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Wang L, Li S, Wang C. Using Pivotal Response Treatment to Improve Language Functions of Autistic Children in Special Schools: A Randomized Controlled Trial. J Autism Dev Disord 2024; 54:2081-2093. [PMID: 37101061 PMCID: PMC10132802 DOI: 10.1007/s10803-023-05988-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2023] [Indexed: 04/28/2023]
Abstract
Language difficulties exert profound negative effects on the cognitive and social development of autistic children. Pivotal Response Treatment (PRT) is a promising intervention for improving social communication in autistic children, but there is a lack of a comprehensive examination of language functions. This study aimed to investigate the effectiveness of PRT in promoting the primary language functions (requesting, labeling, repeating, responding) defined by (Skinner, B. F. (1957). Verbal behavior. Martino Publishing.) theory of verbal behavior in autistic children. Thirty autistic children were randomly divided into the PRT group (Mage = 6.20, SDage = 1.21) and control group (Mage = 6.07, SDage = 1.49). The PRT group were provided with an 8-week training of the PRT motivation component in addition to treatment as usual (TAU) in their schools, whereas the control group only received TAU. Parents of the PRT group were also trained to practice the PRT motivation procedures at home. The PRT group demonstrated greater improvements in all four measured language functions compared to the control group. The improvement in language functions in the PRT group was generalized and maintained at the follow-up assessment. In addition, the PRT intervention enhanced untargeted social and communicative functioning, cognition, motor skills, imitation, and adaptive behaviors in the autistic children. In conclusion, language intervention using the motivation component of PRT is effective in promoting language functions as well as widespread untargeted cognitive and social functions in autistic children.
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Affiliation(s)
- Leilei Wang
- Department of Social Psychology, Zhou Enlai School of Government, Nankai University, 38 Tongyan Road, Tianjin, China
- Autism Research Center, Nankai University, Tianjin, China
| | - Shuting Li
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, VIC, 3010, Australia
| | - Chongying Wang
- Department of Social Psychology, Zhou Enlai School of Government, Nankai University, 38 Tongyan Road, Tianjin, China.
- Autism Research Center, Nankai University, Tianjin, China.
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2
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Kosmer K, Kulesza R. Cortical dysmorphology and reduced cortico-collicular projections in an animal model of autism spectrum disorder. Cereb Cortex 2024; 34:146-160. [PMID: 38696608 DOI: 10.1093/cercor/bhad501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/21/2023] [Accepted: 12/06/2023] [Indexed: 05/04/2024] Open
Abstract
Autism spectrum disorder is a neurodevelopmental disability that includes sensory disturbances. Hearing is frequently affected and ranges from deafness to hypersensitivity. In utero exposure to the antiepileptic valproic acid is associated with increased risk of autism spectrum disorder in humans and timed valproic acid exposure is a biologically relevant and validated animal model of autism spectrum disorder. Valproic acid-exposed rats have fewer neurons in their auditory brainstem and thalamus, fewer calbindin-positive neurons, reduced ascending projections to the midbrain and thalamus, elevated thresholds, and delayed auditory brainstem responses. Additionally, in the auditory cortex, valproic acid exposure results in abnormal responses, decreased phase-locking, elevated thresholds, and abnormal tonotopic maps. We therefore hypothesized that in utero, valproic acid exposure would result in fewer neurons in auditory cortex, neuronal dysmorphology, fewer calbindin-positive neurons, and reduced connectivity. We approached this hypothesis using morphometric analyses, immunohistochemistry, and retrograde tract tracing. We found thinner cortical layers but no changes in the density of neurons, smaller pyramidal and non-pyramidal neurons in several regions, fewer neurons immunoreactive for calbindin-positive, and fewer cortical neurons projecting to the inferior colliculus. These results support the widespread impact of the auditory system in autism spectrum disorder and valproic acid-exposed animals and emphasize the utility of simple, noninvasive auditory screening for autism spectrum disorder.
