Relations between intelligibility of narrow-band speech and auditory functions, both in the 1-kHz frequency region.
Relations between perception of suprathreshold speech and auditory functions were examined in 24 hearing-impaired listeners and 12 normal-hearing listeners. The speech intelligibility index (SII) was used to account for audibility. The auditory functions included detection efficiency, temporal and spectral resolution, temporal and spectral integration, and discrimination of intensity, frequency, rhythm, and spectro-temporal shape. All auditory functions were measured at 1 kHz. Speech intelligibility was assessed with the speech-reception threshold (SRT) in quiet and in noise, and with the speech-reception bandwidth threshold (SRBT), previously developed for investigating speech perception in a limited frequency region around 1 kHz. The results showed that the elevated SRT in quiet could be explained on the basis of audibility. Audibility could only partly account for the elevated SRT values in noise and the deviant SRBT values, suggesting that suprathreshold deficits affected intelligibility in these conditions. SII predictions for the SRBT improved significantly by including the individually measured upward spread of masking in the SII model. Reduced spectral resolution, reduced temporal resolution, and reduced frequency discrimination appeared to be related to speech perception deficits. Loss of peripheral compression appeared to have the smallest effect on the intelligibility of suprathreshold speech.
Noordhoek
I M
IM
Department of Otolaryngology, University Hospital VU, Amsterdam, The Netherlands. ingridn@dds.nl
Houtgast
T
T
Festen
J M
JM
D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D013065:Speech Intelligibility; D013067:Speech Perception; D013069:Speech Reception Threshold Test