Introdução: Os limiares do potencial evocado auditivo de estado estável (PEAEE) em neonatos e lactentes até o sexto mês de vida auxiliam a predizer os limiares psicoacústicos em um período que os mesmos não respondem precisamente a testes comportamentais. Objetivo: Caracterizar os limiares dos PEAEE relacionadas à idade em neonatos e lactentes a termo, a fim de averiguar a influência do processo maturacional na resposta elétrica do sistema auditivo. Metodologia: Estudo transversal, no qual foram avaliados 60 neonatos e lactentes divididos em três grupos: GI - zero a um mês e 29 dias, n=20; GII - dois a três meses e 29 dias, n=20; GIII - quatro a seis meses, n=20. O PEAEE foi pesquisado utilizando-se tons puros nas frequências portadoras de 0,5, 1, 2 e 4 kHz modulados 100% em amplitude e 20% em frequência, com modulação de 91,406, 93,750, 96,094 e 98,437 Hz, respectivamente, na intensidade variando de 60 a 0 dB NA, apresentados por meio de fones de inserção ER-3A, de forma simultânea e monoaural; eletrodos em Fz (ativo), Oz (referência) e Fpz (terra); ganho de 50000, filtro passa banda 1-300 Hz, 6 dB/oitava. O Real-Ear to Dial Difference (REDD) foi mensurado no conduto auditivo externo (CAE) usando-se um microfone sonda de silicone do equipamento Hearing aid Analyzer FONIX FP 35 (Frye Electronics) . Resultados: Houve diferença estatisticamente significante entre os grupos para os valores de REDD apenas na frequência de 4 kHz, o que não foi observado para os limiares dos PEAEE. Com relação à variável frequência portadora, observou-se diferença significante tanto para o REDD quanto para o PEAEE, com associação entre os mesmos, ou seja, os limiares dos PEAEE decresceram para o intervalo de frequência de 0,5 a 2,5 kHz e cresceram quando a frequência aumentou para 4 kHz ocorrendo o inverso no REDD. Conclusão: A caracterização dos limiares dos PEAEE nos primeiros seis meses de vida demonstrou que um mesmo limiar pode ser utilizado como referência de normalidade para esta faixa etária, com valores distintos para as diferentes frequências portadoras. A influência da amplificação do CAE nos limiares dos PEAEE deve ser considerada, havendo a possibilidade de a mesma mascarar a influência do processo maturacional na resposta elétrica do sistema auditivo. / Introduction: The thresholds of the auditory steady-state evoked potentials (ASSEP) in newborns and infants up to the sixth month of life help to predict the psychoacoustic thresholds in a period in which they do not precisely respond to behavioral tests. Objective: To characterize the thresholds of ASSEP related to age in term newborns and infants, so as to verify the influence of the maturational process on the hearing systems electric response. Methodology: A cross-sectional study which assessed 60 newborns and infants divided into three groups: GI - zero to a month and 29 days, n=20; GII two to three months and 29 days, n=20; GIII four to six months, n=20. The ASSEP research used pure tones in the carrier frequencies of 0,5, 1, 2 and 4 kHz modulated 100% in amplitude and 20% in frequency, with a modulation of 91,406, 93,750, 96,094 and 98,437 Hz, respectively, in the intensity, ranging from 60 to 0 dB NA, presented through ER-3A insertion phones, simultaneous and mono-aurally; electrodes in Fz (active), Oz (reference) and Fpz (ground); gain of 50000, pass band filter 1-300 Hz, 6 dB/octave. The Real-Ear to Dial Difference (REDD) was measured in the external auditory canal (EAC) by using a silicone probe microphone of the Hearing aid Analyzer FONIX FP 35 equipment (Frye Electronics) . Results: A statistically significant difference was seen among the groups for REDD values only in the frequency of 4 kHz, but not observed for ASSEP thresholds. In relation to the carrier frequency variable, a significant difference was observed for both REDD and ASSEP, with association among them, that is, the ASSEP thresholds decreased for the frequency interval 0,5 to 2,5 kHz and increased when the frequency was 4 kHz, the opposite occurring for REDD. Conclusion: The characterization of ASSEP thresholds in the first six months of life showed that the same threshold can be used as a normality reference for this age range, with distinct values for the different carrier frequencies. The influence of EAC amplification in the ASSEP thresholds should be taken into account, since it may mask the influence of the maturational process on the auditory systems electric response.

