Speech-reception threshold for sentences as a function of age and noise level.

For 140 male subjects (20 per decade between the ages 20 and 89) and 72 female subjects (20 per decade between 60 and 89, and 12 for the age interval 90-96), the monaural speech-reception threshold (SRT) for sentences was investigated in quiet and at four noise levels (22.2, 37.5, 52.5, and 67.5 dBA noise with long-term average speech spectra). The median SRT as well as the quartiles are given as a function of age. The data are described in terms of a model published earlier [J. Acoust. Soc. Am. 63, 533-549 (1978)]. According to this model every hearing loss for speech (SHL) is 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 class D (distortion), comparable with a decrease in signal-to-noise ratio. Both SHLA+D (hearing loss in quiet) and SHLD (hearing loss at high noise levels) increase progressively above the age of 50 (reaching typical values of 30 and 6 dB, respectively, at age 85). The spread of SHLD as a function of SHLA+D for the individual ears is so large (sigma = 2.7 dB) that subjects with the same hearing loss for speech in quiet may differ considerably in their ability to understand speech in noise. The data confirm that the hearing handicap of many elderly subjects manifests itself primarily in a noisy environment. Acceptable noise levels in rooms used by the aged must be 5 to 10 dB lower than those for normal-hearing subjects.     

The acoustic and perceptual effects of two noise-suppression algorithms

Internal noise generated by hearing-aid circuits can be audible and objectionable to aid users, and may lead to the rejection of hearing aids. Two expansion algorithms were developed to suppress internal noise below a threshold level. The multiple-channel algorithm's expansion thresholds followed the 55-dB SPL long-term average speech spectrum, while the single-channel algorithm suppressed sounds below 45 dBA. With the recommended settings in static conditions, the single-channel algorithm provided lower noise levels, which were perceived as quieter by most normal-hearing participants. However, in dynamic conditions "pumping" noises were more noticeable with the single-channel algorithm. For impaired-hearing listeners fitted with the ADRO amplification strategy, both algorithms maintained speech understanding for words in sentences presented at 55 dB SPL in quiet (99.3% correct). Mean sentence reception thresholds in quiet were 39.4, 40.7, and 41.8 dB SPL without noise suppression, and with the single- and multiple-channel algorithms, respectively. The increase in the sentence reception threshold was statistically significant for the multiple-channel algorithm, but not the single-channel algorithm. Thus, both algorithms suppressed noise without affecting the intelligibility of speech presented at 55 dB SPL, with the single-channel algorithm providing marginally greater noise suppression in static conditions, and the multiple-channel algorithm avoiding pumping noises.     

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.     

Evaluation of the risk of noise-induced hearing loss among unscreened male industrial workers

Variability in background risk and distribution of various risk factors for hearing loss may explain some of the diversity in excess risk of noise-induced hearing loss (NIHL). This paper examines the impact of various risk factors on excess risk estimates of NIHL using data from the 1968-1972 NIOSH Occupational Noise and Hearing Survey (ONHS). Previous analyses of a subset of these data focused on 1172 highly "screened" workers. In the current analysis, an additional 894 white males (609 noise-exposed and 285 controls), who were excluded for various reasons (i.e., nonoccupational noise exposure, otologic or medical conditions affecting hearing, prior occupational noise exposure) have been added 2066) to assess excess risk of noise-induced material impairment in an unscreened population. Data are analyzed by age, duration of exposure, and sound level (8-h TWA) for four different definitions of noise-induced hearing impairment, defined as the binaural pure-tone average (PTA) hearing threshold level greater than 25 dB for the following frequencies: (a) 1-4 kHz (PTA1234), (b) 1-3 kHz (PTA123), (c) 0.5, 1, and 2 kHz (PTA512), and (d) 3, 4, and 6 kHz (PTA346). Results indicate that populations with higher background risks of hearing loss may show lower excess risks attributable to noise relative to highly screened populations. Estimates of lifetime excess risk of hearing impairment were found to be significantly different between screened and unscreened population for noise levels greater than 90 dBA. Predicted age-related risk of material hearing impairment in the ONHS unscreened population was similar to that predicted from Annex B and C of ANSI S3.44 for ages less than 60 years. Results underscore the importance of understanding differential risk patterns for hearing loss and the use of appropriate reference (control) populations when evaluating risk of noise-induced hearing impairment among contemporary industrial populations.     