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Affiliation(s)
- Kara Kosmer
- RWJBH Monmouth Medical CenterLong Branch, NJ 07740, United States
| | - Randy Kulesza
- Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA 16509, United States
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3
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Matsuba ESM, Prieve BA, Cary E, Pacheco D, Madrid A, McKernan E, Kaplan-Kahn E, Russo N. A Preliminary Study Characterizing Subcortical and Cortical Auditory Processing and Their Relation to Autistic Traits and Sensory Features. J Autism Dev Disord 2024; 54:75-92. [PMID: 36227444 PMCID: PMC9559145 DOI: 10.1007/s10803-022-05773-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2022] [Indexed: 11/23/2022]
Abstract
This study characterizes the subcortical auditory brainstem response (speech-ABR) and cortical auditory processing (P1 and Mismatch Negativity; MMN) to speech sounds and their relationship to autistic traits and sensory features within the same group of autistic children (n = 10) matched on age and non-verbal IQ to their typically developing (TD) peers (n = 21). No speech-ABR differences were noted, but autistic individuals had larger P1 and faster MMN responses. Correlations revealed that larger P1 amplitudes and MMN responses were associated with greater autistic traits and more sensory features. These findings highlight the complexity of the auditory system and its relationships to behaviours in autism, while also emphasizing the importance of measurement and developmental matching.
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Affiliation(s)
- Erin S. M. Matsuba
- Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13079 USA
| | - Beth A. Prieve
- Department of Communication Sciences and Disorders, Syracuse University, 1200 Skytop Road, Syracuse, NY 13079 USA
| | - Emily Cary
- Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13079 USA
| | - Devon Pacheco
- Department of Communication Sciences and Disorders, Syracuse University, 1200 Skytop Road, Syracuse, NY 13079 USA
| | - Angela Madrid
- Department of Communication Sciences and Disorders, Syracuse University, 1200 Skytop Road, Syracuse, NY 13079 USA
| | - Elizabeth McKernan
- Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13079 USA
| | - Elizabeth Kaplan-Kahn
- Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13079 USA
| | - Natalie Russo
- Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13079 USA
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4
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Malhotra AS, Kulesza R. Abnormal auditory brainstem responses in an animal model of autism spectrum disorder. Hear Res 2023; 436:108816. [PMID: 37285705 DOI: 10.1016/j.heares.2023.108816] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 04/15/2023] [Accepted: 05/24/2023] [Indexed: 06/09/2023]
Abstract
Auditory dysfunction is a common feature of autism spectrum disorder (ASD) and ranges from deafness to hypersensitivity. The auditory brainstem response (ABR) permits study of the amplitude and latency of synchronized electrical activity along the ascending auditory pathway in response to clicks and pure tone stimuli. Indeed, numerous studies have shown that subjects with ASD have ABR abnormalities. In utero exposure to the antiepileptic drug valproic acid (VPA) is associated with human cases of ASD and is used as an animal model of ASD. Previous studies have shown that VPA-exposed animals have significantly fewer neurons in the auditory brainstem and thalamus, reduced ascending projections to the auditory midbrain and thalamus and increased neuronal activation in response to pure tone stimuli. Accordingly, we hypothesized that VPA-exposed animals would have abnormal ABRs throughout their lifespans. We approached this hypothesis in two cohorts. First, we examined ABRs from both ears on postnatal day 22 (P22). Then, we examined monaural ABRs in animals at P28, 60, 120, 180, 240, 300 and 360. Our results suggest that at P22, VPA-exposed animals have elevated thresholds and increased peak latencies. However, by P60 these differences largely normalize with differences appearing only near hearing threshold. Additionally, our analysis revealed that maturation of ABR waves occurred at different trajectories in control and VPA-exposed animals. These results, together with our previous work, suggest that VPA exposure not only impacts total neuron number and connectivity, but also auditory evoked responses. Finally, our longitudinal analysis suggests that delayed maturation of auditory brainstem circuits may impact ABRs throughout the lifespan of the animal.
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Affiliation(s)
- Arjun S Malhotra
- Department of Anatomy Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA; Millcreek Community Hospital LECOM Health, Department of Orthopedic Surgery, Erie, Pennsylvania, USA
| | - Randy Kulesza
- Department of Anatomy Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA.
