“…Although peripheral losses can be remediated to some degree through the use of assistive technologies such as hearing aids (or, in extreme cases, cochlear implants), central processing deficits seem to persist in spite of such interventions (Chmiel and Jerger, 1996; Killion, 1997). These central processing deficits – including age-related declines in the synchrony of neural firing (Pichora-Fuller and Schneider, 1992; Frisina and Frisina, 1997; Pichora-Fuller et al, 2007), length of recovery time (Walton et al, 1998), and numbers of neurons in auditory nuclei (Frisina and Walton, 2006) – have been associated with age-related losses in key auditory perceptual abilities, such as sound localization (Abel et al, 2000), pitch discrimination (Raz et al, 1989), duration judgments (Fitzgibbons and Gordon-Salant, 1994; Schneider et al, 1994), mistuned harmonic detection (Alain et al, 2001), and speech-in-noise perception (Pichora-Fuller et al, 1995; Russo and Pichora-Fuller, 2008; Schneider et al, 2010). Of the perceptual deficits, the loss of speech-in-noise perception seems to have the most severe impact on the aging adult’s quality of life (e.g., Pichora-Fuller et al, 1995, 2007; Anderson et al, 2011).…”