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Graduate Student Supervision
Master's Student Supervision (2010 - 2018)
Objectives: The cochlear microphonic (CM) is a bioelectric potential detectable through early latency auditory brainstem responses (ABR). It has been described as large in amplitude and long in duration in auditory neuropathy spectrum disorder (ANSD), a complex form of hearing loss. ANSD is identified through a combination of diagnostics, including but not limited to present otoacoustic emissions (OAEs) and/or a robust CM, and absent/abnormal ABR. Based on previous literature, this study hypothesized that CMs would differ significantly between infants with ANSD and normal-hearing infant data from well-baby, and neonatal intensive care unit (NICU) populations; it further hypothesized that CM/ABR wave V (CM/V) amplitude ratios would not differ significantly across ANSD groups presenting with and without OAEs. Design: Retrospective analysis was performed on click-ABR recordings from 16 infants with ANSD (24 ears; mean 3.5 months, corrected) for comparison to published normative data. ANSD was identified by the presence of OAEs (OAE+) and absent/abnormal ABR, and by CM presence with abnormal/absent ABR and support from later behavioral results for infants with absent OAEs (OAE-). Waves were analyzed by comparing condensation and rarefaction polarities to highlight the CM. Proposed CM/V ratio values for ANSD identification were also explored. Results: Mean CM durations were significantly longer in combined ANSD ears (4.197 ± 1.154ms) than normally-hearing well-baby (0.73 ± 0.3ms) and NICU (0.82 ± 0.51ms) infants. CM amplitudes were significantly larger in ANSD (0.322 ± 0.173µV) than well-baby (0.24 ± 0.09µV), but not NICU (0.26 ± 0.13µV) infants. OAE+ and OAE- ANSD ears did not differ significantly in CM duration or amplitude but did differ significantly in mean CM/V ratios (6.602 ± 2.987, 2.040 ± 1.112, respectively). Ratios correctly identified ANSD in 16 of 19 ANSD ears with a wave V. Conclusions: Significant group differences in CM duration suggest that this measure could be useful for identification of ANSD in infants. CM amplitude was less definitive, with confounds between datasets. The CM/V ratios failed to correctly categorize all OAE- infants for which the measure would be most applicable. Results should be viewed with caution given the retrospective nature and limited sample size of the analysis.
Objectives: In cases of auditory neuropathy spectrum disorder (ANSD), clinicians may defer amplification until reliable behavioural thresholds can be obtained, as auditory brainstem response (ABR) assessment often overestimates thresholds. Limited research has investigated the correlation between ABR-estimated and behavioural thresholds. This study aims to retrospectively quantify the management practices found in ANSD patients identified through the British Columbia Early Hearing Program (BCEHP). The relationship between ABR and hearing aid (HA) fitting thresholds will be investigated for evidence to support using ABR thresholds to inform early intervention. Methods: BCEHP patient data was obtained for the 28 children diagnosed with ANSD between 2008 and 2015. Information such as clinical demographics and the use of hearing technology was extracted. The age of diagnosis and intervention was reviewed for 1-3-6 month benchmark compliance. ABR and HA fitting threshold data was collected, and comparative analysis was performed. Results: Analysis revealed that the average age of ANSD diagnosis was 7.8 months corrected (range: 1.5 – 69 months), and the average time between diagnosis and amplification was 10 months (SD: 15 months). Comparative analysis revealed that while delaying amplification is appropriate for the majority of ANSD patients, fitting to ABR-estimated thresholds may be suitable in a small subset. Conclusions: HA fitting for ANSD infants is often delayed beyond 6 months of age. Study results suggest that in some cases, ABR thresholds may be sufficient to generate prescriptive targets for amplification. Further research is needed to corroborate these findings and provide support for early intervention based on ABR-thresholds.
Gap-detection testing is a measure of temporal resolution, a component of auditory processing that is sometimes affected in Central Auditory Processing Disorder (CAPD). Using behavioural gap-detection tasks as part of a CAPD battery can be confounded by attention, in that it is difficult to distinguish whether poor performance is a result of attention deficits or central auditory processing deficits. Researchers have assessed the utility of cortical auditory evoked potentials (CAEPs) as an objective measure of gap-detection thresholds. The present study aimed to compare CAEPs during a passive and active gap-detection task to assess the effects of attention on electrophysiological gap-detection testing. The results showed no significant differences in gap-detection thresholds obtained behaviourally, obtained electrophysiologically during the passive task, and obtained behaviourally or electrophysiologically during the active task. N1-P2 amplitudes were found to be significantly larger in the active gap-detection task compared to the passive task. In conditions where a 0 ms duration or subthreshold duration gap was presented, an N2b waveform was evoked. The N2b is an endogenous event-related potential (ERP) that is usually evoked when a prepotent response must be withheld, such as during the no-go trials of a go/no-go task. Because the gap-detection task could be considered as a go/no-go paradigm, the N2b was likely evoked due to the unfulfilled expectation of a gap occurring with predictable timing and high probability. The goal of experiment 2 was to investigate the occurrence of this endogenously-evoked no-go N2b as previous literature has focused primarily on the N2b evoked by exogenous stimuli. The results found that all participants had an N2b wave to no-gap and subthreshold gap conditions. There were no significant correlations between N2b-P3a amplitudes and behavioural thresholds or between N2b-P3a amplitudes or N2b latencies and reaction time or reaction time standard deviation. There was a significant correlation between P3a amplitudes and ex-Gaussian reaction time standard deviation. No significant differences were found between N2b amplitudes for correct rejections or misses. Overall, this study demonstrated that the no-go N2b can be evoked by an endogenous signal in the form of the omission of an expected gap in noise.
