PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Speech Reception Threshold Test”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 559 records · Page 31Linked to original sources

Dynamic specification of coarticulated vowels spoken in sentence context.

According to a dynamic specification account, coarticulated vowels are identified on the basis of time-varying acoustic information, rather than solely on the basis of "target" information contained within a single spectral cross section of an acoustic syllable. Three experiments utilizing digitally segmented portions of consonant-vowel-consonant (CVC) syllables spoken rapidly in a carrier sentence were designed to examine the relative contribution of (1) target information available in vocalic nuclei, (2) intrinsic duration information specified by syllable length, and (3) dynamic spectral information defined over syllable onsets and offsets. In experiments 1 and 2, vowels produced in three consonantal contexts by an adult male were examined. Results showed that vowels in silent-center (SC) syllables (in which vocalic nuclei were attentuated to silence leaving initial and final transitional portions in their original temporal relationship) were perceived relatively accurately, although not as well as unmodified syllables (experiment 1); random versus blocked presentation of consonantal contexts did not affect performance. Error rates were slightly greater for vowels in SC syllables in which intrinsic duration differences were neutralized by equating the duration of silent intervals between initial and final transitional portions. However, performance was significantly better than when only initial transitions or final transitions were presented alone (experiment 2). Experiment 3 employed CVC stimuli produced by another adult male, and included six consonantal contexts. Both SC syllables and excised syllable nuclei with appropriate intrinsic durations were identified no less accurately than unmodified controls. Neutralizing duration differences in SC syllables increased identification errors only slightly, while truncating excised syllable nuclei yielded a greater increase in errors. These results demonstrate that time-varying information is necessary for accurate identification of coarticulated vowels. Two hypotheses about the nature of the dynamic information specified over syllable onsets and offsets are discussed.

Adolescent↗

Effects of fluctuating noise and interfering speech on the speech-reception threshold for impaired and normal hearing.

The speech-reception threshold (SRT) for sentences presented in a fluctuating interfering background sound of 80 dBA SPL is measured for 20 normal-hearing listeners and 20 listeners with sensorineural hearing impairment. The interfering sounds range from steady-state noise, via modulated noise, to a single competing voice. Two voices are used, one male and one female, and the spectrum of the masker is shaped according to these voices. For both voices, the SRT is measured as well in noise spectrally shaped according to the target voice as shaped according to the other voice. The results show that, for normal-hearing listeners, the SRT for sentences in modulated noise is 4-6 dB lower than for steady-state noise; for sentences masked by a competing voice, this difference is 6-8 dB. For listeners with moderate sensorineural hearing loss, elevated thresholds are obtained without an appreciable effect of masker fluctuations. The implications of these results for estimating a hearing handicap in everyday conditions are discussed. By using the articulation index (AI), it is shown that hearing-impaired individuals perform poorer than suggested by the loss of audibility for some parts of the speech signal. Finally, three mechanisms are discussed that contribute to the absence of unmasking by masker fluctuations in hearing-impaired listeners. The low sensation level at which the impaired listeners receive the masker seems a major determinant. The second and third factors are: reduced temporal resolution and a reduction in comodulation masking release, respectively.

Adolescent↗

Spectral cues to perception of /d, n, l/ by normal- and impaired-hearing listeners.

The alveolar consonants /d, n, l/ occur frequently in intervocalic position in conversational speech but have received little study for differences in their acoustic cues. Impaired- and normal-hearing listeners were investigated for use of consonant-segment versus transition-segment cues to recognition of /d, n, l/ in /aeCae/ tokens extracted from sentences. To examine the cues' contribution to /d, n, l/ recognition, the segments were degraded singly or in combinations in the tokens as follows: [aeC] or [Cae] transitions were replaced by adjacent pitch periods from the respective vowels; the consonant segments were replaced by silence or by a synthetic consonant approximating the summed low-frequency spectra of the /d, n, l/ murmurs. The results with normal-hearing listeners showed that the presence of any one of the three segments, [aeC] transition, [Cae] transition, or natural consonant segment, supported a moderate to high level of /d, n, l/ recognition, depending on the phoneme. In contrast, the severely hearing-impaired listeners' consonant recognition was poor on the basis of transition information, but better in the presence of the natural consonants. The /aeCae/'s with the synthetic consonant yielded chance level performance for the hearing-impaired listeners but good consonant recognition for the normal-hearing listeners--a further indication that cues in the transitions were quite useful for the normal-hearing group but not for the hearing-impaired group.

