Hearing Disability Measured by the Speech, Spatial, and Qualities of Hearing Scale in Clinically Normal-Hearing and Hearing-Impaired Middle-Aged Persons, and Disability Screening by Means of a Reduced SSQ (the SSQ5)

2012 ◽  
Vol 33 (5) ◽  
pp. 615-616 ◽  
Author(s):  
Kelly Demeester ◽  
Vedat Topsakal ◽  
Jan-Jaap Hendrickx ◽  
Erik Fransen ◽  
Lut van Laer ◽  
...  
Keyword(s):  
Normal Hearing ◽  
Hearing Impaired ◽  
Middle Aged ◽  
Hearing Disability ◽  
Clinically Normal

Hearing Aid Amplification Reduces Communication Effort of People With Hearing Impairment and Their Conversation Partners

2020 ◽  
Vol 63 (4) ◽  
pp. 1299-1311 ◽  
Author(s):  
Timothy Beechey ◽  
Jörg M. Buchholz ◽  
Gitte Keidser
Keyword(s):  
Hearing Impairment ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Referential Communication ◽  
Hearing Impaired ◽  
Directional Hearing ◽  
Acoustic Environment ◽  
Communication Task ◽  
Acoustic Environments ◽  
The Impact

Objectives This study investigates the hypothesis that hearing aid amplification reduces effort within conversation for both hearing aid wearers and their communication partners. Levels of effort, in the form of speech production modifications, required to maintain successful spoken communication in a range of acoustic environments are compared to earlier reported results measured in unaided conversation conditions. Design Fifteen young adult normal-hearing participants and 15 older adult hearing-impaired participants were tested in pairs. Each pair consisted of one young normal-hearing participant and one older hearing-impaired participant. Hearing-impaired participants received directional hearing aid amplification, according to their audiogram, via a master hearing aid with gain provided according to the NAL-NL2 fitting formula. Pairs of participants were required to take part in naturalistic conversations through the use of a referential communication task. Each pair took part in five conversations, each of 5-min duration. During each conversation, participants were exposed to one of five different realistic acoustic environments presented through highly open headphones. The ordering of acoustic environments across experimental blocks was pseudorandomized. Resulting recordings of conversational speech were analyzed to determine the magnitude of speech modifications, in terms of vocal level and spectrum, produced by normal-hearing talkers as a function of both acoustic environment and the degree of high-frequency average hearing impairment of their conversation partner. Results The magnitude of spectral modifications of speech produced by normal-hearing talkers during conversations with aided hearing-impaired interlocutors was smaller than the speech modifications observed during conversations between the same pairs of participants in the absence of hearing aid amplification. Conclusions The provision of hearing aid amplification reduces the effort required to maintain communication in adverse conditions. This reduction in effort provides benefit to hearing-impaired individuals and also to the conversation partners of hearing-impaired individuals. By considering the impact of amplification on both sides of dyadic conversations, this approach contributes to an increased understanding of the likely impact of hearing impairment on everyday communication.

scholarly journals Perception of Auditory Distance in Normal-Hearing and Moderate-to-Profound Hearing-Impaired Listeners

2019 ◽  
Vol 23 ◽  
pp. 233121651988761 ◽  
Author(s):  
Gilles Courtois ◽  
Vincent Grimaldi ◽  
Hervé Lissek ◽  
Philippe Estoppey ◽  
Eleftheria Georganti
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Spatial Cues ◽  
Linear Amplification ◽  
Profound Hearing Loss ◽  
Wireless Microphone ◽  
Auditory Distance ◽  
Non Linear

The auditory system allows the estimation of the distance to sound-emitting objects using multiple spatial cues. In virtual acoustics over headphones, a prerequisite to render auditory distance impression is sound externalization, which denotes the perception of synthesized stimuli outside of the head. Prior studies have found that listeners with mild-to-moderate hearing loss are able to perceive auditory distance and are sensitive to externalization. However, this ability may be degraded by certain factors, such as non-linear amplification in hearing aids or the use of a remote wireless microphone. In this study, 10 normal-hearing and 20 moderate-to-profound hearing-impaired listeners were instructed to estimate the distance of stimuli processed with different methods yielding various perceived auditory distances in the vicinity of the listeners. Two different configurations of non-linear amplification were implemented, and a novel feature aiming to restore a sense of distance in wireless microphone systems was tested. The results showed that the hearing-impaired listeners, even those with a profound hearing loss, were able to discriminate nearby and far sounds that were equalized in level. Their perception of auditory distance was however more contracted than in normal-hearing listeners. Non-linear amplification was found to distort the original spatial cues, but no adverse effect on the ratings of auditory distance was evident. Finally, it was shown that the novel feature was successful in allowing the hearing-impaired participants to perceive externalized sounds with wireless microphone systems.

