Objective estimation of loudness growth in hearing-impaired listeners

A methodology for the estimation of individual loudness growth functions using tone-burst otoacoustic emissions (TBOAEs) and tone-burst auditory brainstem responses (TBABRs) was proposed by Silva and Epstein [J. Acoust. Soc. Am. 127, 3629-3642 (2010)]. This work attempted to investigate the application of such technique to the more challenging cases of hearing-impaired listeners. The specific aims of this study were to (1) verify the accuracy of this technique with eight hearing-impaired listeners for 1- and 4-kHz tone-burst stimuli, (2) investigate the effect of residual noise levels from the TBABRs on the quality of the loudness growth estimation, and (3) provide a public dataset of physiological and psychoacoustical responses to a wide range of stimuli intensity. The results show that some of the physiological loudness growth estimates were within the mean-square-error range for standard psychoacoustical procedures, with closer agreement at 1 kHz. The median residual noise in the TBABRs was found to be related to the performance of the estimation, with some listeners showing strong improvements in the estimated loudness growth function when controlling for noise levels. This suggests that future studies using evoked potentials to estimate loudness growth should control for the estimated averaged residual noise levels of the TBABRs.     

Spatial release from masking in normally hearing and hearing-impaired listeners as a function of the temporal overlap of competing talkers

Listeners with sensorineural hearing loss are poorer than listeners with normal hearing at understanding one talker in the presence of another. This deficit is more pronounced when competing talkers are spatially separated, implying a reduced "spatial benefit" in hearing-impaired listeners. This study tested the hypothesis that this deficit is due to increased masking specifically during the simultaneous portions of competing speech signals. Monosyllabic words were compressed to a uniform duration and concatenated to create target and masker sentences with three levels of temporal overlap: 0% (non-overlapping in time), 50% (partially overlapping), or 100% (completely overlapping). Listeners with hearing loss performed particularly poorly in the 100% overlap condition, consistent with the idea that simultaneous speech sounds are most problematic for these listeners. However, spatial release from masking was reduced in all overlap conditions, suggesting that increased masking during periods of temporal overlap is only one factor limiting spatial unmasking in hearing-impaired listeners.     

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.     

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.     

Temporal resolution in sensorineural hearing-impaired listeners

Temporal masking curves were obtained from 12 normal-hearing and 16 hearing-impaired listeners using 200-ms, 1000-Hz pure-tone maskers and 20-ms, 1000-Hz fixed-level probe tones. For the delay times used here (greater than 40 ms), temporal masking curves obtained from both groups can be well described by an exponential function with a single level-independent time constant for each listener. Normal-hearing listeners demonstrated time constants that ranged between 37 and 67 ms, with a mean of 50 ms. Most hearing-impaired listeners, with significant hearing loss at the probe frequency, demonstrated longer time constants (range 58-114 ms) than those obtained from normal-hearing listeners. Time constants were found to grow exponentially with hearing loss according to the function tau = 52e0.011(HL), when the slope of the growth of masking is unity. The longest individual time constant was larger than normal by a factor of 2.3 for a hearing loss of 52 dB. The steep slopes of the growth of masking functions typically observed at long delay times in hearing-impaired listeners' data appear to be a direct result of longer time constants. When iterative fitting procedures included a slope parameter, the slopes of the growth of masking from normal-hearing listeners varied around unity, while those from hearing-impaired listeners tended to be less (flatter) than normal. Predictions from the results of these fixed-probe-level experiments are consistent with the results of previous fixed-masker-level experiments, and they indicate that deficiencies in the ability to detect sequential stimuli should be considerable in hearing-impaired listeners, partially because of extended time constants, but mostly because forward masking involves a recovery process that depends upon the sensory response evoked by the masking stimulus. Large sensitivity losses reduce the sensory response to high SPL maskers so that the recovery process is slower, much like the recovery process for low-level stimuli in normal-hearing listeners.     

Sound localization in noise in hearing-impaired listeners.

