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The internal representation of spectral contrast in hearing-impaired listeners.

Abnormal frequency resolution associated with sensorineural hearing impairment produces a smearing of spectral detail in the internal representation of complex acoustic stimuli. As a result, listeners with hearing loss may have difficulty locating spectral peaks (e.g., vowel formants) within stimuli which cue their identity. This study examined the relationship between frequency separation of peaks in a complex spectrum and the degree of spectral contrast preserved in the internal representations in normal and impaired auditory systems. Hearing-impaired and normal-hearing subjects discriminated a flat-spectrum bandpass stimulus from a stimulus containing a sinusoidal ripple across its frequency range. The peak-to-valley amplitude (in dB) necessary for detection of the ripple was measured for ripple frequencies ranging from 1 to 9 cycles/oct. Auditory filter characteristics were also measured at 1 and 3 kHz in order to examine the internal representations of the stimuli after cochlear processing. There were clear differences between groups in both auditory filter characteristics and spectral contrast detection. However, the amount of contrast in the internal representations predicted from these measurements was nearly the same for all subjects, suggesting that the reduced frequency resolution of the hearing-impaired group was largely responsible for differences in required peak-to-valley amplitude in the input spectra. Further, for all subjects, there was a trade-off between the absolute level of internal contrast necessary for ripple detection and the number of samples of this contrast available to the listener.

Acoustic Stimulation↗

Modulation gap detection: effects of modulation rate, carrier separation, and mode of presentation.

Modulation gap detection (MGD) is a procedure that measures the sensitivity to an interruption in the modulation pattern imposed upon one or more carrier frequencies. The MGD task was developed to test conditions where a temporal event traverses frequency, but without a concomitant interruption in the spectral continuity of the stimulus. This contrasts with across-frequency gap detection where there is an inherent spectral discontinuity associated with the temporal gap, and where there is a marked decline in performance when the markers of the temporal gap are widely separated in frequency. The purpose of this study was to test the hypothesis that a wideband temporal analysis will be facilitated if there exists a spectral continuity throughout the temporal event. Experiment 1 established the procedure of MGD and indicated that a modulation rate of 8 Hz was optimal for the task. Experiment 2 showed that performance declined markedly when the carrier frequencies of the modulation markers were widely separated in frequency. This finding indicates that spectral continuity across the temporal event is not a sufficient prerequisite for the auditory system to undertake a wideband temporal analysis. Experiment 3 revealed that dichotic MGD also results in poor performance, similar to that seen for widely separated carrier frequencies in the monaural case. This supports the hypothesis that the "channels" across which temporal events are poorly processed do not necessarily correspond to peripheral frequency channels.

Audiometry, Pure-Tone↗

Detection of time- and bandlimited increments and decrements in a random-level noise.

The purpose of this study was to compare detection of increments and decrements occurring over limited regions of time and frequency within a 500-ms broadband (0-6000 Hz) noise. Three listeners tracked detection thresholds adaptively in a two-interval, two-alternative forced-choice task. Thresholds were measured for both increments and decrements in level [delta L = 10 log10(1 + delta N0/N0) dB, where N0 is the spectral power density of the noise] as a function of signal duration (T = 30-500 ms) for a range of signal bandwidths (W = 62-6000 Hz) that were logarithmically centered around 2500 Hz. Listeners were forced to rely on temporal- and spectral-profile cues for detection due to randomization of overall presentation level from interval to interval, which rendered overall energy an inconsistent cue. Increments were detectable for all combinations of W and T, whereas decrements were not consistently detectable for W < 500 Hz. Narrow-band decrements were not detectable due to spread of excitation from the spectral edges of the noise into the decrements. Increment and decrement thresholds were similar for W > or = 1000 Hz. Temporal- and spectral-integration effects were observed for both increments and decrements. The exceptions were for random-level conditions in which the signal matched the bandwidth or duration of the standard. A multicue decision process is described qualitatively to explain how the combination of temporal- and spectral-profile cues can produce temporal- and spectral-integration effects in the absence of overall-energy cues.

