Perception of dissonance by people with normal hearing and sensorineural hearing loss

The purpose of this study was to determine whether the perceived sensory dissonance of pairs of pure tones (PT dyads) or pairs of harmonic complex tones (HC dyads) is altered due to sensorineural hearing loss. Four normal-hearing (NH) and four hearing-impaired (HI) listeners judged the sensory dissonance of PT dyads geometrically centered at 500 and 2000 Hz, and of HC dyads with fundamental frequencies geometrically centered at 500 Hz. The frequency separation of the members of the dyads varied from 0 Hz to just over an octave. In addition, frequency selectivity was assessed at 500 and 2000 Hz for each listener. Maximum dissonance was perceived at frequency separations smaller than the auditory filter bandwidth for both groups of listners, but maximum dissonance for HI listeners occurred at a greater proportion of their bandwidths at 500 Hz than at 2000 Hz. Further, their auditory filter bandwidths at 500 Hz were significantly wider than those of the NH listeners. For both the PT and HC dyads, curves displaying dissonance as a function of frequency separation were more compressed for the HI listeners, possibly reflecting less contrast between their perceptions of consonance and dissonance compared with the NH listeners.     

Providing low- and mid-frequency speech information to listeners with sensorineural hearing loss.

The present study examined the benefits of providing amplified speech to the low- and mid-frequency regions of listeners with various degrees of sensorineural hearing loss. Nonsense syllables were low-pass filtered at various cutoff frequencies and consonant recognition was measured as the bandwidth of the signal was increased. In addition, error patterns were analyzed to determine the types of speech cues that were, or were not, transmitted to the listeners. For speech frequencies of 2800 Hz and below, a positive benefit of amplified speech was observed in every case, although the benefit provided was very often less than that observed in normal-hearing listeners who received the same increase in speech audibility. There was no dependence of this benefit upon the degree of hearing loss. Error patterns suggested that the primary difficulty that hearing-impaired individuals have in using amplified speech is due to their poor ability to perceive the place of articulation of consonants, followed by a reduced ability to perceive manner information.     

Proportional frequency compression of speech for listeners with sensorineural hearing loss.

This study examined proportional frequency compression as a strategy for improving speech recognition in listeners with high-frequency sensorineural hearing loss. This method of frequency compression preserved the ratios between the frequencies of the components of natural speech, as well as the temporal envelope of the unprocessed speech stimuli. Nonsense syllables spoken by a female and a male talker were used as the speech materials. Both frequency-compressed speech and the control condition of unprocessed speech were presented with high-pass amplification. For the materials spoken by the female talker, significant increases in speech recognition were observed in slightly less than one-half of the listeners with hearing impairment. For the male-talker materials, one-fifth of the hearing-impaired listeners showed significant recognition improvements. The increases in speech recognition due solely to frequency compression were generally smaller than those solely due to high-pass amplification. The results indicate that while high-pass amplification is still the most effective approach for improving speech recognition of listeners with high-frequency hearing loss, proportional frequency compression can offer significant improvements in addition to those provided by amplification for some patients.     

Perception of roughness by listeners with sensorineural hearing loss

The perception of auditory roughness presumably results from imperfect spectral or temporal resolution. Sensorineural hearing loss, by affecting spectral resolution, may therefore alter roughness perception. In this study, normal-hearing and hearing-impaired listeners estimated the roughness of amplitude-modulated tones varying in carrier frequency, modulation rate, and modulation depth. Their judgments were expected to reflect effects of impaired spectral resolution. Instead, their judgments were similar, in most respects, to those of normally-hearing listeners, except at very slow modulation rates. Results suggest that mild-to-moderate sensorineural hearing loss increases the roughness of slowly fluctuating signals.     

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.     

Temporal gap resolution in listeners with high-frequency sensorineural hearing loss

Temporal gap resolution was measured in five normal-hearing listeners and five cochlear-impaired listeners, whose sensitivity losses were restricted to the frequency regions above 1000 Hz. The stimuli included a broadband noise and three octave band noises centered at 0.5, 1.0, and 4.0 kHz. Results for the normal-hearing subjects agree with previous findings and reveal that gap resolution improves progressively with an increase in signal frequency. Gap resolution in the impaired listeners was significantly poorer than normal for all signals including those that stimulated frequency regions with normal pure-tone sensitivity. Smallest gap thresholds for the impaired listeners were observed with the broadband signal at high levels. This result agrees with data from other experiments and confirms the importance of high-frequency signal audibility in gap detection. The octave band data reveal that resolution deficits can be quite large within restricted frequency regions, even those with minimal sensitivity loss.     

