Recognition of nonsense syllables by hearing-impaired listeners and by noise-masked normal hearers

In the present study, speech-recognition performance was measured in four hearing-impaired subjects and twelve normal hearers. The normal hearers were divided into four groups of three subjects each. Speech-recognition testing for the normal hearers was accomplished in a background of spectrally shaped noise in which the noise was shaped to produce masked thresholds identical to the quiet thresholds of one of the hearing-impaired subjects. The question addressed in this study is whether normal hearers with a hearing loss simulated through a shaped masking noise demonstrate speech-recognition difficulties similar to those of listeners with actual hearing impairment. Regarding overall percent-correct scores, the results indicated that two of the four hearing-impaired subjects performed better than their corresponding subgroup of noise-masked normal hearers, whereas the other two impaired listeners performed like the noise-masked normal listeners. A gross analysis of the types of errors made suggested that subjects with actual and simulated losses frequently made different types of errors.     

Excess masking among listeners with a sensorineural hearing loss

Three experiments were conducted to determine whether listeners with a sensorineural hearing loss exhibited greater than normal amounts of masking at frequencies above the frequency of the masker. Excess masking was defined as the difference (in dB) between the masked thresholds actually obtained from a hearing-impaired listener and the expected thresholds calculated for the same individual. The expected thresholds were the power sum of the listener's thresholds in quiet and the average masked thresholds obtained from a group of normal-hearing subjects at the test frequency. Hearing-impaired listeners, with thresholds in quiet ranging from approximately 35-70 dB SPL (at test frequencies between 500-3000 Hz), displayed approximately 12-15 dB of maximum excess masking. The maximum amount of excess masking occurred in the region where the threshold in quiet of the hearing-impaired listener and the average normal masked threshold were equal. These findings indicate that listeners with a sensorineural hearing loss display one form of reduced frequency selectivity (i.e., abnormal upward spread of masking) even when their thresholds in quiet are taken into account.     

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.     

Relations among temporal acuity, hearing loss, and the perception of speech distorted by noise and reverberation

Eight normal listeners and eight listeners with sensorineural hearing losses were compared on a gap-detection task and on a speech perception task. The minimum detectable gap (71% correct) was determined as a function of noise level, and a time constant was computed from these data for each listener. The time constants of the hearing-impaired listeners were significantly longer than those of the normal listeners. The speech consisted of sentences that were mixed with two levels of noise and subjected to two kinds of reverberation (real or simulated). The speech thresholds (minimum signal-to-noise ratio for 50% correct) were significantly higher for the hearing-impaired listeners than for the normal listeners for both kinds of reverberation. The longer reverberation times produced significantly higher thresholds than the shorter times. The time constant was significantly correlated with all the speech threshold measures (r = -0.58 to -0.74) and a measure of hearing threshold loss also correlated significantly with all the speech thresholds (r = 0.53 to 0.95). A principal components analysis yielded two factors that accounted for the intercorrelations. The factor loadings for the time constant were similar to those on the speech thresholds for real reverberation and the loadings for hearing loss were similar to those of the thresholds for simulated reverberation.     

Effects of fluctuating noise and interfering speech on the speech-reception threshold for impaired and normal hearing

The speech-reception threshold (SRT) for sentences presented in a fluctuating interfering background sound of 80 dBA SPL is measured for 20 normal-hearing listeners and 20 listeners with sensorineural hearing impairment. The interfering sounds range from steady-state noise, via modulated noise, to a single competing voice. Two voices are used, one male and one female, and the spectrum of the masker is shaped according to these voices. For both voices, the SRT is measured as well in noise spectrally shaped according to the target voice as shaped according to the other voice. The results show that, for normal-hearing listeners, the SRT for sentences in modulated noise is 4-6 dB lower than for steady-state noise; for sentences masked by a competing voice, this difference is 6-8 dB. For listeners with moderate sensorineural hearing loss, elevated thresholds are obtained without an appreciable effect of masker fluctuations. The implications of these results for estimating a hearing handicap in everyday conditions are discussed. By using the articulation index (AI), it is shown that hearing-impaired individuals perform poorer than suggested by the loss of audibility for some parts of the speech signal. Finally, three mechanisms are discussed that contribute to the absence of unmasking by masker fluctuations in hearing-impaired listeners. The low sensation level at which the impaired listeners receive the masker seems a major determinant. The second and third factors are: reduced temporal resolution and a reduction in comodulation masking release, respectively.     

