Evidence map›Paper›PMID 28592687›Full record

ArticleJournal of neurophysiology2017

Efferent inhibition strength is a physiological correlate of hyperacusis in children with autism spectrum disorder.

Uzma S Wilson, Kate M Sadler, Kenneth E Hancock, John J Guinan, Jeffery T Lichtenhan

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurophysiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Hyperacusis in gifted children and its impact on quality of life.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Family Experiences of Decreased Sound Tolerance in ASD.Journal of autism and developmental disorders · 2022
    Article
  8. Clinical and investigational tools for monitoring noise-induced hyperacusis.The Journal of the Acoustical Society of America · 2022
    Review
  9. Article
  10. Review
  11. [Hyperacusis: a mini review].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. Frontiers in neuroscience · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Efficacy of Multi-Modal Migraine Prophylaxis Therapy on Hyperacusis Patients.The Annals of otology, rhinology, and laryngology · 2020
    Article
  20. Hyperacusis in Children with Attention Deficit Hyperactivity Disorder: A Preliminary Study.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Uzma S WilsonWashington University School of Medicine, Department of Otolaryngology, Saint Louis, Missouri.
Kate M SadlerWashington University School of Medicine, Department of Otolaryngology, Saint Louis, Missouri.
Kenneth E HancockMassachusetts Eye & Ear Infirmary, Eaton-Peabody Laboratory of Auditory Physiology, Boston, Massachusetts; and.
John J GuinanMassachusetts Eye & Ear Infirmary, Eaton-Peabody Laboratory of Auditory Physiology, Boston, Massachusetts; and.
Jeffery T LichtenhanWashington University School of Medicine, Department of Otolaryngology, Saint Louis, Missouri; jlichtenhan@wustl.edu.
Washington University in St. Louis · USHarvard University · USMassachusetts Eye and Ear Infirmary · US

Funding

Olivocochlear Reflex in HumansR01DC005977 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI GUINAN, JOHN J · 2003 to 2013
$2.8M
NIDCD NIH HHS R01 DC005977
6 · The paper itself

Abstract

Autism spectrum disorder (ASD) is a developmental disability that is poorly understood. ASD can influence communication, social interaction, and behavior. Children with ASD often have sensory hypersensitivities, including auditory hypersensitivity (hyperacusis). In adults with hyperacusis who are otherwise neurotypical, the medial olivocochlear (MOC) efferent reflex is stronger than usual. In children with ASD, the MOC reflex has been measured, but without also assessing hyperacusis. We assessed the MOC reflex in children with ASD by measuring the strength of MOC-induced inhibition of transient-evoked otoacoustic emissions (TEOAEs), a noninvasive physiological measure that reflects cochlear amplification. MOC activity was evoked by contralateral noise. Hyperacusis was assessed subjectively on the basis of the children's symptoms. We found a significant correlation between hyperacusis scores and MOC strength in children with ASD. When children were divided into ASD-with-severe-hyperacusis (ASDs), ASD-with-not-severe-hyperacusis (ASDns), and neurotypical (NT) groups, the last two groups had similar hyperacusis and MOC reflexes, whereas the ASDs group, on average, had hyperacusis and MOC reflexes that were approximately twice as strong. The MOC inhibition of TEOAEs averaged larger at all frequencies in the ASDs compared with ASDns and NT groups. The results suggest that the MOC reflex can be used to estimate hyperacusis in children with ASD and might be used to validate future questionnaires to assess hyperacusis. Our results also provide evidence that strong MOC reflexes in children with ASD are associated with hyperacusis and that hyperacusis is a comorbid condition and is not a necessary, integral part of the abnormal neural processing associated with ASD.

Indexed as

Neural InhibitionReflexAcoustic StimulationAdolescentAuditory PathwaysAutism Spectrum DisorderChildEfferent PathwaysHumansHyperacusisMaleSeverity of Illness Indexcochleamedial olivocochlear reflexotoacoustic emissionssound level tolerance

Identifiers

PMID28592687
PMCPMC5547266
OpenAlexW2622451070

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.