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  • Long-term use benefits of personal frequency-modulated systems for speech in noise perception in patients with stroke with auditory processing deficits: a non-randomised controlled trial study

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Neurology
Research
Long-term use benefits of personal frequency-modulated systems for speech in noise perception in patients with stroke with auditory processing deficits: a non-randomised controlled trial study
  1. Nehzat Koohi1,2,
  2. Deborah Vickers3,
  3. Jason Warren2,4,
  4. David Werring2,5,
  5. Doris-Eva Bamiou1,2
  1. 1UCL Ear Institute, London, UK
  2. 2National Hospital for Neurology and Neurosurgery, London, UK
  3. 3UCL Speech Hearing and Phonetic Sciences, London, UK
  4. 4UCL Dementia Research Centre
  5. 5Department of Brain Repair and Rehabilitation, Stroke Research Centre, UCL Institute of Neurology
  1. Correspondence to Dr Doris-Eva Bamiou; d.bamiou{at}ucl.ac.uk

Abstract

Objectives Approximately one in five stroke survivors suffer from difficulties with speech reception in noise, despite normal audiometry. These deficits are treatable with personal frequency-modulated systems (FMs). This study aimed to evaluate long-term benefits in speech reception in noise, after daily 10-week use of personal FMs, in non-aphasic patients with stroke with auditory processing deficits.

Design This was a prospective non-randomised controlled trial study. Patients were allocated to an intervention care group or standard care subjects group according to their willingness to use the intervention or not.

Setting Tertiary care setting.

Participants Nine non-aphasic subjects with ischaemic stroke, normal/near-normal audiometry and auditory processing deficits and with reported difficulties understanding speech in background noise were recruited in the subacute stroke stage (3–12 months after stroke).

Interventions Four patients (intervention care subjects) used the FMs in their daily life over 10 weeks. Five patients (standard care subjects) received standard care.

Primary outcome measures All subjects were tested at baseline (visit 1) and 10 weeks later (visit 2) on a sentences in noise test with the FMs (aided) and without the FMs (unaided).

Results Speech reception thresholds showed clinically and statistically significant improvements in intervention but not in standard care subjects at 10 weeks in aided and unaided conditions.

Conclusions 10-week use of FMs by adult patients with stroke may lead to benefits in unaided speech in noise perception. Our findings may indicate auditory plasticity type changes and require further investigation.

Trial registration number Pre-results; NCT02889107.

  • auditory plasticity
  • frequency modulated systems
  • speech in noise
  • auditory processing

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-013003

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    Footnotes

    • Contributors All authors contributed to the design, results analysis, interpretation and write-up of the paper. NK conducted the tests. The paper was drafted by NK and D-EB, finalised by D-EB and approved by all authors.

    • Funding This study was funded by the British Medical Association Helen Lawson grant. The FM systems were kindly provided by Phonak.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval The National Hospital for Neurology Ethics Committee approved the study (Project number 11/0469; REC 11/LO/1675).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement Extra data can be accessed via the Dryad data repository at http://datadryad.org/ with the doi:10.5061/dryad.3hg4k.