Amplitude-modulation forward masking for listeners with and without hearing loss.

Amplitude-modulation (AM) forward masking was measured for listeners with normal hearing and sensorineural hearing loss at 4000 and 1000 Hz, using continuous and noncontinuous masker and signal carriers, respectively. A low-fluctuation noise (LFN) carrier was used for the "continuous carrier" conditions. An unmodulated low-fluctuation noise (U-LFN), an unmodulated Gaussian noise (U-GN), and an amplitude-modulation low-fluctuation noise (AM-LFN) were maskers for the "noncontinuous carrier" conditions. As predicted, U-GN yielded more masking than U-LFN and similar masking to AM-LFN, suggesting that U-GN resulted in AM forward masking. Contrary to predictions, no differences in masked thresholds were observed between listener groups.

Visual and Auditory Spatial Localization in Younger and Older Adults.

Visual and auditory localization abilities are crucial in real-life tasks such as navigation and social interaction. Aging is frequently accompanied by vision and hearing loss, affecting spatial localization. The purpose of the current study is to elucidate the effect of typical aging on spatial localization and to establish a baseline for older individuals with pathological sensory impairment. Using a verbal report paradigm, we investigated how typical aging affects visual and auditory localization performance, the reliance on vision during sound localization, and sensory integration strategies when localizing audiovisual targets. Fifteen younger adults (N = 15, mean age = 26 years) and thirteen older adults (N = 13, mean age = 68 years) participated in this study, all with age-adjusted normal vision and hearing based on clinical standards. There were significant localization differences between younger and older adults, with the older group missing peripheral visual stimuli at significantly higher rates, localizing central stimuli as more peripheral, and being less precise in localizing sounds from central locations when compared to younger subjects. Both groups localized auditory targets better when the test space was visible compared to auditory localization when blindfolded. The two groups also exhibited similar patterns of audiovisual integration, showing optimal integration in central locations that was consistent with a Maximum-Likelihood Estimation model, but non-optimal integration in peripheral locations. These findings suggest that, despite the age-related changes in auditory and visual localization, the interactions between vision and hearing are largely preserved in older individuals without pathological sensory impairments.

Self-Adjustment of Hearing Aid Amplification for Lower Speech Levels: Independent Ratings, Paired Comparisons, and Speech Recognition.

PURPOSE: Self-adjustment of hearing aid amplification enables wearers to customize the hearing aid output to match their preferences and could become an important tool for programming direct-to-consumer devices for people with mild-to-moderate hearing loss. One risk is that user-selected settings may provide inadequate audibility. This study assessed that risk by quantifying relationships between self-adjusted settings, subjective preferences, and speech recognition performance using speech at low levels in quiet, where achieving high speech audibility requires sufficient amplification. METHOD: Fifteen people with symmetric, mild-to-moderate sensorineural hearing loss self-adjusted hearing aid amplification while listening to speech in quiet at 45, 55, and 65 dBA. After self-adjustment, 11 participants made blinded ratings of their self-adjusted fit, their NAL-NL2 prescriptive fit, and experimenter-created fits with reduced gain. Participants completed blinded paired comparisons and sentence recognition assessments using these settings. RESULTS: The gain of self-adjusted fits showed a large range of variability between participants. On average, self-adjusted gain was similar to NAL-NL2 prescribed gain for input signals of 55 dBA and slightly greater than prescribed gain for 45-dBA signals. Speech recognition scores for NAL-NL2 fits were consistently high, and differences in speech recognition results were strongly correlated with the overall preferences obtained from paired comparisons. CONCLUSIONS: Self-adjusted fits are highly variable between individuals for low-audibility conditions. Nonetheless, self-adjusted fits are at least as satisfactory as NAL-NL2 fits, and listeners tend to disfavor settings that result in poorer speech recognition. The findings argue against concerns that self-adjustment will result in inadequate audibility compared to prescribed settings.

No Benefit of Deriving Cochlear-Implant Maps From Binaural Temporal-Envelope Sensitivity for Speech Perception or Spatial Hearing Under Single-Sided Deafness.