Temporal modulation transfer functions for listeners with real and simulated hearing loss

A functional simulation of hearing loss was evaluated in its ability to reproduce the temporal modulation transfer functions (TMTFs) for nine listeners with mild to profound sensorineural hearing loss. Each hearing loss was simulated in a group of three age-matched normal-hearing listeners through spectrally shaped masking noise or a combination of masking noise and multiband expansion. TMTFs were measured for both groups of listeners using a broadband noise carrier as a function of modulation rate in the range 2 to 1024 Hz. The TMTFs were fit with a lowpass filter function that provided estimates of overall modulation-depth sensitivity and modulation cutoff frequency. Although the simulations were capable of accurately reproducing the threshold elevations of the hearing-impaired listeners, they were not successful in reproducing the TMTFs. On average, the simulations resulted in lower sensitivity and higher cutoff frequency than were observed in the TMTFs of the hearing-impaired listeners. Discrepancies in performance between listeners with real and simulated hearing loss are possibly related to inaccuracies in the simulation of recruitment.     

Effect of multiple speechlike maskers on binaural speech recognition in normal and impaired hearing.

Speech-reception thresholds (SRT) were measured for 17 normal-hearing and 17 hearing-impaired listeners in conditions simulating free-field situations with between one and six interfering talkers. The stimuli, speech and noise with identical long-term average spectra, were recorded with a KEMAR manikin in an anechoic room and presented to the subjects through headphones. The noise was modulated using the envelope fluctuations of the speech. Several conditions were simulated with the speaker always in front of the listener and the maskers either also in front, or positioned in a symmetrical or asymmetrical configuration around the listener. Results show that the hearing impaired have significantly poorer performance than the normal hearing in all conditions. The mean SRT differences between the groups range from 4.2-10 dB. It appears that the modulations in the masker act as an important cue for the normal-hearing listeners, who experience up to 5-dB release from masking, while being hardly beneficial for the hearing impaired listeners. The gain occurring when maskers are moved from the frontal position to positions around the listener varies from 1.5 to 8 dB for the normal hearing, and from 1 to 6.5 dB for the hearing impaired. It depends strongly on the number of maskers and their positions, but less on hearing impairment. The difference between the SRTs for binaural and best-ear listening (the "cocktail party effect") is approximately 3 dB in all conditions for both the normal-hearing and the hearing-impaired listeners.     

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.     

Temporal processing in the aging auditory system.

Measures of monaural temporal processing and binaural sensitivity were obtained from 12 young (mean age = 26.1 years) and 12 elderly (mean age = 70.9 years) adults with clinically normal hearing (pure-tone thresholds < or = 20 dB HL from 250 to 6000 Hz). Monaural temporal processing was measured by gap detection thresholds. Binaural sensitivity was measured by interaural time difference (ITD) thresholds. Gap and ITD thresholds were obtained at three sound levels (4, 8, or 16 dB above individual threshold). Subjects were also tested on two measures of speech perception, a masking level difference (MLD) task, and a syllable identification/discrimination task that included phonemes varying in voice onset time (VOT). Elderly listeners displayed poorer monaural temporal analysis (higher gap detection thresholds) and poorer binaural processing (higher ITD thresholds) at all sound levels. There were significant interactions between age and sound level, indicating that the age difference was larger at lower stimulus levels. Gap detection performance was found to correlate significantly with performance on the ITD task for young, but not elderly adult listeners. Elderly listeners also performed more poorly than younger listeners on both speech measures; however, there was no significant correlation between psychoacoustic and speech measures of temporal processing. Findings suggest that age-related factors other than peripheral hearing loss contribute to temporal processing deficits of elderly listeners.     

