Extended High-Frequency Hearing Thresholds and Categorical Loudness Scaling in Parkinson's Disease.

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Title: Extended High-Frequency Hearing Thresholds and Categorical Loudness Scaling in Parkinson's Disease.
Authors: DiNino, Mishaela1,2 dinino@buffalo.edu, Heffner, Christopher C.1,2, Mercado III, Eduardo2,3, Tjaden, Kris1,2
Source: Journal of Speech, Language & Hearing Research. Feb2026, Vol. 69 Issue 2, p793-806. 14p.
Subject Terms: *Data analysis, *Audiometry, *Hearing, *Auditory perception, *Speech perception, Research funding, Logistic regression analysis, Parkinson's disease, Severity of illness index, Mann Whitney U Test, Loudness, Statistics, Hearing levels, Data analysis software, Nonparametric statistics
Abstract: Purpose: Sensory difficulties are increasingly recognized as part of the pathology of Parkinson's disease (PD). The present study examined hearing in people with PD to further advance understanding of audition in the disease process. A PD group was compared to an age-matched control group to build a nuanced understanding of hearing in PD at standard and extended high frequencies and the relationship of intensity to perceived loudness. Method: Two participant groups (with 30 paired members) were recruited: a PD group and an age-matched control group. At the between-groups level, puretone audiometric hearing thresholds across standard and extended high frequencies were measured. Categorical loudness scaling (CLS) also was assessed. At the within-group level, relationships of auditory measures to PD motor symptom severity were tested. Results: Pure-tone audiometric metrics did not differ for the PD and control groups. One CLS parameter differed between the groups and was correlated with symptom severity. Linear modeling indicated that PD motor symptom severity in the Movement Disorder Society--Unified Parkinson's Disease Rating Scale was predicted from average hearing thresholds at frequencies most important for speech perception (500, 1000, and 2000 Hz). Conclusions: The relative lack of differences between the PD and control groups in their hearing abilities may reflect the relatively mild severity of the disease in this sample. However, the observed relationship between motor symptom severity and hearing thresholds suggests that PD severity may be associated with a decline in hearing ability that warrants further investigation and clinical monitoring in conjunction with other PD symptoms. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Extended High-Frequency Hearing Thresholds and Categorical Loudness Scaling in Parkinson's Disease.
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  Data: <searchLink fieldCode="AR" term="%22DiNino%2C+Mishaela%22">DiNino, Mishaela</searchLink><relatesTo>1,2</relatesTo><i> dinino@buffalo.edu</i><br /><searchLink fieldCode="AR" term="%22Heffner%2C+Christopher+C%2E%22">Heffner, Christopher C.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Mercado+III%2C+Eduardo%22">Mercado III, Eduardo</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Tjaden%2C+Kris%22">Tjaden, Kris</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Feb2026, Vol. 69 Issue 2, p793-806. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing%22">Hearing</searchLink><br />*<searchLink fieldCode="DE" term="%22Auditory+perception%22">Auditory perception</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+perception%22">Speech perception</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Parkinson's+disease%22">Parkinson's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Loudness%22">Loudness</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Hearing+levels%22">Hearing levels</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Nonparametric+statistics%22">Nonparametric statistics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Sensory difficulties are increasingly recognized as part of the pathology of Parkinson's disease (PD). The present study examined hearing in people with PD to further advance understanding of audition in the disease process. A PD group was compared to an age-matched control group to build a nuanced understanding of hearing in PD at standard and extended high frequencies and the relationship of intensity to perceived loudness. Method: Two participant groups (with 30 paired members) were recruited: a PD group and an age-matched control group. At the between-groups level, puretone audiometric hearing thresholds across standard and extended high frequencies were measured. Categorical loudness scaling (CLS) also was assessed. At the within-group level, relationships of auditory measures to PD motor symptom severity were tested. Results: Pure-tone audiometric metrics did not differ for the PD and control groups. One CLS parameter differed between the groups and was correlated with symptom severity. Linear modeling indicated that PD motor symptom severity in the Movement Disorder Society--Unified Parkinson's Disease Rating Scale was predicted from average hearing thresholds at frequencies most important for speech perception (500, 1000, and 2000 Hz). Conclusions: The relative lack of differences between the PD and control groups in their hearing abilities may reflect the relatively mild severity of the disease in this sample. However, the observed relationship between motor symptom severity and hearing thresholds suggests that PD severity may be associated with a decline in hearing ability that warrants further investigation and clinical monitoring in conjunction with other PD symptoms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2025_JSLHR-25-00151
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 14
        StartPage: 793
    Subjects:
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Hearing
        Type: general
      – SubjectFull: Auditory perception
        Type: general
      – SubjectFull: Speech perception
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Parkinson's disease
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Loudness
        Type: general
      – SubjectFull: Statistics
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      – SubjectFull: Hearing levels
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Nonparametric statistics
        Type: general
    Titles:
      – TitleFull: Extended High-Frequency Hearing Thresholds and Categorical Loudness Scaling in Parkinson's Disease.
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            NameFull: DiNino, Mishaela
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            NameFull: Heffner, Christopher C.
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            NameFull: Mercado III, Eduardo
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            NameFull: Tjaden, Kris
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            – D: 01
              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
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