Monthly Archives: March 2010
Functional status after total laryngectomy: cross-sectional survey of 79 laryngectomees using the Performance Status Scale for Head and Neck Cancer
Conclusions: In post-laryngectomy patients, Performance Status Scale for Head and Neck Cancer scores improved over time, especially those for the speech and public eating domains, reflecting increasing confidence in social interactions and familiarity with surgical voice restoration.
from the Journal of Laryngology and Otology
Outcome of mobile ear surgery units in Thailand
Conclusion: The assessed ear surgery procedures had good results.
from the Journal of Laryngology and Otology
Worldwide experience with sequential phase-shift sound cancellation treatment of predominant tone tinnitus
Results: A total of 493 patients were treated. A reduction in tinnitus volume (defined as ≥6 dB) was seen in 49–72 per cent of patients.
from the Journal of Laryngology and Otology
Implicit sequence learning in deaf children with cochlear implants
Deaf children with cochlear implants (CIs) represent an intriguing opportunity to study neurocognitive plasticity and reorganization when sound is introduced following a period of auditory deprivation early in development. Although it is common to consider deafness as affecting hearing alone, it may be the case that auditory deprivation leads to more global changes in neurocognitive function. In this paper, we investigate implicit sequence learning abilities in deaf children with CIs using a novel task that measured learning through improvement to immediate serial recall for statistically consistent visual sequences. The results demonstrated two key findings. First, the deaf children with CIs showed disturbances in their visual sequence learning abilities relative to the typically developing normal-hearing children. Second, sequence learning was significantly correlated with a standardized measure of language outcome in the CI children. These findings suggest that a period of auditory deprivation has secondary effects related to general sequencing deficits, and that disturbances in sequence learning may at least partially explain why some deaf children still struggle with language following cochlear implantation.
Temporo-insular enhancement of EEG low and high frequencies in patients with chronic tinnitus
Tinnitus patients show a deviation from the norm of different resting EEG parameters, characterized by an overproduction of resting state delta, theta and beta brain activities, providing further support for the microphysiological and magnetoencephalographic evidence pointing to a thalamocortical dysrhythmic process at the source of tinnitus. These results also provide further confirmation that reciprocal involvements of both auditory and associative/paralimbic areas are essential in the generation of tinnitus.
from BMC Neuroscience
Stuttering Genes
Mutations in 3 genes involved in the breakdown and recycling of cellular components in the brain may cause about 10% of stuttering cases, according to a study led by researchers from the National Institute on Deafness and Other Communication Disorders.
Differential Genetic Etiology of Reading Difficulties as a Function of IQ: An Update
In order to test the hypothesis that the genetic etiology of reading disability differs as a function of IQ, composite reading performance data from 308 pairs of identical (monozygotic, MZ) twins and 440 pairs of fraternal (dizygotic, DZ) twins (254 same-sex and 186 opposite-sex) in which at least one member of each pair was classified as reading-disabled were subjected to multiple regression analysis (DeFries and Fulker, Behav Genet 15:467–473, 1985; Acta Genet Med Gemellol 37:205–216, 1988). In the total sample, heritability of the group deficit in reading performance (hg2) was .61 (±.06). However, results of fitting an extended regression model to reading performance and IQ data suggested that the genetic etiology of reading disability differs as a linear function of IQ (p ≤ .04). When the basic regression model was fitted separately to data from twin pairs with Wechsler (Examiner’s manual: Wechsler intelligence scale for children—revised, 1974; Examiner’s manual: Wechsler adult intelligence scale—revised, 1981) Full Scale IQ scores in the upper and lower 25% of the sample, resulting estimates of hg2 were .75 (±.12) and .50 (±.10), respectively (p ≤ .045). These results suggest that reading difficulties in children with a higher IQ are due substantially to genetic influences and may require intensive remediation efforts.
from Behavior Genetics
The functional architecture of the human body: assessing body representation by sorting body parts and activities
We investigated mental representations of body parts and body-related activities in two subjects with congenitally absent limbs (one with, the other without phantom sensations), a wheelchair sports group of paraplegic participants, and two groups of participants with intact limbs. To analyse mental representation structures, we applied Structure Dimensional Analysis. Verbal labels indicating body parts and related activities were presented in randomized lists that had to be sorted according to a hierarchical splitting paradigm. Participants were required to group the items according to whether or not they were considered related, based on their own body perception. Results of the groups of physically intact and paraplegic participants revealed separate clusters for the lower body, upper body, fingers and head. The participant with congenital phantom limbs also showed a clear separation between upper and lower body (but not between fingers and hands). In the participant without phantom sensations of the absent arms, no such modularity emerged, but the specific practice of his right foot in communication and daily routines was reflected. Sorting verbal labels of body parts and activities appears a useful method to assess body representation in individuals with special body anatomy or function and leads to conclusions largely compatible with other assessment procedures.
Early Deficits in Cortical Control of Swallowing in Alzheimer’s Disease
The goal of this study was to determine whether functional changes in cortical control of swallowing are evident in early Alzheimer’s disease (AD), before dysphagia (swallowing impairment) is evident. Cortical function was compared between an early AD group and a group of age-matched controls during swallowing. Swallowing oropharyngeal biomechanics examined from videofluoroscopic recordings were also obtained to more comprehensively characterize changes in swallowing associated with early AD. Our neuroimaging results show that the AD group had significantly lower Blood-Oxygen-Level-Dependent (BOLD) response in many cortical areas that are traditionally involved in normal swallowing (i.e., pre and postcentral gyri, Rolandic and frontal opercula). There were no regions where the AD group showed more brain activity than the healthy controls during swallowing, and only 13% of all active voxels were unique to the AD group, even at this early stage. This suggests that the AD group is not recruiting new regions, nor are they compensating within regions that are active during swallowing. In videofluoroscopic measures, the AD group had significantly reduced hyo-laryngeal elevation than the controls. Although, swallowing impairment is usually noted in the late stages of AD, changes in cortical control of swallowing may begin long before dysphagia becomes apparent.
