Reduced Medial Olivocochlear Bundle System Function in Children with Auditory Processing Disorders

Chava Muchnika*, Daphne Ari Even Roth, Rima Othman-Jebara, Hanna Putter-Katz, Esther L. Shabtai, Minka Hildesheimer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

95 Scopus citations


A common complaint of children with auditory processing disorders (APD) is difficulty in understanding speech in the presence of background noise. Evidence from animal and human studies has suggested that the medial olivocochlear bundle (MOCB) may play a role in hearing in noise. The MOCB function can be evaluated by the suppression effect of the transient evoked otoacoustic emissions (TEOAE) in response to contralateral acoustic stimulation (CAS). The present study was conducted to investigate the suppression effect of TEOAE in APD children. The study groups comprised 15 APD children aged 8-13 years associated with learning disabilities and 15 controls matched for gender and age. The suppression effect of TEOAE was evaluated by comparing the TEOAE levels with and without CAS. A significantly reduced suppression effect of TEOAE was demonstrated in the APD group, when compared to the controls. In addition, higher TEOAE levels were found in the APD group, suggesting inherent reduced MOCB activity on the outer hair cells in APD children. These results imply that some APD children present low activity of the MOCB system, which may indicate a reduced auditory inhibitory function and affect their ability to hear in the presence of background noise.

Original languageEnglish
Pages (from-to)107-114
Number of pages8
JournalAudiology and Neuro-Otology
Issue number2
StatePublished - 2004


  • Auditory processing disorders
  • Children
  • Contralateral suppression
  • Efferent system
  • Medial olivocochlear bundle
  • Transient evoked otoacoustic emissions


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