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5
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Cardon G, Cate M, Cordingley S, Bown B. Auditory Brainstem Response in Autistic Children: Implications for Sensory Processing. HEARING, BALANCE AND COMMUNICATION 2023; 21:224-232. [PMID: 38223460 PMCID: PMC10786617 DOI: 10.1080/21695717.2023.2181558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/17/2023]
Abstract
Purpose Autistic individuals frequently experience sensory processing difficulties. Such difficulties can significantly impact important functions and quality of life. We are only beginning to understand the neural mechanisms of atypical sensory processing. However, one established way to measure aspects of auditory function is the auditory brainstem response (ABR). While ABR has been primarily hypothesized thus far as a means of early detection/diagnosis in autism, it has the potential to aid in examining sensory processing in this population. Method Thus, we investigated standard ABR waveform characteristics in age-matched groups of autistic and typically developing children during various stimulus and intensity conditions. We also examined within ear waveform cross correlations and inter-aural cross correlations (IACC) to assess replicability and synchrony of participants' ABRs, which was a novel approach to ABR analysis in this population. Results We observed longer peak latencies (esp. wave III and V) and interpeak latencies in the autism and typically developing groups in different conditions. There were no statistically significant results in cross correlation or IACC. Conclusions These results suggest that brainstem auditory function may differ slightly, but is mostly similar, between autistic and typically developing children. We discuss these findings in terms of their implications for sensory processing and future utility.
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Affiliation(s)
- Garrett Cardon
- Brigham Young University, Department of Communication Disorders, Provo, UT
| | - Madelyn Cate
- Brigham Young University, Department of Communication Disorders, Provo, UT
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6
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Kabil SE, Abdelshafy R, Ahmed AIA, Zahran AM, Attalah M, Sallam Y, El Lateef AGA. Mismatch Negativity and Auditory Brain Stem Response in Children with Autism Spectrum Disorders and Language Disorders. J Multidiscip Healthc 2023; 16:811-817. [PMID: 37006341 PMCID: PMC10065014 DOI: 10.2147/jmdh.s401937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Accepted: 03/03/2023] [Indexed: 03/29/2023] Open
Abstract
Objective Language disorders (LD) in autism spectrum disorders (ASD) are highly variable and has a severe impact on the level of functioning in autistic children. Early diagnosis of these language disorders is essential for early interventions for children at risk. The electrophysiological measurements are considered valuable tools for determining language disabilities in children with ASD. This study aimed to study and compare ABR and MMN in autistic children with language disorders. Methods This study included a group of typically developing children and a group of children diagnosed with autistic spectrum disorders and language disorders. Both groups were matching according to age and gender. After confirming bilateral normal peripheral hearing sensitivity, ABR was done and both absolute and interpeak wave latencies were correlated. MMN using frequency oddball paradigms were also obtained and correlated. Results More abnormalities were reported in ABR test results in the form of delayed absolute latencies and prolonged interpeak intervals. Also, we reported prolonged latencies of MMN. Consequently, both ABR and MMN are complementary test in evaluating autistic children with language disorders. Conclusion Our results support the hypothesis of remarkable dysfunction in basic auditory sound processing that may impact the linguistic development of autistic children.
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Affiliation(s)
- Shaimaa E Kabil
- E. N. T Department, Faculty of Medicine Cairo, Al-Azhar University, Cairo, Egypt
- Correspondence: Shaimaa E Kabil, Email
| | - Rania Abdelshafy
- E. N. T Department, Faculty of Medicine Cairo, Al-Azhar University, Cairo, Egypt
| | | | | | - Mahmoud Attalah
- Pediatric Department, Faculty of Medicine Cairo, Al-Azhar University, Cairo, Egypt
| | - Yossra Sallam
- E. N. T Department, Faculty of Medicine Cairo, Al-Azhar University, Cairo, Egypt
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7
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Gonçalves AM, Monteiro P. Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing. J Neural Transm (Vienna) 2023; 130:325-408. [PMID: 36914900 PMCID: PMC10033482 DOI: 10.1007/s00702-023-02595-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 01/17/2023] [Indexed: 03/15/2023]
Abstract
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with a wide spectrum of symptoms, mainly characterized by social, communication, and cognitive impairments. Latest diagnostic criteria according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, 2013) now include sensory issues among the four restricted/repetitive behavior features defined as "hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment". Here, we review auditory sensory alterations in patients with ASD. Considering the updated diagnostic criteria for ASD, we examined research evidence (2015-2022) of the integrity of the cognitive function in auditory-related tasks, the integrity of the peripheral auditory system, and the integrity of the central nervous system in patients diagnosed with ASD. Taking into account the different approaches and experimental study designs, we reappraise the knowledge on auditory sensory alterations and reflect on how these might be linked with behavior symptomatology in ASD.
