200 participants (155 cognitively normal, 25 mild cognitively impaired and 20 Alzheimer's disease dementia) underwent auditory testing (peripheral and central abilities), cognitive testing and MR scanning (structural and diffusion-weighted sequences) to evaluate the relationship between hearing, cognition and imaging brain measures.
Result: Central auditory measures such as speech-in-noise perception and auditory memory for longer durations were associated with cognitive impairment across the Alzheimer's disease continuum and specific auditory measures were independently associated with morphometric and diffusion-weighted brain measures.
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