Temporal İşitsel İşlemleme ve İşitme Kaybı
Özet
Temporal işlemleme, işitme sisteminin seslerin zaman içindeki özelliklerini algılama ve bu bilgiyi işleme yeteneğini ifade eder. Temporal çözünürlük, bir ses içinde meydana gelen en küçük akustik değişiklikleri fark etme kabiliyetiyle ilişkilidir ve konuşmanın anlaşılması açısından büyük öneme sahiptir. Temporal işlemleme dört ana kategoride incelenir: temporal maskeleme, temporal çözünürlük, temporal birleştirme ve temporal sıralama.
Bu süreçlerin değerlendirilmesi amacıyla çeşitli davranışsal ve elektrofizyolojik testler geliştirilmiştir. Temporal çözünürlük ölçümünde sıklıkla Boşluk Tanıma Testleri (BTT) kullanılır. Bu testler arasında Gürültüde Boşluk Tanıma (GBT) ve Rastgele Boşluk Tanıma (RBT) testleri yaygın olarak tercih edilir. Temporal sıralama becerisini ölçmek için Frekans Patern Testi (FPT) ve Durasyon Patern Testi (DPT) uygulanmaktadır.
Santral işitsel işlemleme bozukluklarının tanısında multidisipliner bir yaklaşım benimsenmeli, uygun test bataryaları seçilerek değerlendirme yapılmalıdır. Temporal işlemleme yalnızca konuşma algısı değil, çevresel seslerin algılanması ve iletişim süreçleri üzerinde de önemli bir etkiye sahiptir. Bu nedenle işitme kaybı, koklear implant kullanımı ve yaş gibi faktörlerin temporal işlemleme üzerindeki etkileri detaylı şekilde incelenmektedir.
Referanslar
Shannon, R. V.,Zeng, F. G., Kamath, V., Wygonski, J., & Ekelid, M. (1995). Speech recognition with primarily temporal cues. Science, 270(5234), 303.
Viemeister N. F.,&Wakefield G.H (1991).Temporal integration and multiple looks. J Acoust Soc Am. Aug;90 (2 Pt 1):858-65.
Luo, X., Fu, Q. J., Wei, C. G., &Cao, K. L. (2008). Speech recognition and temporal amplitude modulation processing by Mandarin-speaking cochlear implant users. Ear and hearing, 29(6), 957.
Helfer, K. S.,& Vargo, M. (2009). Speech recognition and temporal processing in middle-aged women. Journal of the American Academy of Audiology, 20(4), 264-271.
Musiek, F. E., Shinn, J. B., Jirsa, R., Bamiou, D. E., Baran, J. A., & Zaida, E. (2005). GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear and Hearing, 26(6), 608-618.
Nelson, P. B.,& Thomas, S. D. (1997). Gap detection as a function of stimulus loudness for listeners with and without hearing loss. Journal of Speech, Language, and Hearing Research, 40(6), 1387-1394.
Grose, J. H.,& Mamo, S. K. (2010).Processing of temporal fine structure as a function of age. Ear and hearing, 31(6), 755.
Trehub S.E, Schneider B.A, Henderson J.L (1995).Gap detection in infants, children, and adults. The Journal of the Acoustical Society of America, 98(5):2532-2541.
Bertoli, S.,Heimberg, S., Smurzynski, J., &Probst, R. (2001). Mismatch negativity and psychoacoustic measures of gap detection in normally hearing subjects. Psychophysiology, 38(2), 334-342.
Bayat A. (2017). Effect of Conductive Hearing Loss on Central Auditory Function. Brazilian Journal of Otorhınolaryngology, 83,137-41.
Musiek, F. E. (1994). Frequency (pitch) and duration pattern tests. Journal-American Academy of Audiology, 5, 265-265.
Keith R. Random gap detection test. St. Louis, MO: Auditec. 2000;13. Keith, R. W. (2000). Random Gap Detection: Auditec of St Louis Ltd. Retrieved from http://www.auditec.com/.
Musiek FE, Baran JA. (2007). The Auditory System: Anatomy, Physiology and Clinical Correlates: Pearson.
Musiek FE, Chermak GD. Psychophysical and behavioral peripheral and central auditory tests. 1st ed. Vol. 129, Handbook of Clinical Neurology. Elsevier B.V.; 2015. 313–332 p.
