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1.
Int J Audiol ; 57(sup3): S31-S42, 2018 06.
Article in English | MEDLINE | ID: mdl-29373937

ABSTRACT

OBJECTIVE: Binaural cues such as interaural level differences (ILDs) are used to organise auditory perception and to segregate sound sources in complex acoustical environments. In bilaterally fitted hearing aids, dynamic-range compression operating independently at each ear potentially alters these ILDs, thus distorting binaural perception and sound source segregation. DESIGN: A binaurally-linked model-based fast-acting dynamic compression algorithm designed to approximate the normal-hearing basilar membrane (BM) input-output function in hearing-impaired listeners is suggested. A multi-center evaluation in comparison with an alternative binaural and two bilateral fittings was performed to assess the effect of binaural synchronisation on (a) speech intelligibility and (b) perceived quality in realistic conditions. STUDY SAMPLE: 30 and 12 hearing impaired (HI) listeners were aided individually with the algorithms for both experimental parts, respectively. RESULTS: A small preference towards the proposed model-based algorithm in the direct quality comparison was found. However, no benefit of binaural-synchronisation regarding speech intelligibility was found, suggesting a dominant role of the better ear in all experimental conditions. CONCLUSION: The suggested binaural synchronisation of compression algorithms showed a limited effect on the tested outcome measures, however, linking could be situationally beneficial to preserve a natural binaural perception of the acoustical environment.


Subject(s)
Correction of Hearing Impairment/instrumentation , Hearing Aids , Hearing Loss, Sensorineural/rehabilitation , Hearing , Models, Theoretical , Persons With Hearing Impairments/rehabilitation , Signal Processing, Computer-Assisted , Speech Perception , Acoustic Stimulation , Aged , Aged, 80 and over , Auditory Threshold , Case-Control Studies , Cues , Equipment Design , Female , Germany , Hearing Loss, Sensorineural/diagnosis , Hearing Loss, Sensorineural/physiopathology , Hearing Loss, Sensorineural/psychology , Humans , Male , Middle Aged , Noise/adverse effects , Perceptual Masking , Persons With Hearing Impairments/psychology , Psychoacoustics , Sound Localization , Speech Intelligibility , Speech Reception Threshold Test
2.
Int J Audiol ; 57(sup3): S43-S54, 2018 06.
Article in English | MEDLINE | ID: mdl-28355947

ABSTRACT

OBJECTIVE: Single-channel noise reduction (SCNR) and dynamic range compression (DRC) are important elements in hearing aids. Only relatively few studies have addressed interaction effects and typically used real hearing aids with limited knowledge about the integrated algorithms. Here the potential benefit of different combinations and integration of SCNR and DRC was systematically assessed. DESIGN: Ten different systems combining SCNR and DRC were implemented, including five serial arrangements, a parallel and two multiplicative approaches. In an instrumental evaluation, signal-to-noise ratio (SNR) improvement and spectral contrast enhancement (SCE) were assessed. Quality ratings at 0 and +6 dB SNR, and speech reception thresholds (SRTs) in noise were measured using stationary and babble noise. STUDY SAMPLE: Thirteen young normal-hearing (NH) listeners and 12 hearing-impaired (HI) listeners participated. RESULTS: In line with an increased segmental SNR and spectral contrast compared to a serial concatenation, the parallel approach significantly reduced the perceived noise annoyance for both subject groups. The proposed multiplicative approaches could partly counteract increased speech distortions introduced by DRC and achieved the best overall quality for the HI listeners. CONCLUSIONS: For high SNRs well above the individual SRT, the specific combination of SCNR and DRC is perceptually relevant and the integrative approaches were preferred.


Subject(s)
Correction of Hearing Impairment/instrumentation , Hearing Aids , Hearing Loss, Sensorineural/rehabilitation , Hearing , Noise/prevention & control , Persons With Hearing Impairments/rehabilitation , Signal Processing, Computer-Assisted , Speech Perception , Acoustic Stimulation , Adult , Aged , Case-Control Studies , Equipment Design , Female , Hearing Loss, Sensorineural/diagnosis , Hearing Loss, Sensorineural/physiopathology , Hearing Loss, Sensorineural/psychology , Humans , Male , Middle Aged , Models, Theoretical , Noise/adverse effects , Patient Preference , Perceptual Masking , Persons With Hearing Impairments/psychology , Psychoacoustics , Speech Intelligibility , Speech Reception Threshold Test , Young Adult
3.
Hear Res ; 331: 27-40, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26471199

ABSTRACT

People with sensorineural hearing loss generally suffer from a reduced ability to understand speech in complex acoustic listening situations, particularly when background noise is present. In addition to the loss of audibility, a mixture of suprathreshold processing deficits is possibly involved, like altered basilar membrane compression and related changes, as well as a reduced ability of temporal coding. A series of 6 monaural psychoacoustic experiments at 0.5, 2, and 6 kHz was conducted with 18 subjects, divided equally into groups of young normal-hearing, older normal-hearing and older hearing-impaired listeners, aiming at disentangling the effects of age and hearing loss on psychoacoustic performance in noise. Random frequency modulation detection thresholds (RFMDTs) with a low-rate modulator in wide-band noise, and discrimination of a phase-jittered Schroeder-phase from a random-phase harmonic tone complex are suggested to characterize the individual ability of temporal processing. The outcome was compared to thresholds of pure tones and narrow-band noise, loudness growth functions, auditory filter bandwidths, and tone-in-noise detection thresholds. At 500 Hz, results suggest a contribution of temporal fine structure (TFS) to pure-tone detection thresholds. Significant correlation with auditory thresholds and filter bandwidths indicated an impact of frequency selectivity on TFS usability in wide-band noise. When controlling for the effect of threshold sensitivity, the listener's age significantly correlated with tone-in-noise detection and RFMDTs in noise at 500 Hz, showing that older listeners were particularly affected by background noise at low carrier frequencies.


Subject(s)
Auditory Threshold , Hearing Loss, Sensorineural/physiopathology , Noise , Psychoacoustics , Speech Perception/physiology , Adult , Age Factors , Aged , Audiometry , Auditory Perceptual Disorders , Female , Hearing , Humans , Male , Perceptual Masking
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