Use of Performance-Intensity Functions for Diagnosis

1977 ◽  
Vol 42 (3) ◽  
pp. 408-415 ◽  
Author(s):  
Donald D. Dirks ◽  
Candace Kamm ◽  
Deborah Bower ◽  
Anne Betsworth

Performance-intensity (PI) functions for phonetically balanced (PB) word lists were obtained for a group of normal listeners (27 ears), and for two groups of patients with cochlear (89 ears) and retrocochlear disorders (eight ears). Listeners with normal hearing or cochlear disorders exhibited mild to moderate reductions in discrimination score as the speech level was raised above the PB maximum. In contrast, patients with retrocochlear disorders showed a pronounced rollover phenomenon, characterized by a rapid decline in performance as the speech level was raised above the maximum discrimination score.

1985 ◽  
Vol 50 (4) ◽  
pp. 356-360 ◽  
Author(s):  
Dianne H. Meyer ◽  
E. Tracy Mishler

Auditec cassette tape recordings of NU-6 word lists were used to obtain performance-intensity functions for phonetically balanced words (PI-PB) from 25 subjects with normal hearing, 19 subjects with presumed cochlear disorders, and 9 subjects with confirmed retrocochlear lesions. A rollover index >.35 differentiated retrocochlear hearing loss from cochlear hearing loss, although some retrocochlear subjects scored well below that level. Factors that may contribute to differences among PI-PB studies are discussed.


2008 ◽  
Vol 19 (06) ◽  
pp. 496-506 ◽  
Author(s):  
Richard H. Wilson ◽  
Rachel McArdle ◽  
Heidi Roberts

Background: So that portions of the classic Miller, Heise, and Lichten (1951) study could be replicated, new recorded versions of the words and digits were made because none of the three common monosyllabic word lists (PAL PB-50, CID W-22, and NU–6) contained the 9 monosyllabic digits (1–10, excluding 7) that were used by Miller et al. It is well established that different psychometric characteristics have been observed for different lists and even for the same materials spoken by different speakers. The decision was made to record four lists of each of the three monosyllabic word sets, the monosyllabic digits not included in the three sets of word lists, and the CID W-1 spondaic words. A professional female speaker with a General American dialect recorded the materials during four recording sessions within a 2-week interval. The recording order of the 582 words was random. Purpose: To determine—on listeners with normal hearing—the psychometric properties of the five speech materials presented in speech-spectrum noise. Research Design: A quasi-experimental, repeated-measures design was used. Study Sample: Twenty-four young adult listeners (M = 23 years) with normal pure-tone thresholds (≤20-dB HL at 250 to 8000 Hz) participated. The participants were university students who were unfamiliar with the test materials. Data Collection and Analysis: The 582 words were presented at four signal-to-noise ratios (SNRs; −7-, −2-, 3-, and 8-dB) in speech-spectrum noise fixed at 72-dB SPL. Although the main metric of interest was the 50% point on the function for each word established with the Spearman-Kärber equation (Finney, 1952), the percentage correct on each word at each SNR was evaluated. The psychometric characteristics of the PB-50, CID W-22, and NU–6 monosyllabic word lists were compared with one another, with the CID W-1 spondaic words, and with the 9 monosyllabic digits. Results: Recognition performance on the four lists within each of the three monosyllabic word materials were equivalent, ±0.4 dB. Likewise, word-recognition performance on the PB-50, W-22, and NU–6 word lists were equivalent, ±0.2 dB. The mean recognition performance at the 50% point with the 36 W-1 spondaic words was ˜6.2 dB lower than the 50% point with the monosyllabic words. Recognition performance on the monosyllabic digits was 1–2 dB better than mean performance on the monosyllabic words. Conclusions: Word-recognition performances on the three sets of materials (PB-50, CID W-22, and NU–6) were equivalent, as were the performances on the four lists that make up each of the three materials. Phonetic/phonemic balance does not appear to be an important consideration in the compilation of word-recognition lists used to evaluate the ability of listeners to understand speech.A companion paper examines the acoustic, phonetic/phonological, and lexical variables that may predict the relative ease or difficulty for which these monosyllable words were recognized in noise (McArdle and Wilson, this issue).


