This project examines the structure and function of neural systems that are hypothesized to contribute toage-related declines in speech recognition. Large age-related differences in speech recognition areobserved in complex and demanding listening environments for reasons that are unclear. Aging brainsundergo extraordinary changes and there is little understanding of how these changes limit or preservecognitive abilities. We propose to track the aging of two neural systems that play central roles in hypothesesfor declines in speech recognition.
Aim 2. 1 tests the hypothesis that age-related anatomical declines inbrain regions that support speech recognition lead to increased reliance on attention-related frontal cortex forword recognition in normal hearing adults.
Aim 2. 2 tests the hypothesis that older adults with normalhearing exhibit speech recognition declines when additive anatomical declines within speech-related andattention-related systems limit the ability to attend to degraded speech.
Aim 2. 3 tests the hypothesis that themost common form of age-related hearing loss, metabolic presbyacusis, leads to compensatory changeswithin speech-related and attention-related systems. This project uses brain activation experiments to definespeech-responsive brain regions where anatomical declines may explain the connection between the agingbrain and speech recognition difficulties. This project will provide an understanding of the age-relatedneurobiological changes that people with normal hearing and with hearing loss experience and therebyprovide a foundation for improving the speech recognition of older adults through the development ofintervention strategies that are based on the peripheral and central nervous system changes that occur withage.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Specialized Center (P50)
Project #
2P50DC000422-21A1
Application #
7504585
Study Section
Special Emphasis Panel (ZDC1-SRB-S (01))
Project Start
Project End
Budget Start
2008-08-01
Budget End
2009-07-31
Support Year
21
Fiscal Year
2008
Total Cost
$381,335
Indirect Cost
Name
Medical University of South Carolina
Department
Type
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
McRackan, Theodore R; Fabie, Joshua E; Burton, Jane A et al. (2018) Earphone and Aided Word Recognition Differences in Cochlear Implant Candidates. Otol Neurotol 39:e543-e549
Dubno, Judy R (2018) Beyond the audiogram: application of models of auditory fitness for duty to assess communication in the real world. Int J Audiol 57:321-322
McRackan, Theodore R; Clinkscales, William B; Ahlstrom, Jayne B et al. (2018) Factors associated with benefit of active middle ear implants compared to conventional hearing aids. Laryngoscope 128:2133-2138
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Simpson, Annie N; Simpson, Kit N; Dubno, Judy R (2018) Healthcare Costs for Insured Older U.S. Adults with Hearing Loss. J Am Geriatr Soc 66:1546-1552

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