Upward spread of masking, hearing loss, and speech recognition in young and elderly listeners

Upward spreading of masking, measured in terms of absolute masked threshold, is greater in hearing-impaired listeners than in listeners with normal hearing. The purpose of this study was to make further observations on upward-masked thresholds and speech recognition in noise in elderly listeners. Two age groups were used: One group consisted of listeners who were more than 60 years old, and the second group consisted of listeners who were less than 36 years old. Both groups had listeners with normal hearing as well as listeners with mild to moderate sensorineural loss. The masking paradigm consisted of a continuous low-pass-filtered (1000-Hz) noise, which was mixed with the output of a self-tracking, sweep-frequency Bekesy audiometer. Thresholds were measured in quiet and with maskers at 70 and 90 dB SPL. The upward-masked thresholds were similar for young and elderly hearing-impaired listeners. A few elderly listeners had lower upward-masked thresholds compared with the young control group; however, their on-frequency masked thresholds were nearly identical to the control group. A significant correlation was found between upward-masked thresholds and the Speech Perception in Noise (SPIN) test in elderly listeners.     

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.     

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 degradation of intensity, time, or frequency content on speech intelligibility for normal-hearing and hearing-impaired listeners

Many hearing-impaired listeners suffer from distorted auditory processing capabilities. This study examines which aspects of auditory coding (i.e., intensity, time, or frequency) are distorted and how this affects speech perception. The distortion-sensitivity model is used: The effect of distorted auditory coding of a speech signal is simulated by an artificial distortion, and the sensitivity of speech intelligibility to this artificial distortion is compared for normal-hearing and hearing-impaired listeners. Stimuli (speech plus noise) are wavelet coded using a complex sinusoidal carrier with a Gaussian envelope (1/4 octave bandwidth). Intensity information is distorted by multiplying the modulus of each wavelet coefficient by a random factor. Temporal and spectral information are distorted by randomly shifting the wavelet positions along the temporal or spectral axis, respectively. Measured were (1) detection thresholds for each type of distortion, and (2) speech-reception thresholds for various degrees of distortion. For spectral distortion, hearing-impaired listeners showed increased detection thresholds and were also less sensitive to the distortion with respect to speech perception. For intensity and temporal distortion, this was not observed. Results indicate that a distorted coding of spectral information may be an important factor underlying reduced speech intelligibility for the hearing impaired.     

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.     

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.     

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.     

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.     

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.     

Spectral and threshold effects on recognition of speech at higher-than-normal levels

To examine spectral and threshold effects for speech and noise at high levels, recognition of nonsense syllables was assessed for low-pass-filtered speech and speech-shaped maskers and high-pass-filtered speech and speech-shaped maskers at three speech levels, with signal-to-noise ratio held constant. Subjects were younger adults with normal hearing and older adults with normal hearing but significantly higher average quiet thresholds. A broadband masker was always present to minimize audibility differences between subject groups and across presentation levels. For subjects with lower thresholds, the declines in recognition of low-frequency syllables in low-frequency maskers were attributed to nonlinear growth of masking which reduced "effective" signal-to-noise ratio at high levels, whereas the decline for subjects with higher thresholds was not fully explained by nonlinear masking growth. For all subjects, masking growth did not entirely account for declines in recognition of high-frequency syllables in high-frequency maskers at high levels. Relative to younger subjects with normal hearing and lower quiet thresholds, older subjects with normal hearing and higher quiet thresholds had poorer consonant recognition in noise, especially for high-frequency speech in high-frequency maskers. Age-related effects on thresholds and task proficiency may be determining factors in the recognition of speech in noise at high levels.     

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.     

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.     

