Search

Bilateral cochlear-implant (BICI) listeners obtain less spatial release from masking (SRM; speech-recognition improvement for spatially separated vs co-located conditions) than normal-hearing (NH) listeners, especially for symmetrically placed maskers that produce similar long-term target-to-masker ratios at the two ears. Two experiments examined possible causes of this deficit, including limited better-ear glimpsing (using speech information from the more advantageous ear in each time-frequency unit), limited binaural unmasking (using interaural differences to improve signal-in-noise detection), or limited spectral resolution. Listeners had NH (presented with unprocessed or vocoded stimuli) or BICIs. Experiment 1 compared natural symmetric maskers, idealized monaural better-ear masker (IMBM) stimuli that automatically performed better-ear glimpsing, and hybrid stimuli that added worse-ear information, potentially restoring binaural cues. BICI and NH-vocoded SRM was comparable to NH-unprocessed SRM for idealized stimuli but was 14%–22% lower for symmetric stimuli, suggesting limited better-ear glimpsing ability. Hybrid stimuli improved SRM for NH-unprocessed listeners but degraded SRM for BICI and NH-vocoded listeners, suggesting they experienced across-ear interference instead of binaural unmasking. In experiment 2, increasing the number of vocoder channels did not change NH-vocoded SRM. BICI SRM deficits likely reflect a combination of across-ear interference, limited better-ear glimpsing, and poorer binaural unmasking that stems from cochlear-implant-processing limitations other than reduced spectral resolution. [ABSTRACT FROM AUTHOR]

Bilateral cochlear implants (BI-CIs) or a CI for single-sided deafness (SSD-CI; one normally functioning acoustic ear) can partially restore spatial-hearing abilities, including sound localization and speech understanding in noise. For these populations, however, interaural place-of-stimulation mismatch can occur and thus diminish binaural sensitivity that relies on interaurally frequency-matched neurons. This study examined whether plasticity--reorganization of central neural pathways over time--can compensate for peripheral interaural place mismatch. We hypothesized differential plasticity across two systems: none for binaural processing but adaptation for pitch perception toward frequencies delivered by the specific electrodes. Interaural place mismatch was evaluated in 19 BI-CI and 23 SSD-CI human subjects (both sexes) using binaural processing (interaural-time-difference discrimination with simultaneous bilateral stimulation), pitch perception (pitch ranking for single electrodes or acoustic tones with sequential bilateral stimulation), and physical electrode-location estimates from computed-tomography (CT) scans. On average, CT scans revealed relatively little BI-CI interaural place mismatch (26° insertion-angle mismatch) but a relatively large SSD-CI mismatch, particularly at low frequencies (166° for an electrode tuned to 300 Hz, decreasing to 14° at 7000 Hz). For BI-CI subjects, the three metrics were in agreement because there was little mismatch. For SSD-CI subjects, binaural and CT measurements were in agreement, suggesting little binaural-system plasticity induced by mismatch. The pitch measurements disagreed with binaural and CT measurements, suggesting place-pitch plasticity or a procedural bias. These results suggest that reducing interaural place mismatch and potentially improving binaural processing by reprogramming the CI frequency allocation would be better done using CT-scan than pitch information. [ABSTRACT FROM AUTHOR]

The relative importance of individual frequency regions for speech intelligibility has been firmly established for broadband auditory-only (AO) conditions. Yet, speech communication often takes place face-to-face. This study tested the hypothesis that under auditory-visual (AV) conditions, where visual information is redundant with high-frequency auditory cues, lower frequency regions will increase in relative importance compared to AO conditions. Frequency band-importance functions for consonants were measured for eight hearing-impaired and four normal-hearing listeners. Speech was filtered into four 1/3-octave bands each separated by an octave to minimize energetic masking. On each trial, the signal-to-noise ratio (SNR) in each band was selected randomly from a 10-dB range. AO and AV band-importance functions were estimated using three logistic-regression analyses: a primary model relating performance to the four independent SNRs; a control model that also included band-interaction terms; and a different set of four control models, each examining one band at a time. For both listener groups, the relative importance of the low-frequency bands increased under AV conditions, consistent with earlier studies using isolated speech bands. All three analyses showed similar results, indicating the absence of cross-band interactions. These results suggest that accurate prediction of AV speech intelligibility may require different frequency-importance functions than for AO conditions. [ABSTRACT FROM AUTHOR]

