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1.
Int J Audiol ; 50(7): 468-76, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21668326

ABSTRACT

OBJECTIVE: To determine the effects of room reverberation on target sentence recognition in the presence of 0-to-3 synchronous masking sentences. DESIGN: Target and masker sentences were presented through four loudspeakers (± 90° and ± 45° azimuth; 1m from the listener) in rooms having reverberation times (RT) of 0.2, 0.4, 0.6, and 1.1 s. STUDY SAMPLE: Four groups of 13 listeners each participated in the study (N = 52). RESULTS: In rooms with RTs of 0.2, 0.4, and 0.6 s, mean speech recognition scores (SRSs) were similar, with scores ranging from 96-100%, 90-95%, 75-80%, and 53-60%, when 0, 1, 2, and 3 competing sentences were present, respectively. However, in the room with a RT = 1.1 s, SRSs deteriorated significantly faster as the number of competing sentences increased; mean scores were 93%, 73%, 26%, and 10%, in the 0, 1, 2, 3, competing sentence condition, respectively. The majority of errors in SRSs (98%) resulted from listeners reporting words presented in masking sentences along with those in target sentences (mixing errors). CONCLUSIONS: Results indicate that reverberation has a similar influence on SRSs measured in multi-talker environments, when room reverberation is ≤ 0.6 s. However, SRSs are dramatically reduced in the room with a RT = 1.1 s, even when only one competing talker is present.


Subject(s)
Auditory Pathways/physiology , Perceptual Masking , Speech Acoustics , Speech Intelligibility , Speech Perception , Acoustic Stimulation , Adolescent , Adult , Audiometry, Pure-Tone , Audiometry, Speech , Facility Design and Construction , Humans , Middle Aged , Psychoacoustics , Recognition, Psychology , Sound Spectrography , Time Factors , Vibration , Young Adult
2.
Ear Hear ; 29(3): 360-77, 2008 Jun.
Article in English | MEDLINE | ID: mdl-18382377

ABSTRACT

OBJECTIVES: The objective of this study was to determine whether transient-evoked otoacoustic emissions (TEOAEs) measured in a group of normal-hearing professional singers, who were frequently exposed to high-level sound during rehearsals and performances, differed from those measured in age- and gender-matched normal-hearing non-singers, who were at minimal risk of hearing loss resulting from excessive sound exposure or other risk factors. DESIGN: Twenty-three normal-hearing singers (NH-Ss), 23 normal-hearing controls (NH-Cs), and 9 hearing-impaired singers (HI-Ss) were included. Pure-tone audiometry confirmed normal-hearing thresholds (>or=15 dB HL) at 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, and 8.0 kHz in NH-Ss and NH-Cs, and confirmed mild, high frequency, sensorineural hearing loss in HI-Ss (HI-Ss were included only to estimate sensitivity and specificity values for preliminary pass or fail criteria that could be used to help identify NH-Ss at risk for music-induced hearing loss). TEOAEs were measured twice in all ears. TEOAE signal to noise ratio (S/N) and reproducibility were examined for the whole wave response, and for frequency bands centered at 1.0, 1.4, 2.0, 2.8, and 4.0 kHz. RESULTS: Moderate to high correlations were found between test and retest TEOAE responses for the three groups. However, absolute test-retest differences revealed standard deviations that were two to three times larger than those reported previously, with the majority of the variability occurring for the 1.0 kHz band. As such, only the best TEOAE response (B-TEOAE) from the two measurements in each ear was used in further analyses, with data from the 1.0 kHz band excluded. With one exception, within-group comparisons of B-TEOAE S/N and reproducibility across ears and gender revealed no statistically significant differences for either NH-Ss or NH-Cs. The only significant within-group difference was between left and right ears of NH-C females for S/Ns measured in the 2.0 kHz band, where median responses from right ears were found to be higher than left ears. Across-group comparisons of B-TEOAEs revealed lower median S/N and reproducibility values for NH-Ss compared with NH-Cs for the whole wave response and 1.4 kHz band. For the 2.0 kHz band, reproducibility was similar for the normal-hearing groups but median S/N was found to be lower for NH-Ss. No significant differences in S/N or reproducibility were found between normal-hearing groups for the 2.8 and 4.0 kHz bands. Using data from NH-Cs and HI-Ss to establish sensitivity and specificity values for various TEOAE pass or fail criteria, six preliminary criteria were identified as having sensitivity and specificity values >or=90%. When these criteria were applied to NH-Ss, the number of NH-S ears passing ranged from 57% to 76%, depending on the criteria used to judge the NH-S ears, which translates into 24% to 43% of ears failing. CONCLUSIONS: Although TEOAE responses were measurable in all singers with normal audiometric thresholds, responses were less robust than those of NH-Cs. The findings suggest that subtle cochlear dysfunction can be detected with TEOAE measurement in a subset of normal-hearing professional singers. Although preliminary, the study findings highlight the importance of pass or fail criterion choice on the number of ears that will be identified as "at risk" for music-induced hearing loss.


Subject(s)
Audiometry, Pure-Tone , Auditory Threshold/physiology , Hearing Loss, High-Frequency/diagnosis , Hearing Loss, Noise-Induced/diagnosis , Music , Occupational Diseases/diagnosis , Otoacoustic Emissions, Spontaneous/physiology , Adult , Female , Hearing Loss, High-Frequency/physiopathology , Hearing Loss, Noise-Induced/physiopathology , Humans , Male , Occupational Diseases/physiopathology , Predictive Value of Tests , Reference Values , Sensitivity and Specificity
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