Adult↗

Topographic organization of interaural intensity difference sensitivity in deep layers of cat superior colliculus: implications for auditory spatial representation.

Sensitivity to interaural intensity difference (IID) was examined for 103 neurons in the deep layers of superior colliculus (SC) in ketamine barbiturate-anesthetized cats. Noise stimuli were presented dichotically, and IID sensitivity functions were generated while keeping the average binaural intensity (ABI) of stimulation constant. Neurons of three binaural classes were found to be IID sensitive. Neurons receiving excitatory contralateral input and inhibitory ipsilateral input (EO/I cells, 55% of sample) had steplike IID functions, with maximum response at IIDs corresponding to contralateral azimuths (positive IIDs), total suppression at IIDs corresponding to ipsilateral azimuths (negative IIDs), and cutoffs at different positions along the IID axis for different neurons. Neurons responsive only to binaural stimulation (OO/F cells, 15% of sample) had IID functions with a sharp peak in the range of 0 to 10 dB IID. Cells receiving excitatory input contralaterally and a facilitatory ipsilateral input (EO/F cells, 7% of sample) had IID functions of intermediate shape, with a peak in the range of 10 to 20 dB IID and a sharper cutoff near zero IID than at larger positive IIDs. The sharpness of IID cutoff for EO/I cells was quantified by measuring an 80% IID dynamic range. Neurons with 80% IID dynamic ranges of less than 26 dB were judged to have sharp cutoffs. The position along the IID axis of the IID cutoff for these cells was quantified by recording the IID at which the response was at 50% of maximum (half-maximal IID). A topographic organization of EO/I cells with sharp IID cutoffs was found along the rostrocaudal axis of SC, such that rostral EO/I cells had IID functions with half-maximal IIDs near zero, while increasingly caudal EO/I cells had progressively larger (positive) half-maximal IIDs. Although detailed maps could not be obtained in individual animals, the topography was observed in each of nine experiments in which EO/I cells were located in two or more rostrocaudal locations (P = 0.00002). The effect of stimulus level on the stability of IID cutoff was examined for 13 EO/I cells. The majority (85%) showed less than 10 dB variation in half-maximal IID across a range of suprathreshold ABIs, indicating that EO/I cells in SC generally exhibit stability in cutoff with changes in intensity of broadband stimuli.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Investigations of the residual hearing capacity of severely hearing-impaired and profoundly deaf subjects.

Speech reception functions (maximum discrimination score for phonemes, speech reception threshold) and auditory functions (pure-tone audiogram, difference limens for frequency and intensity, temporal modulation transfer function, critical ratio and temporal integration) have been investigated in a group of severely hearing-impaired and deaf subjects (median Fletcher index: 80 dB), for different frequency regions (250, 1 000 and 2 000/4 000 Hz). The correlations between the different functions were calculated on the basis of characteristic numbers, derived from the originally measured functions, in the indicated frequency regions. The residual hearing capacities could be described best with two factors, one reflecting the distortion term in the speech reception threshold and the other representing the frequency discrimination for high-frequency tones. It was found that residual hearing capacities are present, at least up to a Fletcher index of 105 dB.

Adolescent↗

Central auditory processing disorder: a case study.

We carried out extensive audiologic, electrophysiologic, and neuropsychologic testing on a young woman who complained that she had difficulty hearing in her educational environment. Conventional audiometric results, including pure-tone, speech, and immittance audiometry, were all within normal limits. The subject performed normally on tests involving the processing of rapidly changing temporal information, interaural time and intensity difference detection, and both absolute and relative sound localization. Early, middle, late and task-related auditory evoked potentials were essentially normal, although some asymmetry was observed in the middle latency (MLR) and late (LVR) responses. There was, however, a consistent left-ear deficit on dichotic sentence identification, on threshold and suprathreshold speech measures in the left sound field when various types of competition were delivered in the right sound field, and on cued-target identification in the left sound field in the presence of multitalker babble. Results suggest a central auditory processing disorder characterized by an asymmetric problem in the processing of binaural, noncoherent signals in auditory space. When auditory space was structured such that the target was directed to the left ear, and the competition to the right ear, unwanted background was less successfully suppressed than when the physical arrangement was reversed.