The effect of hearing impairment on the identification of speech that is modulated synchronously or asynchronously across frequency

This study investigated the effect of mild-to-moderate sensorineural hearing loss on the ability to identify speech in noise for vowel-consonant-vowel tokens that were either unprocessed, amplitude modulated synchronously across frequency, or amplitude modulated asynchronously across frequency. One goal of the study was to determine whether hearing-impaired listeners have a particular deficit in the ability to integrate asynchronous spectral information in the perception of speech. Speech tokens were presented at a high, fixed sound level and the level of a speech-shaped noise was changed adaptively to estimate the masked speech identification threshold. The performance of the hearing-impaired listeners was generally worse than that of the normal-hearing listeners, but the impaired listeners showed particularly poor performance in the synchronous modulation condition. This finding suggests that integration of asynchronous spectral information does not pose a particular difficulty for hearing-impaired listeners with mild/moderate hearing losses. Results are discussed in terms of common mechanisms that might account for poor speech identification performance of hearing-impaired listeners when either the masking noise or the speech is synchronously modulated.     

Vowel perception by noise masked normal-hearing young adults

This study examined vowel perception by young normal-hearing (YNH) adults, in various listening conditions designed to simulate mild-to-moderate sloping sensorineural hearing loss. YNH listeners were individually age- and gender-matched to young hearing-impaired (YHI) listeners tested in a previous study [Richie et al., J. Acoust. Soc. Am. 114, 2923-2933 (2003)]. YNH listeners were tested in three conditions designed to create equal audibility with the YHI listeners; a low signal level with and without a simulated hearing loss, and a high signal level with a simulated hearing loss. Listeners discriminated changes in synthetic vowel tokens /I e epsilon alpha ae/ when Fl or F2 varied in frequency. Comparison of YNH with YHI results failed to reveal significant differences between groups in terms of performance on vowel discrimination, in conditions of similar audibility by using both noise masking to elevate the hearing thresholds of the YNH and applying frequency-specific gain to the YHI listeners. Further, analysis of learning curves suggests that while the YHI listeners completed an average of 46% more test blocks than YNH listeners, the YHI achieved a level of discrimination similar to that of the YNH within the same number of blocks. Apparently, when age and gender are closely matched between young hearing-impaired and normal-hearing adults, performance on vowel tasks may be explained by audibility alone.     

Temporal and spectral masking release in low- and mid-frequency regions for normal-hearing and hearing-impaired listeners

"Masking release" (MR), the improvement of speech intelligibility in modulated compared with unmodulated maskers, is typically smaller than normal for hearing-impaired listeners. The extent to which this is due to reduced audibility or to suprathreshold processing deficits is unclear. Here, the effects of audibility were controlled by using stimuli restricted to the low- (≤1.5 kHz) or mid-frequency (1-3 kHz) region for normal-hearing listeners and hearing-impaired listeners with near-normal hearing in the tested region. Previous work suggests that the latter may have suprathreshold deficits. Both spectral and temporal MR were measured. Consonant identification was measured in quiet and in the presence of unmodulated, amplitude-modulated, and spectrally modulated noise at three signal-to-noise ratios (the same ratios for the two groups). For both frequency regions, consonant identification was poorer for the hearing-impaired than for the normal-hearing listeners in all conditions. The results suggest the presence of suprathreshold deficits for the hearing-impaired listeners, despite near-normal audiometric thresholds over the tested frequency regions. However, spectral MR and temporal MR were similar for the two groups. Thus, the suprathreshold deficits for the hearing-impaired group did not lead to reduced MR.     

Auditory filter nonlinearity in mild/moderate hearing impairment

Sensorineural hearing loss has frequently been shown to result in a loss of frequency selectivity. Less is known about its effects on the level dependence of selectivity that is so prominent a feature of normal hearing. The aim of the present study is to characterize such changes in nonlinearity as manifested in the auditory filter shapes of listeners with mild/moderate hearing impairment. Notched-noise masked thresholds at 2 kHz were measured over a range of stimulus levels in hearing-impaired listeners with losses of 20-50 dB. Growth-of-masking functions for different notch widths are more parallel for hearing-impaired than for normal-hearing listeners, indicating a more linear filter. Level-dependent filter shapes estimated from the data show relatively little change in shape across level. The loss of nonlinearity is also evident in the input/output functions derived from the fitted filter shapes. Reductions in nonlinearity are clearly evident even in a listener with only 20-dB hearing loss.     

