Auditory temporal processing deficits in children with reading disabilities

A popular hypothesis holds that specific reading disability (SRD) and specific language impairment (SLI) result from an impaired ability to process rapid and brief sounds. However, the results of experiments that have tested this hypothesis are incongruous. A number of factors could explain these contradictory findings, including the questionable reliability and validity of rapid auditory processing tasks, individual differences in the auditory processing abilities of SRD and SLI populations, the age of listeners, the quality of control groups, and the relationship between verbal and non-verbal auditory processing abilities. These issues highlight the need for future studies to (1) establish the reliability and validity of psychophysical tasks used to assess rapid auditory processing; (2) report the rapid auditory processing scores of individuals rather than just group means; (3) include a wide range of reading and spoken language tests to determine the literacy and oral language profile of people who demonstrate an auditory processing deficit; (4) include clinical comparison groups to determine whether a rapid auditory processing deficit is related specifically to written and spoken language impairments; and (5) examine the relationship between low-level non-verbal, verbal, and phonological processing abilities.

We characterized temporal psychoacoustic performance in a group of adult dyslexics with excellent cognitive abilities. These individuals performed adequately on a two-tone frequency discrimination task when inter-stimulus intervals were long ( > or =1 s or more). However, their performance gradually deteriorated as interval duration was shortened (0.7- 0.1 s). Dyslexics with similar reading abilities, but with average cognitive abilities, performed poorly at all intervals. These findings show that, though both groups suffer from non-phonological deficits in auditory discrimination, the nature of their deficits differs. Dyslexics with excellent cognitive abilities seem to have slow, yet adequate, stimulus identification and comparison mechanisms. The fundamental impairment of the other dyslexic group is difficult to determine because their performance was poor across all intervals.

The effect of lead on the avian auditory brainstem

The auditory temporal deficit hypothesis predicts that children with specific reading disability (RD) will exhibit a deficit in the perception of auditory temporal cues in nonspeech stimuli. Tasks assessing perception of auditory temporal and nontemporal cues were administered to children with (a) RD without attention-deficit/hyperactivity disorder (RD/no-ADHD, n = 40), (b) ADHD alone (ADHD/no-RD, n = 33), (c) RD and ADHD (RD/ADHD, n = 36), and (d) no impairment (NI, n = 41). The presence of RD was associated with a specific deficit in detection of a tone onset time asynchrony, but no reduction in performance on other tasks assessing perception of temporal or nontemporal acoustic cues. The presence of ADHD was associated with a general reduction in performance across tasks. The pattern of results did not indicate a pervasive deficit in auditory temporal function in children with RD, but did suggest a possible sensitivity to backward masking in this group. Results also indicated that the comorbid presence of ADHD is a significant factor in the performance of children with RD on psychoacoustic tasks.

Rapid auditory processing and learning deficits in rats with P1 versus P7 neonatal hypoxic-ischemic injury

ObjectivesTo document the auditory processing, visual attention, digit memory, phonological processing, and receptive language abilities of individual children with identified word reading difficulties.DesignTwenty-five children with word reading difficulties and 28 control children with good word reading skills participated. All children were aged between 8 and 11 years, with normal hearing sensitivity and typical non-verbal intelligence. Both groups of children completed a test battery designed to assess their auditory processing, visual attention, digit memory, phonological processing, and receptive language.ResultsWhen compared to children who were good readers, children with word reading difficulties obtained significantly lower average scores on tests of auditory processing, including the frequency pattern test, gaps in noise, frequency discrimination, Dichotic Digit difference Test, and Listening in Spatialized Noise. The two groups did not differ on the discrimination measures of sinusoidal amplitude modulation or iterated rippled noise. The results from children with word reading difficulties showed that 5 children (20%) had comorbid deficits in auditory processing, visual attention, and backward digit memory; whereas 12 children (48%) had comorbid auditory processing and visual attention deficits only, and 2 children (8%) had comorbid deficits in auditory processing and digit memory; the remaining children had only auditory processing, visual attention, or digit memory deficits.ConclusionThe current study highlights the general co-existence of auditory processing, memory, and visual attention deficits in children with word reading difficulties. It is also noteworthy, however, that only one fifth of the current cohort had deficits across all measured tasks. Hence, our results also show the significant individual variability inherent in children with word reading difficulties.