Characterizing auditory processing and perception in individual listeners with sensorineural hearing loss

This study considered consequences of sensorineural hearing loss in ten listeners. The characterization of individual hearing loss was based on psychoacoustic data addressing audiometric pure-tone sensitivity, cochlear compression, frequency selectivity, temporal resolution, and intensity discrimination. In the experiments it was found that listeners with comparable audiograms can show very different results in the supra-threshold measures. In an attempt to account for the observed individual data, a model of auditory signal processing and perception [Jepsen et al., J. Acoust. Soc. Am. 124, 422-438 (2008)] was used as a framework. The parameters of the cochlear processing stage of the model were adjusted to account for behaviorally estimated individual basilar-membrane input-output functions and the audiogram, from which the amounts of inner hair-cell and outer hair-cell losses were estimated as a function of frequency. All other model parameters were left unchanged. The predictions showed a reasonably good agreement with the measured individual data in the frequency selectivity and forward masking conditions while the variation of intensity discrimination thresholds across listeners was underestimated by the model. The model and the associated parameters for individual hearing-impaired listeners might be useful for investigating effects of individual hearing impairment in more complex conditions, such as speech intelligibility in noise.     

The relationship between frequency selectivity and pitch discrimination: sensorineural hearing loss

This study tested the relationship between frequency selectivity and the minimum spacing between harmonics necessary for accurate fo discrimination. Fundamental frequency difference limens (fo DLs) were measured for ten listeners with moderate sensorineural hearing loss (SNHL) and three normal-hearing listeners for sine- and random-phase harmonic complexes, bandpass filtered between 1500 and 3500 Hz, with fo's ranging from 75 to 500 Hz (or higher). All listeners showed a transition between small (good) fo DLs at high fo's and large (poor) fo DLs at low fo's, although the fo at which this transition occurred (fo,tr) varied across listeners. Three measures thought to reflect frequency selectivity were significantly correlated to both the fo,tr and the minimum fo DL achieved at high fo's: (1) the maximum fo for which fo DLs were phase dependent, (2) the maximum modulation frequency for which amplitude modulation and quasi-frequency modulation were discriminable, and (3) the equivalent rectangular bandwidth of the auditory filter, estimated using the notched-noise method. These results provide evidence of a relationship between fo discrimination performance and frequency selectivity in listeners with SNHL, supporting "spectral" and "spectro-temporal" theories of pitch perception that rely on sharp tuning in the auditory periphery to accurately extract fo information.     

Psychometric functions for frequency discrimination from listeners with sensorineural hearing loss

Psychometric functions for pulsed pure-tone frequency discrimination were obtained from hearing-impaired listeners at frequencies with normal hearing and at frequencies with mild or moderate hearing losses. The general form of psychometric functions at hearing-impaired frequencies was found to be the same as at normal-hearing frequencies, i.e.,d' was linear with the frequency difference between tones, in Hz. For all but one psychometric function, the addition of an intercept term to the fitting equation did not account for significantly more variance than did the slope term alone. Therefore, it was concluded that psychometric functions for frequency discrimination can be adequately described with only one parameter: the slope of the psychometric function. Deficits in discrimination at hearing-loss frequencies were manifested by more gradual slopes of psychometric functions. Procedures for normalizing psychometric functions are presented, which facilitate comparisons of normal and impaired frequency discrimination data across studies and frequencies. Comparisons of dlf's (difference limen for frequency) obtained with adaptive and fixed procedures show a bias toward larger dlf's with adaptive procedures, but only at higher frequencies. A discussion of equal-interval and equal-ratio adaptive stepping rules indicates that an equal-ratio rule may be preferable.     