The present study assesses the ability of four listeners with high-frequency, bilateral symmetrical sensorineural hearing loss to localize and detect a broadband click train in the frontal-horizontal plane, in quiet and in the presence of a white noise. The speaker array and stimuli are identical to those described by Lorenzi et al. (in press). The results show that: (1) localization performance is only slightly poorer in hearing-impaired listeners than in normal-hearing listeners when noise is at 0 deg azimuth, (2) localization performance begins to decrease at higher signal-to-noise ratios for hearing-impaired listeners than for normal-hearing listeners when noise is at +/- 90 deg azimuth, and (3) the performance of hearing-impaired listeners is less consistent when noise is at +/- 90 deg azimuth than at 0 deg azimuth. The effects of a high-frequency hearing loss were also studied by measuring the ability of normal-hearing listeners to localize the low-pass filtered version of the clicks. The data reproduce the effects of noise on three out of the four hearing-impaired listeners when noise is at 0 deg azimuth. They reproduce the effects of noise on only two out of the four hearing-impaired listeners when noise is at +/- 90 deg azimuth. The additional effects of a low-frequency hearing loss were investigated by attenuating the low-pass filtered clicks and the noise by 20 dB. The results show that attenuation does not strongly affect localization accuracy for normal-hearing listeners. Measurements of the clicks' detectability indicate that the hearing-impaired listeners who show the poorest localization accuracy also show the poorest ability to detect the clicks. The inaudibility of high frequencies, "distortions," and reduced detectability of the signal are assumed to have caused the poorer-than-normal localization accuracy for hearing-impaired listeners.     

Binaural speech intelligibility in noise for hearing-impaired listeners

The effect of head-induced interaural time delay (ITD) and interaural level differences (ILD) on binaural speech intelligibility in noise was studied for listeners with symmetrical and asymmetrical sensorineural hearing losses. The material, recorded with a KEMAR manikin in an anechoic room, consisted of speech, presented from the front (0 degree), and noise, presented at azimuths of 0 degree, 30 degrees, and 90 degrees. Derived noise signals, containing either only ITD or only ILD, were generated using a computer. For both groups of subjects, speech-reception thresholds (SRT) for sentences in noise were determined as a function of: (1) noise azimuth, (2) binaural cue, and (3) an interaural difference in overall presentation level, simulating the effect of a monaural hearing acid. Comparison of the mean results with corresponding data obtained previously from normal-hearing listeners shows that the hearing impaired have a 2.5 dB higher SRT in noise when both speech and noise are presented from the front, and 2.6-5.1 dB less binaural gain when the noise azimuth is changed from 0 degree to 90 degrees. The gain due to ILD varies among the hearing-impaired listeners between 0 dB and normal values of 7 dB or more. It depends on the high-frequency hearing loss at the side presented with the most favorable signal-to-noise (S/N) ratio. The gain due to ITD is nearly normal for the symmetrically impaired (4.2 dB, compared with 4.7 dB for the normal hearing), but only 2.5 dB in the case of asymmetrical impairment. When ITD is introduced in noise already containing ILD, the resulting gain is 2-2.5 dB for all groups. The only marked effect of the interaural difference in overall presentation level is a reduction of the gain due to ILD when the level at the ear with the better S/N ratio is decreased. This implies that an optimal monaural hearing aid (with a moderate gain) will hardly interfere with unmasking through ITD, while it may increase the gain due to ILD by preventing or diminishing threshold effects.     

Frequency discrimination as a function of tonal duration and excitation-pattern slopes in normal and hearing-impaired listeners

Frequency difference limens were determined as a function of stimulus duration in five normal-hearing and seven hearing-impaired subjects. The frequency DL duration functions obtained from normal-hearing subjects were similar to those reported by Liang and Chistovich [Sov. Phys. Acoust. 6, 75-80 (1961)]. As duration increased, the DL's improved rapidly over a range of short durations, improved more gradually over a middle range of durations, and reached an asymptote around 200 ms. The functions obtained from the hearing-impaired subjects were similar to those from normal subjects over the middle and longer duration, but did not display the rapid changes at short durations. The paper examines the ability of a variation of Zwicker's excitation-pattern model of frequency discrimination to explain these duration effects. Most, although not all, of the effects can be adequately explained by the model.     