Normal-hearing (NH) listeners can extract and integrate speech fragments from momentary dips in the level of a fluctuating masker, yielding a fluctuating-masker benefit (FMB) for speech understanding relative to a stationary-noise masker. Hearing-impaired (HI) listeners generally show less FMB, suggesting a dip-listening deficit attributable to suprathreshold spectral or temporal distortion. However, reduced FMB might instead result from different test signal-to-noise ratios (SNRs), reduced absolute audibility of otherwise unmasked speech segments, or age differences. This study examined the FMB for nine age-matched NH-HI listener pairs, while simultaneously equalizing audibility, SNR, and percentage-correct performance in stationary noise. Nonsense syllables were masked by stationary noise, 4- or 32-Hz sinusoidally amplitude-modulated noise (SAMN), or an opposite-gender interfering talker. Stationary-noise performance was equalized by adjusting the response-set size. Audibility was equalized by removing stimulus components falling below the HI absolute threshold. HI listeners showed a clear 4.5-dB reduction in FMB for 32-Hz SAMN, a similar FMB to NH listeners for 4-Hz SAMN, and a non-significant trend toward a 2-dB reduction in FMB for an interfering talker. These results suggest that HI listeners do not exhibit a general dip-listening deficit for all fluctuating maskers, but rather a specific temporal-resolution deficit affecting performance for high-rate modulated maskers. [ABSTRACT FROM AUTHOR]

Purpose: For listeners with single-sided deafness, a cochlear implant (CI) can improve speech understanding by giving the listener access to the ear with the better target-to-masker ratio (TMR; head shadow) or by providing interaural difference cues to facilitate the perceptual separation of concurrent talkers (squelch). CI simulations presented to listeners with normal hearing examined how these benefits could be affected by interaural differences in loudness growth in a speechon- speech masking task. Method: Experiment 1 examined a target-masker spatial configuration where the vocoded ear had a poorer TMR than the nonvocoded ear. Experiment 2 examined the reverse configuration. Generic head-related transfer functions simulated free-field listening. Compression or expansion was applied independently to each vocoder channel (powerlaw exponents: 0.25, 0.5, 1, 1.5, or 2). Results: Compression reduced the benefit provided by the vocoder ear in both experiments. There was some evidence that expansion increased squelch in Experiment 1 but reduced the benefit in Experiment 2 where the vocoder ear provided a combination of head-shadow and squelch benefits. Conclusions: The effects of compression and expansion are interpreted in terms of envelope distortion and changes in the vocoded-ear TMR (for head shadow) or changes in perceived target-masker spatial separation (for squelch). The compression parameter is a candidate for clinical optimization to improve single-sided deafness CI outcomes. [ABSTRACT FROM AUTHOR]

Purpose: This study evaluated whether certain spectral ripple conditions were more informative than others in predicting ecologically relevant unaided and aided speech outcomes. Method: A quasi-experimental study design was used to evaluate 67 older adult hearing aid users with bilateral, symmetrical hearing loss. Speech perception in noise was tested under conditions of unaided and aided, auditoryonly and auditory--visual, and 2 types of noise. Predictors included age, audiometric thresholds, audibility, hearing aid compression, and modulation depth detection thresholds for moving (4-Hz) or static (0-Hz) 2-cycle/octave spectral ripples applied to carriers of broadband noise or 2000-Hz low- or high-pass filtered noise. Results: A principal component analysis of the modulation detection data found that broadband and low-pass static and moving ripple detection thresholds loaded onto the first factor whereas high-pass static and moving ripple detection thresholds loaded onto a second factor. A linear mixed model revealed that audibility and the first factor (reflecting broadband and low-pass static and moving ripples) were significantly associated with speech perception performance. Similar results were found for unaided and aided speech scores. The interactions between speech conditions were not significant, suggesting that the relationship between ripples and speech perception was consistent regardless of visual cues or noise condition. High-pass ripple sensitivity was not correlated with speech understanding. Conclusions: The results suggest that, for hearing aid users, poor speech understanding in noise and sensitivity to both static and slow-moving ripples may reflect deficits in the same underlying auditory processing mechanism. Significant factor loadings involving ripple stimuli with low-frequency content may suggest an impaired ability to use temporal fine structure information in the stimulus waveform. Support is provided for the use of spectral ripple testing to predict speech perception outcomes in clinical settings. [ABSTRACT FROM AUTHOR]

