Age related declines in speech recognition are common for older adults and pose serious consequences for quality of life, which include a variety of poorer health outcomes and decreased economic productivity. Current rehabilitation methods largely depend on amplification to restore speech information and improve speech recognition. However, age-related changes throughout the central and peripheral auditory system may limit the efficacy of intervention strategies and contribute to speech recognition difficulties in older adults. Despite the growing importance of understanding the effects of age on the central auditory system and speech recognition difficulties, studies linking these related phenomena in humans are scarce. The proposed projects use complementary neuroimaging and behavioral methods to identify the structural and metabolic bases for neural declines that impact speech recognition with age. The experiments in Aim 1 examine how age-related deficits in the auditory nerve contribute to dyssynchrony and lead to changes in neural function, structure, and metabolism throughout the central auditory system, and declines in speech recognition. The experiments in Aim 2 characterize how advanced age alters cortical microstructure and contributes to slowed neural processing speed, which is predicted to limit speech envelope encoding and result in poorer speech recognition. By identifying specific neural deficits that contribute to age-related speech recognition declines, the proposed project may lead to improved and more individualized diagnoses and detection of specific age-related auditory processing deficits, and guide the development of more personalized signal processing algorithms for amplification devices and neural based interventions.

Public Health Relevance

Age related changes in speech recognition have serious consequences for quality of life and are associated with poorer health outcomes and decreased economic productivity. This project uses complementary measures that have specific neural activity, microstructure, and metabolic bases to help identify underlying neuropathologic determinates that contribute to speech recognition declines in older adult. Results may lead to the development of new intervention and remediation strategies that are based on specific deficits seen for a particular pathology.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Research Project (R01)
Project #
5R01DC014467-02
Application #
9011517
Study Section
Auditory System Study Section (AUD)
Program Officer
Donahue, Amy
Project Start
2015-04-01
Project End
2020-03-31
Budget Start
2016-04-01
Budget End
2017-03-31
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Medical University of South Carolina
Department
Otolaryngology
Type
Schools of Medicine
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29403
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Harris, Kelly C; Vaden Jr, Kenneth I; McClaskey, Carolyn M et al. (2018) Complementary metrics of human auditory nerve function derived from compound action potentials. J Neurophysiol 119:1019-1028
Dias, James W; McClaskey, Carolyn M; Harris, Kelly C (2018) Time-Compressed Speech Identification Is Predicted by Auditory Neural Processing, Perceptuomotor Speed, and Executive Functioning in Younger and Older Listeners. J Assoc Res Otolaryngol :
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