The objective of this study is to investigate automatic recognition of speech-evoked auditory brainstem responses (speech-evoked ABR) to the five English vowels (/a/, /ae/, /ao (ɔ)/, /i/ and /u/). We used different automatic speech recognition methods to discriminate between the responses to the vowels. The best recognition result was obtained by applying principal component analysis (PCA) on the amplitudes of the first ten harmonic components of the envelope following response (based on spectral components at fundamental frequency and its harmonics) and of the frequency following response (based on spectral components in first formant region) and combining these two feature sets. With this combined feature set used as input to an artificial neural network, a recognition accuracy of 83.8% was achieved. This study could be extended to more complex stimuli to improve assessment of the auditory system for speech communication in hearing impaired individuals, and potentially help in the objective fitting of hearing aids.

In an effort to improve the auditory brainstem implant, a prosthesis in which user outcomesare modest, infrared neural stimulation (INS) was applied to the cochlear nucleus in a ratanimal model. Pulsed INS, delivered to the surface of the cochlear nucleus via an opticalfibre, evoked auditory brainstem responses (ABR) and generated broad neural activation inthe inferior Colliculus (IC). Varying the parameters of the laser stimulation revealed laserpeak power to be the dominating parameter for both ABR and IC responses. Strongestresponses were recorded when the fibre was placed at lateral positions on the cochlearnucleus, close to the temporal bone. After deafening by auditory nerve section, ABR andIC responses to INS disappeared, consistent with a reported "optophonic" effect, a laser-inducedacoustic artifact. Thus, for deaf individuals who use the auditory brainstemimplant, INS alone does not appear promising as a new approach.

A desnutrição proteico-calórica é um dos maiores problemas de saúde pública no Brasil, especialmente no Nordeste, acometendo, com maior frequência, crianças pré-escolares e determinando possíveis comprometimentos, não só no crescimento ponderal como intelectual e cognitivo, podendo ocasionar déficits irreversíveis, dependendo da sua intensidade e duração. Considerando-se a importância da integridade anatomofisiológica do sistema auditivo periférico e central para o adequado desenvolvimento da plenitude das habilidades auditivas, de linguagem e aquisição de aprendizagem, torna-se fundamental a reflexão sobre os possíveis efeitos deletérios da desnutrição no sistema nervoso auditivo, para que possíveis anormalidades auditivas sejam identificadas e tratadas nessa população. O objetivo deste estudo foi caracterizar as respostas do Potencial Evocado Auditivo de Tronco Encefálico, com estímulos clique e tone burst, em crianças de zero a 60 meses, desnutridas e eutróficas, com função auditiva periférica íntegra, bem como compará-las. Foram examinadas 111 crianças de zero a 60 meses, sendo 57 desnutridas e 54 normonutridas, com avaliação otorrinolaringológica, imitanciometria e Emissões Otoacústicas Evocadas Transientes dentro dos padrões de normalidade. A seguir, os Potenciais Evocados Auditivos do Tronco Encefálico por estímulo clique e tone burst foram registrados. Na análise dos dados, observou-se que as latências das ondas I, III e V e dos interpicos III-V a 80 dBNA com estímulo clique eram significativamente maiores em crianças desnutridas, quando comparadas às eutróficas, assim como do intervalo I-V na faixa etária de 0-24 meses. As latências da onda V nas intensidades de 60, 40 e 30 dBNA também foram significativamente maiores em crianças desnutridas. Na análise do Potencial Evocado Auditivo de Tronco Encefálico tone burst, a onda V mostrou latência maior nas crianças desnutridas em todas as intensidades e frequências testadas, entretanto, essa diferença nas crianças de zero a 24 meses só foi significativa em 2000 Hz; nas de 25 a 60 meses foi significativa apenas em 500 Hz a 80 dBNA, em 2000 Hz a 30 dBNA e em 4000 Hz a 60, 40 e 30 dBNA. Crianças desnutridas apresentaram alterações no Potencial Evocado Auditivo do Tronco Encefálico, caracterizadas pelo atraso na latência das ondas e dos intervalos interpicos, quando comparadas às eutróficas, sugerindo déficit de condução na via auditiva. Sendo assim, concluiu-se que a desnutrição pode provocar efeitos deletérios no processo de desenvolvimento e maturação do sistema nervoso auditivo. / Introduction: protein calorie malnutrition is one of the biggest public health problems in Brazil, especially in the northeast, affecting most often preschool children and determining possible compromises not only the weight growth but also intellectual and cognitive development, which may cause irreversible deficit, depending on its intensity and duration. Considering the importance of anatomical and physiological integrity of the peripheral and central auditory system for the proper development of the fullness of auditory skills, language, and acquisition of learning, this brings out a fundamental reflection over the possible deleterious effects of malnutrition in the auditory nervous system, so that possible auditory abnormalities are identified and addressed in this population. The objective of this study was to characterize the response of the auditory brainstem evoked potentials test with click and tone burst stimuli in malnourished and eutrophic children from 0 to 60 months of age, with normal peripheral auditory function, as well as to compare them. Casuistic and Method: One hundred and eleven children from 0 to 60 months of age were examined, being 57 malnourished and 54 eutrophic. They underwent ENT evaluation, including impedanciometry and transient evoked otoacoustic emission (TEOAE) being those within normal ranges. Folowing, the auditory brainstem evoked potentials with click and tone burst were registered in the intensity of 80, 60, 40 and 30 dBNA. Results: In the analysis of the results, the latencies of waves I, III and V and the interpeak III-V 80 dBNA latencies with click stimuli were significantly higher in all malnourished children, when compared to the eutrophic children, as well as I-V interpeak interval in the 0-24 months of age group. The wave V in 60, 40 and 30 dBNA latencies were also significantly higher in malnourished children. In the analysis of the tone burst auditory brainstem evoked potentials wave V latency showed higher in malnourished children in all intensities and frequencies tested, however this difference in children from 0-24 months were significant only in 2000 Hz; in children from 25-60 months were significant only at 500 Hz to 80 dBHL, in 2000 Hz at 30 dBHL and 4000 Hz to 60, 40, and 30 dBHL.Malnourished children present a higher range of alterations in auditory brainstem evoked potentials, characterized by delayed wave latencies and higher interpeak intervals when compared with eutrophic children, suggesting a peripheral and central deficit in the auditory pathway, thus concluded that malnutrition may cause deleterious effects in the development and maturation of the auditory nervous system.

