Hearing Loss, Aging, and Speech Perception in Reverberation and Noise

1990 ◽  
Vol 33 (1) ◽  
pp. 149-155 ◽  
Author(s):  
Karen S. Helfer ◽  
Laura A. Wilber
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Nonsense Syllable ◽  
Normal Hearing ◽  
Four Levels ◽  
Reverberant Speech ◽  
Pure Tone Threshold

The present investigation examined the effect of reverberation and noise on the perception of nonsense syllables by four groups of subjects: younger (≤35 years of age) and older (>60 years of age) listeners with mild-to-moderate sensorineural hearing loss; younger, normal-hearing individuals; and older adults with minimal peripheral hearing loss. Copies of the Nonsense Syllable Test (Resnick, Dubno, Huffnung, & Levitt, 1975) were re-recorded under four levels of reverberation (0.0, 0.6, 0.9, 1.3 s) in quiet and in cafeteria noise at + 10 dB S:N. Results suggest that both age and amount of pure-tone hearing loss contribute to senescent changes in the ability to understand noisy, reverberant speech: pure-tone threshold and age were correlated negatively with performance in reverberation plus noise, although age and pure-tone hearing loss were not correlated with each other. Further, many older adults with minimal amounts of peripheral hearing loss demonstrated difficulty understanding distorted consonants.

Significance of 1 kHz Pure-tone Threshold in Acute Low-frequency Sensorineural Hearing Loss

2018 ◽  
Vol 39 (10) ◽  
pp. e950-e955
Author(s):  
Chi Kyou Lee ◽  
Jong Bin Lee ◽  
Kye Hoon Park ◽  
Ho Yun Lee ◽  
Mi-Jin Choi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Low Frequency ◽  
Sensorineural Hearing ◽  
Pure Tone Threshold

Cognition in older adults with severe to profound sensorineural hearing loss compared to peers with normal hearing for age

2019 ◽  
Vol 59 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Maria Huber ◽  
Sebastian Roesch ◽  
Belinda Pletzer ◽  
Julia Lukaschyk ◽  
Anke Lesinski-Schiedat ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing

The Effects of Hearing Loss and Noise Masking on the Masking Release for Speech in Temporally Complex Backgrounds

1998 ◽  
Vol 41 (3) ◽  
pp. 549-563 ◽  
Author(s):  
Sid P. Bacon ◽  
Jane M. Opie ◽  
Danielle Y. Montoya
Keyword(s):  
Hearing Loss ◽  
Steady State ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
The Other ◽  
Signal To Noise ◽  
Noise Masking ◽  
Masking Release

Speech recognition was measured in three groups of listeners: those with sensorineural hearing loss of (presumably) cochlear origin (HL), those with normal hearing (NH), and those with normal hearing who listened in the presence of a spectrally shaped noise that elevated their pure-tone thresholds to match those of individual listeners in the HL group (NM). Performance was measured in four backgrounds that differed only in their temporal envelope: steady-state (SS) speech-shaped noise, speech-shaped noise modulated by the envelope of multi-talker babble (MT), speech-shaped noise modulated by the envelope of single-talker speech (ST), and speech-shaped noise modulated by a 10-Hz square wave (SQ). Threshold signal-to-noise ratios (SNRs) were typically best in the ST and especially the SQ conditions, indicating a masking release in those modulated backgrounds. SNRs in the SS and MT conditions were essentially identical to one another. The masking release was largest in the listeners in the NH group, and it tended to decrease as hearing loss increased. In 5 of the 11 listeners in the HL group, the masking release was nearly identical to that obtained in the NM group matched to those listeners; in the other 6 listeners, the release was smaller than that in the NM group. The reduced masking release was simulated best in those HL listeners for whom the masking release was relatively large. These results suggest that reduced masking release for speech in listeners with sensorineural hearing loss can only sometimes be accounted for entirely by reduced audibility.

scholarly journals Talker Differences in Clear and Conversational Speech: Vowel Intelligibility for Older Adults With Hearing Loss

2012 ◽  
Vol 55 (3) ◽  
pp. 779-790 ◽  
Author(s):  
Sarah Hargus Ferguson
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Conversational Speech ◽  
Clear Speech ◽  
Talker Variability ◽  
Speaking Style