OBJECTIVES: This study tested whether speech perception and spatial acuity improved in people with single-sided deafness and a cochlear implant (SSD+CI) when the frequency allocation table (FAT) of the CI was adjusted to optimize frequency-dependent sensitivity to binaural disparities. DESIGN: Nine SSD+CI listeners with at least 6 months of CI listening experience participated. Individual experimental FATs were created to best match the frequency-to-place mapping across ears using either sensitivity to binaural temporal-envelope disparities or estimated insertion depth. Spatial localization ability was measured, along with speech perception in spatially collocated or separated noise, first with the clinical FATs and then with the experimental FATs acutely and at 2-month intervals for 6 months. Listeners then returned to the clinical FATs and were retested acutely and after 1 month to control for long-term learning effects. RESULTS: The experimental FAT varied between listeners, differing by an average of 0.15 octaves from the clinical FAT. No significant differences in performance were observed in any of the measures between the experimental FAT after 6 months and the clinical FAT one month later, and no clear relationship was found between the size of the frequency-allocation shift and perceptual changes. CONCLUSION: Adjusting the FAT to optimize sensitivity to interaural temporal-envelope disparities did not improve localization or speech perception. The clinical frequency-to-place alignment may already be sufficient, given the inherently poor spectral resolution of CIs. Alternatively, other factors, such as temporal misalignment between the two ears, may need to be addressed before any benefits of spectral alignment can be observed.

Sensitivity to binaural temporal-envelope beats with single-sided deafness and a cochlear implant as a measure of tonotopic match (L).

For cochlear-implant users with near-normal contralateral hearing, a mismatch between the frequency-to-place mapping in the two ears could produce a suboptimal performance. This study assesses tonotopic matches via binaural interactions. Dynamic interaural time-difference sensitivity was measured using bandpass-filtered pulse trains at different rates in the acoustic and implanted ear, creating binaural envelope beats. Sensitivity to beats should peak when the same tonotopic region is stimulated in both ears. All nine participants detected dynamic interaural timing differences and demonstrated some frequency selectivity. This method provides a guide to frequency-to-place mapping without compensation for inherent latency differences between the acoustic and implanted ears.

Auditory performance in bald eagles and red-tailed hawks: a comparative study of hearing in diurnal raptors.

Collision with wind turbines is a conservation concern for eagles with population abundance implications. The development of acoustic alerting technologies to deter eagles from entering hazardous air spaces is a potentially significant mitigation strategy to diminish associated morbidity and mortality risks. As a prelude to the engineering of deterrence technologies, auditory function was assessed in bald eagles (Haliaeetus leucocephalus), as well as in red-tailed hawks (Buteo jamaicensis). Auditory brainstem responses (ABRs) to a comprehensive battery of clicks and tone bursts varying in level and frequency were acquired to evaluate response thresholds, as well as suprathreshold response characteristics of wave I of the ABR, which represents the compound potential of the VIII cranial nerve. Sensitivity curves exhibited an asymmetric convex shape similar to those of other avian species, response latencies decreased exponentially with increasing stimulus level and response amplitudes grew with level in an orderly manner. Both species were responsive to a frequency band at least four octaves wide, with a most sensitive frequency of 2 kHz, and a high-frequency limit of approximately 5.7 kHz in bald eagles and 8 kHz in red-tailed hawks. Findings reported here provide a framework within which acoustic alerting signals might be developed.

Listener Factors Explain Little Variability in Self-Adjusted Hearing Aid Gain.

Self-adjustment of hearing aid gain can provide valuable information about the gain preferences of individual listeners, but these preferences are not well understood. Listeners with mild-to-moderate hearing loss used self-adjustment to select amplification gain and compression parameters in real time on a portable touch screen device while listening in quiet and noisy backgrounds. Adjustments to gain prescribed by the National Acoustics Laboratories' non-linear fitting procedure (NAL-NL2) showed large between-subject variability. Known listener characteristics (age, gender, hearing thresholds, hearing aid experience, acceptable noise level, and external ear characteristics) and listener engagement with the self-adjustment software were examined as potential predictors of this variability. Neither listener characteristics nor time spent adjusting gain were robust predictors of gain change from NAL-NL2. Listeners with less than 2 years of hearing aid experience and who also had better hearing thresholds tended to select less gain, relative to NAL-NL2, than experienced hearing aid users who had poorer thresholds. Listener factors explained no more than 10% of the between-subject variance in deviation from NAL-NL2, suggesting that modifying prescriptive fitting formulae based on the factors examined here would be unlikely to result in amplification parameters that are similar to user-customized settings. Self-adjustment typically took less than 3 min, indicating that listeners could use comparable technology without a substantial time commitment.

