Identification of vowels in quiet, noise, and reverberation: relationships with age and hearing loss

Vowel identification in quiet, noise, and reverberation was tested with 40 subjects who varied in age and hearing level. Stimuli were 15 English vowels spoken in a (b-t) context in a carrier sentence, which were degraded by reverberation or noise (a babble of 12 voices). Vowel identification scores were correlated with various measures of hearing loss and with age. The mean of four hearing levels at 0.5, 1, 2, and 4 kHz, termed HTL4, produced the highest correlation coefficients in all three listening conditions. The correlation with age was smaller than with HTL4 and significant only for the degraded vowels. Further analyses were performed for subjects assigned to four groups on the basis of the amount of hearing loss. In noise, performance of all four groups was significantly different, whereas, in both quiet and reverberation, only the group with the greatest hearing loss performed differently from the other groups. The relationship among hearing loss, age, and number and type of errors is discussed in light of acoustic cues available for vowel identification.     

Speech identification under simulated hearing-aid frequency response characteristics in relation to sensitivity, frequency resolution, and temporal resolution

Word identification in noise was measured adaptively under flat and rising frequency response conditions to represent basic alternatives for a hearing-aid characteristic. The speech test results were compared with measures of sensitivity, loudness tolerance, frequency resolution, and temporal resolution in 23 hearing-aid users with mild or moderate sensorineural hearing losses. Subjects also rated the two frequency responses for preference and subjective quality. A paradoxical relationship was found whereby superior speech performance under the flat condition was associated with preference for the rising condition, and vice versa. No combinations of psychoacoustic variables satisfactorily explained either relative performance or preference, although high-frequency sensitivity and upward spread of masking were implicated. Absolute speech performance was related to sensitivity at 2 kHz, age, and sex, but not to frequency resolution once other factors were partialed. Temporal resolution was also a factor, but this was due largely to the influence of extreme values in two subjects. It is concluded that, for moderate degrees of hearing loss, speech identification in noise can be predicted from age, sex, and sensitivity with little advantage from recourse to measurement of frequency or temporal resolution.     

Auditive and cognitive factors in speech perception by elderly listeners. II: Multivariate analyses

In part I of this study [van Rooij et al., J. Acoust. Soc. Am. 86, 1294-1309 (1989)], the validity and manageability of a test battery comprising auditive (sensitivity, frequency resolution, and temporal resolution), cognitive (memory performance, processing speed, and intellectual abilities), and speech perception tests (at the phoneme, spondee, and sentence level) were investigated. In the present article, the results of a selection of these tests for 72 elderly subjects (aged 60-93 years) are analyzed by multivariate statistical techniques. The results show that the deterioration of speech perception in the elderly consists of two statistically independent components: (a) a large component mainly representing the progressive high-frequency hearing loss with age that accounts for approximately two-thirds of the systematic variance of the tests of speech perception and (b) a smaller component (accounting for one-third of the systematic variance of the speech perception tests) mainly representing a general performance decrement due to reduced mental efficiency, which is indicated by a general slowing of performance and a reduced memory capacity. Although both components are correlated with age, it was found that the balance between auditive and cognitive contributions to speech perception performance did not change with age.     

Relations among some psychoacoustic parameters in normal and cochlearly impaired listeners

Frequency resolution (viz., masking by low-pass-filtered noise and broadband noise) and temporal resolution (viz., masking by interrupted noise) were compared with hearing thresholds and acoustic reflex thresholds for four normally hearing and 13 cochlearly impaired subjects. Two models, one for frequency resolution (model I) and one for temporal resolution (model II), were introduced, and these provided a means of predicting individual frequency and temporal resolution from hearing thresholds for both normal-hearing and hearing-impaired listeners. Model I is based on the assumption that the upward spread of masking increases in cochlearly impaired hearing with an amount proportional to the hearing threshold in dB HL. Model II is based on the assumption that the poststimulatory masked thresholds return to the level of the hearing threshold within a duration of 200 ms, independent of the level of the masker and the amount of cochlear hearing loss. Model parameters were determined from results from other studies. Although some discrepancies between measured and predicted values were observed, the model predictions generally agree with measurements. Thus, to a first-order approximation, it seems possible to predict individual frequency and temporal resolution of cochlearly hearing-impaired listeners solely on the basis of their hearing thresholds.     