Speech recognition in noise by individuals with mild hearing impairments

The study was designed to test the validity of the American Academy of Ophthalmology and Otolaryngology's (AAOO) 26-dB average hearing threshold level at 500, 1000, and 2000 Hz as a predictor of hearing handicap. To investigate this criterion the performance of a normal-hearing group was compared with that of two groups, categorized according to the AAOO [Trans. Am. Acad. Ophthal. Otolaryng. 63, 236-238 (1959)] guidelines as having no handicap. The latter groups, however, had significant hearing losses in the frequencies above 2000 Hz. Mean hearing threshold levels for 3000, 4000, and 6000 Hz were 54 dB for group II and 63 dB for group III. Two kinds of speech stimuli were presented at an A-weighted sound level of 60 dB in quiet and in three different levels of noise. The resulting speech recognition scores were significantly lower for the hearing-impaired groups than for the normal-hearing group on both kinds of speech materials and in all three noise conditions. Mean scores for group III were significantly lower than those of the normal-hearing group, even in the quiet condition. Speech recognition scores showed significantly better correlation with hearing levels for frequency combinations including frequencies above 2000 Hz than for the 500-, 1000-, and 2000-Hz combination. On the basis of these results the author recommends that the 26-dB fence should be somewhat lower, and that frequencies above 2000 Hz should be included in any scheme for evaluating hearing handicap.     

Speech-reception threshold in noise with one and two hearing aids

The binaural free-field speech-reception threshold (SRT) in 70-dBA noise was measured with conversational sentences for 24 hearing-impaired subjects without hearing aids, with a hearing aid left, right, and left plus right, respectively. The sentences were always presented in front of the listener and the interfering noise, with a spectrum equal to the long-term average spectrum of the sentences, was presented either frontally, from the right, or from the left side. For subjects with only moderate hearing loss, PTA (average air-conduction hearing level at 500, 1000, and 2000 Hz) less than 50 dB, the SRT in 70-dBA noise in both ears is determined by the signal-to-noise ratio even if only one hearing aid is used. For larger hearing losses the SRT appears to be partly determined by the absolute threshold. In conditions with a high noise level relative to the absolute threshold, in which case for both ears the SRT is determined by the signal-to-noise ratio, a second hearing aid, just as a monaural hearing aid, generally does not improve the SRT. However, in the case of a high hearing level, or a low noise level, in which a monaural hearing aid is profitable, the use of two hearing aids is even more profitable. In a separate experiment, acoustic head shadow was measured at the entrance of the ear canal and at the microphone location of a hearing aid. It appeared that, for a lateral noise source and speech frontal, the microphone position of behind-the-ear hearing aids has a negative effect on the signal-to-noise ratio of 2-3 dB.     

Pure tone audiograms and possible aminoglycoside-induced hearing loss in belugas (Delphinapterus leucas)

A behavioral response paradigm was used to measure pure-tone hearing sensitivities in two belugas (Delphinapterus leucas). Tests were conducted over a 20-month period at the Point Defiance Zoo and Aquarium, in Tacoma, WA. Subjects were two males, aged 8-10 and 9-11 during the course of the study. Subjects were born in an oceanarium and had been housed together for all of their lives. Hearing thresholds were measured using a modified up/down staircase procedure and acoustic response paradigm where subjects were trained to produce audible responses to test tones and to remain quiet otherwise. Test frequencies ranged from approximately 2 to 130 kHz. Best sensitivities ranged from approximately 40 to 50 dB re 1 microPa at 50-80 kHz and 30-35 kHz for the two subjects. Although both subjects possessed traditional "U-shaped" mammalian audiograms, one subject exhibited significant high-frequency hearing loss above 37 kHz compared to previously published data for belugas. Hearing loss in this subject was estimated to approach 90 dB for frequencies above 50 kHz. Similar ages, ancestry, and environmental conditions between subjects, but a history of ototoxic drug administration in only one subject, suggest that the observed hearing loss was a result of the aminoglycoside antibiotic amikacin.     

A comparison of underwater hearing sensitivity in bottlenose dolphins (Tursiops truncatus) determined by electrophysiological and behavioral methods

Variable stimulus presentation methods are used in auditory evoked potential (AEP) estimates of cetacean hearing sensitivity, each of which might affect stimulus reception and hearing threshold estimates. This study quantifies differences in underwater hearing thresholds obtained by AEP and behavioral means. For AEP estimates, a transducer embedded in a suction cup (jawphone) was coupled to the dolphin's lower jaw for stimulus presentation. Underwater AEP thresholds were obtained for three dolphins in San Diego Bay and for one dolphin in a quiet pool. Thresholds were estimated from the envelope following response at carrier frequencies ranging from 10 to 150 kHz. One animal, with an atypical audiogram, demonstrated significantly greater hearing loss in the right ear than in the left. Across test conditions, the range and average difference between AEP and behavioral threshold estimates were consistent with published comparisons between underwater behavioral and in-air AEP thresholds. AEP thresholds for one animal obtained in-air and in a quiet pool demonstrated a range of differences of -10 to 9 dB (mean = 3 dB). Results suggest that for the frequencies tested, the presentation of sound stimuli through a jawphone, underwater and in-air, results in acceptable differences to AEP threshold estimates.     