Dissimilarity Ratings of English Consonants by Normally-Hearing and Hearing-Impaired Individuals

1979 ◽  
Vol 22 (2) ◽  
pp. 236-246 ◽  
Author(s):  
Jeffrey L. Danhauer ◽  
Ruth M. Lawarre
Keyword(s):  
Normal Hearing ◽  
Hearing Impaired ◽  
Interval Scale ◽  
Individual Group ◽  
Speech Stimuli ◽  
Paired Stimuli ◽  
Loudness Level ◽  
Comfortable Loudness

Perceptual patterns in rating dissimilarities among 24 CVs were investigated for a group of normal-hearing and two groups of hearing-impaired subjects (one group with flat, and one group with sloping, sensorineural losses). Stimuli were presented binaurally at most comfortable loudness level and subjects rated the 576 paired stimuli on a 1–7 equal-appearing interval scale. Ratings were submitted to individual group and combined INDSCAL analyses to describe features used by the subjects in their perception of the speech stimuli. Results revealed features such as sibilant, sonorant, plosive and place. Furthermore, normal and hearing-impaired subjects used similar features, and subjects' weightings of features were relatively independent of their audiometric configurations. Results are compared to those of previous studies.

Second Formant Transitions of Selected Consonant-Vowel Combinations in the Speech of Deaf and Normal-Hearing Children

1976 ◽  
Vol 19 (2) ◽  
pp. 279-289 ◽  
Author(s):  
Randall B. Monsen
Keyword(s):  
Speech Intelligibility ◽  
Normal Subjects ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Acoustic Cues ◽  
Target Frequency ◽  
Second Formant ◽  
Hearing Children

Although it is well known that the speech produced by the deaf is generally of low intelligibility, the sources of this low speech intelligibility have generally been ascribed either to aberrant articulation of phonemes or inappropriate prosody. This study was designed to determine to what extent a nonsegmental aspect of speech, formant transitions, may differ in the speech of the deaf and of the normal hearing. The initial second formant transitions of the vowels /i/ and /u/ after labial and alveolar consonants (/b, d, f/) were compared in the speech of six normal-hearing and six hearing-impaired adolescents. In the speech of the hearing-impaired subjects, the second formant transitions may be reduced both in time and in frequency. At its onset, the second formant may be nearer to its eventual target frequency than in the speech of the normal subjects. Since formant transitions are important acoustic cues for the adjacent consonants, reduced F 2 transitions may be an important factor in the low intelligibility of the speech of the deaf.

scholarly journals Development of a test for assessment of the lipreading ability for children in the Arabic-speaking countries

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Mona Abdel-Fattah Hegazi ◽  
Aya Mohammed Saad ◽  
Mona Sameeh Khodeir
Keyword(s):  
Speech Perception ◽  
Sensory Modality ◽  
Arabic Language ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Visual Signals ◽  
Validity And Reliability ◽  
Egyptian Children ◽  
Hearing Children ◽  
Arabic Speaking

Abstract Background Lipreading is considered an important skill that varies considerably among normal-hearing (NH) and hearing-impaired (HI) children. It is well known that normal-hearing children use audition as the primary sensory modality for speech perception, whereas HI children use lipreading cues as the primary sensory modality for speech perception. Moreover, speech perception is a multisensory process that involves attention to auditory signals as well as visual articulatory movements, and the integration of auditory and visual signals occurs naturally and automatically in normal individuals of all ages. Most researches proved that lipreading is a natural and important skill needed for language acquisition in HI children. Lipreading also helps HI children to perceive speech, acquire spoken language, and acquire phonology. In the Arabic language, tools are deficient for assessing the lipreading ability for HI children, so this study was conducted to develop a test suitable for assessing the lipreading ability of hearing-impaired children among Arabic-speaking countries. The constructed lipreading test was administered to 160 Arabic-speaking Egyptian children including 100 typically developing NH children and 60 HI children. Participants’ responses were statistically analyzed to assess the validity and reliability and to compare the lipreading ability between the NH and HI children. Ranks of percentiles were established to provide an estimate of the lipreading ability in children. Results Statistically significant differences were found between the normal-hearing and HI children as regards all subtotal and total scores of the Arabic lipreading test, with good validity and reliability of the test. Conclusions The Arabic lipreading test is a valid and reliable test that can be applied to assess the lipreading ability among Arabic-speaking children with HI.

