Monthly Archives: July 2011
Auditory N1 as a change-related automatic response
These results support the idea that On-N1 is a change-related component elicited by a sound pressure change.
Controlled round-window stimulation in human temporal bones yielding reproducible and functionally relevant stapedial responses
The results suggest that 90-μm pretension of the RW membrane is essential for optimum and reproducible RW stimulation. The displacements are shown to be roughly consistent with the equal-volume displacement hypothesis under specific assumptions about the displacement mode of the RW membrane. It is further suggested that the large inter-patient variability in the effectiveness of RW stimulation might be due primarily to the success of coupling, rather than to variability of functionally relevant anatomical parameters.
from Hearing Research
Lesions to the posterior insular cortex cause dysarthria
Conclusions: Owing to the known extensive spectrum of cortical and subcortical somatosensory and motor connections, it seems that the IC might be one region involved in the generation of speech motor execution.
from the European Journal of Neurology
Anterior Pillarplasty: A Modification in Cleft Palate Repair
After the primary repair of cleft palate, surgeons are frequently confronted with a short soft palate and a wide velopharyngeal space, both of which are known to diminish the quality of speech. We introduce a new modification of the primary repair of cleft palate that lengthens the soft palate and helps to reduce the volume of the velopharyngeal space. Ten patients younger than 12 months with nonsyndromic cleft palate were operated on with this technique. The incision at the cleft margin extended behind the uvula as a modification to the classic design of mucoperiosteal flaps. The sagittally divided mucosal layers of each anterior tonsillar pillar are sutured at the midline 1 cm posterior to the new uvula. The rate of postoperative fistula formation and other complications were evaluated postoperatively. One patient had a uvular and partly pillar detachment at the postoperative period. All other clefts healed without complication. The primary repair of the cleft palate with the anterior pillarplasty technique is a safe and easy-to-perform procedure. This modification can effectively reduce the transverse diameter of the velopharyngeal space and increase the anteroposterior length of the palate.
from the Journal of Craniofacial Surgery
Parent Engagement in Audiologic Habilitation
There is growing evidence that early intervention services that facilitate parent engagement in the child’s habilitation often result in improved language acquisition
from the ASHA Leader
Canadian Audiologists Petition to Include Hearing Tests in Private Insurance Coverage
Eye exams completed by optometrists are commonly covered by health insurance plans. An eye exam must be completed in order to obtain a prescription for glasses.
Audiometric evaluations (hearing tests) completed by audiologists are not commonly covered by health insurance plans. An audiometric evaluation must be completed in order to obtain a prescription for hearing aids.
We are asking ALL health insurance benefit plans to cover hearing tests completed by audiologists, in the same manner that they cover eye exams completed by optometrists.
Reconfiguring Alera instruments when using Airlink
ReSound’s Reconfigure option can be used when the physical receiver or the open versus closed configuration that you are using is different than that identified in Aventa 3. Reconfigure allows you to customize Alera BTE aids to best fit your patients’ needs.
from the ReSound Blog
Hearing Loss May Skew Alzheimer’s Test Results
Study Shows Poor Hearing May Cause False-Positive Results on Cognitive Tests
fromWebMD.com
Use of Rotation Flap in Repair of Cleft Palate and Velopharyngeal Insufficiency
Although cleft palate anomaly is frequent, the criterion standards in surgical treatment have not been determined yet. There are a few techniques described for cleft palate repair owing to the limited tissue in the palatal mucosa, the rigid structure of the palatal mucosa, and the limited vascularity of the hard palate. In this study, a novel cleft palate repair technique based on separating the soft palate from the hard palate as a musculomucosal flap and using it as a rotation flap has been described. The operation is evaluated individually for each anomaly because variations occur in the surgical technique according to the extension of the cleft toward the teeth in the palate. This operation was performed on a total of 28 patients (17 girls and 11 boys) aged between 1.5 and 16 years and presented to our clinic. Patients were assessed for speech analysis outcomes, tympanogram values, hearing functions, magnitude of palatal lengthening during the operation, and rate of fistulae. Statistically significant differences in values of the speech analysis and the audiometric assessment were determined between before and 6 months after surgery. Complete recovery of otitis was observed 1 month after surgery without another treatment in 9 (42.8%) of 21 patients who were detected to have serous otitis media preoperatively. Tension-free closure, lower risk of fistula, good restoration of velopharyngeal functions, ability to be performed on all types of cleft palate, ability to provide a good intraoperative exposure, and being a single stage seem to be the most important advantages of this technique.