Single-sided deafness prevents access to the binaural cues that help normal-hearing listeners extract target speech from competing voices. Little is known about how listeners with one normal-hearing ear might benefit from access to severely degraded audio signals that preserve only envelope information in the second ear. This study investigated whether vocoded masker-envelope information presented to one ear could improve performance for normal-hearing listeners in a multi-talker speech-identification task presented to the other ear. Target speech and speech or non-speech maskers were presented unprocessed to the left ear. The right ear received no signal, or either an unprocessed or eight-channel noise-vocoded copy of the maskers. Presenting the vocoded maskers contralaterally yielded significant masking release from same-gender speech maskers, albeit less than in the unprocessed case, but not from opposite-gender speech, stationary-noise, or modulated noise maskers. Unmasking also occurred with as few as two vocoder channels and when an attenuated copy of the target signal was added to the maskers before vocoding. These data show that delivering masker-envelope information contralaterally generates masking release in situations where target-masker similarity impedes monaural speech-identification performance. By delivering speech-envelope information to a deaf ear, cochlear implants for single-sided deafness have the potential to produce a similar effect. [ABSTRACT FROM AUTHOR]

Adaptive signal-to-noise ratio (SNR) tracking is often used to measure speech reception in noise. Because SNR varies with performance using this method, data interpretation can be confounded when measuring an SNR-dependent effect such as the fluctuating-masker benefit (FMB) (the intelligibility improvement afforded by brief dips in the masker level). One way to overcome this confound, and allow FMB comparisons across listener groups with different stationary-noise performance, is to adjust the response set size to equalize performance across groups at a fixed SNR. However, this technique is only valid under the assumption that changes in set size have the same effect on percentage-correct performance for different masker types. This assumption was tested by measuring nonsense-syllable identification for normal-hearing listeners as a function of SNR, set size and masker (stationary noise, 4- and 32-Hz modulated noise and an interfering talker). Set-size adjustment had the same impact on performance scores for all maskers, confirming the independence of FMB (at matched SNRs) and set size. These results, along with those of a second experiment evaluating an adaptive set-size algorithm to adjust performance levels, establish set size as an efficient and effective tool to adjust baseline performance when comparing effects of masker fluctuations between listener groups. [ABSTRACT FROM AUTHOR]

Normal-hearing listeners receive less benefit from momentary dips in the level of a fluctuating masker for speech processed to degrade spectral detail or temporal fine structure (TFS) than for unprocessed speech. This has been interpreted as evidence that the magnitude of the fluctuating-masker benefit (FMB) reflects the ability to resolve spectral detail and TFS. However, the FMB for degraded speech is typically measured at a higher signal-to-noise ratio (SNR) to yield performance similar to normal speech for the baseline (stationary-noise) condition. Because the FMB decreases with increasing SNR, this SNR difference might account for the reduction in FMB for degraded speech. In this study, the FMB for unprocessed and processed (TFS-removed or spectrally smeared) speech was measured in a paradigm that adjusts word-set size, rather than SNR, to equate stationary-noise performance across processing conditions. Compared at the same SNR and percent-correct level (but with different set sizes), processed and unprocessed stimuli yielded a similar FMB for four different fluctuating maskers (speech-modulated noise, one opposite-gender interfering talker, two same-gender interfering talkers, and 16-Hz interrupted noise). These results suggest that, for these maskers, spectral or TFS distortions do not directly impair the ability to benefit from momentary dips in masker level. [ABSTRACT FROM AUTHOR]