The objective of this thesis is to characterize and identify the representation of four short English vowels in the frequency following response (FFR) of 22 normal-hearing adult subjects. The results of two studies are presented, with some analysis. The result of the first study indicates how the FFR signal of four short vowels can be used to identity different subjects. Meanwhile, a rigorous test was conducted to test and verify the quality and consistency of responses from each subject between test and retest, in order to provide strong and representative features for subject identification. The second study utilized machine learning and deep learning classification algorithms to exploit features extracted from the FFRs, in both time and frequency domains, to accurately identify subjects from their responses. We used three kinds of classifiers with respect to three aspects of the features, yielding a highest classification accuracy of 86.36%. The results of the studies provide positive and important implications for establishing a biometric authentication system using speech-evoked FFRs.

Les fonctions locomotrices et posturales sont contrôlées par un ensemble de réseaux neuronaux qui doivent interagir afin de produire un comportement locomoteur optimal, adaptable aux contraintes internes et externes de l’organisme. Le maintien d’un équilibre dynamique au cours de la locomotion repose sur des processus internes de coordination entre les réseaux nerveux spinaux et supraspinaux qui commandent les différents segments du corps (membres, tête et tronc). C’est dans ce contexte que nous nous sommes intéressés aux interactions entre la fonction locomotrice et la fonction posturale, sur des préparations réduites de tronc cérébral-moelle épinière de rats nouveau-nés, au sein desquelles les CPGs locomoteurs spinaux et les noyaux vestibulaires sont intacts. Des approches combinées électrophysiologiques, pharmacologiques, neuroanatomique et lésionnelles nous ont permis de mettre en évidence une partie des mécanismes à l’origine du couplage entre les différents réseaux neuronaux étudiés. Dans cette étude nous avons montré que les réseaux locomoteurs lombaires contrôlent l’activité des réseaux thoraciques axiaux, de manière à produire une activation coordonnée des réseaux moteurs des membres et du tronc. Cette coordination est sous influence des entrées supraspinales. Les amines induisent une organisation temporelle spécifique de l’activité des réseaux thoraco-lombo-sacrés, et les informations en provenance des noyaux vestibulaires influencent le rythme locomoteur. Ces données apportent des éléments nouveaux concernant les processus neuronaux à l’origine de la coordination des réseaux moteurs et posturaux. / Locomotor and postural functions are controlled by a set of neural networks that must interact to produce optimal locomotor behavior, adaptable to internal and external constraints of the body. Maintaining a dynamic balance during locomotion is based on internal coordination processes between spinal and supraspinal neuronal networks controlling different parts of the body (limbs, head and trunk). In this context, we have interested in the interactions between locomotor and postural functions, in spinal and supraspinal networks. The experiments were conducted on isolated brainstem-spinal cord preparations from neonatal rats, in which the spinal locomotor CPGs and the vestibular nuclei are intact. Electrophysiological, pharmacological, and neuroanatomical approaches allowed us to highlight some of the mechanisms involved in the coupling of the different neural networks. In this study we showed that the lumbar locomotor networks control the activity of axial thoracic networks, in order to produce a coordinated activation of motors networks of limbs and trunk. This coordination is modulated by amines and information from the vestibular nuclei. These data provide new evidence for spinal mechanisms involved in the coordination of motor and postural networks.