Distribution of risk factors for hearing loss: implications for evaluating risk of occupational noise-induced hearing loss

This paper presents an analysis of hearing threshold levels among 2066 white male workers employed in various U.S. industries studied in the 1968-72 NIOSH Occupational Noise and Hearing Survey (ONHS). The distribution of hearing threshold levels (HTL) is examined in relation to various risk factors (age, prior occupational noise, medical conditions) for hearing loss among a population of noise exposed and control (low noise-exposed) industrial workers. Previous analyses of a subset of these data from the ONHS focused on 1172 highly "screened" workers. An additional 894 male workers (609 noise-exposed and 285 controls), who were excluded for various reasons (i.e., nonoccupational noise exposure, otologic or medical conditions affecting hearing, prior occupational noise exposure) have been added to examine hearing loss in an unscreened population. Data are analyzed by age, duration of exposure, and sound level (8-h TWA) by individual test frequency. Results indicate that hearing threshold levels are higher among unscreened noise-exposed and control workers relative to screened workers. Analysis of risk factors such as nonoccupational noise exposure, medical conditions, and type of industry among unscreened controls indicated that these factors were not significantly associated with increased mean HTLs or risk of material impairment over and above what is expected due to age. Age-specific mean hearing threshold levels (and percentiles of the distribution) among the unscreened ONHS control population may be used as a comparison population of low-noise exposed white male industrial workers for evaluating the effectiveness of hearing conservation programs for workers less than 55 years of age. To make valid inferences regarding occupational noise-induced hearing loss, it is important to use hearing data from reference (control) populations that are similar with respect to the degree of subject screening, type of work force (blue vs white collar), and the distribution of other risk factors for hearing loss.     

Normative thresholds in the 8- to 20-kHz range as a function of age

Using a prototype high-frequency audiometer, auditory thresholds in the 8- to 20-kHz range were obtained from 240 subjects ranging in age from 10-60 years. These measurements were obtained in interest of developing a normative database for frequencies above 8 kHz, and to evaluate intersubject variability as a function of age. An analysis of variance (ANOVA) revealed significant effects of frequency, age, and sex, and a significant frequency-by-age interaction. The largest changes in sensitivity with age occurred between 40 to 59 years. Below approximately 15 kHz, the intersubject variability of threshold estimates increased as a function of both age and frequency. Further analysis revealed that the age-related changes in variability were related to absolute thresholds rather than to age per se. When data are converted to dB HL (relative to the youngest group tested), the region of maximum hearing loss shifts to lower frequencies with increasing age, and threshold shifts with age are greatest in the 13- to 17-kHz range.     

Testing the concept of softness imperception: loudness near threshold for hearing-impaired ears

Buus and Florentine [J. Assoc. Res. Otolaryngol. 3, 120-139 (2002)] have proposed that loudness recruitment in cases of cochlear hearing loss is caused partly by an abnormally large loudness at absolute threshold. This has been called "softness imperception." To evaluate this idea, loudness-matching functions were obtained using tones at very low sensation levels. For subjects with asymmetrical hearing loss, matches were obtained for a single frequency across ears. For subjects with sloping hearing loss, matches were obtained between tones at two frequencies, one where the absolute threshold was nearly normal and one where there was a moderate hearing loss. Loudness matching was possible for sensation levels (SLs) as low as 2 dB. When the fixed tone was presented at a very low SL in an ear (or at a frequency) where there was hearing impairment, it was matched by a tone with approximately the same SL in an ear (or at a frequency) where hearing was normal (e.g., 2 dB SL matched 2 dB SL). This relationship held for SLs up to 4-10 dB, depending on the subject. These results are not consistent with the concept of softness imperception.     

Decline of speech understanding and auditory thresholds in the elderly

A group of 29 elderly subjects between 60.0 and 83.7 years of age at the beginning of the study, and whose hearing loss was not greater than moderate, was tested twice, an average of 5.27 years apart. The tests measured pure-tone thresholds, word recognition in quiet, and understanding of speech with various types of distortion (low-pass filtering, time compression) or interference (single speaker, babble noise, reverberation). Performance declined consistently and significantly between the two testing phases. In addition, the variability of speech understanding measures increased significantly between testing phases, though the variability of audiometric measurements did not. A right-ear superiority was observed but this lateral asymmetry did not increase between testing phases. Comparison of the elderly subjects with a group of young subjects with normal hearing shows that the decline of speech understanding measures accelerated significantly relative to the decline in audiometric measures in the seventh to ninth decades of life. On the assumption that speech understanding depends linearly on age and audiometric variables, there is evidence that this linear relationship changes with age, suggesting that not only the accuracy but also the nature of speech understanding evolves with age.     

