The effect of hearing impairment on localization dominance for single-word stimuli

Localization dominance (one of the phenomena of the "precedence effect") was measured in a large number of normal-hearing and hearing-impaired individuals and related to self-reported difficulties in everyday listening. The stimuli (single words) were made-up of a "lead" followed 4 ms later by a equal-level "lag" from a different direction. The stimuli were presented from a circular ring of loudspeakers, either in quiet or in a background of spatially diffuse babble. Listeners were required to identify the loudspeaker from which they heard the sound. Localization dominance was quantified by the weighting factor c [B.G. Shinn-Cunningham et al., J. Acoust. Soc. Am. 93, 2923-2932 (1993)]. The results demonstrated large individual differences: Some listeners showed near-perfect localization dominance (c near 1) but many showed a much reduced effect. Two-thirds (64/93) of the listeners gave a value of c of at least 0.75. There was a significant correlation with hearing loss, such that better hearing listeners showed better localization dominance. One of the items of the self-report questionnaire ("Do you have the impression of sounds being exactly where you would expect them to be?") showed a significant correlation with the experimental results. This suggests that reductions in localization dominance may affect everyday auditory perception.     

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

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

The effect of pure-tone forward masking on overshoot

The overshoot effect can be reduced by temporary hearing loss induced by aspirin or exposure to intense sound. The present study simulated a hearing loss at 4.0 kHz via pure-tone forward masking and examined the effect of the simulation on threshold for a 10-ms, 4.0-kHz signal presented 1 ms after the onset of a 400-ms, broadband noise masker whose spectrum level was 20 dB SPL. Masker frequency was 3.6, 4.0, or 4.2 kHz, and masker level was 80 dB SPL. Subject-dependent delays were determined such that 10 or 20 dB of masking at 4.0 kHz was produced. In general, the pure-tone forward masker did not reduce the simultaneous-masked threshold, suggesting that elevating threshold with a pure-tone forward masker does not sufficiently simulate the effect of a temporary hearing loss on overshoot.     

The effect of masker spectral asymmetry on overshoot in simultaneous masking

"Overshoot" is a simultaneous masking phenomenon: Thresholds for short high-frequency tone bursts presented shortly after the onset of a broadband masker are raised compared to thresholds in the presence of a continuous masker. Overshoot for 2-ms bursts of a 5000-Hz test tone is described for four subjects as a function of the spectral composition and level of the masker. First, it was verified that overshoot is largely independent of masker duration. Second, overshoot was determined for a variety of 10-ms masker bursts composed of differently filtered uniform masking noise with an overall level of 60 dB SPL: unfiltered, high-pass (cutoff at 3700 Hz), low-pass (cutoff at 5700 Hz), and third-octave-band-(centered at 5000 Hz) filtered uniform masking noises presented separately or combined with different bandpass maskers (5700-16000 Hz, 5700-9500 Hz, 8400-16000 Hz) were used. Third, masked thresholds were measured for maskers composed of an upper or lower octave band adjacent to the third-octave-band masker as a function of the level of the octave band. All maskers containing components above the critical band of the test tone led to overshoot; no additional overshoot was produced by masker components below it. Typical values of overshoot were on the order of 12 dB. Overshoot saturated when masker levels were above 60 dB SPL for the upper octave-band masker. The standard neurophysiological explanation of overshoot accounts only partially for these data. Details that must be accommodated by any full explanation of overshoot are discussed.     

Auditory handicap of hearing impairment and the limited benefit of hearing aids

The aim of this article is to promote a better understanding of hearing impairment as a communicative handicap, primarily in noisy environments, and to explain by means of a quantitative model the essentially limited applicability of hearing aids. After data on the prevalence of hearing impairment and of auditory handicap have been reviewed, it is explained that every hearing loss for speech can be interpreted as the sum of a loss class A (attenuation), characterized by a reduction of the levels of both speech signal and noise, and a loss D (distortion), comparable with a decrease in speech-to-noise ratio. On the average, the hearing loss of class D (hearing loss in noise) appears to be about one-third (in decibels) of the total hearing loss (A + D, hearing loss in quiet). A hearing aid can compensate for class-A-hearing losses, giving difficulties primarily in quiet, but not for class-D hearing losses, giving difficulties primarily in noise. The latter class represents the first stage of auditory handicap, beginning at an average hearing loss of about 24 dB.     