2020 ◽  
Vol 50 (1) ◽  
pp. 9
Author(s):  
Widayat Alviandi ◽  
Jenny Bashiruddin ◽  
Brastho Bramantyo ◽  
Farisa Rizky

Background: Patients with hearing disturbance will generally undergo pure tone audiometry andspeech audiometry in a quiet room, but those examinations cannot evaluate the ability to understand speech in daily environment with a noisy background. Words in noise test will provide valuable informationregarding patient’s hearing problem in noise. Purpose: To evaluate the hearing threshold using wordsin noise test in adults with normal hearing. Method: This cross-sectional study was conducted in CiptoMangunkusumo Hospital from January to April 2017. All subjects who fulfilled the inclusion and exclusioncriteria underwent pure tone audiometry, speech audiometry, and words in noise test. Results: A total of71 individuals with normal hearing were recruited for this study. Words in noise test showed the medianvalue of 67 dB and 100 dB for Speech Recognition Threshold (SRT) 50% and Speech DiscriminationScore (SDS) 100%, respectively. The SRT 50% and SDS 100% were significantly higher in the age group40–60 years compared to the age group 18–39 years. There was also a statistically significant differencebetween males and females at SRT 50% assessed by words in noise audiometry. Conclusion: Wordsin noise test showed a statistically significant difference in SRT 50% and SDS 100% between two agegroups, but no difference was found between genders. The result of this study can be used as a referencefor SRT and SDS values of speech audiometry test in noise.Keywords: words in noise, speech audiometry, speech recognition threshold, speech discrimination score ABSTRAKLatar belakang: Pasien dengan gangguan pendengaran umumnya menjalani pemeriksaanaudiometri nada murni dan audiometri tutur di ruangan yang sunyi, tetapi pemeriksaan ini tidakdapat menggambarkan kemampuan pemahaman wicara di lingkungan sehari-hari yang ramai. Testutur dalam bising dapat mengevaluasi masalah pendengaran pasien dalam keadaan bising. Tujuan:Untuk mengevaluasi ambang pendengaran menggunakan tes tutur dalam bising pada orang dewasadengan pendengaran normal. Metode: Penelitian potong lintang ini dilakukan di Rumah Sakit CiptoMangunkusumo dari Januari hingga April 2017. Semua subjek yang memenuhi kriteria inklusi daneksklusi menjalani pemeriksaan audiometri nada murni, audiometri tutur, dan tes tutur dalam bising.Hasil: Sebanyak 71 orang dengan pendengaran normal diikutsertakan dalam penelitian ini. Tes tuturdalam bising menunjukkan nilai median masing-masing 67 dB dan 100 dB pada Speech RecognitionThreshold (SRT) 50% dan Speech Discrimination Score (SDS) 100%. SRT 50% dan SDS 100% secarasignifikan lebih tinggi pada kelompok usia 40–60 tahun dibandingkan dengan kelompok usia 18–39 tahun. Hasil pemeriksaan tes tutur dalam bising menunjukkan perbedaan yang signifikan antara laki-laki dan wanita pada nilai SRT 50%. Kesimpulan: Tes tutur dalam bising menunjukkan perbedaan yang bermakna secara statistik pada SRT 50% dan SDS 100% antara dua kelompok umur, tetapi tidak ada perbedaan signifikan diantara jenis kelamin. Hasil penelitian ini dapat digunakan sebagai acuan untuk nilai SRT dan SDS pada pemeriksaan audiometri tutur dalam bising.


2020 ◽  
Vol 134 (10) ◽  
pp. 895-898
Author(s):  
S V Bandaru ◽  
A M Augustine ◽  
A Lepcha ◽  
S Sebastian ◽  
M Gowri ◽  
...  

AbstractObjectiveThe current circumstances of the coronavirus disease 2019 pandemic necessitate the use of personal protective equipment in hospitals. N95 masks and face shields are being used as personal protective equipment to protect from aerosol-related spread of infection. Personal protective equipment, however, hampers communication. This study aimed to assess the effect of using an N95 mask and face shield on speech perception among healthcare workers with normal hearing.MethodsTwenty healthcare workers were recruited for the study. Pure tone audiometry was conducted to ensure normal hearing. Speech reception threshold and speech discrimination score were obtained, first without using personal protective equipment and then repeated with the audiologist wearing an N95 mask and face shield.ResultsA statistically significant increase in speech reception threshold (mean of 12.4 dB) and decrease in speech discrimination score (mean of 7 per cent) was found while using the personal protective equipment.ConclusionUse of personal protective equipment significantly impairs speech perception. Alternate communication strategies should be developed for effective communication.


1991 ◽  
Vol 34 (2) ◽  
pp. 427-438 ◽  
Author(s):  
Gerald A. Studebaker ◽  
Robert L. Sherbecoe

Frequency-importance and transfer functions for the Technisonic Studios’ recordings of the CID W-22 word test are reported. These functions may be used to calculate Articulation Index (Al) values or to predict scores on the W-22 test. The functions were derived from the word recognition scores of 8 normal-hearing listeners who were tested under 308 conditions of filtering and masking. The importance function for the W-22 test has a broader frequency range and a different shape than the importance function used in the current ANSI standard on the Articulation Index (ANSI, 1969). The transfer function is similar in slope to to the ANSI transfer function for 256 PB-words, but is shifted to the right of that function by 0.05 Al.