Adult↗

The effect of frequency-selective attenuation on the speech-reception threshold of sentences in conditions of low-frequency noise.

Within a study on the merits of a multichannel automatic gain control in hearing aids, the effect of frequency-selective amplification on the masked speech-reception threshold (SRT) for sentences is measured in conditions of seriously disturbing low-frequency noise, with the effect of wideband amplification as a reference. Speech and noise are both spectrally shaped according to the bisector line of the listener's dynamic-range of hearing, but with the noise in a single octave band (0.25-0.5 or 0.5-1 kHz) increased by 20 dB relative to this line. The increase of noise level is steady state in the first experiment, and time varying in the second experiment. Results for 12 normal-hearing and 12 hearing-impaired listeners indicate that, in both experiments, frequency-selective compression of the signal in the octave band with the 20-dB increase of noise is more beneficial than wideband compression. For the hearing-impaired group, wideband compression does not give any systematic change in intelligibility. Frequency-selective compression in steady-state conditions may, for both groups of listeners, give a decrease of masked SRT (relative to a condition without compression) of up to 4 dB for a compression factor of 100%. Roughly comparable effects are seen for frequency-selective compression in time-varying conditions. The superiority of frequency-selective over wideband compression is attributed to a more effective reduction of upward spread of masking.

Adult↗

Speech reception in quiet and in noisy conditions by individuals with noise-induced hearing loss in relation to their tone audiogram.

Tone thresholds and speech-reception thresholds were measured in 200 individuals (400 ears) with noise-induced hearing loss. The speech-reception thresholds were measured in a quiet condition and in noise with a speech spectrum at levels of 35, 50, 65, and 80 dBA. The tone audiograms could be described by three principal components: hearing loss in the regions above 3 kHz, from 1 to 3 kHz and below 1 kHz; the speech thresholds could be described by two components: speech reception in quiet and speech reception in noise at 50-80 dBA. Hearing loss above 1 kHz was related to speech reception in noise; hearing loss at and below 1 kHz to speech reception in quiet. The correlation between the speech thresholds in quiet and in noise was only R = 0.45. An adequate predictor of the speech threshold in noise, the primary factor in the hearing handicap, was the pure-tone average at 2 and 4 kHz (PTA2,4, R = 0.72). The minimum value of the prediction error for any tone-audiometric predictor of this speech threshold was 1.2 dB (standard deviation). The prediction could not be improved by taking into account the critical ratio for low-frequency noise nor by its upward spread of masking. The prediction error is due to measurement error and to a factor common to both ears. The latter factor is ascribed to cognitive skill in speech reception. Hearing loss above 10 to 15 dB HL (hearing level) already shows an effect on the speech threshold in noise, a noticeable handicap is found at PTA2,4 = 30 dB HL.

Adult↗

The use of static and dynamic vowel cues by multichannel cochlear implant users.

Multichannel cochlear implant users vary greatly in their word-recognition abilities. This study examined whether their word recognition was related to the use of either highly dynamic or relatively steady-state vowel cues contained in /bVb/ and /wVb/ syllables. Nine conditions were created containing different combinations of formant transition, steady-state, and duration cues. Because processor strategies differ, the ability to perceive static and dynamic information may depend on the type of cochlear implant used. Ten Nucleus and ten Ineraid subjects participated, along with 12 normal-hearing control subjects. Vowel identification did not differ between implanted groups, but both were significantly poorer at identifying vowels than the normal-hearing group. Vowel identification was best when at least two kinds of cues were available. Using only one type of cue, performance was better with excised vowels containing steady-state formants than in "vowelless" syllables, where the center vocalic portion was deleted and transitions were joined. In the latter syllable type, Nucleus subjects identified vowels significantly better when /b/ was the initial consonant; the other two groups were not affected by specific consonantal context. Cochlear implant subjects' word-recognition was positively correlated with the use of dynamic vowel cues, but not with steady-state cues.

Adult↗

Effect of temporal envelope smearing on speech reception.