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.     

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.     

Consequences of conductive auditory impairment for binaural hearing

Studies of persons with conductive hearing loss have revealed substantial degradations in binaural hearing abilities. Described here is a model based on the hypothesis that this degradation is due to high levels of bone-conducted signals relative to air-conducted signals. The model makes quantitative predictions for the effects of conductive impairment on measurements of interaural discrimination. Qualitative predictions for binaural advantages in detection and speech intelligibility are also made by employing auxiliary models. Generally, available data are consistent with the models, although strong tests have not yet been performed.     

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.     

Perceptual adaptation by normally hearing listeners to a simulated "hole" in hearing

Simulations of cochlear implants have demonstrated that the deleterious effects of a frequency misalignment between analysis bands and characteristic frequencies at basally shifted simulated electrode locations are significantly reduced with training. However, a distortion of frequency-to-place mapping may also arise due to a region of dysfunctional neurons that creates a "hole" in the tonotopic representation. This study simulated a 10 mm hole in the mid-frequency region. Noise-band processors were created with six output bands (three apical and three basal to the hole). The spectral information that would have been represented in the hole was either dropped or reassigned to bands on either side. Such reassignment preserves information but warps the place code, which may in itself impair performance. Normally hearing subjects received three hours of training in two reassignment conditions. Speech recognition improved considerably with training. Scores were much lower in a baseline (untrained) condition where information from the hole region was dropped. A second group of subjects trained in this dropped condition did show some improvement; however, scores after training were significantly lower than in the reassignment conditions. These results are consistent with the view that speech processors should present the most informative frequency range irrespective of frequency misalignment.     

The ear effect as a function of age and hearing loss

Many studies have shown that the right ear statistically is slightly more sensitive than the left ear, particularly in the male adult population. In this study, we examined the lateral difference in hearing sensitivity, termed the ear effect here, in an industrial noise-exposed, nonshooting population, by sex, age, and hearing level. It was found that the male population had a larger ear effect (right ear being more sensitive) than the female population. The magnitude of the ear effect was found to be significantly related to the hearing threshold level. The ear effect was highest when the threshold was between 30- and 40-dB HL. Several possible causes for the ear effect are discussed.     

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.     

The effects of sensory hearing loss on cochlear filter times estimated from auditory brainstem response latencies.

Derived-band auditory brainstem responses (ABRs) were obtained in 43 normal-hearing and 80 cochlear hearing-impaired individuals using clicks and high-pass noise masking. The response times across the cochlea [the latency difference between wave V's of the 5.7- and 1.4-kHz center frequency (CF) derived bands] were calculated for five levels of click stimulation ranging from 53 to 93 dB p.-p.e. SPL (23 to 63 dB nHL) in 10-dB steps. Cochlear response times appeared to shorten significantly with hearing loss, especially when the average pure tone (1 to 8 kHz) hearing loss exceeded 30 dB. Examination of derived-band latencies indicates that this shortening is due to a dramatic decrease of wave V latency in the lower CF derived band. Estimates of cochlear filter times in terms of the number of periods to maximum response (Nmax) were calculated from derived-band latencies corrected for gender-dependent cochlear transport and neural conduction times. Nmax decreased as a function of hearing loss, especially for the low CF derived bands. The functions were similar for both males and females. These results are consistent with broader cochlear tuning due to peripheral hearing loss. Estimating filter response times from ABR latencies enhances objective noninvasive diagnosis and allows delineation of the differential effects of pathology on the underlying cochlear mechanisms involved in cochlear transport and filter build-up times.     