Acoustic Impedance Tests↗

Subjective hearing loss and history of traumatic brain injury exhibits abnormal brainstem auditory evoked response: a case report.

A 30-year-old woman presented with long-standing subjective unilateral auditory difficulties 13 years after sustaining closed head trauma. The battery of audiologic tests indicated normal hearing, but brainstem auditory evoked response (BAER) tests revealed abnormal neurogenic potentials in the symptomatic ear. The discrepancy between a normal pure tone audiogram and abnormal BAERs suggests that a site of neurologic injury could be causing the patient's problem with auditory perception. Imaging studies with gadolinium enhancement, however, did not document any abnormalities in the brainstem. Our present findings and previously published literature help identify the specific site of a neurologic deficit when routine audiologic tests and imaging studies detect no significant abnormality.

Adult↗

Effects of programming threshold and maplaw settings on acoustic thresholds and speech discrimination with the MED-EL COMBI 40+ cochlear implant.

OBJECTIVES: The principal task in the programming of a cochlear implant (CI) speech processor is the setting of the electrical dynamic range (output) for each electrode, to ensure that a comfortable loudness percept is obtained for a range of input levels. This typically involves separate psychophysical measurement of electrical threshold ([theta] e) and upper tolerance levels using short current bursts generated by the fitting software. Anecdotal clinical experience and some experimental studies suggest that the measurement of [theta]e is relatively unimportant and that the setting of upper tolerance limits is more critical for processor programming. The present study aims to test this hypothesis and examines in detail how acoustic thresholds and speech recognition are affected by setting of the lower limit of the output ("Programming threshold" or "PT") to understand better the influence of this parameter and how it interacts with certain other programming parameters. DESIGN: Test programs (maps) were generated with PT set to artificially high and low values and tested on users of the MED-EL COMBI 40+ CI system. Acoustic thresholds and speech recognition scores (sentence tests) were measured for each of the test maps. Acoustic thresholds were also measured using maps with a range of output compression functions ("maplaws"). In addition, subjective reports were recorded regarding the presence of "background threshold stimulation" which is occasionally reported by CI users if PT is set to relatively high values when using the CIS strategy. RESULTS: Manipulation of PT was found to have very little effect. Setting PT to minimum produced a mean 5 dB (S.D. = 6.25) increase in acoustic thresholds, relative to thresholds with PT set normally, and had no statistically significant effect on speech recognition scores on a sentence test. On the other hand, maplaw setting was found to have a significant effect on acoustic thresholds (raised as maplaw is made more linear), which provides some theoretical explanation as to why PT has little effect when using the default maplaw of c = 500. Subjective reports of background threshold stimulation showed that most users could perceive a relatively loud auditory percept, in the absence of microphone input, when PT was set to double the behaviorally measured electrical thresholds ([theta]e), but that this produced little intrusion when microphone input was present. CONCLUSIONS: The results of these investigations have direct clinical relevance, showing that setting of PT is indeed relatively unimportant in terms of speech discrimination, but that it is worth ensuring that PT is not set excessively high, as this can produce distracting background stimulation. Indeed, it may even be set to minimum values without deleterious effect.

Acoustic Stimulation↗

Towards an understanding of speech and song perception.

The human singing voice plays an important role in music of all societies. It is an extremely flexible instrument and is capable of producing a tremendous range of sounds. As such, the human voice can be hard to classify and poses a major challenge for automatic audio discrimination and classification systems. Speech/song discrimination is an implicit goal of speech/music discrimination, where a division is sought between speech and song, such that the singing voice can be grouped together with other musical instruments in the same category. However, the division between speech and song is unclear and even human attempts at speech/song discrimination can be highly subjective and open to discussion. In this paper we present the results of a test that was designed to investigate differences in auditory perception for speech and song. Twenty-four subjects were instructed to attend to either the words or pitch, or both words and pitch of context-free spoken and sung phrases. After presentation of each phrase, subjects were asked to either type the words that they recalled, or select the correct pitch contour from a choice of four graphical representations, or do both, depending on the task specified before presentation of the phrase. The results of the experiment show a decrease in the amount of linguistic information retained by subjects for sung phrases and also a decrease in accuracy of response for the sung phrases when subjects attended to both words and pitch instead of words or pitch alone.