Mechanisms of Localization and Speech Perception with Colocated and Spatially Separated Noise and Speech Maskers Under Single-Sided Deafness with a Cochlear Implant.

OBJECTIVES: This study tested listeners with a cochlear implant (CI) in one ear and acoustic hearing in the other ear, to assess their ability to localize sound and to understand speech in collocated or spatially separated noise or speech maskers. DESIGN: Eight CI listeners with contralateral acoustic hearing ranging from normal hearing to moderate sensorineural hearing loss were tested. Localization accuracy was measured in five of the listeners using stimuli that emphasized the separate contributions of interaural level differences (ILDs) and interaural time differences (ITD) in the temporal envelope and/or fine structure. Sentence recognition was tested in all eight CI listeners, using collocated and spatially separated speech-shaped Gaussian noise and two-talker babble. Performance was compared with that of age-matched normal-hearing listeners via loudspeakers or via headphones with vocoder simulations of CI processing. RESULTS: Localization improved with the CI but only when high-frequency ILDs were available. Listeners experienced no additional benefit via ITDs in the stimulus envelope or fine structure using real or vocoder-simulated CIs. Speech recognition in two-talker babble improved with a CI in seven of the eight listeners when the target was located at the front and the babble was presented on the side of the acoustic-hearing ear, but otherwise showed little or no benefit of a CI. CONCLUSION: Sound localization can be improved with a CI in cases of significant residual hearing in the contralateral ear, but only for sounds with high-frequency content, and only based on ILDs. In speech understanding, the CI contributed most when it was in the ear with the better signal to noise ratio with a speech masker.

Self-Adjusted Amplification Parameters Produce Large Between-Subject Variability and Preserve Speech Intelligibility.

The current study used the self-fitting algorithm to allow listeners to self-adjust hearing-aid gain or compression parameters to select gain for speech understanding in a variety of quiet and noise conditions. Thirty listeners with mild to moderate sensorineural hearing loss adjusted gain parameters in quiet and in several types of noise. Outcomes from self-adjusted gain and audiologist-fit gain indicated consistent within-subject performance but a great deal of between-subject variability. Gain selection did not strongly affect intelligibility within the range of signal-to-noise ratios tested. Implications from the findings are that individual listeners have consistent preferences for gain and may prefer gain configurations that differ greatly from National Acoustic Laboratories-based prescriptions in quiet and in noise.

Neural indices of phonemic discrimination and sentence-level speech intelligibility in quiet and noise: A P3 study.

This study examined how speech babble noise differentially affected the auditory P3 responses and the associated neural oscillatory activities for consonant and vowel discrimination in relation to segmental- and sentence-level speech perception in noise. The data were collected from 16 normal-hearing participants in a double-oddball paradigm that contained a consonant (/ba/ to /da/) and vowel (/ba/ to /bu/) change in quiet and noise (speech-babble background at a -3 dB signal-to-noise ratio) conditions. Time-frequency analysis was applied to obtain inter-trial phase coherence (ITPC) and event-related spectral perturbation (ERSP) measures in delta, theta, and alpha frequency bands for the P3 response. Behavioral measures included percent correct phoneme detection and reaction time as well as percent correct IEEE sentence recognition in quiet and in noise. Linear mixed-effects models were applied to determine possible brain-behavior correlates. A significant noise-induced reduction in P3 amplitude was found, accompanied by significantly longer P3 latency and decreases in ITPC across all frequency bands of interest. There was a differential effect of noise on consonant discrimination and vowel discrimination in both ERP and behavioral measures, such that noise impacted the detection of the consonant change more than the vowel change. The P3 amplitude and some of the ITPC and ERSP measures were significant predictors of speech perception at segmental- and sentence-levels across listening conditions and stimuli. These data demonstrate that the P3 response with its associated cortical oscillations represents a potential neurophysiological marker for speech perception in noise.

