关键词: cognitive performance hearing hearing impaired hearing loss older adults (50 years and above) visuospatial cognitive performance hearing hearing impaired hearing loss older adults (50 years and above) visuospatial

来  源:   DOI:10.3389/fnagi.2022.785406   PDF(Pubmed)

Abstract:
UNASSIGNED: It has been proposed that hearing loss may result in improved visuospatial abilities. The evidence for this assertion is inconsistent, and limited to studies in congenitally deaf children, despite older adults with age-related hearing loss constituting the vast majority of the hearing impaired population. We assessed visuospatial (visuoconstruction and visuospatial memory) ability in older adult hearing aid users with and without clinically significant cognitive impairment. The primary aim of the study was to determine the effect of hearing loss on visuospatial abilities.
UNASSIGNED: Seventy-five adult hearing aid users (HA) aged over 65 were recruited, out of whom 30 had normal cognition (NC-HA), 30 had mild cognitive impairment (MCI-HA), and 15 had dementia (D-HA). The Rey Osterrieth Complex figure test (ROCFT) copy, 3 min recall and 30 min recall tests were performed to evaluate the visuoconstructional and visuospatial memory abilities of the participants.
UNASSIGNED: There were significant differences between the ROCFT copy, 3 min recall, and 30 min recall among the three cohorts (p < 0.005). Compared with previously published normative data, the NC-HA performed significantly better in the ROCFT copy (p < 0.001), immediate recall (p < 0.001), and delay recall (p = 0.001), while the MCI-HA performed similarly to the expected norms derived from population (p = 0.426, p = 0.611, p = 0.697, respectively), and the D-HA performed below this norm.
UNASSIGNED: Though visuospatial abilities tend to decline when the global cognitive functioning declines, we found suggestive evidence for positive effects of age-related hearing loss on visuospatial cognitive ability. Participants with mild cognitive impairment and hearing loss, who would have been expected to perform worse than normative data, were in fact performing as well as cognitively healthy subjects without hearing loss. Visuospatial ability could be targeted when providing rehabilitation for the older adults with hearing loss.
摘要:
UNASSIGNED:有人提出,听力损失可能会导致视觉空间能力的提高。这种说法的证据是不一致的,仅限于对先天性聋哑儿童的研究,尽管与年龄相关的听力损失的老年人占听力受损人群的绝大多数。我们评估了有或没有临床显着认知障碍的老年成人助听器用户的视觉空间(视觉构造和视觉空间记忆)能力。该研究的主要目的是确定听力损失对视觉空间能力的影响。
UNASISIGNED:招募了75名65岁以上的成人助听器使用者(HA),其中30人认知正常(NC-HA),30人患有轻度认知障碍(MCI-HA),15人患有痴呆(D-HA)。ReyOsterrieth复杂人物测试(ROCFT)副本,进行了3分钟回忆和30分钟回忆测试,以评估参与者的视觉结构和视觉空间记忆能力。
UNASSIGNED:ROCFT拷贝之间存在显著差异,3分钟召回,在三个队列中回忆30分钟(p<0.005)。与以前公布的规范数据相比,NC-HA在ROCFT拷贝中表现明显更好(p<0.001),立即召回(p<0.001),和延迟召回(p=0.001),而MCI-HA的表现类似于从人口中得出的预期标准(分别为p=0.426,p=0.611,p=0.697),D-HA的表现低于这个标准。
未经评估:尽管当整体认知功能下降时,视觉空间能力往往会下降,我们发现了与年龄相关的听力损失对视空间认知能力的积极影响的暗示性证据.轻度认知障碍和听力损失的参与者,预计他们的表现会比规范数据差,事实上,表现和认知健康的受试者一样好,没有听力损失。当为听力损失的老年人提供康复时,视觉空间能力可能是目标。
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