Discrimination of interaural temporal disparities by normal-hearing listeners and listeners with high-frequency sensorineural hearing loss

Thresholds of ongoing interaural time difference (ITD) were obtained from normal-hearing and hearing-impaired listeners who had high-frequency, sensorineural hearing loss. Several stimuli (a 500-Hz sinusoid, a narrow-band noise centered at 500 Hz, a sinusoidally amplitude-modulated 4000-Hz tone, and a narrow-band noise centered at 4000 Hz) and two criteria [equal sound-pressure level (Eq SPL) and equal sensation level (Eq SL)] for determining the level of stimuli presented to each listener were employed. The ITD thresholds and slopes of the psychometric functions were elevated for hearing-impaired listeners for the two high-frequency stimuli in comparison to: the listener's own low-frequency thresholds; and data obtained from normal-hearing listeners for stimuli presented with Eq SPL interaurally. The two groups of listeners required similar ITDs to reach threshold when stimuli were presented at Eq SLs to each ear. For low-frequency stimuli, the ITD thresholds of the hearing-impaired listener were generally slightly greater than those obtained from the normal-hearing listeners. Whether these stimuli were presented at either Eq SPL or Eq SL did not differentially affect the ITD thresholds across groups.     

Temporal integration in normal hearing, cochlear impairment, and impairment simulated by masking

To assess temporal integration in normal hearing, cochlear impairment, and impairment simulated by masking, absolute thresholds for tones were measured as a function of duration. Durations ranged from 500 ms down to 15 ms at 0.25 kHz, 8 ms at 1 kHz, and 2 ms at 4 and 14 kHz. An adaptive 2I, 2AFC procedure with feedback was used. On each trial, two 500-ms observation intervals, marked by lights, were presented with an interstimulus interval of 250 ms. The monaural signal was presented in the temporal center of one observation interval. The results for five normal and six impaired listeners show: (1) normal listeners' thresholds decrease by about 8 to 10 dB per decade of duration, as expected; (2) listeners with cochlear impairments generally show less temporal integration than normal listeners; and (3) listeners with impairments simulated using masking noise generally show the same amount of temporal integration as normal listeners tested in the quiet. The difference between real and simulated impairments indicates that the reduced temporal integration observed in impaired listeners probably is not due to splatter of energy to frequency regions where thresholds are low, but reflects reduced temporal integration per se.     

Modeling sensorineural hearing loss. I. Model and retrospective evaluation

The present article describes an approach to the evaluation of psychoacoustic data from the hearing impaired. The results obtained from the hearing impaired in several studies of frequency resolution, temporal resolution, and speech recognition are compared to the results expected for noise-masked normal listeners. It is presumed in this approach that the hypothetical noise-masked normal listeners have masked thresholds that agree perfectly with the quiet thresholds of the hearing-impaired subjects. Using this approach, most of the results obtained from impaired ears on spectral-resolution and speech-recognition tasks could be accurately predicted, an exception being results from spectral-resolution paradigms using fixed-level signals. Some of the data from hearing-impaired listeners on temporal-resolution tasks, on the other hand, could not be adequately described with this approach. The latter data, however, were much more limited. Additional data are needed to better evaluate the adequacy of this approach in describing the performance of the hearing impaired on temporal-resolution tasks.     

Discrimination and identification of vowels by young, hearing-impaired adults

This study examined the effects of mild-to-moderate sensorineural hearing loss on vowel perception abilities of young, hearing-impaired (YHI) adults. Stimuli were presented at a low conversational level with a flat frequency response (approximately 60 dB SPL), and in two gain conditions: (a) high level gain with a flat frequency response (95 dB SPL), and (b) frequency-specific gain shaped according to each listener's hearing loss (designed to simulate the frequency response provided by a linear hearing aid to an input signal of 60 dB SPL). Listeners discriminated changes in the vowels /I e E inverted-v ae/ when F1 or F2 varied, and later categorized the vowels. YHI listeners performed better in the two gain conditions than in the conversational level condition. Performances in the two gain conditions were similar, suggesting that upward spread of masking was not seen at these signal levels for these tasks. Results were compared with those from a group of elderly, hearing-impaired (EHI) listeners, reported in Coughlin, Kewley-Port, and Humes [J. Acoust. Soc. Am. 104, 3597-3607 (1998)]. Comparisons revealed no significant differences between the EHI and YHI groups, suggesting that hearing impairment, not age, is the primary contributor to decreased vowel perception in these listeners.     