Neural indices of phonemic discrimination and sentence-level speech intelligibility in quiet and noise: A mismatch negativity study.

Successful speech communication requires the extraction of important acoustic cues from irrelevant background noise. In order to better understand this process, this study examined the effects of background noise on mismatch negativity (MMN) latency, amplitude, and spectral power measures as well as behavioral speech intelligibility tasks. Auditory event-related potentials (AERPs) were obtained from 15 normal-hearing participants to determine whether pre-attentive MMN measures recorded in response to a consonant (from /ba/ to /bu/) and vowel change (from /ba/ to /da/) in a double-oddball paradigm can predict sentence-level speech perception. The results showed that background noise increased MMN latencies and decreased MMN amplitudes with a reduction in the theta frequency band power. Differential noise-induced effects were observed for the pre-attentive processing of consonant and vowel changes due to different degrees of signal degradation by noise. Linear mixed-effects models further revealed significant correlations between the MMN measures and speech intelligibility scores across conditions and stimuli. These results confirm the utility of MMN as an objective neural marker for understanding noise-induced variations as well as individual differences in speech perception, which has important implications for potential clinical applications.

Inherent envelope fluctuations in forward maskers: Effects of masker-probe delay for listeners with normal and impaired hearing.

Forward-masked thresholds increase as the magnitude of inherent masker envelope fluctuations increase for both normal-hearing (NH) and hearing-impaired (HI) adults for a short masker-probe delay (25 ms). The slope of the recovery from forward masking is shallower for HI than for NH listeners due to reduced cochlear nonlinearities. However, effects of hearing loss on additional masking due to inherent envelope fluctuations across masker-probe delays remain unknown. The current study assessed effects of hearing loss on the slope and amount of recovery from forward maskers that varied in inherent envelope fluctuations. Forward-masked thresholds were measured at 2000 and 4000 Hz, for masker-probe delays of 25, 50, and 75 ms, for NH and HI adults. Four maskers at each center frequency varied in inherent envelope fluctuations: Gaussian noise (GN) or low-fluctuation noise (LFN), with 1 or 1/3 equivalent rectangular bandwidths (ERBs). Results suggested that slopes of recovery from forward masking were shallower for HI than for NH listeners regardless of masker fluctuations. Additional masking due to inherent envelope fluctuations was greater for HI than for NH listeners at longer masker-probe delays, suggesting that inherent envelope fluctuations are more disruptive for HI than for NH listeners for a longer time course.

Efficacy of Multiple-Talker Phonetic Identification Training in Postlingually Deafened Cochlear Implant Listeners.

PURPOSE: This study implemented a pretest-intervention-posttest design to examine whether multiple-talker identification training enhanced phonetic perception of the /ba/-/da/ and /wa/-/ja/ contrasts in adult listeners who were deafened postlingually and have cochlear implants (CIs). METHOD: Nine CI recipients completed 8 hours of identification training using a custom-designed training package. Perception of speech produced by familiar talkers (talkers used during training) and unfamiliar talkers (talkers not used during training) was measured before and after training. Five additional untrained CI recipients completed identical pre- and posttests over the same time course as the trainees to control for procedural learning effects. RESULTS: Perception of the speech contrasts produced by the familiar talkers significantly improved for the trained CI listeners, and effects of perceptual learning transferred to unfamiliar talkers. Such training-induced significant changes were not observed in the control group. CONCLUSION: The data provide initial evidence of the efficacy of the multiple-talker identification training paradigm for CI users who were deafened postlingually. This pattern of results is consistent with enhanced phonemic categorization of the trained speech sounds.

Auditory stream segregation using amplitude modulated bandpass noise.

