{"id":"https://openalex.org/W7127098134","doi":"https://doi.org/10.1097/aud.0000000000001787","title":"Age-Related Changes in Speech Recognition Performance-Intensity Functions and Auditory Brainstem Responses","display_name":"Age-Related Changes in Speech Recognition Performance-Intensity Functions and Auditory Brainstem Responses","publication_year":2026,"publication_date":"2026-02-03","ids":{"openalex":"https://openalex.org/W7127098134","doi":"https://doi.org/10.1097/aud.0000000000001787","pmid":"https://pubmed.ncbi.nlm.nih.gov/41630129"},"language":"en","primary_location":{"id":"doi:10.1097/aud.0000000000001787","doi":"https://doi.org/10.1097/aud.0000000000001787","is_oa":false,"landing_page_url":"https://doi.org/10.1097/aud.0000000000001787","pdf_url":null,"source":{"id":"https://openalex.org/S42775958","display_name":"Ear and Hearing","issn_l":"0196-0202","issn":["0196-0202","1538-4667"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear & Hearing","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007500077","display_name":"Bruna S. Mussoi","orcid":"https://orcid.org/0000-0003-3663-4155","observed_orcids":["https://orcid.org/0000-0003-3663-4155"]},"institutions":[{"id":"https://openalex.org/I160606119","display_name":"University of Tennessee Health Science Center","ror":"https://ror.org/0011qv509","country_code":"US","type":"education","lineage":["https://openalex.org/I160606119"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Bruna S. Mussoi","raw_affiliation_strings":["Department of Audiology and Speech Pathology, The University of Tennessee Health Science Center, Knoxville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Audiology and Speech Pathology, The University of Tennessee Health Science Center, Knoxville, Tennessee, USA","institution_ids":["https://openalex.org/I160606119"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007500077"],"corresponding_institution_ids":["https://openalex.org/I160606119"],"apc_list":null,"apc_paid":null,"fwci":8.1151,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.96056738,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"47","issue":"4","first_page":"936","last_page":"945"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10334","display_name":"Hearing, Cochlea, Tinnitus, Genetics","score":0.9125999808311462,"subfield":{"id":"https://openalex.org/subfields/2809","display_name":"Sensory Systems"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10334","display_name":"Hearing, Cochlea, Tinnitus, Genetics","score":0.9125999808311462,"subfield":{"id":"https://openalex.org/subfields/2809","display_name":"Sensory Systems"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.0868000015616417,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10542","display_name":"Vestibular and auditory disorders","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2808","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/age-related-hearing-loss","display_name":"age-related hearing loss","score":0.8690000176429749},{"id":"https://openalex.org/keywords/speech-recognition-in-noise","display_name":"speech recognition in noise","score":0.8949999809265137},{"id":"https://openalex.org/keywords/performance-intensity-function","display_name":"performance-intensity function","score":0.8849999904632568},{"id":"https://openalex.org/keywords/auditory-brainstem-response","display_name":"auditory brainstem response","score":0.9509999752044678},{"id":"https://openalex.org/keywords/cochlear-synaptopathy","display_name":"cochlear synaptopathy","score":0.9300000071525574},{"id":"https://openalex.org/keywords/signal-to-noise-ratio","display_name":"signal-to-noise ratio","score":0.8220000267028809},{"id":"https://openalex.org/keywords/presentation-rate","display_name":"presentation rate","score":0.4490000009536743},{"id":"https://openalex.org/keywords/distortion-product-otoacoustic-emissions","display_name":"distortion product otoacoustic emissions","score":0.8100000023841858},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.5849999785423279}],"concepts":[{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.6744999885559082},{"id":"https://openalex.org/C43791021","wikidata":"https://www.wikidata.org/wiki/Q608256","display_name":"Auditory brainstem response","level":3,"score":0.5843999981880188},{"id":"https://openalex.org/C99209842","wikidata":"https://www.wikidata.org/wiki/Q643696","display_name":"Speech perception","level":3,"score":0.5541999936103821},{"id":"https://openalex.org/C185263204","wikidata":"https://www.wikidata.org/wiki/Q1154774","display_name":"Electrophysiology","level":2,"score":0.51910001039505},{"id":"https://openalex.org/C28490314","wikidata":"https://www.wikidata.org/wiki/Q189436","display_name":"Speech recognition","level":1,"score":0.4853000044822693},{"id":"https://openalex.org/C551621295","wikidata":"https://www.wikidata.org/wiki/Q182228","display_name":"Brainstem","level":2,"score":0.4609000086784363},{"id":"https://openalex.org/C99498987","wikidata":"https://www.wikidata.org/wiki/Q2210247","display_name":"Noise (video)","level":3,"score":0.44530001282691956},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.40450000762939453},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3804999887943268},{"id":"https://openalex.org/C26760741","wikidata":"https://www.wikidata.org/wiki/Q160402","display_name":"Perception","level":2,"score":0.35190001130104065},{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.3005000054836273},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.2856999933719635},{"id":"https://openalex.org/C3020799230","wikidata":"https://www.wikidata.org/wiki/Q160289","display_name":"Auditory perception","level":3,"score":0.25220000743865967},{"id":"https://openalex.org/C202101335","wikidata":"https://www.wikidata.org/wiki/Q7002166","display_name":"Neurocomputational speech processing","level":4,"score":0.25060001015663147}],"mesh":[{"descriptor_ui":"D000097942","descriptor_name":"Hearing Loss, Hidden","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000097942","descriptor_name":"Hearing Loss, Hidden","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000161","descriptor_name":"Acoustic Stimulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000161","descriptor_name":"Acoustic Stimulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D001301","descriptor_name":"Audiometry, Pure-Tone","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001301","descriptor_name":"Audiometry, Pure-Tone","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003051","descriptor_name":"Cochlea","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D003051","descriptor_name":"Cochlea","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009622","descriptor_name":"Noise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009622","descriptor_name":"Noise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011304","descriptor_name":"Presbycusis","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D011304","descriptor_name":"Presbycusis","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013067","descriptor_name":"Speech Perception","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D013067","descriptor_name":"Speech Perception","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D016057","descriptor_name":"Evoked Potentials, Auditory, Brain Stem","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D016057","descriptor_name":"Evoked Potentials, Auditory, Brain Stem","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D017084","descriptor_name":"Otoacoustic Emissions, Spontaneous","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D017084","descriptor_name":"Otoacoustic Emissions, Spontaneous","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/aud.0000000000001787","doi":"https://doi.org/10.1097/aud.0000000000001787","is_oa":false,"landing_page_url":"https://doi.org/10.1097/aud.0000000000001787","pdf_url":null,"source":{"id":"https://openalex.org/S42775958","display_name":"Ear and Hearing","issn_l":"0196-0202","issn":["0196-0202","1538-4667"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear & Hearing","raw_type":"journal-article"},{"id":"pmid:41630129","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41630129","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ear and hearing","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8371999859809875}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":63,"referenced_works":["https://openalex.org/W222028059","https://openalex.org/W1497444511","https://openalex.org/W1534748065","https://openalex.org/W1916040231","https://openalex.org/W1964240517","https://openalex.org/W1968524945","https://openalex.org/W1975346954","https://openalex.org/W1986899373","https://openalex.org/W1998952451","https://openalex.org/W2011364780","https://openalex.org/W2015421963","https://openalex.org/W2026106538","https://openalex.org/W2033678906","https://openalex.org/W2037703530","https://openalex.org/W2044664542","https://openalex.org/W2054620009","https://openalex.org/W2055026822","https://openalex.org/W2057725339","https://openalex.org/W2069693319","https://openalex.org/W2081173744","https://openalex.org/W2085169251","https://openalex.org/W2089336455","https://openalex.org/W2092663121","https://openalex.org/W2097498366","https://openalex.org/W2123256745","https://openalex.org/W2128024483","https://openalex.org/W2137182383","https://openalex.org/W2145124268","https://openalex.org/W2161851299","https://openalex.org/W2165758561","https://openalex.org/W2203895492","https://openalex.org/W2268695670","https://openalex.org/W2314835883","https://openalex.org/W2320927083","https://openalex.org/W2335005682","https://openalex.org/W2418674986","https://openalex.org/W2520380456","https://openalex.org/W2737166034","https://openalex.org/W2777667864","https://openalex.org