American Speech-Language-Hearing Association (ASHA). (Central) Auditory Processing Disorders: 2005. [Erişim Tarihi: 30 Mart 2020]. www.asha.org/docs/html/PS2005-00114.html.
Geffner, D. (2007). Central Auditory Processing Disorders-Definition, Description, and Behaviors. Geffner, D., Ross-Swain, D. Auditory Processing Disorders-Assesment, Management, and Treatment (s.25-47). UK: Plural Publishing, Inc.
Green, D. M. (1971). Temporal auditory acuity. Psychological Review, 78(6),540.
Phillips DP. Central auditory processing: a view from auditory neuroscience. The American Journal of Otology. 1995 May;16(3):338-352. PMID: 8588629.
Eddins DA, Green DM. Temporal integration and temporal resolution. Hearing. 1995;1028:1022-9.
Roeser, R.J , Downs, P.M. (2004) , Auditory Disorders in school children-the Law, Identification, Remediation. Keıth, R.W., Auditory Proccessing Disorders (s124-146). Stuttgart New York: Thieme.
Liberman, A. M., Delattre, P. C., Gerstman, L. J., & Cooper, F. S. (1956). Tempo of frequency change as a cue for distinguishing classes of speech sounds. Journal of Experimental Psychology, 52(2), 127
ASHA task force on central auditory processing consensus development(1996) central auditory processing, current status of research and implications for clinical practice. American Journal of Audiology; 5(2):41-54.
Musiek, F. E., Pinheiro, M. L. (1987). Frequency Patterns in Cochlear, Brainstem, and Cerebral Lesions: Reconnaissance mélodique dans les lésions cochléaires, bulbaires et corticales. International Journal of Audiology, 26(2),79-88.
Colavita F., Szelgio, F. ve Zimmer, S. (1974). Temporal pattern discrimination in cats with insular temporal lesiıons. Brain Research, 79,153-156.
Pinheiro, M. L. (1985). Assessment of central auditory dysfunction: Foundations and clinical correlates. Williams & Wilkins.
Musiek, F. E., Baran, J. A., & Pinheiro, M. L. (1990). Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. International Journal of Audiology, 29(6), 304-313.
Garner WR. The Effect of Frequency Spectrum on Temporal Integration of Energy in the Ear. The Journal of the Acoustical Society of America. 1947;19(5):808-815.
Phillips, D. P. (1999). Auditory gap detection, perceptual channels, and temporal resolution in speech perception. Journal of the American Academy of Audiology, 10(6), 343-354.
Phillips DP, Smith JC. Correlations among within-channel and between-channel auditory gap-detection thresholds in normal listeners. Perception. 2004;33(3):371- 378.
Fitzgibbons PJ, Wightman FL. Gap detection in normal and hearing‐impaired listeners. The Journal of the Acoustical Society of America. 1982;72(3):761-765.
Viemeister N, Plack CJ: Time analysis. In Yost WA, Popper AN, Fay RR, eds., Human Psychophysics. New York: Springer-Verlag, 1993: 116–154.
Viemeister N. F.,&Wakefield G.H (1991).Temporal integration and multiple looks. J Acoust Soc Am. Aug;90 (2 Pt 1):858-65.
Luo, X., Fu, Q. J., Wei, C. G., &Cao, K. L. (2008). Speech recognition and temporal amplitude modulation processing by Mandarin-speaking cochlear implant users. Ear and hearing, 29(6), 957.
Helfer, K. S.,& Vargo, M. (2009). Speech recognition and temporal processing in middle-aged women. Journal of the American Academy of Audiology, 20(4), 264-271.
Musiek, F. E., Shinn, J. B., Jirsa, R., Bamiou, D. E., Baran, J. A., & Zaida, E. (2005). GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear and Hearing, 26(6), 608-618.
Nelson, P. B.,& Thomas, S. D. (1997). Gap detection as a function of stimulus loudness for listeners with and without hearing loss. Journal of Speech, Language, and Hearing Research, 40(6), 1387-1394.
Grose, J. H.,& Mamo, S. K. (2010).Processing of temporal fine structure as a function of age. Ear and hearing, 31(6), 755.