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Affiliation(s)
- Ana Margarida Gonçalves
- Life and Health Sciences Research Institute, School of Medicine, University of Minho, Campus de Gualtar, 4710-057, Braga, Portugal
- ICVS/3B's-PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
| | - Patricia Monteiro
- Life and Health Sciences Research Institute, School of Medicine, University of Minho, Campus de Gualtar, 4710-057, Braga, Portugal.
- ICVS/3B's-PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal.
- Experimental Biology Unit, Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal.
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8
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Speech auditory brainstem response in audiological practice: a systematic review. Eur Arch Otorhinolaryngol 2023; 280:2099-2118. [PMID: 36651959 DOI: 10.1007/s00405-023-07830-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Accepted: 01/07/2023] [Indexed: 01/19/2023]
Abstract
BACKGROUND Speech-ABR is an auditory brainstem response that evaluates the integrity of the temporal and spectral coding of speech in the upper levels of the brainstem. It reflects the acoustic properties of the stimulus used and consists of seven major waves. Waves V and A represent the onset of the response; wave C transition region; D, E, and F waves periodic region (frequency following response); and wave O reflects the offset of the response. PURPOSE The aim of this study is to evaluate the clinical availability of the speech-ABR procedure through a literature review. METHODS Literature search was conducted in Pubmed, Google Scholar, Scopus and Science Direct databases. Clinical studies of the last 15 years have been included in this review and 60 articles have been reviewed. RESULTS As a result of the articles reviewed, it was seen that most of the studies on speech ABR were conducted with children and young people and generally focused on latency analysis measurements. Most used stimulus is the /da/ syllable. CONCLUSIONS Speech ABR can objectively measure the auditory cues important for speech recognition and has many clinical applications. It can be used as a biomarker for auditory processing disorders, learning disorders, dyslexia, otitis media, hearing loss, language disorders and phonological disorders. S-ABR is an effective procedure that can be used in speech and language evaluations in people with hearing aids or cochlear implant. It may also be of benefit to the aging auditory system's ability to encode temporal cues.
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9
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Lee GS, Chang CW. Comparisons of auditory brainstem response elicited by compound click-sawtooths sound and synthetic consonant-vowel /da/ 1. Physiol Behav 2022; 255:113922. [PMID: 35905807 DOI: 10.1016/j.physbeh.2022.113922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 07/14/2022] [Accepted: 07/24/2022] [Indexed: 11/24/2022]
Abstract
The auditory brainstem response to complex sounds (cABR) could be evoked using speech sounds such as the 40-ms synthetic consonant-vowel syllable /da/ (CV-da) that was commonly used in basic and clinical research. cABR consists of responses to formant energy as well as the energy of fundamental frequency. The co-existence of the two energy makes cABR a mixed response. We introduced a new stimulus of click-sawtooths (CSW) with similar time-lock patterns but without formant or harmonic energy. Ten young healthy volunteers were recruited and the cABRs of CV-da and CSW of their 20 ears were acquired. The response latencies, amplitudes, and frequency-domain analytic results were compared pairwisely between stimuli. The response amplitudes were significantly greater for CSW and the latencies were significantly shorter for CSW. The latency-intensity functions were also greater for CSW. For CSW, adjustments of energy component can be made without causing biased changes to the other. CSW may be used in future basic research and clinical applications.
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Affiliation(s)
- Guo-She Lee
- Department of Otolaryngology, School of Medicine, College of Medicine, Yangming Campus, National Yang Ming Chiao Tung University, Taipei, Taiwan and Department of Otolaryngology, Taipei City Hospital, Renai Branch, Taipei, Taiwan.
| | - Chen-Wei Chang
- Department of Speech Language Pathology and Audiology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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10
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Seif A, Shea C, Schmid S, Stevenson RA. A Systematic Review of Brainstem Contributions to Autism Spectrum Disorder. Front Integr Neurosci 2021; 15:760116. [PMID: 34790102 PMCID: PMC8591260 DOI: 10.3389/fnint.2021.760116] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 09/30/2021] [Indexed: 02/05/2023] Open
Abstract
Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects one in 66 children in Canada. The contributions of changes in the cortex and cerebellum to autism have been studied for decades. However, our understanding of brainstem contributions has only started to emerge more recently. Disruptions of sensory processing, startle response, sensory filtering, sensorimotor gating, multisensory integration and sleep are all features of ASD and are processes in which the brainstem is involved. In addition, preliminary research into brainstem contribution emphasizes the importance of the developmental timeline rather than just the mature brainstem. Therefore, the purpose of this systematic review is to compile histological, behavioral, neuroimaging, and electrophysiological evidence from human and animal studies about brainstem contributions and their functional implications in autism. Moreover, due to the developmental nature of autism, the review pays attention to the atypical brainstem development and compares findings based on age. Overall, there is evidence of an important role of brainstem disruptions in ASD, but there is still the need to examine the brainstem across the life span, from infancy to adulthood which could lead the way for early diagnosis and possibly treatment of ASD.