from the Journal of Alzheimer’s Disease
Systematic review of voice therapy for functional voice disorders: Positive results from a conservative review
No abstract available.
from Evidence-Based Communication Assessment and Intervention
Active stream segregation specifically involves the left human auditory cortex
An important aspect of auditory scene analysis is the sequential grouping of similar sounds into one “auditory stream” while keeping competing streams separate. In the present low-noise fMRI study we presented sequences of alternating high-pitch (A) and low-pitch (B) complex harmonic tones using acoustic parameters that allow the perception of either two separate streams or one alternating stream. However, the subjects were instructed to actively and continuously segregate the A from the B stream. This was controlled by the additional instruction to listen for rare level deviants only in the low-pitched stream.
Compared to the control condition in which only one non-separable stream was presented the active segregation of the A from the B stream led to a selective increase of activation in the left auditory cortex (AC). Together with a similar finding from a previous study using a different acoustic cue for streaming, namely timbre, this suggests that the left auditory cortex plays a dominant role in active sequential stream segregation. However, we found cue differences within the left AC: Whereas in the posterior areas, including the planum temporale, activation increased for both acoustic cues, the anterior areas, including Heschl’s gyrus, are only involved in stream segregation based on pitch.
from Hearing Research
Event-related potentials to event-related words: Grammatical class and semantic attributes in the representation of knowledge
A number of recent studies have provided contradictory evidence on the question of whether grammatical class plays a role in the neural representation of lexical knowledge. Most of the previous studies comparing the processing of nouns and verbs, however, confounded word meaning and grammatical class by comparing verbs referring to actions with nouns referring to objects. Here, we recorded electrical brain activity from native Italian speakers reading single words all referring to events (e.g., corsa [the run]; correre [to run]), thus avoiding confounding nouns and verbs with objects and actions. We manipulated grammatical class (noun vs. verb) as well as semantic attributes (motor vs. sensory events). Activity between 300 and 450 ms was more negative for nouns than verbs, and for sensory than motor words, over posterior scalp sites. These grammatical class and semantic effects were not dissociable in terms of latency, duration or scalp distribution. In a later time window (450-110 ms) and at frontal regions, grammatical class and semantic effects interacted; motor verbs were more positive than the other three word categories. We suggest that the lack of a temporal and topographical dissociation between grammatical class and semantic effects in the time range of the N400 component is compatible with an account in which both effects reflect the same underlying process related to meaning retrieval, and we link the later effect with working memory operations associated to the experimental task.
from Brain Research
Targeted exercise therapy for voice and swallow in persons with Parkinson’s disease
Sensorimotor deficits affecting voice and swallowing ability can have a devastating impact on the quality of life of people with Parkinson disease (PD). Recent scientific findings in animal models of PD pinpoint targeted exercise therapy as a potential treatment to reduce neurochemical loss and decrease parkinsonian symptoms. Although there may be beneficial effects, targeted exercise therapy is not a standard component of therapy for the cranial sensiromotor deficits seen in PD. In this paper we review the scientific evidence for targeted training for voice and swallowing deficits. The literature search revealed 19 publications that included targeted training for voice and only one publication that included targeted training for swallowing. We summarize 3 main findings: 1) targeted training may be associated with lasting changes in voice behavior, 2) targeted training of sensorimotor actions with anatomical or functional overlap with voice and swallowing may improve voice and swallowing to some degree, but it is unknown whether these effects endure over time, and 3) evidence regarding cranial sensorimotor interventions for Parkinson disease is sparse. We concluded that targeted training for voice and swallow is a promising but under-studied intervention for cranial sensorimotor deficits associated with PD and posit that animal models can be useful in designing empirically based studies that further the science on targeted training.
from Brain Research
Targeted exercise therapy for voice and swallow in persons with Parkinson’s disease
Sensorimotor deficits affecting voice and swallowing ability can have a devastating impact on the quality of life of people with Parkinson disease (PD). Recent scientific findings in animal models of PD pinpoint targeted exercise therapy as a potential treatment to reduce neurochemical loss and decrease parkinsonian symptoms. Although there may be beneficial effects, targeted exercise therapy is not a standard component of therapy for the cranial sensiromotor deficits seen in PD. In this paper we review the scientific evidence for targeted training for voice and swallowing deficits. The literature search revealed 19 publications that included targeted training for voice and only one publication that included targeted training for swallowing. We summarize 3 main findings: 1) targeted training may be associated with lasting changes in voice behavior, 2) targeted training of sensorimotor actions with anatomical or functional overlap with voice and swallowing may improve voice and swallowing to some degree, but it is unknown whether these effects endure over time, and 3) evidence regarding cranial sensorimotor interventions for Parkinson disease is sparse. We concluded that targeted training for voice and swallow is a promising but under-studied intervention for cranial sensorimotor deficits associated with PD and posit that animal models can be useful in designing empirically based studies that further the science on targeted training.
from Brain Research
Sensorineural deafness in Tanzanian children—Is ototoxicity a significant cause? A pilot study
Ototoxic drugs given to sick infants with “fever”, without weight recording or gentamicin level monitoring, was the probable cause of a third of all severe/profound deafened Zanzibarian children.
The Ministry of Health and Social Welfare in Zanzibar have reacted by issuing posters to all health facilities advising hearing testing in all children three months after discharge following “fever” admission.
This is a pilot study and the apparent findings need to be confirmed by a well designed prospective study as soon as possible.
from the International Journal of Pediatric Otorhinolaryngology
