Auditory Temporal Processing Deficits in Chronic Stroke: A Comparison of Brain Damage Lateralization Effect

作者：Jafari Zahra^*; Esmaili Mahdiye; Delbari Ahmad; Mehrpour Masoud; Mohajerani Majid H

来源：Journal of Stroke and Cerebrovascular Diseases, 2016, 25(6): 1403-1410.

DOI：10.1016/j.jstrokecerebrovasdis.2016.02.030

• Stroke
• brain damage
• temporal processing
• auditory cerebrum
• gap in noise
• aging

Background: There have been a few reports about the effects of chronic stroke on auditory temporal processing abilities and no reports regarding the effects of brain damage lateralization on these abilities. Our study was performed on 2 groups of chronic stroke patients to compare the effects of hemispheric lateralization of brain damage and of age on auditory temporal processing. Methods: Seventy persons with normal hearing, including 25 normal controls, 25 stroke patients with damage to the right brain, and 20 stroke patients with damage to the left brain, without aphasia and with an age range of 31-71 years were studied. A gap-in-noise (GIN) test and a duration pattern test (DPT) were conducted for each participant. Results: Significant differences were found between the 3 groups for GIN threshold, overall GIN percent score, and DPT percent score in both ears (P <= .001). For all stroke patients, performance in both GIN and DPT was poorer in the ear contralateral to the damaged hemisphere, which was significant in DPT and in 2 measures of GIN (P <= .046). Advanced age had a negative relationship with temporal processing abilities for all 3 groups. Conclusions: In cases of confirmed left-or right-side stroke involving auditory cerebrum damage, poorer auditory temporal processing is associated with the ear contralateral to the damaged cerebral hemisphere. Replication of our results and the use of GIN and DPT tests for the early diagnosis of auditory processing deficits and for monitoring the effects of aural rehabilitation interventions are recommended.

• 出版日期2016-6