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Affiliation(s)
- Ala Seif
- Brain and Mind Institute, University of Western Ontario, London, ON, Canada.,Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.,Department of Psychology, University of Western Ontario, London, ON, Canada
| | - Carly Shea
- Brain and Mind Institute, University of Western Ontario, London, ON, Canada.,Department of Psychology, University of Western Ontario, London, ON, Canada
| | - Susanne Schmid
- Brain and Mind Institute, University of Western Ontario, London, ON, Canada.,Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.,Department of Psychology, University of Western Ontario, London, ON, Canada
| | - Ryan A Stevenson
- Brain and Mind Institute, University of Western Ontario, London, ON, Canada.,Department of Psychology, University of Western Ontario, London, ON, Canada
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11
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Mansour Y, Burchell A, Kulesza RJ. Central Auditory and Vestibular Dysfunction Are Key Features of Autism Spectrum Disorder. Front Integr Neurosci 2021; 15:743561. [PMID: 34658804 PMCID: PMC8513787 DOI: 10.3389/fnint.2021.743561] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 09/07/2021] [Indexed: 12/27/2022] Open
Abstract
Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by repetitive behaviors, poor social skills, and difficulties with communication. Beyond these core signs and symptoms, the majority of subjects with ASD have some degree of auditory and vestibular dysfunction. Dysfunction in these sensory modalities is significant as normal cognitive development depends on an accurate representation of our environment. The hearing difficulties in ASD range from deafness to hypersensitivity and subjects with ASD have abnormal sound-evoked brainstem reflexes and brainstem auditory evoked potentials. Vestibular dysfunction in ASD includes postural instability, gait dysfunction, and impaired gaze. Untreated vestibular dysfunction in children can lead to delayed milestones such as sitting and walking and poor motor coordination later in life. Histopathological studies have revealed that subjects with ASD have significantly fewer neurons in the auditory hindbrain and surviving neurons are smaller and dysmorphic. These findings are consistent with auditory dysfunction. Further, the cerebellum was one of the first brain structures implicated in ASD and studies have revealed loss of Purkinje cells and the presence of ectopic neurons. Together, these studies suggest that normal auditory and vestibular function play major roles in the development of language and social abilities, and dysfunction in these systems may contribute to the core symptoms of ASD. Further, auditory and vestibular dysfunction in children may be overlooked or attributed to other neurodevelopmental disorders. Herein we review the literature on auditory and vestibular dysfunction in ASD. Based on these results we developed a brainstem model of central auditory and vestibular dysfunction in ASD and propose that simple, non-invasive but quantitative testing of hearing and vestibular function be added to newborn screening protocols.
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Affiliation(s)
- Yusra Mansour
- Department of Otolaryngology, Henry Ford Macomb Hospital, Detroit, MI, United States
- Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, United States
| | - Alyson Burchell
- Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, United States
| | - Randy J. Kulesza
- Department of Anatomy, Lake Erie College of Osteopathic Medicine, Erie, PA, United States
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12
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Sininger YS, Condon CG, Gimenez LA, Shuffrey LC, Myers MM, Elliott AJ, Thai T, Nugent JD, Pini N, Sania A, Odendaal HJ, Angal J, Tobacco D, Hoffman HJ, Simmons DD, Fifer WP. Prenatal Exposure to Tobacco and Alcohol Alters Development of the Neonatal Auditory System. Dev Neurosci 2021; 43:358-375. [PMID: 34348289 DOI: 10.1159/000518130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 06/25/2021] [Indexed: 11/19/2022] Open
Abstract
Prenatal exposures to alcohol (PAE) and tobacco (PTE) are known to produce adverse neonatal and childhood outcomes including damage to the developing auditory system. Knowledge of the timing, extent, and combinations of these exposures on effects on the developing system is limited. As part of the physiological measurements from the Safe Passage Study, Auditory Brainstem Responses (ABRs) and Transient Otoacoustic Emissions (TEOAEs) were acquired on infants at birth and one-month of age. Research sites were in South Africa and the Northern Plains of the U.S. Prenatal information on alcohol and tobacco exposure was gathered prospectively on mother/infant dyads. Cluster analysis was used to characterize three levels of PAE and three levels of PTE. Repeated-measures ANOVAs were conducted for newborn and one-month-old infants for ABR peak latencies and amplitudes and TEOAE levels and signal-to-noise ratios. Analyses controlled for hours of life at test, gestational age at birth, sex, site, and other exposure. Significant main effects of PTE included reduced newborn ABR latencies from both ears. PTE also resulted in a significant reduction of ABR peak amplitudes elicited in infants at 1-month of age. PAE led to a reduction of TEOAE amplitude for 1-month-old infants but only in the left ear. Results indicate that PAE and PTE lead to early disruption of peripheral, brainstem, and cortical development and neuronal pathways of the auditory system, including the olivocochlear pathway.