Speech intelligibility for audio-alone and audiovisual (AV) sentences was estimated as a function of signal-to-noise ratio (SNR) for a female target talker presented in a stationary noise, an interfering male talker, or a speech-modulated noise background, for eight hearing-impaired (HI) and five normal-hearing (NH) listeners. At the 50% keywords-correct performance level, HI listeners showed 7–12 dB less fluctuating-masker benefit (FMB) than NH listeners, consistent with previous results. Both groups showed significantly more FMB under AV than audio-alone conditions. When compared at the same stationary-noise SNR, FMB differences between listener groups and modalities were substantially smaller, suggesting that most of the FMB differences at the 50% performance level may reflect a SNR dependence of the FMB. Still, 1–5 dB of the FMB difference between listener groups remained, indicating a possible role for reduced audibility, limited spectral or temporal resolution, or an inability to use auditory source-segregation cues, in directly limiting the ability to listen in the dips of a fluctuating masker. A modified version of the extended speech-intelligibility index that predicts a larger FMB at less favorable SNRs accounted for most of the FMB differences between listener groups and modalities. Overall, these data suggest that HI listeners retain more of an ability to listen in the dips of a fluctuating masker than previously thought. Instead, the fluctuating-masker difficulties exhibited by HI listeners may derive from the reduced FMB associated with the more favorable SNRs they require to identify a reasonable proportion of the target speech. [ABSTRACT FROM AUTHOR]

This study investigated the relationship between harmonic frequency resolution and fundamental frequency (f0) discrimination. Consistent with earlier studies, f0 discrimination of a diotic bandpass-filtered harmonic complex deteriorated sharply as the f0 decreased to the point where only harmonics above the tenth were presented. However, when the odd harmonics were mistuned by 3%, performance improved dramatically, such that performance nearly equaled that found with only even harmonics present. Mistuning also improved performance when alternating harmonics were presented to opposite ears (dichotic condition). In a task involving frequency discrimination of individual harmonics within the complexes, mistuning the odd harmonics yielded no significant improvement in the resolution of individual harmonics. Pitch matches to the mistuned complexes suggested that the even harmonics dominated the pitch for f0’s at which a benefit of mistuning was observed. The results suggest that f0 discrimination performance can benefit from perceptual segregation based on inharmonicity, and that poor performance when only high-numbered harmonics are present is not due to limited peripheral harmonic resolvability. Taken together with earlier results, the findings suggest that f0 discrimination may depend on auditory filter bandwidths, but that spectral resolution of individual harmonics is neither necessary nor sufficient for accurate f0 discrimination. [ABSTRACT FROM AUTHOR]

Three experiments tested the hypothesis that fundamental frequency (f0) discrimination depends on the resolvability of harmonics within a tone complex. Fundamental frequency difference limens (f0 DLs) were measured for random-phase harmonic complexes with eight f0’s between 75 and 400 Hz, bandpass filtered between 1.5 and 3.5 kHz, and presented at 12.5-dB/component average sensation level in threshold equalizing noise with levels of 10, 40, and 65 dB SPL per equivalent rectangular auditory filter bandwidth. With increasing level, the transition from large (poor) to small (good) f0 DLs shifted to a higher f0. This shift corresponded to a decrease in harmonic resolvability, as estimated in the same listeners with excitation patterns derived from measures of auditory filter shape and with a more direct measure that involved hearing out individual harmonics. The results are consistent with the idea that resolved harmonics are necessary for good f0 discrimination. Additionally, f0 DLs for high f0’s increased with stimulus level in the same way as pure-tone frequency DLs, suggesting that for this frequency range, the frequencies of harmonics are more poorly encoded at higher levels, even when harmonics are well resolved. [ABSTRACT FROM AUTHOR]

