Top-down auditory plasticity: Acceptable noise level predicts and reflects the effect of perceptual learning in experience-induced plasticity

Objective In the auditory system, tinnitus and superior speech perception in noise are examples of negative and positive plasticity that can result from sensory neural hearing loss and life experiences dealing with more complex stimuli and learning, respectively. The main objective of this study was to determine the relationship between acceptable noise level (ANL) values and perceptual learning in individuals exposed to unavoidable occupational noise. Materials & Methods Here we document a form of plasticity in top-down auditory pathways through the measurement of the acceptable noise level in 60 adults, 27 females and 33 males, with normal hearing (Amiraalam state Hospital, Tehran, Iran 2016). Individuals were assigned to one of two groups: those with and without the occupational experience of speech perception in noise. Results The test group had statistically significant lower acceptable noise level and significantly higher background noise level scores compared with the control group. Conclusion Using acceptable noise level, we attributed differences in individuals’ abilities to tolerate varying amounts of background noise and speech perception in noise function to the auditory efferent system. Working in crowded locations due to job nature can influence differences in speech perception in noise function.