Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20262825425
Revista CEFAC
Original Articles

Effects of forward masking on cortical auditory evoked potentials in senescence

Pós-mascaramento nos potenciais evocados auditivos corticais na senescência  

Danielle Samara Bandeira Duarte; Luciana Pimentel Fernandes de Melo; Mônyka Ferreira Borges Rocha; João Pedro Santos de Queiroz; Silvana Maria Sobral Griz; Denise Costa Menezes; Diana Babini Lapa de Albuquerque Britto; Karina Paes Advíncula

Downloads: 0
Views: 667

Abstract

Purpose: to analyze the effects of forward masking in Cortical Auditory Evoked Potentials in normally hearing young adults, adults, middle-aged, and elderly subjects.

Methods: an analytical study of an observational and cross-sectional nature. Sixty volunteers underwent pre-collection hearing exams, including history, cognition testing, and basic audiological evaluation. For electrophysiological evaluation, Speech Shaped Noise and the speech stimulus /da/ were used. Cortical Auditory Evoked Potentials were obtained under two conditions: unmasked and masked (delta-t 64 ms). Trace analysis considered the P1, N1, and P2 components. Statistical analysis was performed using ANOVA, Kruskal-Wallis, and Wilcoxon tests, considering p < 0.05.

Results: despite normal hearing thresholds, middle-aged and elderly individuals showed higher thresholds. In the unmasked condition, latency increased with age. In terms of amplitudes, the elderly showed increased P1 amplitudes. In the delta-t 64 ms condition, the elderly exhibited lower latencies in the P1 component and higher ones in P2. Regarding amplitudes, the elderly showed increased P1 and N1 components and decreased P2.

Conclusion: in Cortical Auditory Evoked Potentials, in the unmasked condition, prolonged latencies of all components and increased P1 component amplitude are observed in the elderly, indicating possible changes in the auditory cortex. In the delta-t 64 ms condition, the elderly demonstrated shorter latency in the P1 component and higher amplitudes in the P1 and N1 components, suggesting increased auditory effort.

Keywords

Electrophysiology; Evoked Potentials, Auditory; Speech Perception; Aging; Hearing

Resumo

Objetivo: analisar o pós-mascaramento nos Potenciais Evocados Auditivos Corticais em adultos jovens, adultos, meia-idade e idosos com audição normal.

Método: trata-se de um estudo analítico de natureza observacional e transversal. 60 voluntários foram submetidos a exames auditivos pré-coleta, incluindo anamnese, teste de cognição e avaliação audiológica básica. Para a avaliação eletrofisiológica, foi utilizado um ruído Speech Shaped Noise e um estímulo de fala /da/. Os Potenciais Evocados Auditivos Corticais foram obtidos em duas condições: sem mascaramento e com mascaramento (delta-t 64 ms). A análise dos traçados considerou os componentes P1, N1 e P2. A análise estatística foi realizada por ANOVA, Kruskal-Wallis e teste de Wilcoxon, considerando p < 0,05.

Resultados: os resultados revelaram que apesar de limiares auditivos normais, meia-idade e idosos apresentaram limiares mais altos. Na condição sem mascaramento, observou-se aumento nas latências com a idade. Em amplitudes, idosos mostraram aumento em P1. Na condição delta-t 64 ms, idosos apresentaram menores latências no componente P1, e maiores no P2. Quanto às amplitudes, revelou-se que os idosos apresentaram um aumento nos componentes P1 e N1 e redução em P2.

Conclusão: idosos apresentaram Potenciais Evocados Auditivos Corticais, na condição sem mascaramento, com latências prolongadas de todos os componentes e aumento na amplitude do componente P1, indicando possíveis mudanças no córtex auditivo. Além disso, na condição delta-t 64 ms, eles demonstraram menor latência no componente P1 e maiores amplitudes nos componentes P1 e N1, sugerindo maior esforço auditivo.

Palavras-chave

Eletrofisiologia; Potenciais Evocados Auditivos; Percepção da Fala; Envelhecimento; Audição

References

1. Jesus ESA, Silva IMC. Influence of children's musicalization on preschool children's hearing skills. Audiol., Commun. Res. 2019;24:e2156:1-7. https://doi.org/10.1590/2317-6431-2019-2156

2. Pereira PKS, Martins AS, Vieira MR, Azevedo MF. Newborn hearing screening program: Association between hearing loss and risk factors. Pro-Fono R. Atual. Cientif. 2007;19(2):267-78. https://doi.org/10.1590/S0104-56872007000300005 PMID: 17934602.

