MedPath

Neurophysiological Measures of Auditory Perception and Rehabilitation in Cochlear Implanted Patients

Not Applicable
Completed
Conditions
Deafness
Interventions
Other: Auditory steady-state response ASSR
Other: Speech-ABR
Other: Acoustic Change Complex ACC
Other: P1-N1-P2 complex and Mismatch Negativity MMN
Registration Number
NCT02323256
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

This study aims at investigating new automatic fitting techniques for cochlear implant patients based on objective measures. For this reason, the evolution of these neurophysiological measures, expressing the encoding of pure tones and speech, will be characterized in cochlear implanted patients as a function of post-implantation time and will be compared to those of normal hearing subjects. Moreover, the effect of auditory training with new tools based on serious games will be assessed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
91
Inclusion Criteria
  • native French speaker
  • no medical treatment for behavior or neurological disorders
  • normal or corrected vision
  • right-handed
  • normal ORL examination
  • valid affiliation to social security
  • absence of participation to another study

For the cochlear implanted patients:

  • aged from 1 to 70
  • bilateral severe to profound deafness
  • cochlear implant
  • congenital deafness, pre or post lingual

For the normal-hearing subjects:

  • Aged from 18 to 70
  • Normal tonal audiometry
Read More
Exclusion Criteria
  • No signed consent
  • Treatment for depression, epilepsy, Parkinson's or Alzheimer's disease
  • Physical health deficiency
  • Mental retardation
  • Neurological or psychiatric disease incompatible with the testing procedure
  • Schooling in a foreign language
  • Foreign language spoken at home with both parents
  • Invalid social security
  • For the normal hearing subjects, no known hearing deficits
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
newly cochlear implanted adult patientsAuditory steady-state response ASSRlongitudinal group
cochlear implanted adult patients (CI>1 year)Auditory steady-state response ASSRtransversal group
newly cochlear implanted childrenAuditory steady-state response ASSRlongitudinal group
newly cochlear implanted adult patientsAcoustic Change Complex ACClongitudinal group
cochlear implanted adult patients (CI>1 year)Acoustic Change Complex ACCtransversal group
normal hearing adult subjectsAcoustic Change Complex ACCtransversal group
newly cochlear implanted childrenAcoustic Change Complex ACClongitudinal group
newly cochlear implanted adult patientsP1-N1-P2 complex and Mismatch Negativity MMNlongitudinal group
newly cochlear implanted childrenSpeech-ABRlongitudinal group
newly cochlear implanted adult patientsSpeech-ABRlongitudinal group
newly cochlear implanted childrenP1-N1-P2 complex and Mismatch Negativity MMNlongitudinal group
cochlear implanted adult patients (CI>1 year)Speech-ABRtransversal group
cochlear implanted adult patients (CI>1 year)P1-N1-P2 complex and Mismatch Negativity MMNtransversal group
normal hearing adult subjectsAuditory steady-state response ASSRtransversal group
normal hearing adult subjectsSpeech-ABRtransversal group
normal hearing adult subjectsP1-N1-P2 complex and Mismatch Negativity MMNtransversal group
Primary Outcome Measures
NameTimeMethod
Spectro-temporal analysis of speech-ABRone year at least after CI activation
Evolution of spectro-temporal analysis of speech-ABR1 month, 3 months, 6 months, 9 months and 12 months after CI activation

Evolution of spectro-temporal analysis of speech-ABR as a function of time during the first year of CI activation in newly implanted patients

Evolution of amplitude of auditory steady state responses ASSR1 month, 3 months, 6 months, 9 months and 12 months after CI activation

Evolution of ASSR amplitudes as a function of time during the first year of CI activation in newly implanted patients

amplitudes and latencies of P1/N1/P2 complex and Mismatch Negativity MMN1 month, 3 months, 6 months, 9 months and 12 months after CI activation

Evolution of amplitudes and latencies of P1N1P2 and MMN as a function of time during the first year of CI activation in newly implanted patients

Acoustic Change Complex ACC1 month, 3 months, 6 months, 9 months and 12 months after CI activation

Evolution of amplitudes and latencies of ACC as a function of time during the first year of CI activation in newly implanted patients

Amplitude of auditory steady state responses ASSRone year at least after CI activation
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hospices Civils de Lyon - Hopital Edouard Herriot

🇫🇷

Lyon, France

© Copyright 2025. All Rights Reserved by MedPath