Adult↗

Effects of auditory imagery on the detection of a pure tone in white noise: experimental evidence of the auditory Perky effect.

The purpose of this study was to examine whether the auditory image of a pure tone facilitates or interferes with the auditory perception of the pure tone. The masked threshold of a pure tone in white noise with and without the image of a pure tone was compared. It was shown that, in contrast to Farah and Smith's (1983) finding of facilitation, imagery interfered with the detection of the pure tone only when the frequency of the imagined tone and the detected tone was the same. This interference was interpreted as showing the assimilation of the signal tone into imagery, i.e., the effect described by Perky in 1910, occurred in the auditory modality. An explanation of the differences between findings of interference and facilitation is offered.

Adult↗

Congenitally deaf children following cochlear implantation.

The aim of this study is to determine the auditory performance of congenitally deaf children following cochlear implantation. A prospective study is undertaken of 71 such children who have been implanted in a dedicated paediatric cochlear implant centre and who have been followed up to 3 years following implantation. All children are aged less than 8 years at the time of implantation and all receive a multichannel cochlear implant system. No child meeting these criteria has been excluded from the study. The average age at implantation is 56.5 months (range 27 to 93 months, standard deviation 15.9 months). Auditory performance is assessed by using the Categories of Auditory Perception (CAP) scale which is developed primarily as a clinical tool for evaluating profoundly deaf young children following cochlear implantation. The median score prior to implantation on this scale is Category 0 (no awareness of environmental sound), at the 1 year interval is Category 4 (discrimination some speech sounds without lip-reading), and at the 2 and 3 year interval, the median score on the CAP scale is Category 5 (understanding of common phrases without lip-reading). These results indicate the ability of cochlear implants to provide significant auditory receptive skills to young congenitally deaf children.

Child↗

The effects of slowed speech on auditory comprehension in aphasia.

The present study investigates the effects of slowed speech on auditory comprehension in aphasia. Specifically, an attempt was made to isolate the effects of added time on comprehension at the language processing stages of auditory perception, by increasing the duration of the vowel segments in each word; word recognition and semantic analysis, by adding silences between words; and syntactic analysis, by adding silences at constituent phrase boundaries. Sentences were also read at a slow rate to see the effects of naturally slowed speech on sentence comprehension. Test sentences consisted of simple active and passive declarative sentences, and complex sentences with embedded medial and final relative clauses. Sentences were either semantically reversible or nonreversible. Thirty-four aphasic patients who varied in both severity and type of aphasia were tested on a picture verification task. Results indicated that slowing facilitated language comprehension significantly only in the syntactic condition. Neither syntactic complexity nor semantic reversibility interacted with slowed speech to facilitate auditory language comprehension. Further, it was only the Wernicke's aphasics who showed significant improvement with time added at constituent boundaries. These results suggest that time alone does not facilitate language comprehension in aphasia, but that rather it is the interaction of time with syntactic processing which improves comprehension.

Aphasia↗

Electrophysiological study of the maturation of auditory responses from the inner ear of the chick.

Three electrophysiological functions of the chick basilar papilla were studied during development by recording the compound actin potential (AP) at the round window. The auditory thresholds showed a continuous maturation between the fifteenth day of incubation (E15) and the first post-hatching day (P1), when they attained adult values. Responses matured first to low frequencies and later to high frequency stimuli. The input-output (intensity-amplitude) functions matured regularly and never demonstrated the classical two slopes seen in mammals. The tuning properties, studied by tone-on-tone masking of the AP, achieved mature values before the thresholds; the Q10s reached adult values at E17 for a 500-Hz probe tone and at E19 for a 1000-Hz probe tone. The fact that a low-to-high frequency development trend was found with the embryonic middle ear cleared of fluids further suggests that this property of auditory ontogeny may be a function of changes in the transduction properties of the cochlea.

Aging↗