Purpose To establish the range of talker variability for vowel intelligibility in clear versus conversational speech for older adults with hearing loss and to determine whether talkers who produced a clear speech benefit for young listeners with normal hearing also did so for older adults with hearing loss. Method Clear and conversational vowels in /bVd/ context produced by 41 talkers were presented in noise for identification by 40 older (ages 65–87 years) adults with sloping sensorineural hearing loss. Results Vowel intelligibility within each speaking style and the size of the clear speech benefit varied widely among talkers. The clear speech benefit was equivalent to that enjoyed by young listeners with normal hearing in an earlier study. Most talkers who had produced a clear speech benefit for young listeners with normal hearing also did so for the older listeners with hearing loss in the present study. However, effects of talker gender differed between listeners with normal hearing and listeners with hearing loss. Conclusion The clear speech vowel intelligibility benefit generated for listeners with hearing loss varied considerably among talkers. Most talkers who produced a clear speech benefit for normal-hearing listeners also produced a benefit for listeners with hearing loss.

Distortion Product Emissions in Normal-Hearing and Low-Frequency Hearing Loss Carriers of Genes for Waardenburg's Syndrome

1997 ◽  
Vol 106 (3) ◽  
pp. 220-225 ◽  
Author(s):  
Xue Zhong Liu ◽  
Valerie E. Newton
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otoacoustic Emissions ◽  
Pure Tone ◽  
Low Frequency ◽  
Normal Hearing ◽  
Distortion Product Otoacoustic Emissions ◽  
Control Group ◽  
Distortion Product ◽  
Initial Results

Eight patients with Waardenburg's syndrome (WS) with normal hearing and 3 additional patients exhibiting a low-frequency hearing loss were tested for the level of the acoustic distortion product 2f1-f2 by means of the Otodynamics Distortion Product Analyser (ILO92). Wide notches in distortion product otoacoustic emissions (DPOAEs) between 1,000 and 3,000 Hz were found in 7 (12 ears, 87.5%) examined patients with normal audiograms, which was a significantly higher rate than that found in the control group (10%). The 3 patients with low-frequency hearing loss gave a consistent pattern in audiometric configuration shown by both pure tone audiograms and DPOAEs. It is concluded from these initial results that DPOAEs may be a useful approach to identifying subclinical pathologic aberrations in the inner ear in WS patients, and may be a predictor of low-frequency sensorineural hearing loss.

Evaluation of The Speech Perception in Noise (Spin) Test

1979 ◽  
Vol 87 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Robert W. Hutcherson ◽  
Donald D. Dirks ◽  
Donald E. Morgan
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Sensorineural Hearing Loss ◽  
Clinical Utility ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Speech Communication ◽  
Speech Discrimination ◽  
Speech Perception In Noise ◽  
Presentation Level

Several investigations were performed with normal hearing subjects to determine the effects of presentation level and signal-to-babble ratio on the speech perception in noise (SPIN) test. The SPIN test contains sentences that simulate a range of contextual situations encountered in everyday speech communication. Findings from several representative patients with sensorineural hearing loss demonstrate the possible clinical utility of the test to measure the effects of context on speech discrimination.

Sensorineural Hearing Loss and Upward Spread of Masking

1970 ◽  
Vol 13 (2) ◽  
pp. 426-437 ◽  
Author(s):  
Ellen S. Martin ◽  
J. M. Pickett
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Auditory Thresholds ◽  
Noise Rejection ◽  
Low Pass ◽  
Masking Noise ◽  
Sensorineural Loss

Pure-tone auditory thresholds were obtained in quiet and in three levels of masking noise for one normal-hearing group and five groups of subjects with different degrees of sensorineural loss. The masker was a low-pass noise, cut off at 250 Hz. It was presented at overall levels of 77, 97, and 107 dB SPL. Pure-tone thresholds were obtained at test frequencies within and above the masking band. A measure of noise rejection slope was used to describe spread of masking. Degree of loss, configuration of loss, and level of masking noise appear to have marked influences on upward spread of masking patterns in sensorineural subjects.