Cortical auditory evoked potentials (CAEPs) are currently being investigated as a tool for validation in hearing aid fittings. There is some conflicting evidence regarding the usefulness of CAEPs in this capacity. CAEPs are influenced by stimulus parameters and hearing aids can change these parameters in an unpredictable manner. The purpose of this study was to investigate the effect of rise time after hearing aid processing on the CAEP of 23 normal hearing participants. Two different duration stimuli (60 ms and 120 ms) were processed by three different hearing aids and the output of each hearing aid was recorded. The stimulus parameters were measured for each condition and the stimuli were presented to each participant through an insert earphone. Two blocks of stimuli were used (1) Raw (varied SNR and intensity) and (2) Equalized/Filtered (equalized SNR and intensity). The electroencephalography (EEG) was recorded and the P1-N1-P2 amplitudes and latencies were measured for each condition. A three-factor ANOVA was conducted to observe the effects of (1) rise time, (2) duration, and (3) SNR. A main effect of rise time was observed on the N1-P2 amplitude. This result indicated that hearing aid processing can increase the rise time enough to elicit a decrease in the N1-P2 amplitude. No effects were observed on amplitudes or latencies of the N1-P2 with the alternative stimulus parameters (SNR and duration). Prior to using CAEPs clinically for validation of hearing aid fittings, normative standards should be established. This ensures that differences in the N1-P2 amplitudes are due specifically to audibility and not to the altered stimulus parameter (i.e., after hearing aid processing). Further research should also be conducted on individuals with hearing loss to see if the effects observed in this study would be present with this population. In addition, comparisons of behavioural and CAEP methods of validation would be helpful in determining the validity and reliability of using these methods clinically.
Temporal resolution is the ability of the auditory system to detect small changes over time and is an important component for the detection and decoding of speech by the central auditory nervous system. Temporal resolution is most often measured by asking a person to detect small gaps between sounds, known as behavioural gap-detection tests. However, certain populations may be unable or unwilling to respond reliably due to perceptual or cognitive deficits, or in medico-legal compensation cases. There are limitations to behavioural gap-detection measures because they cannot separate cognitive from perceptual deficits. The present study utilized electrophysiological gap-detection measures as a means of objectively estimating behavioural gap-detection thresholds. Cortical auditory evoked potentials (CAEPs) are neural responses to changes in sound, duration, and frequency that can be measured from the scalp. The specific aim of this study was to collect adult normative data for CAEP gap-detection thresholds to examine if CAEPs could accurately estimate behavioural gap-detection thresholds. Gap-evoked CAEPs could be recorded in participants who were awake and passively listening and could estimate temporal resolution without the need for a participant’s cooperation or attention. The results showed that there was a significant N1-P2 response to gaps at ≥ 4 ms, with 85% of participants having a response to a 10 ms gap. Additionally, the electrophysiological mean gap-detection threshold was within 1 ms of behavioral mean gap-detection threshold. This demonstrated that gap-evoked CAEPs can accurately estimate behavioural gap-detection thresholds in a normal hearing adult population.
Previous audiovisual Stroop studies used spoken colour-words mainly as ignored distractors when performing the visual Stroop task. Previous matching Stroop studies in the visual domain provided opposing views regarding whether interference effects resulted from conflicting semantic representations or conflicting responses. This study’s main objective was to explore how a written word distractor affects audiovisual matching of a spoken colour-word and font colour. I presented colour-words written in congruent or incongruent font colours simultaneously with spoken colour-words. Participants pressed buttons to indicate whether the spoken word and font colour were “same” or “different”, while ignoring written word meaning. I recorded response times and accuracy to measure interference and facilitation effects between experimental and control conditions. I hypothesised that incongruent written words (e.g., red) would interfere with “same” responses (e.g., font colour = blue, spoken word = /blue/) but facilitate “different” responses (e.g., font colour = green, spoken word = /blue/); and that congruent written words (e.g., red) would facilitate “same” responses (e.g., font colour = red, spoken word = /red/) but interfere with “different” responses (e.g., font colour = red, spoken word = /blue/, or font colour = blue, spoken word = /red/). The results showed large interference effects but no facilitation effects on audiovisual judgements. While incongruent written words interfered with “same” responses, congruent written words interfered with “different” responses. The largest interference effect occurred when the written word was incongruent with both task-relevant dimensions, while smaller effects occurred when the written word was congruent with either task-relevant dimension. Consistent with previous Stroop findings, my audiovisual matching task showed that in the case of cross-modal colour judgements, written word meaning predominantly interferes with but does not facilitate performance. The pattern of results showed that a conflict between the outcome of the relevant matching task and the outcomes of two mistakenly performed matching tasks involving the written word produced interference effects, rather than a conflict among the semantic representations activated by the three stimulus dimensions.
No abstract available.