Magnitude Estimation of Loudness I Application to Hearing Aid Selection

1984 ◽  
Vol 27 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Daniel Geller ◽  
Robert H. Margolis
Keyword(s):  
Magnitude Estimation ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Octave Band ◽  
Loudness Function ◽  
Comfortable Loudness ◽  
Tonal Stimuli

Three experiments were conducted to explore the utility of magnitude estimation of loudness for hearing aid selection. In Experiment 1 the loudness discomfort level (LDL), most comfortable loudness (MCL), and magnitude estimations (MEs) of loudness were obtained from normal-hearing subjects. MCLs fell within a range of loudnesses that was relatively low on the loudness function. The LDLs were lower than previously published values. Experiment 2 was performed to identify the source of disparity between our LDL data and previously reported results. The effects of instructions are demonstrated and discussed. In Experiment 3 magnitude estimations of loudness were used to determine the loudness of tonal stimuli selected to represent ⅓ octave band levels of speech. Over the 500–4000 Hz range, the contributions of the various frequency regions to the loudness of speech appears to be nearly constant. Methods are proposed for (a) predicting the frequency-gain response of a hearing aid that restores normal loudness for speech for the hearing-impaired listener and (b) psychophysically evaluating the compression characteristic of a hearing aid.

Intelligibility of Modified Speech for Young Listeners With Normal and Impaired Hearing

2002 ◽  
Vol 45 (5) ◽  
pp. 1027-1038 ◽  
Author(s):  
Rosalie M. Uchanski ◽  
Ann E. Geers ◽  
Athanassios Protopapas
Keyword(s):  
Speech Processing ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Processing Conditions ◽  
Impaired Hearing ◽  
Slowing Down ◽  
Listening In Noise ◽  
Hearing Children ◽  
Impaired Children ◽  
Hearing Impaired Children

Exposure to modified speech has been shown to benefit children with languagelearning impairments with respect to their language skills (M. M. Merzenich et al., 1998; P. Tallal et al., 1996). In the study by Tallal and colleagues, the speech modification consisted of both slowing down and amplifying fast, transitional elements of speech. In this study, we examined whether the benefits of modified speech could be extended to provide intelligibility improvements for children with severe-to-profound hearing impairment who wear sensory aids. In addition, the separate effects on intelligibility of slowing down and amplifying speech were evaluated. Two groups of listeners were employed: 8 severe-to-profoundly hearingimpaired children and 5 children with normal hearing. Four speech-processing conditions were tested: (1) natural, unprocessed speech; (2) envelope-amplified speech; (3) slowed speech; and (4) both slowed and envelope-amplified speech. For each condition, three types of speech materials were used: words in sentences, isolated words, and syllable contrasts. To degrade the performance of the normal-hearing children, all testing was completed with a noise background. Results from the hearing-impaired children showed that all varieties of modified speech yielded either equivalent or poorer intelligibility than unprocessed speech. For words in sentences and isolated words, the slowing-down of speech had no effect on intelligibility scores whereas envelope amplification, both alone and combined with slowing-down, yielded significantly lower scores. Intelligibility results from normal-hearing children listening in noise were somewhat similar to those from hearing-impaired children. For isolated words, the slowing-down of speech had no effect on intelligibility whereas envelope amplification degraded intelligibility. For both subject groups, speech processing had no statistically significant effect on syllable discrimination. In summary, without extensive exposure to the speech processing conditions, children with impaired hearing and children with normal hearing listening in noise received no intelligibility advantage from either slowed speech or envelope-amplified speech.

Sign in / Sign up

Export Citation Format

Share Document