Fast synaptic transmission requires a rapid clearance of the released neurotransmitter from the extracellular space. Glial glutamate transporters (excitatory amino acid transporters, EAATs) strongly contribute to glutamate removal. In this work, we investigated the paired-pulse plasticity of synaptically activated, glutamate transporter-mediated currents (STCs) in cortical layer 2/3 astrocytes. STCs were elicited by local electrical stimulation in layer 4 in the presence of ionotropic glutamate (AMPA and NMDA), GABAA, and GABAB receptor antagonists. In experiments with low [Na(+)]i (5 mM) intrapipette solution, STCs elicited by paired-pulse stimulation demonstrated paired-pulse facilitation (PPF) at short (<250 ms) interstimulus intervals (ISIs) and paired-pulse depression at longer ISIs. In experiments with close to physiological, high [Na(+)]i (20 mM) intrapipette solution, PPF of STCs at short ISIs was significantly reduced. In addition, the STC kinetics was slowed in the presence of high [Na(+)]i. Exogenous GABA increased astrocytic [Na(+)]i, reduced the mean STC amplitude, decreased PPF at short ISIs, and slowed STC kinetics. All GABA-induced changes were blocked by NO-711 and SNAP-5114, GABA transporter (GATs) antagonists. In experiments with the low intrapipette solution, GAT blockade under control conditions decreased PPF at short ISIs both at room and at near physiological temperatures. Dialysis of single astrocyte with low [Na(+)]i solution increased the amplitude and reduced PPR of evoked field potentials recorded in the vicinity of the astrocyte. We conclude that (1) endogenous GABA via GATs may influence EAAT functioning and (2) astrocytic [Na(+)]i modulates the short-term plasticity of STCs and in turn the efficacy of glutamate removal.

BackgroundA paradoxical enhancement of the magnitude of the N1 wave of the auditory event-related potential (ERP) has been described when auditory stimuli are presented at very short (<400 ms) inter-stimulus intervals (ISI). Here, we examined whether this enhancement is specific for the auditory system, or whether it also affects ERPs elicited by stimuli belonging to other sensory modalities.Methodology and Principal FindingsWe recorded ERPs elicited by auditory and somatosensory stimuli in 13 healthy subjects. For each sensory modality, 4800 stimuli were presented. Auditory stimuli consisted in brief tones presented binaurally, and somatosensory stimuli consisted in constant-current electrical pulses applied to the right median nerve. Stimuli were delivered continuously, and the ISI was varied randomly between 100 and 1000 ms. We found that the ISI had a similar effect on both auditory and somatosensory ERPs. In both sensory modalities, ISI had an opposite effect on the magnitude of the N1 and P2 waves: the magnitude of the auditory and the somatosensory N1 was significantly increased at ISI≤200 ms, while the magnitude of the auditory and the somatosensory P2 was significantly decreased at ISI≤200 ms.Conclusion and SignificanceThe observation that both the auditory and the somatosensory N1 are enhanced at short ISIs indicates that this phenomenon reflects a physiological property that is common across sensory systems, rather than, as previously suggested, unique for the auditory system. Two of the hypotheses most frequently put forward to explain this observation, namely (i) the decreased contribution of inhibitory postsynaptic potentials to the recorded scalp ERPs and (ii) the decreased contribution of ‘latent inhibition’, are discussed. Because neither of these two hypotheses can satisfactorily account for the concomitant reduction of the auditory and the somatosensory P2, we propose a third, novel hypothesis, consisting in the modulation of a single neural component contributing to both the N1 and the P2 waves.