The effect of smearing the temporal envelope on the speech-reception threshold (SRT) for sentences in noise and on phoneme identification was investigated for normal-hearing listeners. For this purpose, the speech signal was split up into a series of frequency bands (width of 1/4, 1/2, or 1 oct) and the amplitude envelope for each band was low-pass filtered at cutoff frequencies of 0, 1/2, 1, 2, 4, 8, 16, 32, or 64 Hz. Results for 36 subjects show (1) a severe reduction in sentence intelligibility for narrow processing bands at low cutoff frequencies (0-2 Hz); and (2) a marginal contribution of modulation frequencies above 16 Hz to the intelligibility of sentences (provided that lower modulation frequencies are completely present). For cutoff frequencies above 4 Hz, the SRT appears to be independent of the frequency bandwidth upon which envelope filtering takes place. Vowel and consonant identification with nonsense syllables were studied for cutoff frequencies of 0, 2, 4, 8, or 16 Hz in 1/4-oct bands. Results for 24 subjects indicate that consonants are more affected than vowels. Errors in vowel identification mainly consist of reduced recognition of diphthongs and of confusions between long and short vowels. In case of consonant recognition, stops appear to suffer most, with confusion patterns depending on the position in the syllable (initial, medial, or final).

Acoustic Stimulation↗

Effect of reducing temporal intensity modulations on sentence intelligibility.

Modulations in the temporal intensity envelope of 24 1/4-octave bands were reduced by proportionally raising the troughs and lowering the peaks relative to the mean intensity in each band. The effect on intelligibility of various degrees of modulation reduction was investigated by measuring the speech-reception threshold (SRT) in noise. For conditions of severe modulation reduction, the number of correctly received sentences in quiet was scored. The effect of this deterministic modulation reduction was compared to the effect of stochastic modulation reduction obtained with addition of noise. Results for 12 normal-hearing subjects show that in the case of deterministic modulation reduction, intelligibility is reduced to 50% when the modulation-transfer factor equals 0.10, whereas in the case of modulation reduction by addition of noise, this intelligibility is reached already at a modulation-transfer factor of 0.27. This confirms that the effect of additive noise on intelligibility cannot be understood completely as a result of only modulation reduction. As suggested by Drullman [J. Acoust. Soc. Am. 97, 585-592 (1995)] two other factors associated with the addition of noise have to be taken into account: (1) the introduction of nonrelevant modulations, and (2) the corruption of the fine structure.

Adult↗

Directivity of binaural noise reduction in spatial multiple noise-source arrangements for normal and impaired listeners.

Speech reception thresholds (SRTs) were obtained for different azimuths of up to three interfering sound sources in a simulated ("virtual") spatial arrangement. For the SRT measurements a fast subjective threshold assessment method was used. The reduction in SRT relative to the reference threshold caused by spatial separation of target and interference signal is called the intelligibility level difference (ILD). For normal listeners, the maximum ILD was achieved at 105 degrees or 255 degrees azimuth of a single noise source when the target emanated from the front (0 degree azimuth). The ILD decreased rapidly if the number of interfering signals was increased and if they were located on opposite sides of the head. When using continuous speech as interference, this decrease of ILD was less pronounced. These findings indicate that the binaural system can suppress interference from only one azimuthal region at a time and can utilize temporal pauses in the interference to suppress a second interference from a different direction. For eight sensorineural impaired listeners, the maximum attainable ILD for one interfering noise source was reduced in a way not predictable from the audiogram. The ability to exploit pauses in the signal of an interfering talker was also reduced. Hence, hearing-impaired listeners are handicapped in realistic spatial interference situations both by an increased monaural SRT and a reduced binaural noise reduction ability.

Adult↗

Speech intelligibility enhancement using hearing-aid array processing.

Microphone arrays can improve speech recognition in the noise for hearing-impaired listeners by suppressing interference coming from other than desired signal direction. In a previous paper [J. M. Kates and M. R. Weiss, J. Acoust. Soc. Am. 99, 3138-3148 (1996)], several array-processing techniques were evaluated in two rooms using the AI-weighted array gain as the performance metric. The array consisted of five omnidirectional microphones having uniform 2.5-cm spacing, oriented in the endfire direction. In this paper, the speech intelligibility for two of the array processing techniques, delay-and-sum beamforming and superdirective processing, is evaluated for a group of hearing-impaired subjects. Speech intelligibility was measured using the speech reception threshold (SRT) for spondees and speech intelligibility rating (SIR) for sentence materials. The array performance is compared with that for a single omnidirectional microphone and a single directional microphone having a cardioid response pattern. The SRT and SIR results show that the superdirective array processing was the most effective, followed by the cardioid microphone, the array using delay-and-sum beamforming, and the single omnidirectional microphone. The relative processing ratings do not appear to be strongly affected by the size of the room, and the SRT values determined using isolated spondees are similar to the SIR values produced from continuous discourse.