Stop-consonant recognition for normal-hearing listeners and listeners with high-frequency hearing loss. II: Articulation index predictions

Articulation index (AI) theory was used to evaluate stop-consonant recognition of normal-hearing listeners and listeners with high-frequency hearing loss. From results reported in a companion article [Dubno et al., J. Acoust. Soc. Am. 85, 347-354 (1989)], a transfer function relating the AI to stop-consonant recognition was established, and a frequency importance function was determined for the nine stop-consonant-vowel syllables used as test stimuli. The calculations included the rms and peak levels of the speech that had been measured in 1/3 octave bands; the internal noise was estimated from the thresholds for each subject. The AI model was then used to predict performance for the hearing-impaired listeners. A majority of the AI predictions for the hearing-impaired subjects fell within +/- 2 standard deviations of the normal-hearing listeners' results. However, as observed in previous data, the AI tended to overestimate performance of the hearing-impaired listeners. The accuracy of the predictions decreased with the magnitude of high-frequency hearing loss. Thus, with the exception of performance for listeners with severe high-frequency hearing loss, the results suggest that poorer speech recognition among hearing-impaired listeners results from reduced audibility within critical spectral regions of the speech stimuli.     

Speech recognition and the Articulation Index for normal and hearing-impaired listeners

The purpose of this experiment was to determine the applicability of the Articulation Index (AI) model for characterizing the speech recognition performance of listeners with mild-to-moderate hearing loss. Performance-intensity functions were obtained from five normal-hearing listeners and 11 hearing-impaired listeners using a closed-set nonsense syllable test for two frequency responses (uniform and high-frequency emphasis). For each listener, the fitting constant Q of the nonlinear transfer function relating AI and speech recognition was estimated. Results indicated that the function mapping AI onto performance was approximately the same for normal and hearing-impaired listeners with mild-to-moderate hearing loss and high speech recognition scores. For a hearing-impaired listener with poor speech recognition ability, the AI procedure was a poor predictor of performance. The AI procedure as presently used is inadequate for predicting performance of individuals with reduced speech recognition ability and should be used conservatively in applications predicting optimal or acceptable frequency response characteristics for hearing-aid amplification systems.     

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.     

Consonant reception in noise by listeners with mild and moderate sensorineural hearing impairment

The goal of this study was to determine the extent to which the difficulty experienced by impaired listeners in understanding noisy speech can be explained on the basis of elevated tone-detection thresholds. Twenty-one impaired ears of 15 subjects, spanning a variety of audiometric configurations with average hearing losses to 75 dB, were tested for reception of consonants in a speech-spectrum noise. Speech level, noise level, and frequency-gain characteristic were varied to generate a range of listening conditions. Results for impaired listeners were compared to those of normal-hearing listeners tested under the same conditions with extra noise added to approximate the impaired listeners' detection thresholds. Results for impaired and normal listeners were also compared on the basis of articulation indices. Consonant recognition by this sample of impaired listeners was generally comparable to that of normal-hearing listeners with similar threshold shifts listening under the same conditions. When listening conditions were equated for articulation index, there was no clear dependence of consonant recognition on average hearing loss. Assuming that the primary consequence of the threshold simulation in normals is loss of audibility (as opposed to suprathreshold discrimination or resolution deficits), it is concluded that the primary source of difficulty in listening in noise for listeners with moderate or milder hearing impairments, aside from the noise itself, is the loss of audibility.     

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.     

Duration discrimination of speech and tonal complex stimuli by normally hearing and hearing-impaired listeners

The ability to discriminate changes in the length of vowels and tonal complexes (filled intervals) and in the duration of closure in stop consonants and gaps in tonal complexes (unfilled intervals) was studied in three normally hearing and seven severely hearing-impaired listeners. The speech stimuli consisted of the vowels (i, I, u, U, a, A) and the consonants (p, t, k), and the tonal complexes consisted of digitally generated sinusoids at 0.5, 1, and 2 kHz. The signals were presented at conversational levels for each listener group, and a 3IFC adaptive procedure was used to estimate difference limens (DLs). The DLs for speech were similar to those for tonal complex stimuli in both the filled and unfilled conditions. Both normally and impaired-hearing listeners demonstrated greater acuity for changes in the duration of filled than unfilled intervals. Mean thresholds for filled intervals obtained from normally hearing listeners were smaller than those obtained from hearing-impaired listeners. For unfilled intervals, however, the difference between listener groups was not significant. A few hearing-impaired listeners demonstrated temporal acuity comparable to that of normally hearing listeners for several listening conditions. Implications of these results are discussed with regard to speech perception in normally and impaired-hearing individuals.     

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.     

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.