/W2879916001","https://openalex.org/W2886113798","https://openalex.org/W2904764231","https://openalex.org/W2906359847","https://openalex.org/W2914125321","https://openalex.org/W2922166354","https://openalex.org/W2950629677","https://openalex.org/W2960994863","https://openalex.org/W2971163970","https://openalex.org/W3082230420","https://openalex.org/W3108630404","https://openalex.org/W3135605731","https://openalex.org/W3170635726","https://openalex.org/W3190827438","https://openalex.org/W3213333062","https://openalex.org/W4200189975","https://openalex.org/W4206084227","https://openalex.org/W4210444594","https://openalex.org/W4224223892","https://openalex.org/W4239796705","https://openalex.org/W4283370337","https://openalex.org/W4292635990","https://openalex.org/W4388620505","https://openalex.org/W4395663524"],"related_works":[],"abstract_inverted_index":{"OBJECTIVES:":[0],"While":[1],"the":[2,36,62,132,202,217,252,299,336,356,366],"mechanisms":[3],"underlying":[4],"age-related":[5,39,300,362],"changes":[6],"in":[7,48,77,123,150,176,235,293,302,322,369],"speech":[8,253,291,320],"recognition":[9,74,254,292,321],"are":[10],"thought":[11],"to":[12,60,70,90,98,106,131,156,163,178,215,345],"be":[13,308],"multifactorial,":[14],"cochlear":[15,40,244,313,363],"synaptopathy":[16,41],"has":[17],"been":[18,51],"proposed":[19],"as":[20,222,310,324],"a":[21,185,190,325,346],"possible":[22],"peripheral":[23,279],"auditory":[24,81],"contributor.":[25],"Although":[26,298],"evidence":[27,311],"from":[28,45,161],"animal":[29],"and":[30,79,89,101,114,189,204,258,295,338],"human":[31],"temporal":[32],"bone":[33],"studies":[34,47],"supporting":[35],"presence":[37],"of":[38,56,64,220,229,243,283,312,327,349,358],"appears":[42],"compelling,":[43],"findings":[44],"prospective":[46],"humans":[49],"have":[50],"less":[52],"conclusive.":[53],"The":[54,195,226],"goals":[55],"this":[57,124,284],"study":[58,285],"were":[59,129,140,174,199,268],"investigate":[61],"effect":[63],"aging":[65,288],"on":[66,278],"measures":[67,351],"historically":[68],"used":[69],"assess":[71],"retrocochlear":[72],"function-speech":[73],"performance-intensity":[75,196,255,266,339],"functions":[76,139,267],"noise,":[78],"high-level":[80],"brainstem":[82],"responses":[83],"(ABR)":[84],"at":[85,153,169,184],"two":[86],"presentation":[87],"rates,":[88],"examine":[91],"their":[92,223],"association.":[93],"DESIGN:":[94],"Nineteen":[95],"younger":[96,203,224],"(18":[97],"36":[99],"yrs)":[100,108],"19":[102],"older":[103,205,209,236],"adults":[104,210,237],"(65":[105],"81":[107],"with":[109,240],"normal":[110],"audiometric":[111],"pure-tone":[112],"averages":[113],"clinically":[115],"present":[116],"distortion":[117],"product":[118],"otoacoustic":[119],"emissions":[120],"took":[121],"part":[122],"study.":[125],"All":[126],"test":[127],"materials":[128],"presented":[130,183],"right":[133],"ear":[134],"through":[135],"insert":[136],"earphones.":[137],"Performance-intensity":[138],"obtained":[141],"using":[142,270],"Northwestern":[143],"University":[144],"Auditory":[145],"Test":[146],"No.":[147],"6":[148,154],"words":[149,273],"multitalker":[151],"babble,":[152],"signal":[155],"noise":[157,294,323],"ratios":[158,234,306],"(SNRs)":[159],"ranging":[160],"-5":[162],"+20":[164],"dB":[165,171,180],"SNR":[166],"(noise":[167],"fixed":[168],"50":[170],"HL).":[172],"ABRs":[173],"recorded":[175],"response":[177],"80":[179],"nHL":[181],"clicks":[182],"slower":[186],"rate":[187,192],"(11.3/sec)":[188],"faster":[191],"(41.3/sec).":[193],"RESULTS:":[194],"function":[197,256,326,340],"slopes":[198],"comparable":[200],"between":[201,251,335],"age":[206,315],"groups,":[207],"but":[208],"needed":[211],"more":[212,276],"favorable":[213],"SNRs":[214],"achieve":[216],"same":[218],"level":[219],"performance":[221],"counterparts.":[225],"electrophysiological":[227,337],"finding":[228],"lower":[230],"I/V":[231,260,305,372],"ABR":[232,259,296,303,370],"amplitude":[233,261],"is":[238],"consistent":[239],"an":[241],"interpretation":[242],"synaptopathy.":[245],"However,":[246],"there":[247,331],"was":[248,332],"no":[249,333],"association":[250,334],"metrics":[257],"ratios,":[262],"even":[263],"though":[264],"full":[265],"obtained,":[269],"low-context":[271],"monosyllabic":[272],"that":[274,287,352],"depend":[275],"heavily":[277],"processing.":[280],"CONCLUSIONS:":[281],"Results":[282],"show":[286],"negatively":[289],"impacted":[290],"responses.":[297],"reduction":[301,368],"wave":[304,371],"could":[307],"interpreted":[309],"synaptopathy,":[314,364],"did":[316,353],"not":[317,354],"differentially":[318],"impact":[319],"SNR.":[328],"In":[329],"addition,":[330],"metrics.":[341],"These":[342],"results":[343,359],"add":[344],"growing":[347],"list":[348],"perceptual":[350],"follow":[355],"pattern":[357],"predicted":[360],"by":[361],"despite":[365],"expected":[367],"ratios.":[373]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-02-03T00:00:00"}