Temporal modulation transfer functions obtained using sinusoidal carriers with normally hearing and hearing-impaired listeners

Temporal modulation transfer functions were obtained using sinusoidal carriers for four normally hearing subjects and three subjects with mild to moderate cochlear hearing loss. Carrier frequencies were 1000, 2000 and 5000 Hz, and modulation frequencies ranged from 10 to 640 Hz in one-octave steps. The normally hearing subjects were tested using levels of 30 and 80 dB SPL. For the higher level, modulation detection thresholds varied only slightly with modulation frequency for frequencies up to 80 Hz, but decreased for high modulation frequencies. The decrease can be attributed to the detection of spectral sidebands. For the lower level, thresholds varied little with modulation frequency for all three carrier frequencies. The absence of a decrease in the threshold for large modulation frequencies can be explained by the low sensation level of the spectral sidebands. The hearing-impaired subjects were tested at 80 dB SPL, except for two cases where the absolute threshold at the carrier frequency was greater than 70 dB SPL; in these cases a level of 90 dB was used. The results were consistent with the idea that spectral sidebands were less detectable for the hearing-impaired than for the normally hearing subjects. For the two lower carrier frequencies, there were no large decreases in threshold with increasing modulation frequency, and where decreases did occur, this happened only between 320 and 640 Hz. For the 5000-Hz carrier, thresholds were roughly constant for modulation frequencies from 10 to 80 or 160 Hz, and then increased monotonically, becoming unmeasurable at 640 Hz. The results for this carrier may reflect "pure" effects of temporal resolution, without any influence from the detection of spectral sidebands. The results suggest that temporal resolution for deterministic stimuli is similar for normally hearing and hearing-impaired listeners.     

Variation in the hearing sensitivity of a dolphin population determined through the use of evoked potential audiometry

A portable electrophysiological data collection system was used to assess hearing in a captive population of bottlenose dolphins by recording auditory evoked potentials (AEPs). The AEP system used a transducer embedded in a suction cup to deliver amplitude modulated tones to the dolphin through the lower jaw. Evoked potentials were recorded noninvasively using surface electrodes. Adaptive procedures allowed hearing thresholds to be estimated from 10 to 150 kHz in a single ear in about 45 min. Hearing thresholds were measured in 42 bottlenose dolphins (28 male, 14 female), ranging in age from 4 to 47 years. Variations in hearing sensitivity with age and sex followed patterns seen in humans and terrestrial mammals: generally, within the population there was a progressive loss of high frequency hearing with age and an earlier onset of hearing loss in males than in females. Hearing loss generally occurred between the ages of 20 and 30, and all animals over the age of 27 had some degree of hearing loss. Two dolphins with profound hearing loss were found within the population. Aberrant hearing patterns were observed in related dolphins suggesting genetic links to hearing ability may exist.     

Gap detection and masking in hearing-impaired and normal-hearing subjects

Subjects with cochlear impairments often show reduced temporal resolution as measured in gap-detection tasks. The primary goals of these experiments were: to assess the extent to which the enlarged gap thresholds can be explained by elevations in absolute threshold; and to determine whether the large gap thresholds can be explained by the same processes that lead to a slower-than-normal recovery from forward masking. In experiment I gap thresholds were measured for nine unilaterally and eight bilaterally impaired subjects, using bandlimited noise stimuli centered at 0.5, 1.0, and 2.0 kHz. Gap thresholds were usually larger for the impaired ears, even when the comparisons were made at equal sensation levels (SLs). Gap thresholds tended to increase with increasing absolute threshold, but the scatter of gap thresholds was large for a given degree of hearing loss. In experiment II threshold was measured as a function of the delay between the onset of a 210-ms masker and the onset of a 10-ms signal in both simultaneous- and forward-masking conditions. The signal frequency was equal to the center frequency of the bandlimited noise masker, which was 0.5, 1.0, or 2.0 kHz. Five subjects with unilateral cochlear impairments, two subjects with bilateral impairments, and two normal subjects were tested. The rate of recovery from forward masking, particularly the initial rate, was usually slower for the impaired ears, even when the maskers were presented at equal SLs. Large gap thresholds tended to be associated with slow rates of recovery from forward masking.     

Is real-ear attenuation at threshold a function of hearing level?

