title: Speech recognition in individuals with sensorineural hearing loss.
abstract: BACKGROUND
  Hearing loss can negatively influence the communication performance of individuals, who should be evaluated with suitable material and in situations of listening close to those found in everyday life.
  
  
  OBJECTIVE
  To analyze and compare the performance of patients with mild-to-moderate sensorineural hearing loss in speech recognition tests carried out in silence and with noise, according to the variables ear (right and left) and type of stimulus presentation.
  
  
  METHODS
  The study included 19 right-handed individuals with mild-to-moderate symmetrical bilateral sensorineural hearing loss, submitted to the speech recognition test with words in different modalities and speech test with white noise and pictures.
  
  
  RESULTS
  There was no significant difference between right and left ears in any of the tests. The mean number of correct responses in the speech recognition test with pictures, live voice, and recorded monosyllables was 97.1%, 85.9%, and 76.1%, respectively, whereas after the introduction of noise, the performance decreased to 72.6% accuracy.
  
  
  CONCLUSIONS
  The best performances in the Speech Recognition Percentage Index were obtained using monosyllabic stimuli, represented by pictures presented in silence, with no significant differences between the right and left ears. After the introduction of competitive noise, there was a decrease in individuals' performance.
authors.affiliation: Program of Human Communication Disorders, Campo Fonoaudiológico, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address: adriandrad@hotmail.com.
authors.forename: Adriana Neves
authors.initials: AN
authors.lastname: de Andrade
authors.affiliation: Department of Speech Therapy and Audiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Maria Cecilia Martinelli
authors.initials: MC
authors.lastname: Iorio
authors.affiliation: Program of Human Communication Disorders, Campo Fonoaudiológico, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil; Department of Speech Therapy and Audiology, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
authors.forename: Daniela
authors.initials: D
authors.lastname: Gil
mesh_terms: D000161:Acoustic Stimulation; D000293:Adolescent; D000328:Adult; D005260:Female; D006312:Hearing Loss, Bilateral / Q000503:physiopathology*; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013017:Sound Localization; D013063:Speech Discrimination Tests / Q000379:methods*; D013067:Speech Perception / Q000502:physiology*; D055815:Young Adult
keywords: Auditory perception; Audição; Hearing; Hearing tests; Percepção auditiva; Speech discrimination tests; Testes auditivos; Testes de discriminação de fala