Objective: This study aimed to systematically review and analyse the available peer-reviewed literature reporting on the results of distortion product otoacoustic emissions (DPOAEs), transient evoked otoacoustic emissions (TEOAEs) and click auditory brainstem responses (c-ABRs) in adults with type 1 and type 2 diabetes mellitus (T1DM and T2DM). Method: A comprehensive literature search was conducted across three electronic databases to identify English; peer-reviewed articles that included results of OAEs (DPOAEs and TEOAEs) and c-ABR tests in adult subjects with DM. Articles were selected according to predetermined selection criteria and critically reviewed independently by two researchers. Results: 15 studies met the inclusion criteria for the systematic review while nine articles qualified for inclusion in the meta-analysis. DPOAE studies reported significantly reduced amplitudes with only one study reporting larger amplitudes. Abnormal TEOAEs were reported in all TEOAE studies, although these abnormalities were not always significant. Significantly delayed c-ABRs were reported in all ABR studies. Analysis of c-ABR mean wave latencies identified longer latencies for DM subjects, particularly for wave III and V, as well as for IPL I-III and I-V. Conclusions: Subjects with T1DM and T2DM may present with clinical or subclinical impairment of the cochlear outer hair cells and both the peripheral and central auditory pathway. / Dissertation (MA)--University of Pretoria, 2016. / Speech-Language Pathology and Audiology / MA / Unrestricted

Objective: The aim of this study was to compare cervical and ocular vestibular evoked myogenic potentials (cVEMP and oVEMP) in young gender- and age-matched black African and Caucasian male and female adults. Design: A quasi-experimental between-subjects research design was utilised. This study was comparative in nature, thus data was collected in a cross-sectional manner from two age- and gender-matched racial groups, namely black African and Caucasian, and compared. Furthermore, interactions of gender and race were also examined in this research study. Methods: Sixty healthy age- and gender-matched participants (30 black African, 30 Caucasian) between the ages of 18 25 years participated in this study. Fifteen males and fifteen females, within one year of the age of their racial participant counterparts, were included in each racial group. Latencies, peak-to-peak amplitudes and asymmetry ratios were analysed for both groups in these tests. Furthermore, auditory brainstem response (ABR) and electromyography (EMG) testing were conducted to investigate whether possible racial differences in VEMP tests could be attributed to differences in neural or muscular function. Results: Black African participants demonstrated significantly shorter latencies of the n23 component of the cVEMP and the p15 component of the oVEMP, as well as larger peakto- peak amplitude of the oVEMP response. Highly significant differences were found in all EMG measurements between the two racial groups, suggesting that these racial VEMP differences are primarily based on differences in muscular function between black Africans and Caucasians. Significant gender differences were observed in all tests conducted, with females predominantly displaying shorter latencies, while males had larger amplitudes. Conclusions: Young black African adults demonstrated significant differences in both cVEMP and oVEMP responses, namely shorter latencies and larger amplitudes, in comparison to young Caucasian adults. Correlations with differences in EMG measurements suggest that these differences are primarily due to differences in muscular function as opposed to neural function. Future research is required to confirm and expand on these findings. / Dissertation (MCommunication Pathology)--University of Pretoria, 2016. / Speech-Language Pathology and Audiology / MCommunication Pathology / Unrestricted

