Simon P. Landry

The Effects of Aging on Clinical Vestibular Evaluations.

Balance disorders are common issues for aging populations due to the effects of normal aging on peripheral vestibular structures. These changes affect the results of vestibular function evaluations and make the interpretation of these results more difficult. The objective of this article is to review the current state of knowledge of clinically relevant vestibular measures. We will first focus on otolith function assessment methods cervical-VEMP (cVEMP) and ocular-VEMP (oVEMP), then the caloric and video-head impulse test (vHIT) methods for semicircular canals assessment. cVEMP and oVEMP are useful methods, though research on the effects of age for some parameters are still inconclusive. vHIT results are largely independent of age as compared to caloric stimulation and should therefore be preferred for the evaluation of the semicircular canals function.

Audiovisual segregation in cochlear implant users.

It has traditionally been assumed that cochlear implant users de facto perform atypically in audiovisual tasks. However, a recent study that combined an auditory task with visual distractors suggests that only those cochlear implant users that are not proficient at recognizing speech sounds might show abnormal audiovisual interactions. The present study aims at reinforcing this notion by investigating the audiovisual segregation abilities of cochlear implant users in a visual task with auditory distractors. Speechreading was assessed in two groups of cochlear implant users (proficient and non-proficient at sound recognition), as well as in normal controls. A visual speech recognition task (i.e. speechreading) was administered either in silence or in combination with three types of auditory distractors: i) noise ii) reverse speech sound and iii) non-altered speech sound. Cochlear implant users proficient at speech recognition performed like normal controls in all conditions, whereas non-proficient users showed significantly different audiovisual segregation patterns in both speech conditions. These results confirm that normal-like audiovisual segregation is possible in highly skilled cochlear implant users and, consequently, that proficient and non-proficient CI users cannot be lumped into a single group. This important feature must be taken into account in further studies of audiovisual interactions in cochlear implant users.

Short-Term Visual Deprivation Improves the Perception of Harmonicity

Neuroimaging studies have shown that the perception of auditory stimuli involves occipital cortical regions traditionally associated with visual processing, even in the absence of any overt visual component to the task. Analogous behavioral evidence of an interaction between visual and auditory processing during purely auditory tasks comes from studies of short-term visual deprivation on the perception of auditory cues, however, the results of such studies remain equivocal. Although some data have suggested that visual deprivation significantly increases loudness and pitch discrimination and reduces spatial localization inaccuracies, it is still unclear whether such improvement extends to the perception of spectrally complex cues, such as those involved in speech and music perception. We present data demonstrating that a 90-min period of visual deprivation causes a transient improvement in the perception of harmonicity: a spectrally complex cue that plays a key role in music and speech perception. The results provide clear behavioral evidence supporting a role for the visual system in the processing of complex auditory stimuli, even in the absence of any visual component to the task.

Sensory reweighting after loss of auditory cues in healthy adults

We maintain our balance using information provided by the visual, somatosensory, and vestibular systems on the position of our body in space. Recent evidence has suggested that auditory input also plays a significant role for postural control, yet further investigations are required to better understand the contributions of audition to this process in healthy adults. To date, the process of sensory reweighting when auditory cues are disturbed during postural control has been overlooked. The aim of this study is to determine the impact of hearing protection on sensory reweighting for postural control in healthy adults. For this, we studied 14 healthy adults on a force platform using four different postural conditions either with or without attenuation of auditory cues. Our results suggest that disturbing auditory cues increases the reliance on visual cues for postural control. This is the first study to demonstrate such a sensory reweighting occurs in the event of a sudden disturbance of auditory cues in healthy adults.

Musicians react faster and are better multisensory integrators

HighlightsA simple unisensory and multisensory audiotactile reaction time task was used.Musicians have faster auditory, tactile, and audiotactile reaction times.Musicians have an altered statistical use of multisensory information. Abstract The results from numerous investigations suggest that musical training might enhance how senses interact. Despite repeated confirmation of anatomical and structural changes in visual, tactile, and auditory regions, significant changes have only been reported in the audiovisual domain and for the detection of audio‐tactile incongruencies. In the present study, we aim at testing whether long‐term musical training might also enhance other multisensory processes at a behavioural level. An audio‐tactile reaction time task was administrated to a group of musicians and non‐musicians. We found significantly faster reaction times with musicians for auditory, tactile, and audio‐tactile stimulations. Statistical analyses between the combined uni‐ and multisensory reaction times revealed that musicians possess a statistical advantage when responding to multisensory stimuli compared to non‐musicians. These results suggest for the first time that long‐term musical training reduces simple non‐musical auditory, tactile, and multisensory reaction times. Taken together with the previous results from other sensory modalities, these results strongly point towards musicians being better at integrating the inputs from various senses.