3. Andrade KCL, Menezes PLA. A importância das células ciliadas externas para a discriminação de fala na presença de ruído competitivo [dissertation]. Maceió (AL): Universidade Federal de Alagoas; 2018.

4. Tanner M, Spitzer ER, Hyzy JP, Grose JH. Masking release for speech in modulated maskers: Electrophysiological and behavioral measures. Ear Hear. 2019;40(4):1009-15. https://doi.org/10.1097/AUD.0000000000000683

5. Advíncula KP, Menezes DC, Pacífico FA, Costa MLG, Griz SMS. Effect of age on temporal auditory processing: Benefit of masking modulation and post-masking effect. Audiol., Commun. Res. 2018;23:e1861. https://doi.org/10.1590/2317-6431-2017-1861

6. Patro C, Kreft HA, Wojtczak M. The search for correlates of age-related cochlear synaptopathy: Measures of temporal envelope processing and spatial release from speech-on-speech masking. Hearing Res. 2021;409:108333. https://doi.org/10.1016/j.heares.2021.108333 PMID:34425347.

7. Rocha MFB. O mascaramento nos potenciais evocados auditivos corticais com estímulo de fala [dissertation]. Recife (PE): Universidade Federal de Pernambuco; 2020.

8. Silva LAF, Magliaro FCL, Carvalho ACM, Matas CG. Maturation of long latency auditory evoked potentials in hearing children: Systematic review. CoDAS. 2017;29(3):e20160107. https://doi.org/10.1590/2317-1782/20172016107 PMID:28538829.

9. Bruno RS, Oppitz SJ, Garcia MV, Biaggio EPV. Long latency auditory evoked potentials: Differences in the way of counting the rare stimulus. Rev. CEFAC. 2016;18(1):14-26. https://doi.org/10.1590/1982-021620161816415

10. Nasreddine Z, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695-9. https://doi.org/10.1111/j.1532-5415.2005.53221.x PMID:15817019.

11. Lloyd LL, Kaplan H. Audiometric interpretation: A manual of basic audiometry. Baltimore: University Park Press; 1978.

12. Jerger S, Jerger J. Alterações auditivas: um manual para avaliação clínica. São Paulo: Atheneu; 1989.

13. Jerger J, Jerger S, Mauldin L. Studies in impedance audiometry. Normal and sensorineural ears. Arch Otolaryngol. 1972;96:513-23.

14. Skoe E, Kraus N. Auditory brain stem response to complex sounds: A tutorial. Ear Hear. 2010;31:302-24. https://doi.org/10.1097/AUD.0b013e3181cdb272

15. Kimura D. Cerebral dominance and the perception of verbal stimuli. Can J Psychol. 1961;15:166-71.

16. Gordon-Salant S. Speech perception and auditory temporal processing performance by older listeners: Implications for real-world communication. Semin Hear. 2006;27(4):264-8. https://doi.org/10.1055/s-2006-954852

17. Duarte DSB, Griz SMS, Rocha MFB, Britto DBLA, Menezes DC, Advincula KP. The effect of noise on the amplitude and morphology of cortical auditory evoked potentials. Braz J Otorhinolaryngol. 2022;88:59-65. https://doi.org/10.1016/j.bjorl.2021.11.006

18. Moore JK, Linthicum FH. The human auditory system: A timeline of development. Int J Audiol. 2007;46:460-78. https://doi.org/10.1080/14992020701383019 PMID: 17828663.

19. Sharma A, Glick H, Campbell J, Torres J, Dorman M, Zeitler DM. Cortical plasticity and reorganization in pediatric single-sided deafness pre- and post-cochlear implantation. Otol Neurotol. 2016;37:e26-e34. https://doi.org/10.1097/mao.0000000000000904 PMID:26756152.

20. Sharma A, Campbell J, Cardon G. Developmental and cross-modal plasticity in deafness: Evidence from the P1 and N1 event related potentials in cochlear implanted children. Int J Psychophysiol. 2015;95:135-44. https://doi.org/10.1016/j.ijpsycho.2014.04.007 PMID:24780192.

21. Thabet MT, Said NM. Cortical auditory evoked potential (P1): A potential objective indicator for auditory rehabilitation outcome. Int J Pediatr Otorhinolaryngol. 2012;76:1712-8. https://doi.org/10.1016/j.ijporl.2012.08.007 PMID:22939592.

22. Nash A, Sharma A, Kathryn M, Allison B. Clinical applications of the P1 cortical auditory evoked potential (CAEP) biomarker. In: Conference: A sound foundation through early amplification. Chicago; 2007. p. 39-45.

