Speech recognition in normal hearing and sensorineural hearing loss as a function of the number of spectral channels.
Speech recognition by normal-hearing listeners improves as a function of the number of spectral channels when tested with a noiseband vocoder simulating cochlear implant signal processing. Speech recognition by the best cochlear implant users, however, saturates around eight channels and does not improve when more electrodes are activated, presumably due to reduced frequency selectivity caused by channel interactions. Listeners with sensorineural hearing loss may also have reduced frequency selectivity due to cochlear damage and the resulting reduction in the nonlinear cochlear mechanisms. The present study investigates whether such a limitation in spectral information transmission would be observed with hearing-impaired listeners, similar to implant users. To test the hypothesis, hearing-impaired subjects were selected from a population of patients with moderate hearing loss of cochlear origin, where the frequency selectivity would be expected to be poorer compared to normal hearing. Hearing-impaired subjects were tested for vowel and consonant recognition in steady-state background noise of varying levels using a noiseband vocoder and as a function of the number of spectral channels. For comparison, normal-hearing subjects were tested with the same stimuli at different presentation levels. In quiet and low background noise, performance by normal-hearing and hearing-impaired subjects was similar. In higher background noise, performance by hearing-impaired subjects saturated around eight channels, while performance by normal-hearing subjects continued to increase up to 12-16 channels with vowels, and 10-12 channels with consonants. A similar trend was observed for most of the presentation levels at which the normal-hearing subjects were tested. Therefore, it is unlikely that the effects observed with hearing-impaired subjects were due to insufficient audibility or high presentation levels. Consequently, the results with hearing-impaired subjects were similar to previous results obtained with implant users, but only for background noise conditions.
Başkent
Deniz
D
House Ear Institute, Department of Auditory Implants, 2100 West Third Street, Los Angeles, California 90057, USA. deniz_baskent@starkey.com
D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D003054:Cochlear Implants; D004867:Equipment Design; D005260:Female; D018072:Hair Cells, Auditory, Outer / Q000473:pathology; D006310:Hearing Aids / Q000145:classification / Q000592:standards; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009622:Noise; D013067:Speech Perception; D013069:Speech Reception Threshold Test; D016896:Treatment Outcome