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Affiliation(s)
- Yvonne S Sininger
- Department of Head & Neck Surgery, University of California, Los Angeles, California, USA
- C&Y Consultants, Santa Fe, New Mexico, USA
| | - Carmen G Condon
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
| | - Lissete A Gimenez
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
| | - Lauren C Shuffrey
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
| | - Michael M Myers
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
- Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA
| | - Amy J Elliott
- Center for Pediatric & Community Research, Avera Research Institute, Sioux Falls, South Dakota, USA
- Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, South Dakota, USA
| | - Tracy Thai
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
| | - James D Nugent
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
| | - Nicolò Pini
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
| | - Ayesha Sania
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
| | - Hein J Odendaal
- Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa
| | - Jyoti Angal
- Center for Pediatric & Community Research, Avera Research Institute, Sioux Falls, South Dakota, USA
- Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, South Dakota, USA
| | - Deborah Tobacco
- Center for Pediatric & Community Research, Avera Research Institute, Sioux Falls, South Dakota, USA
- Department of Pediatrics, University of South Dakota School of Medicine, Sioux Falls, South Dakota, USA
| | - Howard J Hoffman
- Epidemiology and Statistics Program, National Institute on Deafness and Other Communication Disorders (NIDCD), National Institutes of Health (NIH), Bethesda, Maryland, USA
| | | | - William P Fifer
- Division of Developmental Neuroscience, New York State Psychiatric Institute, New York, New York, USA
- Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA
- Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA
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13
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Lemos FA, da Silva Nunes AD, de Souza Evangelista CK, Escera C, Taveira KVM, Balen SA. Frequency-Following Response in Newborns and Infants: A Systematic Review of Acquisition Parameters. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:2085-2102. [PMID: 34057846 DOI: 10.1044/2021_jslhr-20-00639] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Purpose The purpose of this study is to characterize parameters used for frequency-following response (FFR) acquisition in children up to 24 months of age through a systematic review. Method The study was registered in PROSPERO and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses' recommendations. Search was performed in six databases (LILACS, LIVIVO, PsycINFO, PubMed, Scopus, and Web of Science) and gray literature (Google Scholar, OpenGrey, ProQuest)as well as via manual searches in bibliographic references. Observational studies using speech stimuli to elicit the FFR in infants with normal hearing on the age range from 0 until 24 months were included. No restrictions regarding language and year of publication were applied. Risk of bias was assessed with the Joanna Briggs Institute Critical Appraisal Checklist. Data on stimulus, presentation rate, time window for analysis, number of sweeps, artifact rejection, online filters, stimulated ear, and examination condition were extracted. Results Four hundred fifty-nine studies were identified. After removing duplicates and reading titles and abstracts, 15 articles were included. Seven studies were classified as low risk of bias, seven as moderate risk, and one as high risk. Conclusions There is a consensus in the use of some acquisition parameters of the FFR with speech stimulus, such as the vertical mounting, the use of alternating polarity, a sampling rate of 20000 Hz, and the /da/ synthesized syllable of 40 ms in duration as the preferred stimulus. Although these parameters show some consensus, the results disclosed lack of a single established protocol for FFR acquisition with speech stimulus in infants in the investigated age range.
