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1.
Br J Audiol ; 35(6): 365-74, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11848178

ABSTRACT

The inherent amplitude fluctuations in narrow bands of noise may limit the ability to detect gaps in the noise; 'dips' in the noise may be confused with the gap to be detected. For people with cochlear hearing loss, loudness recruitment may effectively magnify the fluctuations and this could partly account for the reduced ability to detect gaps in noise bands that is usually found for such people. Previously, we tested these ideas by processing the envelopes of noise bands to alter the amount of envelope fluctuation. We showed that instantaneous compression, implemented via processing of the Hilbert envelope, led to smaller (that is, better) gap detection thresholds for subjects with cochlear hearing loss. In the present experiment, we determined whether fast-acting compression of the type sometimes used in hearing aids could also lead to improved gap detection. A behind-the-ear (BTE) digital hearing aid was programmed to implement multi-band compression, either fast-acting or slow-acting (control condition). A reference condition using unaided listening was also used. Stimuli were delivered via an earphone placed over the hearing aid. Overall stimulus levels at the output of the hearing aid were similar across conditions. Thresholds for detecting gaps in noise bands centred at 4 kHz were measured as a function of noise bandwidth (10-500 Hz). To prevent the detection of spectral changes introduced by the gap, stimuli were presented in a broad-band background noise. Three normally hearing subjects and three subjects with bilateral cochlear hearing loss were tested. Gap thresholds varied non-monotonically with noise bandwidth, being maximal around 50 Hz. Gap thresholds were generally higher for the hearing-impaired than for the normally hearing subjects. For the latter, gap thresholds were similar for the three conditions. For the hearing-impaired subjects, gap thresholds were similar for the unaided condition and the condition using slow compression. However, fast compression led to smaller gap thresholds, especially for noise bandwidths up to 50 Hz. The results show that fast compression can improve the ability of hearing-impaired subjects to detect gaps in sounds with slowly fluctuating envelopes.


Subject(s)
Auditory Threshold/physiology , Hearing Aids , Hearing Loss, Sensorineural/rehabilitation , Noise , Adult , Humans , Hyperacusis , Middle Aged
2.
J Acoust Soc Am ; 105(5): 2757-72, 1999 May.
Article in English | MEDLINE | ID: mdl-10335628

ABSTRACT

Loudness matches were obtained between unmodulated carriers and carriers that were amplitude modulated either periodically (rates between 2 and 32 Hz, modulation sinusoidal either on a linear amplitude scale or on a dB scale; the latter is called dB modulation) or with the envelope of the speech of a single talker. The carrier was a 4-kHz sinusoid, white noise, or speech-shaped noise. Both normally hearing subjects and subjects with cochlear hearing loss were tested. Results were expressed as the root-mean-square (rms) level of the modulated carrier minus the level of the unmodulated carrier at the point of equal loudness. If this difference is positive, this indicates that the modulated carrier has a higher rms level at the point of equal loudness. For normally hearing subjects, the results show: (1) For a 4000-Hz sinusoidal carrier, the difference was slightly positive (averaging about 0.7 dB). There was no significant effect of modulation rate or level over the range 20-80 dB SL. (2) For a speech-shaped noise or white noise carrier, the difference was close to zero, although for large modulation depths it tended to be negative. There was no clear effect of level (over the range 35-75 dB SPL) or modulation rate. For the hearing-impaired subjects, the differences were small, but tended to be slightly negative for both the 4000-Hz carrier and the noise carriers, when the modulation rate was above 2 Hz. Again, there was no clear effect of overall level. However, for dB modulation, the differences became more negative with increasing modulation depth. For modulation rates in the range 4-32 Hz, the results could be fitted reasonably well using the assumption that the loudness of modulated sounds is based on the rms value of the time-varying intensity of the response of the basilar membrane (taking into account the compression that occurs in the normal cochlea). The implications of the results for the fitting of multi-band compression hearing aids and for the design of loudness meters are discussed.


Subject(s)
Loudness Perception/physiology , Sound , Adult , Auditory Threshold , Cochlea/physiology , Hearing Loss, Sensorineural/diagnosis , Humans , Middle Aged , Noise , Severity of Illness Index , Time Factors
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