The purpose of this study was to investigate the roles of spectral overlap and amplitude modulation (AM) rate for stream segregation for noise signals, as well as to test the build-up effect based on these two cues. Segregation ability was evaluated using an objective paradigm with listeners' attention focused on stream segregation. Stimulus sequences consisted of two interleaved sets of bandpass noise bursts (A and B bursts). The A and B bursts differed in spectrum, AM-rate, or both. The amount of the difference between the two sets of noise bursts was varied. Long and short sequences were studied to investigate the build-up effect for segregation based on spectral and AM-rate differences. Results showed the following: (1). Stream segregation ability increased with greater spectral separation. (2). Larger AM-rate separations were associated with stronger segregation abilities. (3). Spectral separation was found to elicit the build-up effect for the range of spectral differences assessed in the current study. (4). AM-rate separation interacted with spectral separation suggesting an additive effect of spectral separation and AM-rate separation on segregation build-up. The findings suggest that, when normal-hearing listeners direct their attention towards segregation, they are able to segregate auditory streams based on reduced spectral contrast cues that vary by the amount of spectral overlap. Further, regardless of the spectral separation they are able to use AM-rate difference as a secondary/weaker cue. Based on the spectral differences, listeners can segregate auditory streams better as the listening duration is prolonged-i.e., sparse spectral cues elicit build-up segregation; however, AM-rate differences only appear to elicit build-up when in combination with spectral difference cues.

Effects of inherent envelope fluctuations in forward maskers for listeners with normal and impaired hearing.

Gaussian noise simultaneous maskers yield higher masked thresholds for pure tones than low-fluctuation noise simultaneous maskers for listeners with normal hearing. This increased masking effectiveness is thought to be due to inherent fluctuations in the temporal envelope of Gaussian noise, but effects of fluctuating forward maskers are unknown. Because differences in forward masking due to age and hearing loss are known, the current study assessed effects of masker envelope fluctuations for forward maskers in younger and older adults with normal hearing and older adults with hearing loss. Detection thresholds were measured in these three participant groups for a pure-tone probe in quiet and in Gaussian and low-fluctuation noise forward maskers with either 1 or 1/3 equivalent rectangular bandwidths. Higher masked thresholds were obtained for forward maskers with greater inherent envelope fluctuations for younger adults with normal hearing. This increased effectiveness of highly fluctuating forward maskers was similar for older adults with normal and impaired hearing. Because differences in recovery from forward masking between listeners with normal and impaired hearing may relate to differences in cochlear nonlinearities, these results suggest that mechanisms other than cochlear nonlinearities may be responsible for recovery from rapid masker envelope fluctuations.

Auditory stream segregation using bandpass noises: evidence from event-related potentials.

The current study measured neural responses to investigate auditory stream segregation of noise stimuli with or without clear spectral contrast. Sequences of alternating A and B noise bursts were presented to elicit stream segregation in normal-hearing listeners. The successive B bursts in each sequence maintained an equal amount of temporal separation with manipulations introduced on the last stimulus. The last B burst was either delayed for 50% of the sequences or not delayed for the other 50%. The A bursts were jittered in between every two adjacent B bursts. To study the effects of spectral separation on streaming, the A and B bursts were further manipulated by using either bandpass-filtered noises widely spaced in center frequency or broadband noises. Event-related potentials (ERPs) to the last B bursts were analyzed to compare the neural responses to the delay vs. no-delay trials in both passive and attentive listening conditions. In the passive listening condition, a trend for a possible late mismatch negativity (MMN) or late discriminative negativity (LDN) response was observed only when the A and B bursts were spectrally separate, suggesting that spectral separation in the A and B burst sequences could be conducive to stream segregation at the pre-attentive level. In the attentive condition, a P300 response was consistently elicited regardless of whether there was spectral separation between the A and B bursts, indicating the facilitative role of voluntary attention in stream segregation. The results suggest that reliable ERP measures can be used as indirect indicators for auditory stream segregation in conditions of weak spectral contrast. These findings have important implications for cochlear implant (CI) studies-as spectral information available through a CI device or simulation is substantially degraded, it may require more attention to achieve stream segregation.

Masking release, processing speed and listening effort in adults with traumatic brain injury.