Decision strategies of hearing-impaired listeners in spectral shape discrimination

The ability to discriminate between sounds with different spectral shapes was evaluated for normal-hearing and hearing-impaired listeners. Listeners detected a 920-Hz tone added in phase to a single component of a standard consisting of the sum of five tones spaced equally on a logarithmic frequency scale ranging from 200 to 4200 Hz. An overall level randomization of 10 dB was either present or absent. In one subset of conditions, the no-perturbation conditions, the standard stimulus was the sum of equal-amplitude tones. In the perturbation conditions, the amplitudes of the components within a stimulus were randomly altered on every presentation. For both perturbation and no-perturbation conditions, thresholds for the detection of the 920-Hz tone were measured to compare sensitivity to changes in spectral shape between normal-hearing and hearing-impaired listeners. To assess whether hearing-impaired listeners relied on different regions of the spectrum to discriminate between sounds, spectral weights were estimated from the perturbed standards by correlating the listener's responses with the level differences per component across two intervals of a two-alternative forced-choice task. Results showed that hearing-impaired and normal-hearing listeners had similar sensitivity to changes in spectral shape. On average, across-frequency correlation functions also were similar for both groups of listeners, suggesting that as long as all components are audible and well separated in frequency, hearing-impaired listeners can use information across frequency as well as normal-hearing listeners. Analysis of the individual data revealed, however, that normal-hearing listeners may be better able to adopt optimal weighting schemes. This conclusion is only tentative, as differences in internal noise may need to be considered to interpret the results obtained from weighting studies between normal-hearing and hearing-impaired listeners.     

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.     

Summation bandwidths at threshold in normal and hearing-impaired listeners

The bandwidths for summation at threshold were measured for subjects with normal hearing and subjects with sensorineural hearing loss. Thresholds in quiet and in the presence of a masking noise were measured for complex stimuli consisting of 1 to 40 pure-tone components spaced 20 Hz apart. The single component condition consisted of a single pure tone at 1100 Hz; additional components were added below this frequency, in a replication of the G?ssler [Acustica 4, 408-414 (1954)] procedure. For the normal subjects, thresholds increased approximately 3 dB per doubling of bandwidth for signal bandwidths exceeding the critical bandwidth. This slope was less for the hearing-impaired subjects. Summation bandwidths, as estimated from two-line fits, were wider for the hearing-impaired than for the normal subjects. These findings provide evidence that hearing-impaired subjects integrate sound energy over a wider-than-normal frequency range for the detection of complex signals. A second experiment used stimuli similar to those of Spiegel [J. Acoust. Soc. Am. 66, 1356-1363 (1979)], and added components both above and below the frequency of the initial component. Using these stimuli, the slope of the threshold increase beyond the critical bandwidth was approximately 1.5 dB per doubling of bandwidth, thus replicating the Spiegel (1979) experiment. It is concluded that the differences between the G?ssler (1954) and Spiegel (1979) studies were due to the different frequency content of the stimuli used in each study. Based upon the present results, it would appear that the slope of threshold increase is dependent upon the direction of signal expansion, and the size of the critical bands into which the signal is expanded.     

Spectral integration of speech bands in normal-hearing and hearing-impaired listeners

This investigation examined whether listeners with mild-moderate sensorineural hearing impairment have a deficit in the ability to integrate synchronous spectral information in the perception of speech. In stage 1, the bandwidth of filtered speech centered either on 500 or 2500 Hz was varied adaptively to determine the width required for approximately 15%-25% correct recognition. In stage 2, these criterion bandwidths were presented simultaneously and percent correct performance was determined in fixed block trials. Experiment 1 tested normal-hearing listeners in quiet and in masking noise. The main findings were (1) there was no correlation between the criterion bandwidths at 500 and 2500 Hz; (2) listeners achieved a high percent correct in stage 2 (approximately 80%); and (3) performance in quiet and noise was similar. Experiment 2 tested listeners with mild-moderate sensorineural hearing impairment. The main findings were (1) the impaired listeners showed high variability in stage 1, with some listeners requiring narrower and others requiring wider bandwidths than normal, and (2) hearing-impaired listeners achieved percent correct performance in stage 2 that was comparable to normal. The results indicate that listeners with mild-moderate sensorineural hearing loss do not have an essential deficit in the ability to integrate across-frequency speech information.     

