Diagnostic Speech Audiometry

Jerger, James; Hayes, Deborah

doi:10.1001/archotol.1977.00780210072008

Cited by 102 publications

(76 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Schultz and Streepy, 1967;Gang, 1976;Dirks, et al, 1977 Performance-intensity function (PIPB) testing has proven to be a valuable tool in the differentiation of cochlear (peripheral) and retrocochlear (central) disorders (Jerger, et al, 1966;Jerger and Jerger, 1967, 1971, 1974aDirks, et al, 1977;Jerger and Hayes, 1977).…”

Section: Frequency Distortionmentioning

confidence: 99%

One-third octave band augmented speech discrimination testing for normal hearing listeners

Bowen¹

2000

View full text Add to dashboard Cite

,'-'Pn.u.Th~ purpose of this study was to investigate the effects of a 500 Hz and 3150 Hz one-third octave band augmentation on the speech discrimination ability of normal hearing listeners and whether such effects vary with signal presentation level. The augmented portion of monosyllabic words was systematically varied from 5-55dB above the intensity level of the unfiltered version of the words and presented simultaneously to one ear.The present investigation revealed that both the 500 Hz and 3150 Hz augmented speech tests precluded perfect discrimination scores in a normal hearing population. The small standard deviations observed in the 3150 Hz augmented condition, regardless of presentation level, suggested that this test may have clinical potential as a diagnostic test. The 500 Hz augmented condition produced a rollover in discrimination ability with increasing intensity disparity level.It was concluded that the reduced discrimination scores observed in the two augmented conditions were the result of a combination of frequency and intensity distortion, with frequency playing the dominant role. Further, the low frequency distortion component appeared to have a more deleterious effect on speech discrimination ability. ONE-THIRD

show abstract

Section: Frequency Distortionmentioning

confidence: 99%

One-third octave band augmented speech discrimination testing for normal hearing listeners

Bowen¹

2000

View full text Add to dashboard Cite

show abstract

“…In contrast, understanding of speech presented in interference deteriorates steadily and sometimes dramatically. For example, understanding of speech with added speech-spectrum random noise or multi-talker babble deteriorates with age, especially from the seventh decade on (Gelfand, Piper & Silman, 1986, Dubno, Lee, Matthews & Mills, 1997; reverberation increasingly affects speech understanding as listeners age (Duquesnoy & Plomp, 1980, Nabelek & Robinson, 1982; thresholds for word, consonant, and even vowel identification increase with age (van Rooij & Plomp, 1990); and age predicts understanding of speech in the presence of reverberation (Humes & Christopherson, 1991, Divenyi & Haupt, 1997a or an interfering ipsilateral or contralateral sentence (Jerger & Hayes, 1977, Divenyi & Haupt, 1997a. Speech understanding by older listeners is also affected by time compression (Konkle, Beasley & Bess, 1977, Tun, 1998, periodic interruption (Bergman et al, 1976), and low-pass filtering (Cheesman, Hepburn, Armitage & Marshall, 1995)-especially when the filtering is paired with reverberation (Humes & Christopherson, 1991).…”

Section: Iintroductionmentioning

confidence: 99%

“…Some studies suggest so for some aspects of speech perception (e.g., Duquesnoy & Plomp, 1980, Humes & Roberts, 1990, Humes, 1991, Dubno et al, 1997, but other studies indicate that deterioration in speech understanding occurs in addition to deterioration in hearing sensitivity (Jerger & Hayes, 1977, Bergman, 1980, Humes & Christopherson, 1991, Pedersen, Rosenhall & Møller, 1991, Divenyi & Haupt, 1997a, c, Jerger & Chmiel, 1997. That is, changes in speech understanding in aging, although influenced by hearing sensitivity, also include components separate from the presbycusic process.…”

Section: Iintroductionmentioning

confidence: 99%

Decline of speech understanding and auditory thresholds in the elderly

Divenyi

Stark

Haupt

2005

The Journal of the Acoustical Society of America

103

View full text Add to dashboard Cite

A group of 29 elderly subjects between 60.0 and 83.7 years of age at the beginning of the study, and whose hearing loss was not greater than moderate, was tested twice, an average of 5.27 years apart. The tests measured pure-tone thresholds, word recognition in quiet, and a set of tests of understanding speech with various types of distortion (low-pass filtering, time compression) or interference (single speaker, babble noise, reverberation). Performance declined consistently and significantly between the two testing phases. In addition, the variability of speech understanding measures increased significantly between testing phases, though the variability of audiometric measurements did not. A right-ear superiority was observed but this lateral asymmetry did not increase between testing phases. Using a group of young subjects with normal hearing to establish a baseline, we found that the decline of speech understanding measures accelerated significantly relative to the decline in audiometric measures in the seventh to ninth decades of life. On the assumption that speech understanding depends linearly on age and audiometric variables, there is evidence that this linear relationship changes with age, suggesting that not only the accuracy but also the nature of speech understanding evolves as we mature.

show abstract

“…The difficulties experienced by many older individuals may be due to central auditory effects of peripheral pathology (Kiessling et al, 2003). As age differences in the comprehension of speech began emerging in the scientific literature, Jerger and Hayes (1977) proposed that in addition to peripheral impairment associated with aging, typically evidenced by audiometric hearing loss, the higher auditory pathways might also be involved. A number of studies since then have shown that older adults may show substantially greater compromises with speech perception in noise compared with younger adults matched in hearing loss characteristics (e.g., Plomp, 1986;Cheesman, 1997).…”

Section: Sources Of Listening Difficulties In Older Adultsmentioning

confidence: 99%

Audiologic Management of Older Adults With Hearing Loss and Compromised Cognitive/Psychoacoustic Auditory Processing Capabilities

Kricos

2006

Trends in Amplification

View full text Add to dashboard Cite

The number and proportion of older adults in the United States population is increasing, and more clinical audiologists will be called upon to deliver hearing care to the approximately 35% to 50% of them who experience hearing difficulties. In recent years, the characteristics and sources of receptive communication difficulties in older individuals have been investigated by hearing scientists, cognitive psychologists, and audiologists. It is becoming increasingly apparent that cognitive compromises and psychoacoustic auditory processing disorders associated with aging may contribute to communication difficulties in this population. This paper presents an overview of best practices, based on our current knowledge base, for clinical management of older individuals with limitations in cognitive or psychoacoustic auditory processing capabilities, or both, that accompany aging.

show abstract

Diagnostic Speech Audiometry

Cited by 102 publications

References 9 publications

One-third octave band augmented speech discrimination testing for normal hearing listeners

One-third octave band augmented speech discrimination testing for normal hearing listeners

Decline of speech understanding and auditory thresholds in the elderly

Audiologic Management of Older Adults With Hearing Loss and Compromised Cognitive/Psychoacoustic Auditory Processing Capabilities

Contact Info

Product

Resources

About