This study tested the relationship between frequency selectivity and the minimum spacing between harmonics necessary for accurate f0 discrimination. Fundamental frequency difference limens (f0 DLs) were measured for ten listeners with moderate sensorineural hearing loss (SNHL) and three normal-hearing listeners for sine- and random-phase harmonic complexes, bandpass filtered between 1500 and 3500 Hz, with f0’s ranging from 75 to 500 Hz (or higher). All listeners showed a transition between small (good) f0 DLs at high f0’s and large (poor) f0 DLs at low f0’s, although the f0 at which this transition occurred (f0,tr) varied across listeners. Three measures thought to reflect frequency selectivity were significantly correlated to both the f0,tr and the minimum f0 DL achieved at high f0’s: (1) the maximum f0 for which f0 DLs were phase dependent, (2) the maximum modulation frequency for which amplitude modulation and quasi-frequency modulation were discriminable, and (3) the equivalent rectangular bandwidth of the auditory filter, estimated using the notched-noise method. These results provide evidence of a relationship between f0 discrimination performance and frequency selectivity in listeners with SNHL, supporting “spectral” and “spectro-temporal” theories of pitch perception that rely on sharp tuning in the auditory periphery to accurately extract f0 information. [ABSTRACT FROM AUTHOR]

Normal-hearing listeners’ ability to “hear out” the pitch of a target harmonic complex tone (HCT) was tested with simultaneous HCT or noise maskers, all bandpass-filtered into the same spectral region (1200–3600 Hz). Target-to-masker ratios (TMRs) necessary to discriminate fixed fundamental-frequency (F0) differences were measured for target F0s between 100 and 400 Hz. At high F0s (400 Hz), asynchronous gating of masker and signal, presenting the masker in a different F0 range, and reducing the F0 rove of the masker, all resulted in improved performance. At the low F0s (100 Hz), none of these manipulations improved performance significantly. The findings are generally consistent with the idea that the ability to segregate sounds based on cues such as F0 differences and onset/offset asynchronies can be strongly limited by peripheral harmonic resolvability. However, some cases were observed where perceptual segregation appeared possible, even when no peripherally resolved harmonics were present in the mixture of target and masker. A final experiment, comparing TMRs necessary for detection and F0 discrimination, showed that F0 discrimination of the target was possible with noise maskers at only a few decibels above detection threshold, whereas similar performance with HCT maskers was only possible 15–25 dB above detection threshold. [ABSTRACT FROM AUTHOR]

Fundamental frequency (f0) difference limens (DLs) were measured as a function of f0 for sine- and random-phase harmonic complexes, bandpass filtered with 3-dB cutoff frequencies of 2.5 and 3.5 kHz (low region) or 5 and 7 kHz (high region), and presented at an average 15 dB sensation level (approximately 48 dB SPL) per component in a wideband background noise. Fundamental frequencies ranged from 50 to 300 Hz and 100 to 600 Hz in the low and high spectral regions, respectively. In each spectral region, f0 DLs improved dramatically with increasing f0 as approximately the tenth harmonic appeared in the passband. Generally, f0 DLs for complexes with similar harmonic numbers were similar in the two spectral regions. The dependence of f0 discrimination on harmonic number presents a significant challenge to autocorrelation (AC) models of pitch, in which predictions generally depend more on spectral region than harmonic number. A modification involving a “lag window”is proposed and tested, restricting the AC representation to a limited range of lags relative to each channel’s characteristic frequency. This modified unitary pitch model was able to account for the dependence of f0 DLs on harmonic number, although this correct behavior was not based on peripheral harmonic resolvability. © 2005 Acoustical Society of America. [ABSTRACT FROM AUTHOR]

For single-sided deafness cochlear-implant (SSD-CI) listeners, different peripheral representations for electric versus acoustic stimulation, combined with interaural frequency mismatch, might limit the ability to perceive bilaterally presented speech as a single voice. The assessment of binaural fusion often relies on subjective report, which requires listeners to have some understanding of the perceptual phenomenon of object formation. Two experiments explored whether binaural fusion could instead be assessed using judgments of the number of voices in a mixture. In an SSD-CI simulation, normal-hearing listeners were presented with one or two "diotic" voices (i.e., unprocessed in one ear and noise-vocoded in the other) in a mixture with additional monaural voices. In experiment 1, listeners reported how many voices they heard. Listeners generally counted the diotic speech as two separate voices, regardless of interaural frequency mismatch. In experiment 2, listeners identified which of two mixtures contained diotic speech. Listeners performed significantly better with interaurally frequency-matched than with frequency-mismatched stimuli. These contrasting results suggest that listeners experienced partial fusion: not enough to count the diotic speech as one voice, but enough to detect its presence. The diotic-speech detection task (experiment 2) might provide a tool to evaluate fusion and optimize frequency mapping for SSD-CI patients. [ABSTRACT FROM AUTHOR]