23. Hall JW. Handbook of auditory evoked responses. Boston: Allyn & Bacon; 2007.

24. Näätänen R, Picton T. The N1 wave of the human electric and magnetic response to sound: A review and an analysis of the component structure. Psychophysiology. 1987;24(4):375-425. https://doi.org/10.1111/j.1469-8986.1987.tb00311.x PMID: 3615753.

25. Frizzo ACF, Junqueira CAO, Fellipe ACN, Colafêmina JF. Potenciais evocados auditivos de longa latência no processo maturacional. Acta AWHO. 2001;20:74-80. https://doi.org/10.1590/2317-1782/20172016107

26. Ventura LMP, Costa-Filho OA, Alvarenga KF. Maturação do sistema auditivo central em crianças ouvintes normais. Pro-Fono R. Atual. Cientif. 2009;21(2):101-6. https://doi.org/10.1590/2317-1782/20172016107 PMID: 19629318.

27. McArthur G, Bishop D. Event-related potentials reflect individual differences age invariant auditory skills. Neuroreport. 2002;13:1079-82. https://doi.org/10.1097/00001756-200206120-00021 PMID:12060813.

28. Bassi D, Furkim AM, Silva CA, Coelho MSPH, Rolim MRP, Alencar MLA et al. Identification of risk groups for oropharyngeal dysphagia in hospitalized patients in a university hospital. CoDAS. 2014;26(1):17-27. https://doi.org/10.1590/s2317-17822014000100004 PMID:24714855.

29. Frizzo ACF, Advíncula KP. Potenciais evocados auditivos de longa latência: conceitos e aplicações clínicas. In: Menezes PL, editor. Tratado de eletrofisiologia para a audiologia. Ribeirão Preto: Booktoy; 2018. p. 139-50.

30. Punch S, Van Dun B, King A, Carter L, Pearce W. Clinical experience of using cortical auditory evoked potentials in the treatment of infant hearing loss in Australia. Semin Hear. 2016;37(1):36-52. https://doi.org/10.1055/s-0035-1570331 PMID:27587921.

31. Guijo LM, Houriuti MB, Cardoso ACV. Measurement of listening effort using a dual-task paradigm of Brazilian Portuguese: A pilot study. CoDAS. 2019;31(4):e20180181. https://doi.org/10.1590/2317-1782/20192018181 PMID: 31482997.

32. Bertoli S, Bodmer D. Effects of age and task difficulty on ERP responses to novel sounds present during a speech perception in noise test. Clin Neurophysiol. 2016;127(1):360-8. https://doi.org/10.1016/j.clinph.2015.02.055 PMID:25840528.

33. Tremblay KL, Ross B, Inoue K, Mcclannahan K, Collet G. Is the auditory evoked P2 response a biomarker of learning? Front Syst Neurosci. 2014;8:28. https://doi.org/10.3389/fnsys.2014.00028 PMID:24600358.

34. Torppa R, Salo E, Makkonen T, Loimo H, Pykäläinen J, Lipsanen J. Cortical processing of musical sounds in children with cochlear implants. Clin Neurophysiol. 2012;123:1966-79. https://doi.org/10.1016/j.clinph.2012.03.008 PMID:22554786.

35. He S, Grose JH, Buchman CA. Auditory discrimination: The relationship between psychophysical and electrophysiological measures. Int J Audiol. 2021;51(10):771-82. https://doi.org/10.3109/14992027.2012.699198 PMID:22998415.

36. Calderaro VG, Amaral MAS, Luz BAB, Bernal SC, Hyppolito MA, Reis ACM. Behavioral and electrophysiological assessment of adults who underwent cochlear implantation after hearing aid experience. Int Arch Otorhinolaryngol. 2020;24(2):e58-e65. https://doi.org/10.1055/s-0039-1695022

37. Grose JH, Menezes DC, Porter HL, Griz S. Masking period patterns and forward masking for speech-shaped noise: Age-related effects. Ear Hear. 2016;37(1):48-54. https://doi.org/10.1097/AUD.0000000000000200 PMID:26230495.

38. Hall JW, Buss E, Grose JH, Roush PA. Effects of age and hearing impairment on the ability to benefit from temporal and spectral modulation. Ear Hear. 2012;33:340-8. https://doi.org/10.1097/AUD.0b013e31823fa4c3 PMID:22237164.

39. Helfer KS, Vargo M. Speech recognition and temporal processing in middle-aged women. J Am Acad Audiol. 2009;20(4):264-71. https://doi.org/10.3766/jaaa.20.4.6 PMID:19927698.
 


Submitted date:
08/31/2025

Accepted date:
12/03/2025

69c197f3a953954848356b74 cefac Articles

Revista CEFAC

Share this page
Page Sections