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Affiliation(s)
- Fabiana Aparecida Lemos
- Speech, Language and Hearing Sciences Graduate Program, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Laboratory of Technological Innovation in Health of the Federal University of Rio Grande do Norte (LAIS/UFRN), Natal, Brazil
| | - Aryelly Dayane da Silva Nunes
- Speech, Language and Hearing Sciences Graduate Program, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Laboratory of Technological Innovation in Health of the Federal University of Rio Grande do Norte (LAIS/UFRN), Natal, Brazil
| | - Carolina Karla de Souza Evangelista
- Speech, Language and Hearing Sciences Graduate Program, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Laboratory of Technological Innovation in Health of the Federal University of Rio Grande do Norte (LAIS/UFRN), Natal, Brazil
| | - Carles Escera
- Brainlab - Cognitive Neuroscience Research Group, Department of Clinical Psychology and Psychobiology, University of Barcelona, Spain
- Institute of Neurosciences, University of Barcelona, Spain
- Sant Joan de Déu Research Institute, Esplugues de Llobregat Barcelona, Spain
| | | | - Sheila Andreoli Balen
- Speech, Language and Hearing Sciences Graduate Program, Health Sciences Center, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil
- Laboratory of Technological Innovation in Health of the Federal University of Rio Grande do Norte (LAIS/UFRN), Natal, Brazil
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Li A, Gao G, Fu T, Pang W, Zhang X, Qin Z, Ge R. Continued development of auditory ability in autism spectrum disorder children: A clinical study on click-evoked auditory brainstem response. Int J Pediatr Otorhinolaryngol 2020; 138:110305. [PMID: 32836141 DOI: 10.1016/j.ijporl.2020.110305] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES The study aimed to analyze the developmental mode of auditory at the level of brainstem in preschool autistic children using click-evoked auditory brainstem response (click-ABR). METHODS Twenty children with autism spectrum disorder (ASD) and 20 age matched typical development children (TD) were recruited. The detail data recorded from click-ABR were collected at two time periods (T1 and T2). RESULTS There was no significant change in TD group at two time periods. In ASD group, wave V latency was significantly shortened at T2 compared to that recorded at T1. The interpeak latency of I-V was short at T2 versus at T1 in the autistic children. Compared to the TD group, ASD was associated with longer latencies for waves V and longer interpeak latencies of I-III, I-V at T1. In addition, ASD group also indicated longer latencies of wave III and wave V, longer interpeak latencies of I-III and I-V at T2 compared to the TD group. CONCLUSIONS ASD group had immature and dysfunction developmental mode in auditory stimuli perception at the level of brainstem. The performance of auditory ability in children with ASD improved gradually with ages. However, there are still differences compared with TD children.
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Affiliation(s)
- Aifeng Li
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
| | - Guoqiang Gao
- Department of Obstetrics, The Affiliated Hospital of Qingdao University, China
| | - Tao Fu
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Wenhui Pang
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Xiaoheng Zhang
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Zuorong Qin
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Ruifeng Ge
- Key Laboratory, Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
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Study of the brainstem auditory evoked potential with speech stimulus in the pediatric population with and without oral language disorders: a systematic review. Braz J Otorhinolaryngol 2020; 86:793-811. [PMID: 32768355 PMCID: PMC9422481 DOI: 10.1016/j.bjorl.2020.05.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 05/20/2020] [Accepted: 05/31/2020] [Indexed: 11/23/2022] Open
Abstract
Introduction Objective Methods Result Conclusion
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Jones MK, Kraus N, Bonacina S, Nicol T, Otto-Meyer S, Roberts MY. Auditory Processing Differences in Toddlers With Autism Spectrum Disorder. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2020; 63:1608-1617. [PMID: 32407656 PMCID: PMC7842119 DOI: 10.1044/2020_jslhr-19-00061] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 11/18/2019] [Accepted: 02/03/2020] [Indexed: 06/11/2023]
Abstract
Purpose Auditory processing measures have been used in an attempt to understand the relationship between neurological mechanisms and autism spectrum disorder (ASD) symptomatology in school-age children. The focus of the current study was to understand neural auditory processing in 2- to 3-year-olds with ASD. Method Auditory processing measures (click auditory brainstem responses and speech-evoked frequency-following responses) were hypothesized to differ between typically developing children (n = 18) and children with ASD (n = 18). Auditory processing measures were hypothesized to relate to language development in children with ASD. Results The current study found limited differences in auditory processing measures between the two groups. No relationships were found between auditory processing measures and language development measures. Conclusions Future research is necessary to characterize auditory processing in toddlers with ASD. Longitudinal approaches should be considered when studying auditory processing in children with ASD in order to explore its developmental relationship with ASD symptomatology.