The nature and cause of auditory processing deficits in dyslexic individuals have been debated for decades. Auditory processing deficits were argued to be the first step in a causal chain of difficulties, leading to difficulties in speech perception and thereby phonological processing and literacy difficulties. More recently, it has been argued that auditory processing difficulties may not be causally related to language and literacy difficulties. This study compares two groups who have phonological processing impairments for different reasons: dyslexia and a history of otitis media (OM). We compared their discrimination thresholds and response variability to chronological age- and reading age-matched controls, across three auditory processing tasks: frequency discrimination, rise-time discrimination and speech perception. Dyslexic children showed raised frequency discrimination thresholds in comparison with age-matched controls but did not differ from reading age-matched controls or individuals with a history of OM. There were no group differences on speech perception or rise-time tasks. For the dyslexic children, there was an association between phonological awareness and frequency discrimination response variability, but no association with thresholds. These findings are not consistent with a 'causal chain' explanation but could be accounted for within a multiple deficits view of literacy difficulties.

The aim of this study was to determine whether there is a difference in the neural encoding of tones and complex sounds. Obligatory cortical auditory evoked potentials were obtained from normal hearing adults using tones and complex sounds with two stimulus durations and two inter-stimulus intervals. The response was smaller in amplitude for all of the long duration stimuli when using a short inter-stimulus interval. The difference in amplitude between the short and long duration tones disappeared when using the longer inter-stimulus interval but persisted for the complex sounds. The results provide evidence for duration-sensitive neurons in the auditory cortex as well as evidence for differences in the neural encoding of tones and complex sounds.

People suffering from age-related hearing loss typically present with deficits in temporal processing tasks. Temporal processing deficits have also been shown in single-unit studies at the level of the auditory brainstem, midbrain, and cortex of aged animals. In this study, we explored whether temporal coding is already affected at the level of the input to the central auditory system. Single-unit auditory nerve fiber recordings were obtained from 41 Mongolian gerbils of either sex, divided between young, middle-aged, and old gerbils. Temporal coding quality was evaluated as vector strength in response to tones at best frequency, and by constructing shuffled and cross-stimulus autocorrelograms, and reverse correlations, from responses to 1 s noise bursts at 10-30 dB sensation level (dB above threshold). At comparable sensation levels, all measures showed that temporal coding was not altered in auditory nerve fibers of aging gerbils. Furthermore, both temporal fine structure and envelope coding remained unaffected. However, spontaneous rates were decreased in aging gerbils. Importantly, despite elevated pure tone thresholds, the frequency tuning of auditory nerve fibers was not affected. These results suggest that age-related temporal coding deficits arise more centrally, possibly due to a loss of auditory nerve fibers (or their peripheral synapses) but not due to qualitative changes in the responses of remaining auditory nerve fibers. The reduced spontaneous rate and elevated thresholds, but normal frequency tuning, of aged auditory nerve fibers can be explained by the well known reduction of endocochlear potential due to strial dysfunction in aged gerbils.SIGNIFICANCE STATEMENT As our society ages, age-related hearing deficits become ever more prevalent. Apart from decreased hearing sensitivity, elderly people often suffer from a reduced ability to communicate in daily settings, which is thought to be caused by known age-related deficits in auditory temporal processing. The current study demonstrated, using several different stimuli and analysis techniques, that these putative temporal processing deficits are not apparent in responses of single-unit auditory nerve fibers of quiet-aged gerbils. This suggests that age-related temporal processing deficits may develop more central to the auditory nerve, possibly due to a reduced population of active auditory nerve fibers, which will be of importance for the development of treatments for age-related hearing disorders.

