Speech recognition as a function of high-pass filter cutoff frequency for people with and without low-frequency cochlear dead regions

Regions in the cochlea with no (or very few) functioning inner hair cells and/or neurons are called "dead regions" (DRs). The recognition of high-pass filtered nonsense syllables was measured as a function of filter cutoff frequency for hearing-impaired people with and without low-frequency (apical) cochlear DRs. The diagnosis of any DR was made using the TEN(HL) test, and psychophysical tuning curves were used to define the edge frequency (f(e)) more precisely. Stimuli were amplified differently for each ear, using the "Cambridge formula." For subjects with low-frequency hearing loss but without DRs, scores were high (about 78%) for low cutoff frequencies, remained approximately constant for cutoff frequencies up to 862 Hz, and then worsened with increasing cutoff frequency. For subjects with low-frequency DRs, performance was typically poor for the lowest cutoff frequency (100 Hz), improved as the cutoff frequency was increased to about 0.57f(e), and worsened with further increases. These results indicate that people with low-frequency DRs are able to make effective use of frequency components that fall in the range 0.57f(e) to f(e), but that frequency components below 0.57f(e) have deleterious effects. The results have implications for the fitting of hearing aids to people with low-frequency DRs.