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Affiliation(s)
- Maranda K. Jones
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
| | - Nina Kraus
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
- Department of Neurobiology, Northwestern University, Evanston, IL
- Department of Otolaryngology, Northwestern University, Evanston, IL
| | - Silvia Bonacina
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
| | - Trent Nicol
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
| | - Sebastian Otto-Meyer
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
| | - Megan Y. Roberts
- The Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
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The impact of white matter hyperintensities on speech perception. Neurol Sci 2020; 41:1891-1898. [PMID: 32095945 DOI: 10.1007/s10072-020-04295-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 02/11/2020] [Indexed: 02/08/2023]
Abstract
BACKGROUND The presence of white matter hyperintensities (WMHs) can impact on normal brain function by altering normal signal transmission and determining different symptoms. AIM To evaluate the relationship between the presence of brain WMHs and the scores of speech perception test (SPT) in a sample of normal-hearing patients under 70 years of age. MATERIAL AND METHOD Prospective study. One hundred eleven patients underwent audiological screening with pure tone audiometry (PTA), tympanometry, speech perception testing (SPT), and brain magnetic resonance imaging (MRI). T2 sequences were analyzed to identify the presence of WMH that, if identified, were scored using the Fazekas score. Statistical multiple regression analysis was performed to understand the relationship between PTA and SPT score; the Pearson's and Spearman's tests were used to evaluate the correlation between Fazekas scores and SPT. Chi-square test was used to analyze the difference between gender. RESULTS The results of PTA were not predictive of the SPT score. A negative statistically significant correlation (Spearman's, p = 0.0001; Pearson's, p < 0.001) was identified between the Fazekas score and the results of SPT. No statistically significant differences were identified in the correlation of WMH and SPT between males and females. CONCLUSION Multiple WMHs in the brain can worsen word recognition in patients with normal auditory threshold; this may be related to the impact that these lesions have on the memory ability. Spread of lesions into the brain might reduce the brain capacity to remember words, despite the sound is correctly perceived by the ear.
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Moossavi A, Lotfi Y, Javanbakht M, Faghihzadeh S. Speech-evoked auditory brainstem response; electrophysiological evidence of upper brainstem facilitative role on sound lateralization in noise. Neurol Sci 2019; 41:611-617. [PMID: 31732889 DOI: 10.1007/s10072-019-04102-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 10/04/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND AIM Sound lateralization/localization is one of the most important auditory processing abilities, which plays approved role in auditory streaming and speech perception in challenging situations like noisy places. In addition to the main role of lower brainstem centers like superior olivary complex in sound lateralization, efferent auditory system effects on improving auditory skills in everyday auditory challenging positions were revealed. This study evaluated noise effects on lateralization scores in correlation with an objective electrophysiologic test (Speech-ABR in noise), which objectively shows cumulative effects of the afferent and efferent auditory systems at the inferior colliculus and upper brainstem pathway. METHOD Fourteen normal-hearing subjects in the age range of 18 to 25 participated in this study. Lateralization scores in the quiet and noisy modes were evaluated. Speech-ABR in both ears for quiet mode and three different contralateral noise levels (SNR = + 5, 0, - 5) were recorded, too. Correlation of lateralization scores and Speech-ABR changes in noise was studied. RESULTS Significant decrease of lateralization scores with latency increase and amplitude decrease of Speech-ABR transient peaks (V, A, O) was seen with noise presentation. A high positive correlation between lateralization decrease with latency increase of onset peaks (V, A) and amplitude decrease of transient peaks (V, A, O) was found in low signal-to-noise ratios. CONCLUSION The study revealed that in high challenging auditory situations like auditory lateralization in noise, upper brainstem centers and pathways play a facilitative role for main auditory lateralization centers in lower levels.
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Affiliation(s)
- Abdollah Moossavi
- Department of Otolaryngology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Yones Lotfi
- Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohanna Javanbakht
- Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
| | - Soghrat Faghihzadeh
- Department of Biostatistics and Epidemiology, Zanjan University of Medical Sciences, Zanjan, Iran
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