Trehub S.E, Schneider B.A, Henderson J.L (1995).Gap detection in infants, children, and adults. The Journal of the Acoustical Society of America, 98(5):2532-2541.
Bertoli, S.,Heimberg, S., Smurzynski, J., &Probst, R. (2001). Mismatch negativity and psychoacoustic measures of gap detection in normally hearing subjects. Psychophysiology, 38(2), 334-342.
Bayat A. (2017). Effect of Conductive Hearing Loss on Central Auditory Function. Brazilian Journal of Otorhınolaryngology, 83,137-41.
Musiek, F. E. (1994). Frequency (pitch) and duration pattern tests. Journal-American Academy of Audiology, 5, 265-265.
Keith R. Random gap detection test. St. Louis, MO: Auditec. 2000;13. Keith, R. W. (2000). Random Gap Detection: Auditec of St Louis Ltd. Retrieved from http://www.auditec.com/.
Musiek FE, Baran JA. (2007). The Auditory System: Anatomy, Physiology and Clinical Correlates: Pearson.
Musiek FE, Chermak GD. Psychophysical and behavioral peripheral and central auditory tests. 1st ed. Vol. 129, Handbook of Clinical Neurology. Elsevier B.V.; 2015. 313–332 p.
American Speech-Language-Hearing Association (ASHA). (Central) Auditory Processing Disorders: 2005. [Erişim Tarihi: 30 Mart 2020]. www.asha.org/docs/html/PS2005-00114.html.
Geffner, D. (2007). Central Auditory Processing Disorders-Definition, Description, and Behaviors. Geffner, D., Ross-Swain, D. Auditory Processing Disorders-Assesment, Management, and Treatment (s.25-47). UK: Plural Publishing, Inc.
Green, D. M. (1971). Temporal auditory acuity. Psychological Review, 78(6),540.
Phillips DP. Central auditory processing: a view from auditory neuroscience. The American Journal of Otology. 1995 May;16(3):338-352. PMID: 8588629.
Eddins DA, Green DM. Temporal integration and temporal resolution. Hearing. 1995;1028:1022-9.
Roeser, R.J , Downs, P.M. (2004) , Auditory Disorders in school children-the Law, Identification, Remediation. Keıth, R.W., Auditory Proccessing Disorders (s124-146). Stuttgart New York: Thieme.
Liberman, A. M., Delattre, P. C., Gerstman, L. J., & Cooper, F. S. (1956). Tempo of frequency change as a cue for distinguishing classes of speech sounds. Journal of Experimental Psychology, 52(2), 127
ASHA task force on central auditory processing consensus development(1996) central auditory processing, current status of research and implications for clinical practice. American Journal of Audiology; 5(2):41-54.
Musiek, F. E., Pinheiro, M. L. (1987). Frequency Patterns in Cochlear, Brainstem, and Cerebral Lesions: Reconnaissance mélodique dans les lésions cochléaires, bulbaires et corticales. International Journal of Audiology, 26(2),79-88.
Colavita F., Szelgio, F. ve Zimmer, S. (1974). Temporal pattern discrimination in cats with insular temporal lesiıons. Brain Research, 79,153-156.
Pinheiro, M. L. (1985). Assessment of central auditory dysfunction: Foundations and clinical correlates. Williams & Wilkins.
Musiek, F. E., Baran, J. A., & Pinheiro, M. L. (1990). Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. International Journal of Audiology, 29(6), 304-313.
Garner WR. The Effect of Frequency Spectrum on Temporal Integration of Energy in the Ear. The Journal of the Acoustical Society of America. 1947;19(5):808-815.
Phillips, D. P. (1999). Auditory gap detection, perceptual channels, and temporal resolution in speech perception. Journal of the American Academy of Audiology, 10(6), 343-354.
Phillips DP, Smith JC. Correlations among within-channel and between-channel auditory gap-detection thresholds in normal listeners. Perception. 2004;33(3):371- 378.
Fitzgibbons PJ, Wightman FL. Gap detection in normal and hearing‐impaired listeners. The Journal of the Acoustical Society of America. 1982;72(3):761-765.
Viemeister N, Plack CJ: Time analysis. In Yost WA, Popper AN, Fay RR, eds., Human Psychophysics. New York: Springer-Verlag, 1993: 116–154.
Sayfalar
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24 Ocak 2025
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