Hearing threshold estimation using concurrent measurement of distortion product otoacoustic emissions and auditory steady-state responses

Both distortion product otoacoustic emissions (DPOAEs) and auditory steady-state responses (ASSRs) provide frequency-specific assessment of hearing. However, each method suffers from some restrictions. Hearing losses above 50 dB HL are not quantifiable using DPOAEs and their performance at frequencies below 1 kHz is limited, but their recording time is short. In contrast, ASSRs are a time-consuming method but have the ability to determine hearing thresholds in a wider range of frequencies and hearing losses. Thus, recording DPOAEs and ASSRs simultaneously at their adequate frequencies and levels could decrease the overall test time considerably. The goal of the present study was to develop a parameter-setting and test-protocol to measure DPOAEs and ASSRs binaurally and simultaneously at multiple frequencies. Ten normal-hearing and 23 hearing-impaired subjects participated in the study. The interaction of both responses when stimulated simultaneously at frequencies between 0.25 and 6 kHz was examined. Two limiting factors need to be kept. Frequency distance between ASSR carrier frequency f(c) and DPOAE primary tone f(2) needs to be at least 1.5 octaves, and DPOAEs may not be measured if the ASSR stimulus level is 70 dB SPL or above. There was a significant correlation between pure-tone and DPOAE/ASSR-thresholds in sensorineural hearing loss ears.     

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.     

Measuring the threshold for speech reception by adaptive variation of the signal bandwidth. I. Normal-hearing listeners.

An adaptive test has been developed to determine the minimum bandwidth of speech that a listener needs to reach 50% intelligibility. Measuring this speech-reception bandwidth threshold (SRBT), in addition to the more common speech-reception threshold (SRT) in noise, may be useful in investigating the factors underlying impaired suprathreshold speech perception. Speech was bandpass filtered (center frequency: 1 kHz) and complementary bandstop filtered noise was added. To obtain reference values, the SRBT was measured in 12 normal-hearing listeners at four sound-pressure levels, in combination with three overall spectral tilts. Plotting SRBT as a function of sound-pressure level resulted in U-shaped curves. The most narrow SRBT (1.4 octave) was obtained at an A-weighted sound-pressure level of 55 dB. The required bandwidth increases with increasing level, probably due to upward spread of masking. At a lower level (40 dBA) listeners also need a broader band, because parts of the speech signal will be below threshold. The SII (Speech Intelligibility Index) model reasonably predicts the data, although it seems to underestimate upward spread of masking.     

Hearing thresholds for pure tones above 16 kHz

Hearing thresholds for pure tones between 16 and 30 kHz were measured by an adaptive method. The maximum presentation level at the entrance of the outer ear was about 110 dB SPL. To prevent the listeners from detecting subharmonic distortions in the lower frequencies, pink noise was presented as a masker. Even at 28 kHz, threshold values were obtained from 3 out of 32 ears. No thresholds were obtained for 30 kHz tone. Between 20 and 28 kHz, the threshold tended to increase rather gradually, whereas it increased abruptly between 16 and 20 kHz.     

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.     

Relations between intelligibility of narrow-band speech and auditory functions, both in the 1-kHz frequency region

Relations between perception of suprathreshold speech and auditory functions were examined in 24 hearing-impaired listeners and 12 normal-hearing listeners. The speech intelligibility index (SII) was used to account for audibility. The auditory functions included detection efficiency, temporal and spectral resolution, temporal and spectral integration, and discrimination of intensity, frequency, rhythm, and spectro-temporal shape. All auditory functions were measured at 1 kHz. Speech intelligibility was assessed with the speech-reception threshold (SRT) in quiet and in noise, and with the speech-reception bandwidth threshold (SRBT), previously developed for investigating speech perception in a limited frequency region around 1 kHz. The results showed that the elevated SRT in quiet could be explained on the basis of audibility. Audibility could only partly account for the elevated SRT values in noise and the deviant SRBT values, suggesting that suprathreshold deficits affected intelligibility in these conditions. SII predictions for the SRBT improved significantly by including the individually measured upward spread of masking in the SII model. Reduced spectral resolution, reduced temporal resolution, and reduced frequency discrimination appeared to be related to speech perception deficits. Loss of peripheral compression appeared to have the smallest effect on the intelligibility of suprathreshold speech.     

The underwater audiogram of the West Indian manatee (Trichechus manatus).

