title: Audio-visual perception of compressed speech by profoundly hearing-impaired subjects.
abstract: For many people with profound hearing loss conventional hearing aids give only little support in speechreading. This study aims at optimizing the presentation of speech signals in the severely reduced dynamic range of the profoundly hearing impaired by means of multichannel compression and multichannel amplification. The speech signal in each of six 1-octave channels (125-4000 Hz) was compressed instantaneously, using compression ratios of 1, 2, 3, or 5, and a compression threshold of 35 dB below peak level. A total of eight conditions were composed in which the compression ratio varied per channel. Sentences were presented audio-visually to 16 profoundly hearing-impaired subjects and syllable intelligibility was measured. Results show that all auditory signals are valuable supplements to speechreading. No clear overall preference is found for any of the compression conditions, but relatively high compression ratios (> 3-5) have a significantly detrimental effect. Inspection of the individual results reveals that compression may be beneficial for one subject.
authors.affiliation: Department of Otorhinolaryngology, University Hospital Utrecht, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Drullman
authors.forename: G F
authors.initials: GF
authors.lastname: Smoorenburg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001309:Auditory Threshold; D003638:Deafness / Q000534:rehabilitation*; D005260:Female; D006310:Hearing Aids; D006801:Humans; D008085:Lipreading; D008297:Male; D008875:Middle Aged; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013018:Sound Spectrography / Q000295:instrumentation; D013061:Speech Acoustics; D013069:Speech Reception Threshold Test