Aged↗

Speech reception thresholds in noise with and without spectral and temporal dips for hearing-impaired and normally hearing people.

People with cochlear hearing loss often have considerable difficulty in understanding speech in the presence of background sounds. In this paper the relative importance of spectral and temporal dips in the background sounds is quantified by varying the degree to which they contain such dips. Speech reception thresholds in a 65-dB SPL noise were measured for four groups of subjects: (a) young with normal hearing; (b) elderly with near-normal hearing; (c) young with moderate to severe cochlear hearing loss; and (d) elderly with moderate to severe cochlear hearing loss. The results indicate that both spectral and temporal dips are important. In a background that contained both spectral and temporal dips, groups (c) and (d) performed much more poorly than group (a). The signal-to-background ratio required for 50% intelligibility was about 19 dB higher for group (d) than for group (a). Young hearing-impaired subjects showed a slightly smaller deficit, but still a substantial one. Linear amplification combined with appropriate frequency-response shaping (NAL amplification), as would be provided by a well-fitted "conventional" hearing aid, only partially compensated for these deficits. For example, group (d) still required a speech-to-background ratio that was 15 dB higher than for group (a). Calculations of the articulation index indicated that NAL amplification did not restore audibility of the whole of the speech spectrum when the speech-to-background ratio was low. For unamplified stimuli, the SRTs in background sounds were highly correlated with absolute thresholds, but not with age. For stimuli with NAL amplification, the correlations of SRTs with absolute thresholds were lower, but SRTs in backgrounds with spectral and/or temporal dips were significantly correlated with age. It is proposed that noise with spectral and temporal dips may be especially useful in evaluating possible benefits of multi-channel compression.

Adult↗

Method for the selection of sentence materials for efficient measurement of the speech reception threshold.

A method is described to select sentence materials for efficient measurement of the speech reception threshold (SRT). The first part of the paper addresses the creation of the sentence materials, the recording procedure, and a listening experiment to evaluate the new speech materials. The result is a set of 1272 sentences, where every sentence has been uttered by two male and two female speakers. In the second part of the paper, a method is described to select subsets with properties that are desired for an efficient measurement of the SRT. For two speakers, this method has been applied to obtain two subsets for measurement of the SRT in stationary noise with the long-term average spectrum of speech. Lastly, a listening experiment has been conducted where the two subsets (each comprising 39 lists of 13 sentences each) are directly compared to the existing sets of Plomp and Mimpen [Audiology 18, 43-52 (1979)] and Smoorenburg [J. Acoust. Soc. Am. 91, 421-437 (1992)]. One of the outcomes is that the newly developed sets can be considered as equivalent to these existing sets.

Adolescent↗

A new stapedotomy prosthesis: preliminary report.

Our study describes a newly designed stapedotomy prosthesis which consists of two components: (1) a platinum ribbon, and (2) a Teflon shaft. The first innovation is a flattened 'tab' on the posterior aspect of the platinum ribbon. The second innovation concerns the dual diameter cylinder-like shaft. Our prosthesis was implanted into 25 individuals, who underwent stapedotomy for stapes fixation, and the results are shown and discussed. Our innovations offer a proper and safe insertion of the prosthesis into the oval window associated with excellent manipulation and handling. At the same time, maximum visualization of the surgical field is achieved, while the stepped-down design of the shaft prevents the prosthesis protruding into the vestibule.

Adult↗

Psychophysical metrics and speech recognition in cochlear implant users.

Intersubject variability in perception is a prominent characteristic of people with cochlear implants. This study characterized intersubject differences using simple metrics based on psychophysical measures: maximum comfortable loudness levels (C levels) and dynamic ranges (DRs). In a group of 17 subjects, we assessed across-site variation (ASV) and across-site mean (ASM) values of C levels and DRs for bipolar (BP) and monopolar (MP) stimulation, and examined the relation of these metrics to speech recognition across subjects. Significant negative correlations with speech recognition were found for ASVs of C levels for BP stimulation; i.e., subjects with high ASVs of BP C levels had poor speech recognition. Positive correlations with speech recognition were found for ASMs of C levels and ASMs of DRs for both BP and MP stimulation; i.e., subjects with high mean C levels and large mean DRs had better speech recognition. Thus, these psychophysical metrics are effective for diagnosis of individual differences in performance of subjects with cochlear implants. Furthermore, they point to some potentially useful treatment procedures.

Adult↗