This study investigated the effect of variable interstimulus intervals (ISIs) on behavioral reaction time (RT) and on the latency and amplitude of the auditory P300 using an auditory continuous performance task (ACPT) paradigm. Twenty subjects were instructed to respond to common stimuli and ignore a rare stimulus. Common stimuli were 1000-, 1500-, and 2000-Hz pure tones. The rare stimulus was a 250-Hz pure tone. ISIs of 1, 2, and 4 seconds were used for this investigation. A significant correlation between ISI, reaction time, P300 latency, correct rejections, and false alarm rates was found. A significant correlation between P300 latency, P300 amplitude, correct rejections, and false alarm rates was also observed. Likewise, a statistically significant increase in reaction time (RT) was observed as ISI increased. The ACPT paradigm in conjunction with the auditory P300 response can measure both behavioral and electrophysiologic changes that occur during active auditory attention and auditory cognitive processing tasks.

Processing homonymy and polysemy: Effects of sentential context and time-course following unilateral brain damage

The present study investigated how a dementing illness such as Alzheimer's disease, might affect an individual's recourse to higher order contextual information in the access and integration of lexical material in on-line discourse comprehension. More specifically, the experiment investigated the priming of homophones in a discourse context, by use of a cross-modal lexical decision task, and compared the performances of a group of six subjects with mild to moderate dementia of the Alzheimer's type (DAT) with those of a matched control group. The subjects listened to 2-sentence paragraphs and performed a lexical decision on visually presented targets that followed ambiguous prime words (or homophones) at two inter-stimulus intervals (ISIs): 330 and 1000 msec. When the target was a word, it was either an associate of the prime word, a probable inference suggested by the discourse, or an unrelated word. The control subjects primed both the discourse-appropriate and discourse-inappropriate associate of the homophone at short (330 msec) ISIs (but not an appropriate inference word), a finding which supports the exhaustive access model of ambiguity resolution. As the ISI was lengthened to 1000 msec, however, the discourse-appropriate inference word was primed, and reflects the operation of attention-dependent integrative strategies. The subjects with DAT primed both appropriate associates and inference words at the short ISI. At ISI of 1000 msec, the DAT subjects primed the appropriate associate and showed substantial inhibition priming of the inappropriate associate. These results point to disturbances in the selective automatic activation of lexical material, and in the conscious integration and elaboration of lexical material in ongoing discourse comprehension in persons with DAT.

The auditory mismatch negativity (MMN) is an event-related potential (ERP) peaking about 100–250 ms after the onset of a deviant tone in a sequence of identical (standard) tones. Depending on the interstimulus interval (ISI) between standard and deviant tones, the MMN is suitable to investigate the pre-attentive auditory discrimination ability (short ISIs, ≤ 2 s) as well as the pre-attentive auditory memory trace (long ISIs, >2 s). However, current results regarding the MMN as an index for mild cognitive impairment (MCI) and dementia are mixed, especially after short ISIs: while the majority of studies report positive associations between the MMN and cognition, others fail to find such relationships. To elucidate these so far inconsistent results, we investigated the validity of the MMN as an index for cognitive impairment exploring the associations between different MMN indices and cognitive performance, more specifically with episodic memory performance which is among the most affected cognitive domains in the course of Alzheimer’s dementia (AD), at baseline and at a 5-year-follow-up. We assessed the amplitude of the MMN for short ISI (stimulus onset asynchrony, SOA = 0.05 s) and for long ISI (3 s) in a neuropsychologically well-characterized cohort of older adults at risk of dementia (subjective memory impairment, amnestic and non-amnestic MCI; n = 57). Furthermore, we created a novel difference score (ΔMMN), defined as the difference between MMNs to short and to long ISI, as a measure to assess the decay of the auditory memory trace, higher values indicating less decay. ΔMMN and MMN amplitude after long ISI, but not the MMN amplitude after short ISI, was associated with episodic memory at baseline (β = 0.38, p = 0.003; β = −0.27, p = 0.047, respectively). ΔMMN, but not the MMN for long ISIs, was positively associated with episodic memory performance at the 5-year-follow-up (β = 0.57, p = 0.013). The results suggest that the MMN after long ISI might be suitable as an indicator for the decline in episodic memory and indicate ΔMMN as a potential biomarker for memory impairment in older adults at risk of dementia.