The purpose of this study was to determine the prevalence of the binaural interaction component (BIC) in a large sample of normal hearing adults, and to measure the absolute latency and amplitude of the BIC as a function of the click rate of the stimulus and the electrode montage. The BIC is obtained by subtracting the auditory evoked potential waveform obtained with binaural stimulation from the waveform obtained by adding the responses from the left and right monaural stimulation. The tested hypothesis was that the recordings of the BIC vary among normal hearing individuals, and BIC latency and amplitude values change as a function of stimulus rate. Studies of the BIC help to explain the neural correlates of some binaural processes, and to develop an electrophysiological index of binaural processes for objective clinical evaluations. Data was completed and analyzed on 47 adults between the ages of 20 and 41 (mean = 25) with hearing in the normal range (thresholds less than or equal to 20 dB HL at 500, 1000, 2000, and 4000 Hz in each ear) and no known neurological disorders. The results revealed a great variability in BIC morphology between subjects. The BIC waveforms were categorized into five distinct groups according to the number of positive and negative peaks present. Chi-square analyses revealed a significant relationship between click rate and BIC category; however, the relationship between recording montage and BIC category was insignificant. An Analysis of Variance (ANOVAs) revealed a significant increase in absolute latency and decrease in absolute amplitude of both negative and positive peaks as click rate increased from 7.7/s to 57.7/s. The results did not reveal a significant change in the type of BIC as an effect of electrode montage. In conclusion, the BIC within the binaural difference waveform may be obtained in the majority of young individuals with normal hearing. Specifically, a slower stimulus rate revealed more components of the waveform, as well as an improvement in the morphology of the BIC compared to a faster stimulus rate. As these findings may aid in the development of an electrophysiological index of binaural neural processes in young individuals with normal hearing, more research should be attempted in the study of BIC in other age groups and patients with different audiograms.

Hearing loss of various types is increasingly plaguing our modern world (Geneva: World Health Organization 2018). As the life expectancy increased in the industrialized world, age-related hearing loss (ARHL) has become more prevalent. The wars and terrorism of the modern world also created a significant body of blast-induced hearing loss (BIHL) patients. Both types of hearing loss present significant challenges for listeners even at suprathreshold sound levels. However, increasing bodies of clinical and laboratory evidence have suggested that the difficulties in the processing of time-varying auditory features in speech and other natural sounds may not be sufficiently diagnosed by threshold changes and simple auditory electrophysiological measures (Snell and Frisina 2000; Saunders et al. 2015; Bressler et al. 2017; Guest et al. 2018).<br>Studies have emphasized that excitatory/inhibitory neurotransmission imbalance plays important roles in ARHL (Caspary et al. 2008) and may also be key in BIHL, as hinted by the strong presence of GABA regulation in non-blast TBI (O’Dell et al. 2000; Cantu et al. 2015; Guerriero et al. 2015). The current studies focus on age-related and blast-induced hearing deficits by examining changes in the processing of simple, brief stimuli and complex, sustained, temporally modulated sounds.<br>Through post hoc circular analysis of single-unit, in vivo recording of young and aged inferior colliculus (IC) neurons responding to amplitude modulation (AM) stimuli and modulation depth changes, we observed evidence of central compensation in the IC manifesting as increased sensitivity to presynaptic input, which was measured via local field potentials (LFPs). We also found decreased sensitivity to decreasing modulation depth. Age-related central gain in the IC single units, while preserving and even overcompensating for temporal phase coding in the form of vector strength, was unable to make up for the loss of envelope shape coding.<br>Through careful, longitudinal measurements of auditory evoked potential (AEP) responses towards simple sounds, AM and speech-like iterated rippled noise (IRN), we documented the development and recovery of BIHL induced by a single mild blast in a previously established (Song et al. 2015; Walls et al. 2016; Race et al. 2017) rat blast model over the course of two months. We identified crucial acute (day 1-4 post-exposure) and early recovery (day 7-14) time windows in which drastic changes in electrophysiology take place. Challenging conditions and broadband, speech-like stimuli can better elucidate mild bTBI-induced auditory deficits during the sub-acute period. The anatomical significance of the aforementioned time windows was demonstrated with immunohistochemistry methods, showing two distinct waves of GABA inhibitory transmission changes taking place in the auditory brainstem, the IC, and the auditory thalamus. These changes were in addition to axonal and oxidative damage evident in the acute phase. We examined the roles and patterns of excitatory/inhibitory imbalance in BIHL, its distinction compared to that of ARHL, and demonstrated the complexity of its electrophysiological consequences. Blast traumatizes the peripheral auditory system and auditory brainstem, evident through membrane damage and acrolein-mediated oxidative stress. These initial traumas kickstart a unique, interlocking cascade of excitatory/inhibitory imbalances along the auditory neuraxis that is more complex and individually varied than the gradual, non-traumatic degradations in ARHL. Systemic treatment with the FDA-approved acrolein scavenger Hydralazine (HZ) was attempted with limited effects.<br>Taken together, the current study provided insights into the similarities and distinctions between the mechanisms of ARHL and BIHL and called for innovative and individual diagnostic and therapeutic measures.<br>