Although the behavioral pure-tone threshold audiogram is considered the gold standard for quantifying hearing loss, assessment of speech understanding, especially in noise, is more relevant to quality of life but is only partly related to the audiogram. Metrics of speech understanding in noise are therefore an attractive target for assessing hearing over time. However, speech-in-noise assessments have more potential sources of variability than pure-tone threshold measures, making it a challenge to obtain results reliable enough to detect small changes in performance. This review examines the benefits and limitations of speech-understanding metrics and their application to longitudinal hearing assessment, and identifies potential sources of variability, including learning effects, differences in item difficulty, and between- and within-individual variations in effort and motivation. We conclude by recommending the integration of non-speech auditory tests, which provide information about aspects of auditory health that have reduced variability and fewer central influences than speech tests, in parallel with the traditional audiogram and speech-based assessments. [ABSTRACT FROM AUTHOR]

Cochlear implants have recently begun to be offered to patients with single-sided deafness (SSD). Implantation in these patients has led to good results in suppressing ipsilateral tinnitus and in providing audiologic benefits in terms of speech perception in noise and localization. One previously unreported benefit of cochlear implantation in patients with SSD is the restoration of functional hearing in the previously deaf ear, which may allow for surgical opportunities in the contralateral hearing ear. We report a case in which cochlear implantation in the deaf left ear of a 50-year-old man allowed for surgical intervention in the previously only-hearing right ear, which in turn led to the restoration of normal middle ear function. Further studies may be warranted to consider the surgical candidacy of the contralateral only-hearing ear as another potential indication for cochlear implantation in patients with SSD. [ABSTRACT FROM AUTHOR]

This study developed and tested a real-time processing algorithm designed to degrade sound localization (LocDeg algorithm) without affecting binaural benefits for speech reception in noise. Input signals were divided into eight frequency channels. The odd-numbered channels were mixed between the ears to confuse the direction of interaural cues while preserving interaural cues in the even-numbered channels. The LocDeg algorithm was evaluated for normal-hearing listeners performing sound localization and speech-reception tasks. Results showed that the LocDeg algorithm successfully degraded sound-localization performance without affecting speech-reception performance or spatial release from masking for speech in noise. The LocDeg algorithm did, however, degrade speech-reception performance in a task involving spatially separated talkers in a multi-talker environment, which is thought to depend on differences in perceived spatial location of concurrent talkers. This LocDeg algorithm could be a valuable tool for isolating the importance of sound-localization ability from other binaural benefits in real-world environments. [ABSTRACT FROM AUTHOR]

Poor speech understanding in noise by hearing-impaired (HI) listeners is only partly explained by elevated audiometric thresholds. Suprathreshold-processing impairments such as reduced temporal or spectral resolution or temporal fine-structure (TFS) processing ability might also contribute. Although speech contains dynamic combinations of temporal and spectral modulation and TFS content, these capabilities are often treated separately. Modulation-depth detection thresholds for spectrotemporal modulation (STM) applied to octave-band noise were measured for normal-hearing and HI listeners as a function of temporal modulation rate (4-32 Hz), spectral ripple density [0.5-4 cycles/octave (c/o)] and carrier center frequency (500-4000Hz). STM sensitivity was worse than normal for HI listeners only for a low-frequency carrier (1000 Hz) at low temporal modulation rates (4-12 Hz) and a spectral ripple density of 2 c/o, and for a high-frequency carrier (4000Hz) at a high spectral ripple density (4 c/o). STM sensitivity for the 4-Hz, 4-c/o condition for a 4000-Hz carrier and for the 4-Hz, 2-c/o condition for a 1000-Hz carrier were correlated with speech-recognition performance in noise after partialling out the audiogram-based speech-intelligibility index. Poor speech-reception and STM-detection performance for HI listeners may be related to a combination of reduced frequency selectivity and a TFS-processing deficit limiting the ability to track spectral-peak movements. [ABSTRACT FROM AUTHOR]