The hearing thresholds of two adult manatees were measured using a forced-choice two alternative paradigm and an up/down staircase psychometric method. This is the first behavioral audiogram measured for any Sirenian, as well as the first underwater infrasonic psychometric test with a marine mammal. Auditory thresholds were obtained from 0.4 to 46 kHz, and detection thresholds of possible vibrotactile origin were measured at 0.015-0.2 kHz. The U-shaped audiogram demonstrates an upper limit of functional hearing at 46 kHz with peak frequency sensitivity at 16 and 18 kHz (50 dB re: 1 microPa). The range of best hearing is 6-20 kHz (approximately 9 dB down from maximum sensitivity). Sensitivity falls 20 dB per octave below 0.8 kHz and approximately 40 dB per octave above 26 kHz. The audiogram demonstrates a wider range of hearing and greater sensitivity than was suggested from evoked potential and anatomical studies. High frequency sensitivity may be an adaptation to shallow water, where the propagation of low frequency sound is limited by physical boundary effects. Hearing abilities of manatees and other marine mammals may have also been shaped by ambient and thermal noise curves in the sea. Inadequate hearing sensitivity at low frequencies may be a contributing factor to the manatees' inability to effectively detect boat noise and avoid collisions with boats.     

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.     

Effects of background noise level on behavioral estimates of basilar-membrane compression

Hearing-impaired (HI) listeners often show poorer performance on psychoacoustic tasks than do normal-hearing (NH) listeners. Although some such deficits may reflect changes in suprathreshold sound processing, others may be due to stimulus audibility and the elevated absolute thresholds associated with hearing loss. Masking noise can be used to raise the thresholds of NH to equal the thresholds in quiet of HI listeners. However, such noise may have other effects, including changing peripheral response characteristics, such as the compressive input-output function of the basilar membrane in the normal cochlea. This study estimated compression behaviorally across a range of background noise levels in NH listeners at a 4 kHz signal frequency, using a growth of forward masking paradigm. For signals 5 dB or more above threshold in noise, no significant effect of broadband noise level was found on estimates of compression. This finding suggests that broadband noise does not significantly alter the compressive response of the basilar membrane to sounds that are presented well above their threshold in the noise. Similarities between the performance of HI listeners and NH listeners in threshold-equalizing noise are therefore unlikely to be due to a linearization of basilar-membrane responses to suprathreshold stimuli in the NH listeners.     

Overshoot in normal-hearing and hearing-impaired subjects.

Overshoot was measured in both ears of four subjects with normal hearing and in five subjects with permanent, sensorineural hearing loss (two with a unilateral loss). The masker was a 400-ms broadband noise presented at a spectrum level of 20, 30, or 40 dB SPL. The signal was a 10-ms sinusoid presented 1 or 195 ms after the onset of the masker. Signal frequency was 1.0 or 4.0 kHz, which placed the signal in a region of normal (1.0 kHz) or impaired (4.0 kHz) absolute sensitivity for the impaired ears. For the normal-hearing subjects, the effects of signal frequency and masker level were similar to those published previously. In particular, overshoot was larger at 4.0 than at 1.0 kHz, and overshoot at 4.0 kHz tended to decrease with increasing masker level. At 4.0 kHz, overshoot values were significantly larger in the normal ears: Maximum values ranged from about 7-26 dB in the normal ears, but were always less than 5 dB in the impaired ears. The smaller overshoot values resulted from the fact that thresholds in the short-delay condition were considerably better in the hearing-impaired subjects than in the normal-hearing subjects. At 1.0 kHz, overshoot values for the two groups of subjects more or less overlapped. The results suggest that permanent, sensorineural hearing loss disrupts the mechanisms responsible for a large overshoot effect.     

Temporary threshold shift in bottlenose dolphins (Tursiops truncatus) exposed to mid-frequency tones

A behavioral response paradigm was used to measure hearing thresholds in bottlenose dolphins before and after exposure to 3 kHz tones with sound exposure levels (SELs) from 100 to 203 dB re 1 microPa2 s. Experiments were conducted in a relatively quiet pool with ambient noise levels below 55 dB re 1 microPa2/Hz at frequencies above 1 kHz. Experiments 1 and 2 featured 1-s exposures with hearing tested at 4.5 and 3 kHz, respectively. Experiment 3 featured 2-, 4-, and 8-s exposures with hearing tested at 4.5 kHz. For experiment 2, there were no significant differences between control and exposure sessions. For experiments 1 and 3, exposures with SEL=197 dB re 1 microPa2 s and SEL > or = 195 dB re 1 microPa2 s, respectively, resulted in significantly higher TTS4 than control sessions. For experiment 3 at SEL= 195 dB re 1 microPa2 s, the mean TTS4 was 2.8 dB. These data are consistent with prior studies of TTS in dolphins exposed to pure tones and octave band noise and suggest that a SEL of 195 dB re 1 microPa2 s is a reasonable threshold for the onset of TTS in dolphins and white whales exposed to midfrequency tones.     

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.