scholarly journals Can Haptic Stimulation Enhance Music Perception in Hearing-Impaired Listeners?

2021 ◽  
Vol 15 ◽  
Author(s):  
Mark D. Fletcher
Keyword(s):  
Signal Processing ◽  
Music Perception ◽  
Hearing Aid ◽  
Hearing Impaired ◽  
Haptic Devices ◽  
Key Issues ◽  
Impaired Speech ◽  
Simultaneous Sounds ◽  
Tactile System ◽  
Haptic Stimulation

Cochlear implants (CIs) have been remarkably successful at restoring hearing in severely-to-profoundly hearing-impaired individuals. However, users often struggle to deconstruct complex auditory scenes with multiple simultaneous sounds, which can result in reduced music enjoyment and impaired speech understanding in background noise. Hearing aid users often have similar issues, though these are typically less acute. Several recent studies have shown that haptic stimulation can enhance CI listening by giving access to sound features that are poorly transmitted through the electrical CI signal. This “electro-haptic stimulation” improves melody recognition and pitch discrimination, as well as speech-in-noise performance and sound localization. The success of this approach suggests it could also enhance auditory perception in hearing-aid users and other hearing-impaired listeners. This review focuses on the use of haptic stimulation to enhance music perception in hearing-impaired listeners. Music is prevalent throughout everyday life, being critical to media such as film and video games, and often being central to events such as weddings and funerals. It represents the biggest challenge for signal processing, as it is typically an extremely complex acoustic signal, containing multiple simultaneous harmonic and inharmonic sounds. Signal-processing approaches developed for enhancing music perception could therefore have significant utility for other key issues faced by hearing-impaired listeners, such as understanding speech in noisy environments. This review first discusses the limits of music perception in hearing-impaired listeners and the limits of the tactile system. It then discusses the evidence around integration of audio and haptic stimulation in the brain. Next, the features, suitability, and success of current haptic devices for enhancing music perception are reviewed, as well as the signal-processing approaches that could be deployed in future haptic devices. Finally, the cutting-edge technologies that could be exploited for enhancing music perception with haptics are discussed. These include the latest micro motor and driver technology, low-power wireless technology, machine learning, big data, and cloud computing. New approaches for enhancing music perception in hearing-impaired listeners could substantially improve quality of life. Furthermore, effective haptic techniques for providing complex sound information could offer a non-invasive, affordable means for enhancing listening more broadly in hearing-impaired individuals.

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.

Suggestion of hearing aid gain for Korean Hearing Impaired (HAG-K)

2011 ◽  
Vol 7 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Kyoung Won Lee ◽  
Jin Sook Kim
Keyword(s):  
Hearing Aid ◽  
Hearing Impaired

Music Perception of hearing-Impaired Persons with Focus on One Test Subject

2015 ◽  
Author(s):  
Rumi Hiraga ◽  
Kjetil F. Hansen ◽  
Naoya Kano ◽  
Masaki Matsubara ◽  
Hiroko Terasawa ◽  
...  
Keyword(s):  
Music Perception ◽  
Test Subject ◽  
Hearing Impaired

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.

Help-seeking Behaviour of Hearing-impaired Persons Aged ≥ 55 Years; Effect of Complaints, Significant Others and Hearing Aid Image

2003 ◽  
Vol 123 (7) ◽  
pp. 846-850 ◽  
Author(s):  
J. A. Duijvestijn ◽  
L. J. C. Anteunis ◽  
C. J. Hoek ◽  
R.H.S. Van Den Brink ◽  
M. N. Chenault ◽  
...  
Keyword(s):  
Help Seeking ◽  
Hearing Aid ◽  
Significant Others ◽  
Hearing Impaired ◽  
Help Seeking Behaviour

Fitting Frequency-Lowering Signal Processing Applying the American Academy of Audiology Pediatric Amplification Guideline: Updates and Protocols

2016 ◽  
Vol 27 (03) ◽  
pp. 219-236 ◽  
Author(s):  
Susan Scollie ◽  
Danielle Glista ◽  
Julie Seto ◽  
Andrea Dunn ◽  
Brittany Schuett ◽  
...  
Keyword(s):  
Signal Processing ◽  
Frequency Response ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Fine Tuning ◽  
Sensation Level ◽  
Response Level ◽  
Strong Basis ◽  
Wide Range ◽  
Signal Processors