Vowel errors in noise and in reverberation by hearing-impaired listeners

The effects of noise and reverberation on the identification of monophthongs and diphthongs were evaluated for ten subjects with moderate sensorineural hearing losses. Stimuli were 15 English vowels spoken in a /b-t/ context, in a carrier sentence. The original tape was recorded without reverberation, in a quiet condition. This test tape was degraded either by recording in a room with reverberation time of 1.2 s, or by adding a babble of 12 voices at a speech-to-noise ratio of 0 dB. Both types of degradation caused statistically significant reductions of mean identification scores as compared to the quiet condition. Although the mean identification scores for the noise and reverberant conditions were not significantly different, the patterns of errors for these two conditions were different. Errors for monophthongs in reverberation but not in noise seemed to be related to an overestimation of vowel duration, and there was a tendency to weight the formant frequencies differently in the reverberation and quiet conditions. Errors for monophthongs in noise seemed to be related to spectral proximity of formant frequencies for confused pairs. For the diphthongs in both noise and reverberation, there was a tendency to judge a diphthong as the beginning monophthong. This may have been due to temporal smearing in the reverberation condition, and to a higher masked threshold for changing compared to stationary formant frequencies in the noise condition.     

Sample discrimination of frequency by hearing-impaired and normal-hearing listeners

In a multiple observation, sample discrimination experiment normal-hearing (NH) and hearing-impaired (HI) listeners heard two multitone complexes each consisting of six simultaneous tones with nominal frequencies spaced evenly on an ERB(N) logarithmic scale between 257 and 6930 Hz. On every trial, the frequency of each tone was sampled from a normal distribution centered near its nominal frequency. In one interval of a 2IFC task, all tones were sampled from distributions lower in mean frequency and in the other interval from distributions higher in mean frequency. Listeners had to identify the latter interval. Decision weights were obtained from multiple regression analysis of the between- interval frequency differences for each tone and listeners' responses. Frequency difference limens (an index of sensorineural resolution) and decision weights for each tone were used to predict the sensitivity of different decision-theoretic models. Results indicate that low-frequency tones were given much greater perceptual weight than high-frequency tones by both groups of listeners. This tendency increased as hearing loss increased and as sensorineural resolution decreased, resulting in significantly less efficient weighting strategies for the HI listeners. Overall, results indicate that HI listeners integrated frequency information less optimally than NH listeners, even after accounting for differences in sensorineural resolution.     

Spectral weighting strategies for hearing-impaired listeners measured using a correlational method

Spectral weighting strategies using a correlational method [R. A. Lutfi, J. Acoust. Soc. Am. 97, 1333-1334 (1995); V. M. Richards and S. Zhu, J. Acoust. Soc. Am. 95, 423-424 (1994)] were measured in ten listeners with sensorineural-hearing loss on a sentence recognition task. Sentences and a spectrally matched noise were filtered into five separate adjacent spectral bands and presented to listeners at various signal-to-noise ratios (SNRs). Five point-biserial correlations were computed between the listeners' response (correct or incorrect) on the task and the SNR in each band. The stronger the correlation between performance and SNR, the greater that given band was weighted by the listener. Listeners were tested with and without hearing aids on. All listeners were experienced hearing aid users. Results indicated that the highest spectral band (approximately 2800-11 000 Hz) received the greatest weight in both listening conditions. However, the weight on the highest spectral band was less when listeners performed the task with their hearing aids on in comparison to when listening without hearing aids. No direct relationship was observed between the listeners' weights and the sensation level within a given band.     

