RECRUITMENT

• Abnormal growth of loudness

• there is increase in loudness but the increase is not linear
• In patients with recruitment loudness increases rapidly.
• always associated with some kind of hearing loss.
• Recruitment is seen in cochlear lesions thus it helps to differentiate
between cochlear and retro cochlear HL.
• Higher intensities are perceived even louder.
• Recruitment refers to the perceptual phenomenon of sounds
becoming rapidly louder with increasing sound level, leading to the
somewhat paradoxical but common request of people with cochlear
disorders “to speak louder” followed by the complaint to “stop
shouting” (Moore 2003; Bacon and Oxenham 2004).
• When the surrounding hair cells of cochlea becomes in affective so
they recruit the other neighboring hair cells to compensate for
• the loss i.e. the neighboring cells do their work so the loudness
increases

• ACTIVITY!!
• Hyperacute resonspe
• Dynamic range is reduced due to recruitment.
• (Cai et al. 2009) neurons of VCN with a rhythmic “chopper” response
to short tone bursts show abnormally rapid response growth with
increasing sound level.
• "chopper response“ is a regular repetitive firing pattern with a short
and precise latency.
• Typically, when tested at low intensity levels relative to their absolute
thresholds, listeners with cochlear hearing loss who have recruitment
discriminate smaller intensity differences compared to listeners with
normal absolute thresholds.
• At high intensity levels relative to their absolute thresholds, listeners
with recruitment discriminate intensity differences that are similar, or
sometimes larger, compared to young adults with normal audiograms.
Hypothesis 1:
loss of the cochlear compressive nonlinearity as a result of damage to
the outer hair cells.
Hypothesis 2:
Widening of tuning!!
• Hypothesis 3:
decrease in the spread of thresholds.
Similar to the effect of widened frequency tuning, a decrease in the
spread of thresholds would cause a steeper growth in response
amplitude.
Types of recruitment
• Complete recruitment:
Occurs when the loudness balances at higher levels occur at the same
intensities in both ears, that is, when equal intensities sound equally
loud.
Hyper recruitment/over-recruitment:
Meniere’s disease may exhibit a special case of recruitment.
Hyper-recruitment is revealed on the laddergram by rungs that first
flatten and then reverse direction.
85 dB HL in the abnormal ear actually sounds as loud as 100 dB HL in
the normal ear.
• Incomplete (or partial) recruitment:
Occurs when the results fall between complete recruitment and no
recruitment
• No recruitment occurs when the relationship between the levels at
the two ears is the same for the loudness balances as it is at
threshold.
Decruitment
• In some cases, loudness grows at a slower than normal rate as
intensity increases in the abnormal ear. This is called (Davis &
Goodman 1966) or loudness reversal (Priede & Coles 1974) and is
associated with retrocochlear pathology.
• 60 dB SL in the abnormal ear sounds like only 30 dB SL in the normal
ear. In effect, loudness is lost rather than gained as intensity is raised.

Should we administer TDT in CP?