PubMed · 3602897
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P Pialoux. 1987-06-21. [Occupational deafness].. https://pubmed.ncbi.nlm.nih.gov/3602897/
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The relationship between the rate of speech flow and speech intelligibility was investigated in normal and hearing-impaired subjects. It is usually observed that a slowly and clearly delivered speech is easier for hearing-impaired patients to understand. The purpose of paper is to analyze this phenomenon clinically and to present useful data for developing new hearing aids. Four or 5 syllabic words lists were prepared for this experiment and speech stimuli were chosen from these lists. The subjects consisted of 15 normal subjects and 79 hearing-impaired patients (57 with inner ear hearing loss and 22 with retrocochlear hearing loss). Hearing tests were performed using a tape recorder with various speech control systems in a soundproof room. Speech samples were presented at three speaking rates, that is, a conversational speech rate, a rate one and a half times as fast as the conversational speech rate and a rate twice as fast as that rate. The results obtained in the normal subjects confirmed that the faster the speaking rate was, the more the word intelligibility was reduced. According to the results in the hearing-impaired subjects, both the correlation coefficient and regression parameter between the word intelligibility in this experiment and speech discrimination scores measured by 57S-monosyllabic lists were low at the conversational speaking rate, but the higher the speaking rate was, the closer the relation between the both factors was. It was estimated by analyzing the data of inner ear hearing loss and retrocochler hearing loss separately that the subjects with retrocochler hearing loss had more difficulty in speech-mediated communication than the subjects with inner ear hearing loss.
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An analysis was carried out of the pattern of errors in those words which were incorrectly perceived by patients during the course of routine speech audiometric tests using consonant-vowel-consonant words. Responses were examined from 20 patients with conductive hearing loss, and 20 with cochlear hearing loss due to Ménière's disease. Word errors result from misinterpretations of a single consonant in 70% of the conductive group and 56% of the Ménière group. The latter make slightly more errors involving both consonants. Errors in vowels alone are rare in both groups and, even in combination, with one or other consonant, never exceed 25%. Word recognition appears to fail for the same reason in the two groups.