Susceptibility to intraspeech spread of masking in listeners with sensorineural hearing loss

Previous research with speechlike signals has suggested that upward spread of masking from the first formant (F 1) may interfere with the identification of place of articulation information signaled by changes in the upper formants. This suggestion was tested by presenting two-formant stop consonant--vowel syllables varying along a/ba--/da/--/ga/ continuum to hearing-impaired listeners grouped according to etiological basis of the disorder. The syllables were presented monaurally at 80 dB and 100 dB SPL when formant amplitudes were equal and when F 1 amplitude was reduced by 6, 12, and 18 dB. Noise-on-tone masking patterns were also generated using narrow bands of noise at 80 and 100 dB SPL to assess the extent of upward spread of masking. Upward spread of masking could be demonstrated in both speech and nonspeech tasks, irrespective of the subject's age, audiometric configuration, or etiology of hearing impairment. Attenuation of F 1 had different effects on phonetic identification in different subject groups: While listeners with noise-induced hearing loss showed substantial improvement in identifying place of articulation, upward spread of masking did not consistently account for poor place identification in other types of sensorineural hearing impairment.     

Inferred basilar-membrane response functions for listeners with mild to moderate sensorineural hearing loss

Psychophysical estimates of cochlear function suggest that normal-hearing listeners exhibit a compressive basilar-membrane (BM) response. Listeners with moderate to severe sensorineural hearing loss may exhibit a linearized BM response along with reduced gain, suggesting the loss of an active cochlear mechanism. This study investigated how the BM response changes with increasing hearing loss by comparing psychophysical measures of BM compression and gain for normal-hearing listeners with those for listeners who have mild to moderate sensorineural hearing loss. Data were collected from 16 normal-hearing listeners and 12 ears from 9 hearing-impaired listeners. The forward masker level required to mask a fixed low-level, 4000-Hz signal was measured as a function of the masker-signal interval using a masker frequency of either 2200 or 4000 Hz. These plots are known as temporal masking curves (TMCs). BM response functions derived from the TMCs showed a systematic reduction in gain with degree of hearing loss. Contrary to current thinking, however, no clear relationship was found between maximum compression and absolute threshold.     

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.     

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.     

Ear-canal acoustic admittance and reflectance measurements in human neonates. II. Predictions of middle-ear in dysfunction and sensorineural hearing loss

This report describes relationships between middle-ear measurements of acoustic admittance and energy reflectance (YR) and measurements of hearing status using visual reinforcement audiometry in a neonatal hearing-screening population. Analyses were performed on 2638 ears in which combined measurements were obtained [Norton et al., Ear Hear. 21, 348-356 (2000)]. The measurements included distortion-product otoacoustic emissions (DPOAE), transient evoked otoacoustic emissions (TEOAE), and auditory brainstem responses (ABR). Models to predict hearing status using DPOAEs, TEOAEs, or ABRs were each improved by the addition of the YR factors as interactions, in which factors were calculated using factor loadings from Keefe et al. [J. Acoust. Soc. Am. 113, 389-406 (2003)]. This result suggests that information on middle-ear status improves the ability to predict hearing status. The YR factors were used to construct a middle-ear dysfunction test on 1027 normal-hearing ears in which DPOAE and TEOAE responses were either both present or both absent, the latter condition being viewed as indicative of middle-ear dysfunction. The middle-ear dysfunction test classified these ears with a nonparametric area (A) under the relative operating characteristic curve of A = 0.86, and classified normal-hearing ears that failed two-stage hearing-screening tests with areas A = 0.84 for DPOAE/ABR, and A = 0.81 for TEOAE/ABR tests. The middle-ear dysfunction test adequately generalized to a new sample population (A = 0.82).     

Phonemic restoration in sensorineural hearing loss does not depend on baseline speech perception scores

The brain can restore missing speech segments using linguistic knowledge and context. The phonemic restoration effect is commonly quantified by the increase in intelligibility of interrupted speech when the silent gaps are filled with noise bursts. In normal hearing, the restoration effect is negatively correlated with the baseline scores with interrupted speech; listeners with poorer baseline show more benefit from restoration. Reanalyzing data from Bas?kent et al. [(2010). Hear. Res. 260, 54-62], correlations with mild and moderate hearing impairment were observed to differ than with normal hearing. This analysis further shows that hearing impairment may affect top-down restoration of speech.     