1977 ◽  
Vol 42 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Randall C. Beattie ◽  
Brad J. Edgerton ◽  
Dion V. Svihovec

Articulation functions were generated on a normal-hearing population with the Auditec of St. Louis cassette recordings of the NU-6 and CID W-22 speech discrimination tests. Both tests were similar and yielded slopes of about 4.4%/dB. Each gave a speech discrimination score of approximately 95% at 32 dB SL. Speech reception thresholds were obtained with monitored live voice and yielded good testretest consistency. Speech thresholds were about 9 dB better than the ANSI (1969) specifications.


1982 ◽  
Vol 25 (4) ◽  
pp. 528-535 ◽  
Author(s):  
Larry E. Humes ◽  
Marleen G. Ochs

In the first portion this study, the effects of two levels of contralateral masking on the auditory brainstem response (ABR) were investigated in 10 normal-hearing subjects. No significant changes were observed in the mean latency-intensity functions or the mean amplitude-intensity functions of this group of subjects when noise of various levels was added to the nontest ear. In the second portion of this study, ABRs were also recorded from the poorer ear of four subjects with a profound unilateral sensorineural hearing loss. Results from the latter group revealed a crossed-over wave V in all cases when the stimulus was delivered to the poorer ear and the nontest (better) ear was not masked. Contralateral masking obliterated this "crossed ABB" in all four unilaterally impaired subjects. These results provide support for the use of contralateral masking when recording from the poorer ear of subjects having asymmetrical hearing loss.


2002 ◽  
Vol 13 (01) ◽  
pp. 050-058 ◽  
Author(s):  
Terence T. Miranda ◽  
M. Kathleen Pichora-Fuller

This study investigates whether temporally jittered stimuli will produce performance-intensity, phonetically balanced (PI-PB) rollover in young adults with normal hearing. Although not yet explicitly stated in the literature, there is clinical and theoretical evidence to suggest that PI-PB rollover, such as that found in cases of acoustic neuroma, is caused by neural dyssynchrony in the auditory system. Sixteen participants were tested with intact and temporally jittered word lists in quiet at 40, 55, 65, and uncomfortable listening level −5 dB HL. The results show significant rollover in the jittered but not the intact conditions. The results are consistent with the existing evidence that suggests that neural PI-PB rollover is caused by decreased neural synchrony and support the claim that temporal jitter simulates neural dyssynchrony. Furthermore, these results are consistent with the hypothesis that synchrony coding plays an important role in the perception of high-level speech.


1983 ◽  
Vol 48 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Charles Speaks ◽  
Karen Bauer ◽  
Jane Carlstrom

This experiment assessed the extent to which a peripheral hearing loss may confound interpretation of dichotic listening test results in assessment of central auditory deficit. A normal-hearing listener was tested monotically and dichotically with CV nonsense syllables in two conditions. In one, an EAR plug inserted in the auditory canal to simulate a unilateral conductive hearing loss. In the second, no plus was inserted. Syllables were presented with equal intensity to the two ears for dichotic testing and testing was conducted at several different intensities. With the plug inserted, both magnitude and direction of percent ear advantage varied with test intensity even when monotic speech recognition scores exceeded 95% for both ears. When dichotic tests are used to assess central auditory deficit in patients with peripheral hearing loss, we recommend that the test intensity be at least 10 dB from both the lower and upper knees of monotic performance-intensity functions.


1988 ◽  
Vol 31 (2) ◽  
pp. 166-177 ◽  
Author(s):  
Alf Gabrielsson ◽  
Bo N. Schenkman ◽  
Björn Hagerman

Four speech programs and two music programs were reproduced using five different frequency responses: one flat and the others combinations of reductions at lower frequencies and/or increases at higher frequencies. Twelve hearing impaired (HI) and 8 normal hearing (NH) subjects listened monaurally to the reproductions at comfortable listening level and judged the sound quality on seven perceptual scales and a scale for total impression. Speech intelligibility was measured for phonetically balanced (PB) word lists and for sentences in noise. Significant differences among the reproductions appeared in practically all scales. The most preferred system was characterized by a fiat response at lower frequencies and a 6 dB/octave increase thereafter. There were certain differences between the NH and HI listeners in the judgments of the other systems. The intelligibility of PB word lists did not differ among the systems, and the S/N threshold for the sentences in noise only distinguished the flat response as worse than all others for the HI listeners. There was little correspondence between intelligibility measures and sound quality measures. The latter provided more information and distinctions among systems.


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