On enhancement of spectral contrast in speech for hearing-impaired listeners

A digital processing method is described for altering spectral contrast (the difference in amplitude between spectral peaks and valleys) in natural utterances. Speech processed with programs implementing the contrast alteration procedure was presented to listeners with moderate to severe sensorineural hearing loss. The task was a three alternative (/b/,/d/, or /g/) stop consonant identification task for consonants at a fixed location in short nonsense utterances. Overall, tokens with enhanced contrast showed moderate gains in percentage correct stop consonant identification when compared to unaltered tokens. Conversely, reducing spectral contrast generally reduced percent correct stop consonant identification. Contrast alteration effects were inconsistent for utterances containing /d/. The observed contrast effects also interacted with token intelligibility.     

Level discrimination of single tones in a multitone complex by normal-hearing and hearing-impaired listeners

A conditional-on-a-single-stimulus (COSS) analysis procedure [B. G. Berg, J. Acoust. Soc. Am. 86, 1743-1746 (1989)] was used to estimate how well normal-hearing and hearing-impaired listeners selectively attend to individual spectral components of a broadband signal in a level discrimination task. On each trial, two multitone complexes consisting of six octave frequencies from 250 to 8000 Hz were presented to listeners. The levels of the individual tones were chosen independently and at random on each presentation. The target tone was selected, within a block of trials, as the 250-, 1000-, or 4000-Hz component. On each trial, listeners were asked to indicate which of the two complex sounds contained the higher level target. As a group, normal-hearing listeners exhibited greater selectivity than hearing-impaired listeners to the 250-Hz target, while hearing-impaired listeners showed greater selectivity than normal-hearing listeners to the 4000-Hz target, which is in the region of their hearing loss. Both groups of listeners displayed large variability in their ability to selectively weight the 1000-Hz target. Trial-by-trial analysis showed a decrease in weighting efficiency with increasing frequency for normal-hearing listeners, but a relatively constant weighting efficiency across frequency for hearing-impaired listeners. Interestingly, hearing-impaired listeners selectively weighted the 4000-Hz target, which was in the region of their hearing loss, more efficiently than did the normal-hearing listeners.     

Speech perception ability and psychophysical tuning curves in hearing-impaired listeners

Performance-intensity functions for monosyllabic words were obtained as a function of signal-to-noise ratio for broadband and low-pass filtered noise. Subjects were 11 normal-hearing listeners and 13 hearing-impaired listeners with flat, moderate sensorineural hearing losses and good speech-discrimination ability (at least 86%) in quiet. In the broadband-noise condition, only small differences in speech perception were noted between the two groups. In low-pass noise, however, large differences in performance were observed. These findings were correlated with various aspects of psychophysical tuning curves (PTCs) obtained from the same individuals. Results of a multivariate analysis suggest that performance in broadband noise is correlated with filter bandwidth (Q10), while performance in low-pass noise is correlated with changes on the low-frequency side of the PTC.     

Spectral-peak selection in spectral-shape discrimination by normal-hearing and hearing-impaired listeners

Spectral-shape discrimination thresholds were measured in the presence and absence of noise to determine whether normal-hearing and hearing-impaired listeners rely primarily on spectral peaks in the excitation pattern when discriminating between stimuli with different spectral shapes. Standard stimuli were the sum of 2, 4, 6, 8, 10, 20, or 30 equal-amplitude tones with frequencies fixed between 200 and 4000 Hz. Signal stimuli were generated by increasing and decreasing the levels of every other standard component. The function relating the spectral-shape discrimination threshold to the number of components (N) showed an initial decrease in threshold with increasing N and then an increase in threshold when the number of components reached 10 and 6, for normal-hearing and hearing-impaired listeners, respectively. The presence of a 50-dB SPL/Hz noise led to a 1.7 dB increase in threshold for normal-hearing listeners and a 3.5 dB increase for hearing-impaired listeners. Multichannel modeling and the relatively small influence of noise suggest that both normal-hearing and hearing-impaired listeners rely on the peaks in the excitation pattern for spectral-shape discrimination. The greater influence of noise in the data from hearing-impaired listeners is attributed to a poorer representation of spectral peaks.