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Computer-assisted reading intervention for children with sensorineural hearing loss using hearing aids : Effects on auditory event-related potentials and mismatch negativity

Engström, Elisabet; Kallioinen, Petter LU ; Nakeva von Mentzer, Cecilia; Lindgren, Magnus LU ; Ors, Marianne LU ; Sahlén, Birgitta LU ; Lyxell, Björn and Uhlén, Inger (2019) In International Journal of Pediatric Otorhinolaryngology 117. p.17-25
Abstract

Objectives: The primary aim was to investigate whether computer-assisted reading intervention somehow can affect event-related potentials (ERP) and mismatch negativity (MMN) in hearing impaired (HI) children with hearing aids (HAs) and normal hearing (NH) children. Methods: The study included 15 HI children with sensorineural hearing loss (SNHL) using bilateral HAs and 14 NH children as a reference group; all children between the ages of 5 and 8. A multi-feature MMN-paradigm, Optimum-1, with a standard stimulus alternating with 5 different deviants was used. ERPs were recorded pre and post intervention, i.e. one month of repeatedly computer-assisted training (GraphoGame). MMN was calculated from the average ERP of each deviant minus... (More)

Objectives: The primary aim was to investigate whether computer-assisted reading intervention somehow can affect event-related potentials (ERP) and mismatch negativity (MMN) in hearing impaired (HI) children with hearing aids (HAs) and normal hearing (NH) children. Methods: The study included 15 HI children with sensorineural hearing loss (SNHL) using bilateral HAs and 14 NH children as a reference group; all children between the ages of 5 and 8. A multi-feature MMN-paradigm, Optimum-1, with a standard stimulus alternating with 5 different deviants was used. ERPs were recorded pre and post intervention, i.e. one month of repeatedly computer-assisted training (GraphoGame). MMN was calculated from the average ERP of each deviant minus standard. Data were based on samples within a specific time interval, 80–224 ms, and repeated measures ANOVA was used to analyze possible interactions. Results: There was a significant difference between groups before training, though, the mean obligatory responses or MMN was not statistically significantly different before versus after training, neither among the NH nor the HI children. Further, the HI children did generally achieve lower levels in GraphoGame compared to the NH children. Altogether, our findings indicate differences between the groups and that training may affect the neurophysiological processing in the brain, gaining the HI children. Both MMN and positive mismatch response (pMMR) were seen among both the HA and NH children, irrespective to deviant type. Individually, changes of the MMN and pMMR after training seem unpredictable. Conclusion: There are statistically significant differences in both the obligatory responses in ERP and the MMNs between the NH and HI groups before the computer-assisted training. Though, these differences disappear after the intervention. This suggests possible training effects regarding the central auditory processing among the HI children.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Children, Computer-assisted reading intervention, Event-related potentials, Hearing aid, Hearing impairment, Mismatch negativity
in
International Journal of Pediatric Otorhinolaryngology
volume
117
pages
9 pages
publisher
Elsevier
external identifiers
  • scopus:85056671672
ISSN
0165-5876
DOI
10.1016/j.ijporl.2018.11.005
language
English
LU publication?
yes
id
2521a62e-53d9-4d8d-b7ed-09ba059ae868
date added to LUP
2018-11-26 11:10:34
date last changed
2019-02-26 03:00:18
@article{2521a62e-53d9-4d8d-b7ed-09ba059ae868,
  abstract     = {<p>Objectives: The primary aim was to investigate whether computer-assisted reading intervention somehow can affect event-related potentials (ERP) and mismatch negativity (MMN) in hearing impaired (HI) children with hearing aids (HAs) and normal hearing (NH) children. Methods: The study included 15 HI children with sensorineural hearing loss (SNHL) using bilateral HAs and 14 NH children as a reference group; all children between the ages of 5 and 8. A multi-feature MMN-paradigm, Optimum-1, with a standard stimulus alternating with 5 different deviants was used. ERPs were recorded pre and post intervention, i.e. one month of repeatedly computer-assisted training (GraphoGame). MMN was calculated from the average ERP of each deviant minus standard. Data were based on samples within a specific time interval, 80–224 ms, and repeated measures ANOVA was used to analyze possible interactions. Results: There was a significant difference between groups before training, though, the mean obligatory responses or MMN was not statistically significantly different before versus after training, neither among the NH nor the HI children. Further, the HI children did generally achieve lower levels in GraphoGame compared to the NH children. Altogether, our findings indicate differences between the groups and that training may affect the neurophysiological processing in the brain, gaining the HI children. Both MMN and positive mismatch response (pMMR) were seen among both the HA and NH children, irrespective to deviant type. Individually, changes of the MMN and pMMR after training seem unpredictable. Conclusion: There are statistically significant differences in both the obligatory responses in ERP and the MMNs between the NH and HI groups before the computer-assisted training. Though, these differences disappear after the intervention. This suggests possible training effects regarding the central auditory processing among the HI children.</p>},
  author       = {Engström, Elisabet and Kallioinen, Petter and Nakeva von Mentzer, Cecilia and Lindgren, Magnus and Ors, Marianne and Sahlén, Birgitta and Lyxell, Björn and Uhlén, Inger},
  issn         = {0165-5876},
  keyword      = {Children,Computer-assisted reading intervention,Event-related potentials,Hearing aid,Hearing impairment,Mismatch negativity},
  language     = {eng},
  pages        = {17--25},
  publisher    = {Elsevier},
  series       = {International Journal of Pediatric Otorhinolaryngology},
  title        = {Computer-assisted reading intervention for children with sensorineural hearing loss using hearing aids : Effects on auditory event-related potentials and mismatch negativity},
  url          = {http://dx.doi.org/10.1016/j.ijporl.2018.11.005},
  volume       = {117},
  year         = {2019},
}