Predicted effects of sensorineural hearing loss on across-fiber envelope coding in the auditory nerve

Cross-channel envelope correlations are hypothesized to influence speech intelligibility, particularly in adverse conditions. Acoustic analyses suggest speech envelope correlations differ for syllabic and phonemic ranges of modulation frequency. The influence of cochlear filtering was examined here by predicting cross-channel envelope correlations in different speech modulation ranges for normal and impaired auditory-nerve (AN) responses. Neural cross-correlation coefficients quantified across-fiber envelope coding in syllabic (0-5 Hz), phonemic (5-64 Hz), and periodicity (64-300 Hz) modulation ranges. Spike trains were generated from a physiologically based AN model. Correlations were also computed using the model with selective hair-cell damage. Neural predictions revealed that envelope cross-correlation decreased with increased characteristic-frequency separation for all modulation ranges (with greater syllabic-envelope correlation than phonemic or periodicity). Syllabic envelope was highly correlated across many spectral channels, whereas phonemic and periodicity envelopes were correlated mainly between adjacent channels. Outer-hair-cell impairment increased the degree of cross-channel correlation for phonemic and periodicity ranges for speech in quiet and in noise, thereby reducing the number of independent neural information channels for envelope coding. In contrast, outer-hair-cell impairment was predicted to decrease cross-channel correlation for syllabic envelopes in noise, which may partially account for the reduced ability of hearing-impaired listeners to segregate speech in complex backgrounds.     

Further evaluation of a model of loudness perception applied to cochlear hearing loss.

This paper describes further tests of a model for loudness perception in people with cochlear hearing loss. It is assumed that the hearing loss (the elevation in absolute threshold) at each audiometric frequency can be partitioned into a loss due to damage to outer hair cells (OHCs) and a loss due to damage to inner hair cells (IHCs) and/or neurons. The former affects primarily the active mechanism that amplifies the basilar membrane (BM) response to weak sounds. It is modeled by increasing the excitation level required for threshold, which results in a steeper growth of specific loudness with increasing excitation level. Loss of frequency selectivity, which results in broader excitation patterns, is also assumed to be directly related to the OHC loss. IHC damage is modeled by an attenuation of the calculated excitation level at each frequency. The model also allows for the possibility of complete loss of IHCs or functional neurons at certain places within the cochlea ("dead" regions). The parameters of the model (OHC loss at each audiometric frequency, plus frequency limits of the dead regions) were determined for three subjects with unilateral cochlear hearing loss, using data on loudness matches between sinusoids presented alternately to their two ears. Further experiments used bands of noise that were either 1-equivalent rectangular bandwidth (ERB) wide or 6-ERBs wide, centered at 1 kHz. Subjects made loudness matches for these bands of noise both within ears and across ears. The model was reasonably accurate in predicting the results of these matches without any further adjustment of the parameters.     

An acoustic head simulator for hearing protector evaluation. I: Design and construction

As an alternative to subjective methods, an acoustic head simulator was constructed for hearing protector evaluation. The primary purpose of the device is for hearing protector testing and research under high-level steady-state and impulse noise environments. The design is based on the KEMAR manikin and therefore approximates the physical dimensions and the acoustical eardrum impedance of the median human adult. The head simulator includes a mechanical reproduction of the human circumaural and intraaural tissues with a silicone rubber material. A compliant head-neck system was constructed to approximate the vibrational characteristics of the human head in a sound field in order to simulate the inertia effect of earmuffs. The bone-conducted sounds are not mechanically reproduced in the design. Applications for the device are reported in a companion article [C. Giguère and H. Kunov, J. Acoust. Soc. Am. 85, 1197-1205 (1989)].     

Frequency difference limens in normal and sensorineural hearing impaired chinchillas

This study assessed normal frequency discrimination ability in the chinchilla and determined how this ability changes as a function of an experimentally induced sensorineural hearing loss. Four chinchillas were trained by the methods of positive reinforcement to report absolute thresholds and frequency difference limens (FDLs). Subjects were then treated with the aminoglycosidic antibiotic amikacin until a 30-dB hearing loss was measured at 10.0 kHz. Absolute and frequency difference thresholds were determined during and after drug treatment. When post-drug thresholds had stabilized, subjects were sacrificed and their cochleas stained, embedded in plastic, microdissected, and viewed with phase contrast microscopy to permit examination of the cochlear tissue. Post-drug data suggest that frequency discrimination at a high frequency is unaffected by a 40- to 45-dB sensorineural hearing loss, considerable hair cell damage, and the resultant disruption of the cochlear micromechanics. The data, in concert with previously published reports, suggest that FDLs may be less affected by a high-frequency sensorineural hearing loss than by a low-frequency sensorineural hearing loss.