In the course of measuring the real-ear attenuation at threshold (REAT) of experimenter-inserted E-A-R foam earplugs on 100 subjects, a statistically significant correlation was observed between attenuation and hearing level (for normal listeners, HTL less than or equal to 20 dB) at test frequencies from 2-8 kHz. Listeners with more sensitive hearing obtained better protection. The relationship was most robust at 6 and 8 kHz. For hearing levels greater than 20 dB, attenuation appeared independent of hearing level. A hypothesis was developed to explain the relationship for the normal listeners, based upon the fact that the high-frequency attenuation of the earplug was nearly bone-conduction limited. The hypothesis suggested that the attenuation of a hearing protector that provided substantially lower protection would not exhibit the same relationship. Data for such a device were collected for 70 subjects, and indeed demonstrated reduced correlation between attenuation and hearing level. Implications of the results of the experiments are discussed with regard to hearing level requirements for hearing protector attenuation test subjects, utilization of hearing-impaired listeners to measure REAT at suprathreshold (with respect to normal listeners) sound pressure levels, and linearity of hearing protector attenuation as a function of sound level.     

Minimum stimulus levels for temporal gap resolution in listeners with sensorineural hearing loss

The minimum sensation levels required for optimal temporal gap resolution were measured in five listeners with moderately severe degrees of sensorineural hearing loss. The stimuli were three continuous octave-band noises centered at 0.5, 2.0, and 4.0 kHz. Subjects used a Békésy tracking procedure to determine the minimum signal levels needed to resolve periodic temporal gaps of fixed durations. Analysis of data across subjects and signal revealed only a weak correlation between this minimum SL and the corresponding HLs; most listeners resolved threshold gaps at minimum levels of 25-35 dB SL, independent of degree of hearing loss. The results differ from those of normal subjects with masking-induced hearing loss [Fitzgibbons, Percept. Psychophys. 35, 446-450 (1984)], which showed an inverse relationship between HL and the SLs required for gap threshold. The findings indicate that assessment of optimal gap resolution in listeners with cochlear impairment requires stimulus presentation levels of at least 25-35 dB SL. Even with sufficient stimulus intensity, each of the hearing-impaired listeners exhibited abnormal gap resolution for each octave-band signal.     

Distortion product otoacoustic emission (DPOAE) in tinnitus patients

The aim of this study was to determine the effect of tinnitus (experiment I) and the combined effect of tinnitus and sensorineural hearing loss (experiment II) on the distortion product otoacoustic emission (DPOAE) for two age groups of tinnitus patients. Tinnitus patients with normal earing, along with normal-hearing control subjects, participated in experiment I. They were divided into two age groups, below 50 and above 50 years. Experiment I showed that the DPOAE levels in the tinnitus patients were lower than those in the normal-hearing (nontinnitus) subjects. The differences depended on the frequency and the age of the patients, suggesting the confounding influence of presbyacusis. The second group of tinnitus patients with increasing and notch-like hearing loss participated in experiment II. They were also divided into two age groups, below 50 and above 50 years. The data from experiment II showed that DPOAE activity well reflects the increasing and notch-like hearing loss functions up to about 40 dB HL. The effect of age on the DPOAE level was clearly noted only for the tinnitus patients with clinically normal-hearing thresholds and was ambiguous for the tinnitus patients with hearing loss.     

Effects of age and mild hearing loss on speech recognition in noise

Using an adaptive strategy, the effects of mild sensorineural hearing loss and adult listeners' chronological age on speech recognition in babble were evaluated. The signal-to-babble ratio required to achieve 50% recognition was measured for three speech materials presented at soft to loud conversational speech levels. Four groups of subjects were tested: (1) normal-hearing listeners less than 44 years of age, (2) subjects less than 44 years old with mild sensorineural hearing loss and excellent speech recognition in quiet, (3) normal-hearing listeners greater than 65 with normal hearing, and (4) subjects greater than 65 years old with mild hearing loss and excellent performance in quiet. Groups 1 and 3, and groups 2 and 4 were matched on the basis of pure-tone thresholds, and thresholds for each of the three speech materials presented in quiet. In addition, groups 1 and 2 were similar in terms of mean age and age range, as were groups 3 and 4. Differences in performance in noise as a function of age were observed for both normal-hearing and hearing-impaired listeners despite equivalent performance in quiet. Subjects with mild hearing loss performed significantly worse than their normal-hearing counterparts. These results and their implications are discussed.     

Fine structure of hearing threshold and loudness perception

Hearing thresholds measured with high-frequency resolution show a quasiperiodic change in level called threshold fine structure (or microstructure). The effect of this fine structure on loudness perception over a range of stimulus levels was investigated in 12 subjects. Three different approaches were used. Individual hearing thresholds and equal loudness contours were measured in eight subjects using loudness-matching paradigms. In addition, the loudness growth of sinusoids was observed at frequencies associated with individual minima or maxima in the hearing threshold from five subjects using a loudness-matching paradigm. At low levels, loudness growth depended on the position of the test- or reference-tone frequency within the threshold fine structure. The slope of loudness growth differs by 0.2 dB/dB when an identical test tone is compared with two different reference tones, i.e., a difference in loudness growth of 2 dB per 10-dB change in stimulus. Finally, loudness growth was measured for the same five subjects using categorical loudness scaling as a direct-scaling technique with no reference tone instead of the loudness-matching procedures. Overall, an influence of hearing-threshold fine structure on loudness perception of sinusoids was observable for stimulus levels up to 40 dB SPL--independent of the procedure used. Possible implications of fine structure for loudness measurements and other psychoacoustic experiments, such as different compression within threshold minima and maxima, are discussed.     

