OBJECTIVE As people age, they experience reduced temporal processing abilities. This results in poorer ability to understand speech, particularly for degraded input signals. Cochlear implants (CIs) convey speech information via the temporal envelopes of a spectrally degraded input signal. Because there is an increasing number of older CI users, there is a need to understand how temporal processing changes with age. Therefore, the goal of this study was to quantify age-related reduction in temporal processing abilities when attempting to discriminate words based on temporal envelope information from spectrally degraded signals. DESIGN Younger normal-hearing (YNH) and older normal-hearing (ONH) participants were presented a continuum of speech tokens that varied in silence duration between phonemes (0 to 60 ms in 10-ms steps), and were asked to identify whether the stimulus was perceived more as the word “Dish” or “Ditch.” Stimuli were vocoded using tonal carriers. The number of channels (1, 2, 4, 8, 16, and unprocessed) and temporal envelope low-pass filter cutoff frequency (50 and 400 Hz) were systematically varied. RESULTS For the unprocessed conditions, the YNH participants perceived the word Ditch for smaller silence durations than the ONH participants, indicating that aging affects temporal processing abilities. There was no difference in performance between the unprocessed and 16-channel, 400-Hz vocoded stimuli. Decreasing the number of spectral channels caused decreased ability to distinguish Dish and Ditch. Decreasing the envelope cutoff frequency also caused decreased ability to distinguish Dish and Ditch. Nevertheless, the overall pattern of results revealed that reductions in spectral and temporal information had a relatively larger effect on the ONH participants compared to the YNH participants. CONCLUSION Aging reduces the ability to utilize brief temporal cues in speech segments. Reducing spectral information – as occurs in a channel vocoder and in CI speech processing strategies – forces participants to use temporal envelope information; however, older participants are less capable of utilizing this information. These results suggest that providing as much spectral and temporal speech information as possible would benefit older CI users relatively more than younger CI users. In addition, the present findings help set expectations of clinical outcomes for speech understanding performance by adult CI users as a function of age.
Purpose Degraded temporal processing associated with aging may be a contributing factor to older adults' hearing difficulties, especially in adverse listening environments. This degraded processing may affect the ability to distinguish between words based on temporal duration cues. The current study investigates the effects of aging and hearing loss on cortical and subcortical representation of temporal speech components and on the perception of silent interval duration cues in speech. Method Identification functions for the words DISH and DITCH were obtained on a 7-step continuum of silence duration (0–60 ms) prior to the final fricative in participants who are younger with normal hearing (YNH), older with normal hearing (ONH), and older with hearing impairment (OHI). Frequency-following responses and cortical auditory-evoked potentials were recorded to the 2 end points of the continuum. Auditory brainstem responses to clicks were obtained to verify neural integrity and to compare group differences in auditory nerve function. A multiple linear regression analysis was conducted to determine the peripheral or central factors that contributed to perceptual performance. Results ONH and OHI participants required longer silence durations to identify DITCH than did YNH participants. Frequency-following responses showed reduced phase locking and poorer morphology, and cortical auditory-evoked potentials showed prolonged latencies in ONH and OHI participants compared with YNH participants. No group differences were noted for auditory brainstem response Wave I amplitude or Wave V/I ratio. After accounting for the possible effects of hearing loss, linear regression analysis revealed that both midbrain and cortical processing contributed to the variance in the DISH–DITCH perceptual identification functions. Conclusions These results suggest that age-related deficits in the ability to encode silence duration cues may be a contributing factor in degraded speech perception. In particular, degraded response morphology relates to performance on perceptual tasks based on silence duration contrasts between words.
Aging may limit speech understanding outcomes in cochlear-implant (CI) users. Here, we examined age-related declines in auditory temporal processing as a potential mechanism that underlies speech understanding deficits associated with aging in CI users. Auditory temporal processing was assessed with a categorization task for the words dish and ditch (i.e., identify each token as the word dish or ditch) on a continuum of speech tokens with varying silence duration (0 to 60 ms) prior to the final fricative. In Experiments 1 and 2, younger CI (YCI), middle-aged CI (MCI), and older CI (OCI) users participated in the categorization task across a range of presentation levels (25 to 85 dB). Relative to YCI, OCI required longer silence durations to identify ditch and exhibited reduced ability to distinguish the words dish and ditch (shallower slopes in the categorization function). Critically, we observed age-related performance differences only at higher presentation levels. This contrasted with findings from normal-hearing listeners in Experiment 3 that demonstrated age-related performance differences independent of presentation level. In summary, aging in CI users appears to degrade the ability to utilize brief temporal cues in word identification, particularly at high levels. Age-specific CI programming may potentially improve clinical outcomes for speech understanding performance by older CI listeners.
Purpose As pulse rate increases beyond a few hundred Hertz, younger normal-hearing (NH) participants' ability to encode temporal information in band-limited acoustic pulse trains decreases, demonstrating a rate limitation in processing rapid temporal information. Rate discrimination abilities, however, have yet to be investigated in older NH participants—a population that experiences age-related temporal processing deficits. It was hypothesized that age-related temporal processing deficits lead to decreased temporal rate discrimination abilities in older compared with younger NH participants, which could be observed in both perceptual and electrophysiological measurements. Method Fifteen younger and 15 older NH participants were presented acoustic pulse trains with a 4-kHz center frequency and 1-kHz bandwidth at 75 dB SPL monaurally. The pulse rate was 80, 200, or 400 Hz. Just noticeable differences were obtained using an adaptive procedure that instructed the participants to identify the pulse train with the highest pitch. Auditory steady-state responses (ASSRs) were recorded to the same pulse trains with 2 additional rates—20 and 40 Hz. The Digit Symbol Coding and Digit Symbol Search subtests of the Wechsler Adult Intelligence Scale ( Wechsler, 1997 ) were measured as correlates to domain-general cognitive processing speed. Results As rate increased from 80 to 400 Hz, performance on the perceptual rate discrimination task worsened in both groups. ASSR spectral energy also decreased, but only in the older group. Perceptual performance was equivalent between groups across rates. The older group had lower ASSR spectral energy (lower signal-to-noise ratios) at the 400-Hz rate than the younger group, but there were no group differences for the other rates. The overall strength of neural rate representation, along with speed of processing performance, predicted perceptual performance for the 400-Hz rate. Conclusion These results suggest that neural representation at early levels of the auditory system and processing speed are factors in perceptual auditory temporal processing performance, especially in older adults.
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