Background: Although guidelines for fitting hearing aids for children are well developed and have strong basis in evidence, specific protocols for fitting and verifying technologies can supplement such guidelines. One such technology is frequency-lowering signal processing. Children require access to a broad bandwidth of speech to detect and use all phonemes including female /s/. When access through conventional amplification is not possible, the use of frequency-lowering signal processing may be considered as a means to overcome limitations. Fitting and verification protocols are needed to better define candidacy determination and options for assessing and fine tuning frequency-lowering signal processing for individuals. Purpose: This work aims to (1) describe a set of calibrated phonemes that can be used to characterize the variation in different brands of frequency-lowering processors in hearing aids and the verification with these signals and (2) determine whether verification with these signal are predictive of perceptual changes associated with changes in the strength of frequency-lowering signal processing. Finally, we aimed to develop a fitting protocol for use in pediatric clinical practice. Study Sample: Study 1 used a sample of six hearing aids spanning four types of frequency lowering algorithms for an electroacoustic evaluation. Study 2 included 21 adults who had hearing loss (mean age 66 yr). Data Collection and Analysis: Simulated fricatives were designed to mimic the level and frequency shape of female fricatives extracted from two sources of speech. These signals were used to verify the frequency-lowering effects of four distinct types of frequency-lowering signal processors available in commercial hearing aids, and verification measures were compared to extracted fricatives made in a reference system. In a second study, the simulated fricatives were used within a probe microphone measurement system to verify a wide range of frequency compression settings in a commercial hearing aid, and 27 adult listeners were tested at each setting. The relation between the hearing aid verification measures and the listener’s ability to detect and discriminate between fricatives was examined. Results: Verification measures made with the simulated fricatives agreed to within 4 dB, on average, and tended to mimic the frequency response shape of fricatives presented in a running speech context. Some processors showed a greater aided response level for fricatives in running speech than fricatives presented in isolation. Results with listeners indicated that verified settings that provided a positive sensation level of /s/ and that maximized the frequency difference between /s/ and /∫/ tended to have the best performance. Conclusions: Frequency-lowering signal processors have measureable effects on the high-frequency fricative content of speech, particularly female /s/. It is possible to measure these effects either with a simple strategy that presents an isolated simulated fricative and measures the aided frequency response or with a more complex system that extracts fricatives from running speech. For some processors, a more accurate result may be achieved with a running speech system. In listeners, the aided frequency location and sensation level of fricatives may be helpful in predicting whether a specific hearing aid fitting, with or without frequency-lowering, will support access to the fricatives of speech.

scholarly journals Study of 6 months' trial usage of hearing aid in hearing-impaired elderly outpatients visiting the Center for Memory Disorders

2019 ◽  
Vol 62 (2) ◽  
pp. 142-149
Author(s):  
Yasue Uchida ◽  
Saiko Sugiura ◽  
Takafumi Nakada ◽  
Erina Ito ◽  
Anna Yoshihara ◽  
...  
Keyword(s):  
Hearing Aid ◽  
Hearing Impaired ◽  
Memory Disorders ◽  
Elderly Outpatients

scholarly journals Survey of Hearing Aid Conditions for Hearing Impaired Persons While Driving

2020 ◽  
pp. 132-136
Author(s):  
Hiroshi Ikeda ◽  
Shigeyuki Minami
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Visual Information ◽  
Hearing Aid ◽  
Hearing Impaired ◽  
Safe Driving ◽  
Actual Usage ◽  
Hearing Ability ◽  
Acquired Hearing Loss ◽  
The Impact

Hearing impaired persons are required to drive with hearing aids to supplement their hearing ability, however, there has not been sufficient discussion regarding the impact of the use of a hearing aid on driving a vehicle. In order to investigate the actual usage and driving conditions of using hearing aids while driving a vehicle, this paper uses a questionnaire to survey (1) how easy it is to drive when wearing hearing aids, and (2) how often hearing aids are not worn while driving. Concerning the ease of driving when wearing a hearing aid, it was suggested that people with congenital hearing loss were more likely to rely on visual information, and those with acquired hearing loss continue to use their experience of hearing. When the level of disability is high, it is difficult to drive when using the hearing aid, and when the disability level is low, it is easier to drive. Regarding the frequency of driving without wearing hearing aids, about 60 % of respondents had such an experience. Those who often drive without hearing aids had experienced headaches due to noise from wearing hearing aids compared to those who wear hearing aids at all times. Hearing aids are necessary assistive devices for hearing impaired persons to obtain hearing information, and to provide a safe driving environment. Therefore, this paper addresses issues to maintain a comfortable driving environment while wearing a hearing aid.

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