title: Noise reduction hearing aids: release from masking and release from distortion.
abstract: Automatic frequency response (AFR) hearing aids usually reduce their low-frequency gain in the presence of noise; several investigators have reported improved recognition of high-frequency speech information in low-frequency band-limited noise with AFR versus non-AFR hearing aids. In this work, masking patterns (masked threshold for frequency-modulated probe tones as a function of probe frequency) were obtained for a narrowband low-frequency noise. Speech recognition threshold for a set of high-frequency loaded monosyllables also was obtained in the presence of the same noise. Aided speech and masking pattern data for one normal and two hearing-impaired subjects wearing a master hearing aid incorporating a commercially available AFR circuit showed modest AFR effects. Moreover, masking noise spectra measured in ear canals of subjects wearing the master hearing aid showed evidence of substantial hearing aid-generated distortion products in the AFR-off condition. Results obtained from the normal subject listening with a low-distortion laboratory simulation of an AFR hearing aid showed greater release from masking for the same low-frequency attenuation as provided by the hearing aid. Improvements of speech recognition in noise observed with AFR hearing aids may result from some combination of release from upward spread of masking and reduction of distortion products generated by the hearing aid in the non-AFR setting.
authors.affiliation: Department of Communication Disorders, University of Minnesota, Minneapolis.
authors.forename: D J
authors.initials: DJ
authors.lastname: Van Tasell
authors.forename: T R
authors.initials: TR
authors.lastname: Crain
mesh_terms: D000328:Adult; D001309:Auditory Threshold; D004424:Ear Canal; D004560:Electricity; D004867:Equipment Design; D006310:Hearing Aids; D006801:Humans; D008875:Middle Aged; D009622:Noise; D010470:Perceptual Masking; D013018:Sound Spectrography; D013069:Speech Reception Threshold Test