from the Journal of Craniofacial Surgery
Peer interaction patterns among adolescents with autistic spectrum disorders (ASDs) in mainstream school settings
The aim of the current study was to document the peer interaction patterns of students with autistic spectrum disorders in mainstream settings. Structured observations of a group of 38 adolescents with ASD drawn from 12 mainstream secondary schools were conducted over a two-day period and data compared with those of school, age, and gender matched comparison groups of 35 adolescents with dyslexia and 38 with no identified special educational needs (the ASD and dyslexia groups were also matched on SEN provision). Frequency and duration of peer interaction behaviours were coded. In terms of duration, multivariate analyses of variance (MANOVAs) indicated that participants with ASD spent more time engaged in solitary behaviours, less time engaged in co-operative interaction with peers, and more time engaging in reactive aggression towards peers than either comparison group. In terms of frequency, similar patterns emerged, but additionally participants with ASD engaged in fewer instances of rough/vigorous play, and were subject to more instances of social initiation and instrumental verbal aggression by peers than either comparison group. The findings of the current study support the authors’ theoretical model of peer group interaction processes for individuals with ASD, and have implications for both social skills training and the development of peer awareness and sensitivity. Limitations are noted.
from Autism
Early subclinical cochlear dysfunction in myotonic dystrophy type 1
Conclusions: Our study indicates that cochlear impairment in DM1 is present, even in patients without evidence of hearing loss at a standard audiometric analysis. Hence, in the current clinical practice, an assessment of cochlear function by TEOAE recording may be useful in DM1 patients to identify precocious signs of cochlear dysfunction.
from the European Journal of Neurology
Do production patterns influence the processing of speech in prelinguistic infants?
The headturn preference procedure was used to test 18 infants on their response to three different passages chosen to reflect their individual production patterns. The passages contained nonwords with consonants in one of three categories: (a) often produced by that infant (‘own’), (b) rarely produced by that infant but common at that age (‘other’), and (c) not generally produced by infants. Infants who had a single ‘own’ consonant showed no significant preference for either ‘own’ (a) or ‘other’ (b) passages. In contrast, infants’ with two ‘own’ consonants exhibited greater attention to ‘other’ passages (b). Both groups attended equally to the passage featuring consonants rarely produced by infants of that age (c). An analysis of a sample of the infant-directed speech ruled out the mothers’ speech as a source of the infant preferences. The production-based shift to a focus on the ‘other’ passage suggests that nascent production abilities combine with emergent perceptual experience to facilitate word learning.
Swearing, Euphemisms, and Linguistic Relativity
Participants read aloud swear words, euphemisms of the swear words, and neutral stimuli while their autonomic activity was measured by electrodermal activity. The key finding was that autonomic responses to swear words were larger than to euphemisms and neutral stimuli. It is argued that the heightened response to swear words reflects a form of verbal conditioning in which the phonological form of the word is directly associated with an affective response. Euphemisms are effective because they replace the trigger (the offending word form) by another word form that expresses a similar idea. That is, word forms exert some control on affect and cognition in turn. We relate these findings to the linguistic relativity hypothesis, and suggest a simple mechanistic account of how language may influence thinking in this context.
from PLoS ONE
Speech-associated labiomandibular movement in Mandarin-speaking children with quadriplegic cerebral palsy: A kinematic study
The purpose of this study was to investigate the speech-associated labiomandibular movement during articulation production in Mandarin-speaking children with spastic quadriplegic (SQ) cerebral palsy (CP). Twelve children with SQ CP (aged 7–11 years) and 12 age-matched healthy children as controls were enrolled for the study. All children underwent analysis of percentage of consonants correct (PCC) and kinematic analysis of speech tasks using the Vicon Motion 370 system. Kinematic parameters included utterance duration, displacement and velocity of the lip and jaw, coefficient of variation (CV) of lip utterance duration, and spatial and temporal coupling of labiomandibular movement of speech produced in mono-syllable (MS) and poly-syllable (PS) tasks. Children with CP showed lower temporal coupling (MS, p = 0.015; PS, p = 0.007), but not spatial coupling, of labiomandibular movement than healthy children. Children with CP had greater CVs (MS, p = 0.003; PS, p = 0.010) and the peak opening displacement and velocity of lower lip and jaw (p < 0.05) and lower PCC (p < 0.001) than healthy children. Children with SQ CP displayed labiomandibular coupling movement impairment, especially in the aspect of temporal coupling. These children also had high temporal oromotor variability and needed to make more effort to coordinate the labiomandibular movement for speech production.
Le Carte Blanc or la Carte Blanche? Bilingual Children’s Acquisition of French Adjective Agreement
Because of less exposure to either language, bilingual children’s language acquisition can be delayed relative to monolingual children in domains related to input frequency. This study predicted that the acquisition of gender agreement with adjectives in French would be delayed in bilingual children on a picture description task. The results showed that French-English bilingual preschoolers were less accurate with feminine noun-adjective agreement than monolinguals, a difference attributable to the differences in vocabulary scores, but not significantly less accurate with feminine determiner-adjective agreement. The bilinguals were significantly less accurate with determiner-noun agreement, a difference not attributable to vocabulary score differences. We argue that fewer input tokens lead to delayed gender agreement and fewer input types lead to delayed gender assignment.
from Language Learning
