Effectiveness of low-cut modified amplification strategy and channel-free hearing aid in individuals with auditory neuropathy spectrum disorder

Int J Audiol. 2017 Oct;56(10):759-766. doi: 10.1080/14992027.2017.1323123. Epub 2017 May 9.

Abstract

Objective: The present study attempted to compare the aided benefit using low-cut modified amplification and channel-free hearing aids in individuals with auditory neuropathy spectrum disorder (ANSD). It was also attempted to determine these effects in good and poor performers with ANSD.

Design: Cross-sectional within group pretest, post-test design.

Study sample: Twenty-five individuals with acquired ANSD were selected for the study. The study sample included 11 males and 14 females between the age ranges of 17-40 years (mean age of 24.6 years).

Results: The results of the repeated measures analysis of variance (ANOVA) showed that aided benefit was significantly higher with the channel-free hearing aid. Mixed ANOVA results showed that the improvement was more in good performers than poor performers with ANSD. Multiple regression analyses showed that speech identification scores are a strong predictor of aided benefit.

Conclusions: The results of the present study suggest that channel-free hearing aids and low-cut modified amplification can be used as an efficient alternative technique during hearing aid fitting for individuals with ANSD. However, further evidence-based studies on a larger group are essential to validate the results.

Keywords: Hearing aids; behavioural measures; hearing aid satisfaction; speech perception.

MeSH terms

  • Acoustic Stimulation
  • Adolescent
  • Adult
  • Audiometry, Pure-Tone
  • Auditory Threshold
  • Bone Conduction
  • Cross-Sectional Studies
  • Equipment Design
  • Female
  • Hearing Aids*
  • Hearing Loss, Central / diagnosis
  • Hearing Loss, Central / physiopathology
  • Hearing Loss, Central / psychology
  • Hearing Loss, Central / rehabilitation*
  • Humans
  • Male
  • Patient Satisfaction
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation*
  • Recognition, Psychology
  • Speech Intelligibility
  • Speech Perception*
  • Young Adult

Supplementary concepts

  • Auditory neuropathy