Individual differences in auditory discrimination of spectral shape and speech-identification performance among elderly listeners

Speech-understanding difficulties observed in elderly hearing-impaired listeners are predominantly errors in the recognition of consonants, particularly within consonants that share the same manner of articulation. Spectral shape is an important acoustic cue that serves to distinguish such consonants. The present study examined whether individual differences in speech understanding among elderly hearing-impaired listeners could be explained by individual differences in spectral-shape discrimination ability. This study included a group of 20 elderly hearing-impaired listeners, as well as a group of young normal-hearing adults for comparison purposes. All subjects were tested on speech-identification tasks, with natural and computer-synthesized speech stimuli, and on a series of spectral-shape discrimination tasks. As expected, the young normal-hearing adults performed better than the elderly listeners on many of the identification tasks and on all but two discrimination tasks. Regression analyses of the data from the elderly listeners revealed moderate predictive relationships between some of the spectral-shape discrimination thresholds and speech-identification performance. The results indicated that when all stimuli were at least minimally audible, some of the individual differences in the identification of natural and synthetic speech tokens by elderly hearing-impaired listeners were associated with corresponding differences in their spectral-shape discrimination abilities for similar sounds.     

Factors affecting masking release for speech in modulated noise for normal-hearing and hearing-impaired listeners

The Speech Reception Threshold for sentences in stationary noise and in several amplitude-modulated noises was measured for 8 normal-hearing listeners, 29 sensorineural hearing-impaired listeners, and 16 normal-hearing listeners with simulated hearing loss. This approach makes it possible to determine whether the reduced benefit from masker modulations, as often observed for hearing-impaired listeners, is due to a loss of signal audibility, or due to suprathreshold deficits, such as reduced spectral and temporal resolution, which were measured in four separate psychophysical tasks. Results show that the reduced masking release can only partly be accounted for by reduced audibility, and that, when considering suprathreshold deficits, the normal effects associated with a raised presentation level should be taken into account. In this perspective, reduced spectral resolution does not appear to qualify as an actual suprathreshold deficit, while reduced temporal resolution does. Temporal resolution and age are shown to be the main factors governing masking release for speech in modulated noise, accounting for more than half of the intersubject variance. Their influence appears to be related to the processing of mainly the higher stimulus frequencies. Results based on calculations of the Speech Intelligibility Index in modulated noise confirm these conclusions.     

Forward masking among infant and adult listeners

Psychophysical forward-masked thresholds were estimated for 3- and 6-month-old infants and for adults. Listeners detected a repeated 1000-Hz probe, with 16-ms rise time, no steady-state duration, and 16-ms fall time. Unmasked thresholds were determined for one group of listeners who were trained to respond when they heard the probe but not at other times. In the masking conditions, each tone burst was preceded by a 100-ms broadband noise masker at 65 dB SPL. Listeners were trained to respond when they heard the probe and masker, but not when they heard the masker alone. The masker-probe interval, delta t, was either 5, 10, 25, or 200 ms. Four groups of subjects listened in the masked conditions, each at one value of delta t. Each listener attempted to complete a block of 32 trials including four probe levels chosen to span the range of expected thresholds. "Group" thresholds, based on average psychometric functions, as well as thresholds for individual listeners, were estimated. Both group and individual thresholds declined with delta t, as expected, for both infants and adults. Infants' masked thresholds were higher than those of adults, and comparison of masked to unmasked thresholds suggested that infants demonstrate more forward masking than adults, particularly at short delta t. Forward masking appeared to have greater effects on 3-month-olds' detection than on either 6-month-olds' or adults'. Compared to adults, 6-month-olds demonstrated more forward masking only for delta t of 5 ms. Thus, susceptibility to forward masking may be nearly mature by 6 months of age.