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1.
Ear Hear ; 40(1): 45-54, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29668566

RESUMO

OBJECTIVE: The purpose was to investigate the effects of hearing-loss and fast-acting compression on speech intelligibility and two measures of temporal modulation sensitivity. DESIGN: Twelve adults with normal hearing (NH) and 16 adults with mild to moderately severe sensorineural hearing loss were tested. Amplitude modulation detection and modulation-depth discrimination (MDD) thresholds with sinusoidal carriers of 1 or 5 kHz and modulators in the range from 8 to 256 Hz were used as measures of temporal modulation sensitivity. Speech intelligibility was assessed by obtaining speech reception thresholds in stationary and fluctuating background noise. All thresholds were obtained with and without compression (using a fixed compression ratio of 2:1). RESULTS: For modulation detection, the thresholds were similar or lower for the group with hearing loss than for the group with NH. In contrast, the MDD thresholds were higher for the group with hearing loss than for the group with NH. Fast-acting compression increased the modulation detection thresholds, while no effect of compression on the MDD thresholds was observed. The speech reception thresholds obtained in stationary noise were slightly increased in the compression condition relative to the linear processing condition, whereas no difference in the speech reception thresholds obtained in fluctuating noise was observed. For the group with NH, individual differences in the MDD thresholds could account for 72% of the variability in the speech reception thresholds obtained in stationary noise, whereas the correlation was insignificant for the hearing-loss group. CONCLUSIONS: Fast-acting compression can restore modulation detection thresholds for listeners with hearing loss to the values observed for listeners with NH. Despite this normalization of the modulation detection thresholds, compression does not seem to provide a benefit for speech intelligibility. Furthermore, fast-acting compression may not be able to restore MDD thresholds to the values observed for listeners with NH, suggesting that the two measures of amplitude modulation sensitivity represent different aspects of temporal processing. For listeners with NH, the ability to discriminate modulation depth was highly correlated with speech intelligibility in stationary noise.


Assuntos
Auxiliares de Audição , Perda Auditiva Neurossensorial/reabilitação , Percepção da Fala , Adulto , Limiar Auditivo , Estudos de Casos e Controles , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Hiperacusia , Masculino , Pessoa de Meia-Idade , Ruído , Detecção de Recrutamento Audiológico , Adulto Jovem
2.
Trends Hear ; 22: 2331216518775293, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29756553

RESUMO

This study examined the perceptual consequences of three speech enhancement schemes based on multiband nonlinear expansion of temporal envelope fluctuations between 10 and 20 Hz: (a) "idealized" envelope expansion of the speech before the addition of stationary background noise, (b) envelope expansion of the noisy speech, and (c) envelope expansion of only those time-frequency segments of the noisy speech that exhibited signal-to-noise ratios (SNRs) above -10 dB. Linear processing was considered as a reference condition. The performance was evaluated by measuring consonant recognition and consonant confusions in normal-hearing and hearing-impaired listeners using consonant-vowel nonsense syllables presented in background noise. Envelope expansion of the noisy speech showed no significant effect on the overall consonant recognition performance relative to linear processing. In contrast, SNR-based envelope expansion of the noisy speech improved the overall consonant recognition performance equivalent to a 1- to 2-dB improvement in SNR, mainly by improving the recognition of some of the stop consonants. The effect of the SNR-based envelope expansion was similar to the effect of envelope-expanding the clean speech before the addition of noise.


Assuntos
Limiar Auditivo/fisiologia , Perda Auditiva Neurossensorial/fisiopatologia , Percepção da Fala/fisiologia , Adulto , Dinamarca , Perda Auditiva/fisiopatologia , Humanos , Pessoa de Meia-Idade , Ruído , Adulto Jovem
3.
J Acoust Soc Am ; 141(6): 4556, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28679250

RESUMO

Fast-acting hearing-aid compression systems typically distort the auditory cues involved in the spatial perception of sounds in rooms by enhancing low-level reverberant energy portions of the sound relative to the direct sound. The present study investigated the benefit of a direct-sound driven compression system that adaptively selects appropriate time constants to preserve the listener's spatial impression. Specifically, fast-acting compression was maintained for time-frequency units dominated by the direct sound while the processing of the compressor was linearized for time-frequency units dominated by reverberation. This compression scheme was evaluated with normal-hearing listeners who indicated their perceived location and distribution of sound images in the horizontal plane for virtualized speech. The experimental results confirmed that both independent compression at each ear and linked compression across ears resulted in broader, sometimes internalized, sound images as well as image splits. In contrast, the linked direct-sound driven compression system provided the listeners with a spatial perception similar to that obtained with linear processing that served as the reference condition. The independent direct-sound driven compressor created a sense of movement of the sound between the two ears, suggesting that preserving the interaural level differences via linked compression is advantageous with the proposed direct-sound driven compression scheme.

4.
J Acoust Soc Am ; 141(4): 2556, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28464692

RESUMO

This study investigated the effects of fast-acting hearing-aid compression on normal-hearing and hearing-impaired listeners' spatial perception in a reverberant environment. Three compression schemes-independent compression at each ear, linked compression between the two ears, and "spatially ideal" compression operating solely on the dry source signal-were considered using virtualized speech and noise bursts. Listeners indicated the location and extent of their perceived sound images on the horizontal plane. Linear processing was considered as the reference condition. The results showed that both independent and linked compression resulted in more diffuse and broader sound images as well as internalization and image splits, whereby more image splits were reported for the noise bursts than for speech. Only the spatially ideal compression provided the listeners with a spatial percept similar to that obtained with linear processing. The same general pattern was observed for both listener groups. An analysis of the interaural coherence and direct-to-reverberant ratio suggested that the spatial distortions associated with independent and linked compression resulted from enhanced reverberant energy. Thus, modifications of the relation between the direct and the reverberant sound should be avoided in amplification strategies that attempt to preserve the natural sound scene while restoring loudness cues.


Assuntos
Correção de Deficiência Auditiva/instrumentação , Exposição Ambiental/efeitos adversos , Auxiliares de Audição , Perda Auditiva Neurossensorial/reabilitação , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/psicologia , Localização de Som , Percepção da Fala , Estimulação Acústica , Adulto , Idoso , Idoso de 80 Anos ou mais , Audiometria de Tons Puros , Audiometria da Fala , Limiar Auditivo , Estudos de Casos e Controles , Sinais (Psicologia) , Desenho de Equipamento , Feminino , Audição , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/fisiopatologia , Perda Auditiva Neurossensorial/psicologia , Humanos , Percepção Sonora , Masculino , Pessoa de Meia-Idade , Processamento de Sinais Assistido por Computador , Vibração
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