Audiotactile interaction can change over time in cochlear implant users.

Recent results suggest that audiotactile interactions are disturbed in cochlear implant (CI) users. However, further exploration regarding the factors responsible for such abnormal sensory processing is still required. Considering the temporal nature of a previously used multisensory task, it remains unclear whether any aberrant results were caused by the specificity of the interaction studied or rather if it reflects an overall abnormal interaction. Moreover, although duration of experience with a CI has often been linked with the recovery of auditory functions, its impact on multisensory performance remains uncertain. In the present study, we used the parchment-skin illusion, a robust illustration of sound-biased perception of touch based on changes in auditory frequencies, to investigate the specificities of audiotactile interactions in CI users. Whereas individuals with relatively little experience with the CI performed similarly to the control group, experienced CI users showed a significantly greater illusory percept. The overall results suggest that despite being able to ignore auditory distractors in a temporal audiotactile task, CI users develop to become greatly influenced by auditory input in a spectral audiotactile task. When considered with the existing body of research, these results confirm that normal sensory interaction processing can be compromised in CI users.

Long-Term Musical Training Alters Tactile Temporal-Order Judgment

Long-term musical training is an enriched multisensory training environment that can alter uni- and multisensory substrates and abilities. Amongst these altered abilities are faster reaction times for simple and complex sensory tasks. The crossed arm temporal-order judgement (TOJ) task is a complex tactile task in which TOJ error rate increases when arms are crossed. Reaction times (RTs) for this task are typically proportionate to the difficulty of the stimulus onset asynchrony (SOA) and increase more when the arms are crossed than when uncrossed. The objective of this study was to study the impact of musical training on RTs and accuracy for the crossed arm TOJ task. Seventeen musicians and 20 controls were tested. Musicians had significantly faster RTs for all crossed arm conditions and half of the uncrossed conditions. However, musicians had significantly more TOJ errors for the crossed posture. We speculate that faster musician TOJ RTs leave little time to consolidate conflicting internal and external task-related information when crossing the arms, leading to increased incorrect responses. These results provide novel insights on the potential mechanisms underlying the increased TOJ error rates when arms are crossed. Moreover, they add to the growing literature of altered sensory ability in musicians and propose an unexpected consequence of faster reaction times.

Breaking News: Brain Plasticity an Obstacle for Cochlear Implant Rehabilitation

Visual stimulations can activate cortical regions normally devoted to auditory processing in deaf individuals (Prog Brain Res 2011;191:211), and it is generally believed that this crossmodal plasticity leads directly to behavioral advantages and improved communication strategies. Recent advances, however, in brain reorganization and multisensory processing have raised questions about the benefits of such compensatory mechanisms. An extensive reorganization might represent a change that may in some cases hinder rehabilitation for those seeking to restore their hearing perception.

Temporal and spectral audiotactile interactions in musicians

Previous investigations have revealed that the complex sensory exposure of musical training alters audiovisual interactions. As of yet, there has been little evidence on the effects of musical training on audiotactile interactions at a behavioural level. Here, we tested audiotactile interaction in musicians using the audiotactile illusory flash and the parchment-skin illusion. Significant differences were only found between musicians and non-musicians for the audiotactile illusory flash. Both groups had similar task-relevant unisensory abilities, but unlike non-musicians, the number of auditory stimulations did not have a statistically important influence on the number of perceived tactile stimulations for musicians. Musicians and non-musicians similarly perceived the parchment-skin illusion. Spectral alterations of self-generated palmar sounds similarly altered the perception of wetness and dryness for both groups. These results suggest that musical training does not seem to alter multisensory interactions at large. The specificity of the sensory enhancement suggests that musical training specifically alters processes underlying the interaction of temporal audiotactile stimuli and not the global interaction between these modalities. These results are consistent with previous unisensory and multisensory investigations on sensory abilities related to audiotactile processing in musicians.

Short-term visual deprivation can enhance spatial release from masking

This research aims to study the effect of short-term visual deprivation on spatial release from masking, a major component of the cocktail party effect that allows people to detect an auditory target in noise. The Masking Level Difference (MLD) test was administered on healthy individuals over three sessions: before (I) and after 90min of visual deprivation (II), and after 90min of re-exposure to light (III). A non-deprived control group performed the same tests, but remained sighted between sessions I and II. The non-deprived control group displayed constant results across sessions. However, performance in the MLD test was improved following short-term visual deprivation and performance returned to pre-deprivation values after light re-exposure. This study finds that short-term visual deprivation transiently enhances the spatial release from masking. These data suggest the significant potential for enhancing a process involved in the cocktail party effect in normally developing individuals and adds to an emerging literature on the potential to enhance auditory ability after only a brief period of visual deprivation.