The 500 Hz Masking-Level Difference and Word Recognition in Multitalker Babble for 40- to 89-Year-Old Listeners with Symmetrical Sensorineural Hearing Loss

2005 ◽  
Vol 16 (06) ◽  
pp. 367-382 ◽  
Author(s):  
Richard H. Wilson ◽  
Deborah G. Weakley
Keyword(s):  
Hearing Loss ◽  
Word Recognition ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Recognition Performance ◽  
Recognition Task ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Systematic Relationship ◽  
Masking Level Difference

The purpose of this study was to determine if performances on a 500 Hz MLD task and a word-recognition task in multitalker babble covaried or varied independently for listeners with normal hearing and for listeners with hearing loss. Young listeners with normal hearing (n = 25) and older listeners (25 per decade from 40–80 years, n = 125) with sensorineural hearing loss were studied. Thresholds at 500 and 1000 Hz were ≤30 dB HL and ≤40 dB HL, respectively, with thresholds above 1000 Hz <100 dB HL. There was no systematic relationship between the 500 Hz MLD and word-recognition performance in multitalker babble. Higher SoNo and SπNo; thresholds were observed for the older listeners, but the MLDs were the same for all groups. Word recognition in babble in terms of signal-to-babble ratio was on average 6.5 (40- to 49-year-old group) to 10.8 dB (80- to 89-year-old group) poorer for the older listeners with hearing loss. Neither pure-tone thresholds nor word-recognition abilities in quiet accurately predicted word-recognition performance in multitalker babble.

scholarly journals The validity of an isiZulu speech reception threshold test for use with adult isiZulu speakers

2020 ◽  
Vol 67 (1) ◽  
Author(s):  
Seema Panday ◽  
Harsha Kathard ◽  
Wayne J. Wilson
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Concurrent Validity ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
First Language ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Speech Reception ◽  
Conductive Hearing

Background: This study continued the development of an isiZulu speech reception threshold (zSRT) test for use with first language, adult speakers of isiZulu.Objectives: The objective of this study was to determine the convergent and concurrent validity of the zSRT test.Methods: One hundred adult isiZulu first-language speakers with normal hearing and 76 first-language, adult isiZulu speakers with conductive or sensorineural hearing losses ranging from mild to severe were assessed on pure tone audiometry and a newly developed isiZulu SRT test. Convergent validity was established through agreement of the zSRT scores with pure tone average (PTA) scores. Concurrent validity was assessed by examining the steepness of the psychometric curve for each word in the zSRT test for each type and degree of hearing loss.Results: Intraclass correlation coefficient analyses showed zSRT scores were in substantial to very high agreement with PTA scores for the normal hearing and hearing loss groups (NH – right ear ICC consistency = 0.78, left ear ICC = 0.67; HL – right ear ICC consistency = 0.97, left ear ICC consistency = 0.95). The mean psychometric slope (%/dB) at 50% correct perception for all words in the zSRT test was 4.92%/dB for the mild conductive hearing loss group, 5.26%/dB for the moderate conductive hearing loss group, 2.85%/dB for the moderately severe sensorineural hearing loss group and 2.47%/dB for the severe sensorineural hearing loss group. These slopes were appropriate for the degree of hearing loss observed in each group.Conclusion: The zSRT test showed convergent and concurrent validity for assessing SRT in first language, adult speakers of isiZulu.

scholarly journals A Controlled Comparison of Auditory Steady-State Responses and Pure-Tone Audiometry in Patients with Hearing Loss

2017 ◽  
Vol 96 (10-11) ◽  
pp. E47-E52
Author(s):  
Raman Wadhera ◽  
Sharad Hernot ◽  
Sat Paul Gulati ◽  
Vijay Kalra
Keyword(s):  
Hearing Loss ◽  
Steady State ◽  
Sensorineural Hearing Loss ◽  
Pure Tone ◽  
Conductive Hearing Loss ◽  
Pure Tone Audiometry ◽  
Normal Hearing ◽  
Sensorineural Hearing ◽  
Hearing Thresholds ◽  
Conductive Hearing

We performed a prospective interventional study to evaluate correlations between hearing thresholds determined by pure-tone audiometry (PTA) and auditory steady-state response (ASSR) testing in two types of patients with hearing loss and a control group of persons with normal hearing. The study was conducted on 240 ears—80 ears with conductive hearing loss, 80 ears with sensorineural hearing loss, and 80 normal-hearing ears. We found that mean threshold differences between PTA results and ASSR testing at different frequencies did not exceed 15 dB in any group. Using Pearson correlation coefficient calculations, we determined that the two responses correlated better in patients with sensorineural hearing loss than in those with conductive hearing loss. We conclude that measuring ASSRs can be an excellent complement to other diagnostic methods in determining hearing thresholds.

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