Effect of signal frequency and masker level on the frequency regions responsible for the overshoot effect.

Two experiments investigated the relative influence of components close to and remote from the signal frequency (fs) on the overshoot effect. Overshoot was defined as the difference in threshold between a signal presented 4 ms after, and that for one presented 300 ms after, the onset of a 350-ms masker. Experiment 1 measured the overshoot effect using both wideband and narrow-band maskers (centered on fs), at two signal frequencies and three masker levels. Experiment 2 used a masker consisting of a "middle band" (MB, centered on fs) and two flanking bands (FBs, which, when combined with the MB, produced a flat wideband spectrum). The masker was continuous except for a 300-ms interval just prior to the signal, during which either all three bands, the MB alone, or the FBs alone were turned off. The results of both experiments showed that the overshoot effect was usually determined by off-frequency components. However, the on-frequency components played a substantial role when signal-to-noise ratios (SNRs) at threshold were unusually high, such as at fs = 6500 Hz and intermediate masker levels. It is suggested that two different mechanisms contribute to the overshoot effect: an off-frequency mechanism which operates at all fs and masker levels, and an on-frequency mechanism which contributes to the overshoot effect only at high-threshold SNRs.     

Effects of ipsilateral and contralateral precursors on overshoot

Overshoot is defined as the decrease in threshold as a brief signal is moved from the beginning to near the temporal center of a longer duration, broadband noise masker. Overshoot can be reduced when another noise (a precursor) is presented just prior to the masker. The purpose of the present investigation was to follow up on a recent psychophysical study which showed that overshoot could be reduced by a precursor presented to the ear contralateral to that receiving the masker and signal. The signal was a 20-ms, 4000-Hz tone that was presented at the beginning or in the temporal center of a 400-ms broadband noise masker. In the first experiment, a 200-ms broadband precursor was presented either to the ipsilateral or to the contralateral ear. The ipsilateral precursor reduced overshoot for all ten subjects, but the contralateral precursor reduced overshoot for only four of the ten subjects. In a supplementary experiment, the contralateral precursor failed to reduce overshoot in a new group of five subjects, both when tested with supra-aural headphones and with insert earphones. In the second experiment, the four subjects who showed an effect of the contralateral precursor in experiment 1 were tested under conditions where the bandwidth of the precursor was manipulated, resulting in either a narrow-band precursor centered at 4000 Hz, a low-band precursor with energy primarily below 4000 Hz, or a high-band precursor with energy primarily above 4000 Hz. There was a tendency for the effectiveness of the ipsilateral and contralateral precursors to be affected similarly (though to different degrees) by changes in the spectral content of the precursor. These results suggest that the effect of the contralateral precursor is not due to a timing cue, and that the processing underlying the effectiveness of ipsilateral and contralateral precursors may be largely the same.     

The effect of hearing loss on the resolution of partials and fundamental frequency discrimination

The relationship between the ability to hear out partials in complex tones, discrimination of the fundamental frequency (F0) of complex tones, and frequency selectivity was examined for subjects with mild-to-moderate cochlear hearing loss. The ability to hear out partials was measured using a two-interval task. Each interval included a sinusoid followed by a complex tone; one complex contained a partial with the same frequency as the sinusoid, whereas in the other complex that partial was missing. Subjects had to indicate the interval in which the partial was present in the complex. The components in the complex were uniformly spaced on the ERB(N)-number scale. Performance was generally good for the two "edge" partials, but poorer for the inner partials. Performance for the latter improved with increasing spacing. F0 discrimination was measured for a bandpass-filtered complex tone containing low harmonics. The equivalent rectangular bandwidth (ERB) of the auditory filter was estimated using the notched-noise method for center frequencies of 0.5, 1, and 2 kHz. Significant correlations were found between the ability to hear out inner partials, F0 discrimination, and the ERB. The results support the idea that F0 discrimination of tones with low harmonics depends on the ability to resolve the harmonics.