Encoding voice fundamental frequency into vibrotactile frequency.

Measured in this study was the ability of eight hearing and five deaf subjects to identify the stress pattern in a short sentence from the variation in voice fundamental frequency (F0), when presented aurally (for hearing subjects) and when transformed into vibrotactile pulse frequency. Various transformations from F0 to pulse frequency were tested in an attempt to determine an optimum transformation, the amount of F0 information that could be transmitted, and what the limitations in the tactile channel might be. The results indicated that a one- or two-octave reduction of F0 vibrotactile frequency (transmitting every second or third glottal pulse) might result in a significant ability to discriminate the intonation patterns associated with moderate-to-strong patterns of sentence stress in English. However, accurate reception of the details of the intonation pattern may require a slower than normal pronounciation because of an apparent temporal indeterminacy of about 200 ms in the perception of variations in vibrotactile frequency. A performance deficit noted for the two prelingually, profoundly deaf subjects with marginally discriminable encodings offers some support for our previous hypothesis that there is a natural association between auditory pitch and perceived vibrotactile frequency.     

The temporal effect in listeners with mild to moderate cochlear hearing impairment

This study examines the relationship between a temporal masking effect and cochlear hearing impairment. The threshold level of a long-duration broadband masker needed to mask a short-duration tonal signal was measured for signals presented 2 ms (short-delay) or 202 ms (long-delay condition) after masker onset. The difference between these thresholds is the temporal effect. In two previous studies with normal-hearing listeners, estimates of gain of the cochlear active process derived from such data suggested a decrease in gain during the course of the masker. This hypothesis was further examined in the present study by testing listeners with mild to moderate cochlear hearing impairment. Results are consistent with a decrease in gain in the short-delay condition with increasing hearing impairment, and also less change in gain with increasing hearing impairment.     

Overshoot in normal-hearing and hearing-impaired subjects.

Overshoot was measured in both ears of four subjects with normal hearing and in five subjects with permanent, sensorineural hearing loss (two with a unilateral loss). The masker was a 400-ms broadband noise presented at a spectrum level of 20, 30, or 40 dB SPL. The signal was a 10-ms sinusoid presented 1 or 195 ms after the onset of the masker. Signal frequency was 1.0 or 4.0 kHz, which placed the signal in a region of normal (1.0 kHz) or impaired (4.0 kHz) absolute sensitivity for the impaired ears. For the normal-hearing subjects, the effects of signal frequency and masker level were similar to those published previously. In particular, overshoot was larger at 4.0 than at 1.0 kHz, and overshoot at 4.0 kHz tended to decrease with increasing masker level. At 4.0 kHz, overshoot values were significantly larger in the normal ears: Maximum values ranged from about 7-26 dB in the normal ears, but were always less than 5 dB in the impaired ears. The smaller overshoot values resulted from the fact that thresholds in the short-delay condition were considerably better in the hearing-impaired subjects than in the normal-hearing subjects. At 1.0 kHz, overshoot values for the two groups of subjects more or less overlapped. The results suggest that permanent, sensorineural hearing loss disrupts the mechanisms responsible for a large overshoot effect.     

Audiometric thresholds among a Canadian sample of 10 to 17 year old students

A total of 237 students, 10 to 17 years of age, from 14 schools underwent hearing evaluations. Otoscopic examination, tympanometry and air-conduction pure tone audiometry was conducted at low (0.5, 1, 2 kHz) and high (4 and 8 kHz) frequencies. In all schools, hearing thresholds were measured with headphones in a portable audiometric booth. Socio-demographic information from students and their parents were collected using questionnaires. Overall, the prevalence of any hearing loss greater than 15 dB was 22.3% for low or high frequency pure tone averages. Self-reported symptoms of hearing loss, such as tinnitus, difficulty following a conversation with background noise, and having to turn up the TV/radio more than in the past, were associated with audiometric thresholds, most notably at 4 kHz. These study findings are among the first to provide a detailed characterization of hearing status in a sample of youth in a Canadian demographic.