PURPOSE: This preliminary study explored differences between adults with and without traumatic brain injury (TBI) for speech processing accuracy, processing speed and effort in various conditions of interference. METHODS: Ten adults with TBI and six adults without TBI participated. Speech processing was studied using sentence repetition in six listening conditions with different types of interference, including noise and two simultaneous talkers. Participants repeated sentences and rated effort. Participants also completed standardized tests of cognition, including working memory and processing speed measures. RESULTS: Sentence repetition accuracy did not differ between groups. However, the TBI group demonstrated slower processing speed than the control group and also reported significantly greater effort in the two-talker condition. Faster processing speed was also correlated with higher accuracy in the two-talker condition. CONCLUSIONS: RESULTS of this study show group similarities in repetition accuracy across listening conditions, but group differences in speed and effort. This preliminary finding, as well as the relationship between processing speed and repetition accuracy, suggests that it is only in the most complex listening conditions that the effects of brain injury may be detectable.

Behavioral measures of cochlear compression and temporal resolution as predictors of speech masking release in hearing-impaired listeners.

Hearing-impaired (HI) listeners often show less masking release (MR) than normal-hearing listeners when temporal fluctuations are imposed on a steady-state masker, even when accounting for overall audibility differences. This difference may be related to a loss of cochlear compression in HI listeners. Behavioral estimates of compression, using temporal masking curves (TMCs), were compared with MR for band-limited (500-4000 Hz) speech and pure tones in HI listeners and age-matched, noise-masked normal-hearing (NMNH) listeners. Compression and pure-tone MR estimates were made at 500, 1500, and 4000 Hz. The amount of MR was defined as the difference in performance between steady-state and 10-Hz square-wave-gated speech-shaped noise. In addition, temporal resolution was estimated from the slope of the off-frequency TMC. No significant relationship was found between estimated cochlear compression and MR for either speech or pure tones. NMNH listeners had significantly steeper off-frequency temporal masking recovery slopes than did HI listeners, and a small but significant correlation was observed between poorer temporal resolution and reduced MR for speech. The results suggest either that the effects of hearing impairment on MR are not determined primarily by changes in peripheral compression, or that the TMC does not provide a sufficiently reliable measure of cochlear compression.

Hearing conservation program for marching band members: a risk for noise-induced hearing loss?

PURPOSE: To examine the risk for noise-induced hearing loss (NIHL) in university marching band members and to provide an overview of a hearing conservation program for a marching band. METHOD: Sound levels during band rehearsals were recorded and audiometric hearing thresholds and transient otoacoustic emission were measured over a 3-year period. Musician's earplugs and information about hearing loss were provided to the students. The hearing thresholds of other college students were tested as a partial control. RESULTS: There were no significant differences in hearing thresholds between the two groups. During initial testing, more marching band members showed apparent high-frequency notches than control students. Follow-up hearing tests in a subsequent year for the marching band members showed that almost all notches disappeared. Persistent standard threshold shift (STS) across tests was not observed in the band members. CONCLUSION: Band members showed no evidence of STS or persistent notched audiograms. Because accepted procedures for measuring hearing showed a lack of precision in reliably detecting early NIHL in marching band members, it is recommended that signs of NIHL be sought in repeated measurements compared to baseline audiograms rather than in a single measure (a single notch). A hearing conservation program for this population is still recommended because of lengthy rehearsal times with high sound-level exposure during rehearsals.

Assessing the role of spectral and intensity cues in spectral ripple detection and discrimination in cochlear-implant users.

Measures of spectral ripple resolution have become widely used psychophysical tools for assessing spectral resolution in cochlear-implant (CI) listeners. The objective of this study was to compare spectral ripple discrimination and detection in the same group of CI listeners. Ripple detection thresholds were measured over a range of ripple frequencies and were compared to spectral ripple discrimination thresholds previously obtained from the same CI listeners. The data showed that performance on the two measures was correlated, but that individual subjects' thresholds (at a constant spectral modulation depth) for the two tasks were not equivalent. In addition, spectral ripple detection was often found to be possible at higher rates than expected based on the available spectral cues, making it likely that temporal-envelope cues played a role at higher ripple rates. Finally, spectral ripple detection thresholds were compared to previously obtained speech-perception measures. Results confirmed earlier reports of a robust relationship between detection of widely spaced ripples and measures of speech recognition. In contrast, intensity difference limens for broadband noise did not correlate with spectral ripple detection measures, suggesting a dissociation between the ability to detect small changes in intensity across frequency and across time.