Effects of age and mild hearing loss on speech recognition in noise

Dubno, Judy R.; Dirks, Donald D.; Morgan, Donald E.

doi:10.1121/1.391011

Cited by 479 publications

(206 citation statements)

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“…In contrast to a 5 dB sensitivity hearing loss, a 5 dB HL in terms of S/B ratio is devastating and difficult to overcome. These disparate measures of speech recognition performance obtained in quiet and in background noise are found throughout the literature [1][2][3][4][5][6][7][8][9][10][11]. The slopes of the functions at the 50 percent correct points were 6.5%/dB and 4.5%/dB, respectively.…”

Section: Resultsmentioning

confidence: 97%

“…Patients with hearing loss often complain that they can hear but cannot understand speech, especially in the presence of background noise [1][2][3][4][5][6][7][8][9][10][11] Carhart and Tillman and later Plomp and Duquesnoy emphasized that listeners with peripheral sensorineural hearing loss are most handicapped when listening in the presence of background noise [2,12]. In routine clinical practice, the ability of patients to understand speech in a noisy environment is not typically assessed [13,14].…”

Section: Introductionmentioning

confidence: 99%

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A word-recognition task in multitalker babble using a descending presentation mode from 24 dB to 0 dB signal to babble

Wilson¹,

Abrams²,

Pillion³

2003

JRRD

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Abstract-A speech-in-multitalker-babble test instrument was developed for use in a Department of Veterans Affairs (VA) multicenter study examining the effects of hearing loss on selfperceived quality of life. Word recognition in quiet and in multitalker babble was measured on 24 listeners with normal hearing and 24 listeners with sensorineural hearing loss. The protocol involved the presentation of 10 monosyllabic words (each in a unique babble segment) at each of seven signal-tobabble (S/B) ratios from 24 dB to 0 dB, with the babble fixed at 60 dB HL (hearing loss). Word recognition in quiet at 60 dB and 80 dB HL for both groups was >90% correct. Two trials on the task were conducted. In babble, the 50% correct points were at 4.1 dB and 9.4 dB S/B for the listeners with normal hearing and hearing loss, respectively, with the 90th percentile for the listeners with normal hearing at 6 dB S/B. Twenty-two of the twenty-four listeners with hearing loss had 50% correct points outside of the 90th percentile for listeners with normal hearing. Test-retest reliability was excellent.

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Section: Resultsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

A word-recognition task in multitalker babble using a descending presentation mode from 24 dB to 0 dB signal to babble

Wilson¹,

Abrams²,

Pillion³

2003

JRRD

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show abstract

“…The SRT (Kalikow, Stevens, & Elliott, 1977;Plomp & Mimpen, 1979) is expressed as the signal-tonoise ratio (SNR) in dB at which listeners can repeat 50% of key words 2 in a sentence presented in speech-shaped noise and is established with a staircase procedure (Baker & Rosen, 2001). The SRT has been used as a clinical measure of speech intelligibility for normal-hearing listeners and (older) listeners with moderate hearing loss (Chien et al, 2008;Dubno, Dirks, & Morgan, 1984;van Wijngaarden, Steeneken, & Houtgast, 2002), and represents a naturalistic measure of listeners' comprehension. The procedure is well suited for dealing with individual differences in baseline performance.…”

Section: Methodsmentioning

confidence: 99%

Comprehension of a novel accent by young and older listeners.

Adank

Janse

2010

Psychology and Aging

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The authors investigated perceptual learning of a novel accent in young and older listeners through measuring speech reception thresholds (SRTs) using speech materials spoken in a novel-unfamiliaraccent. Younger and older listeners adapted to this accent, but older listeners showed poorer comprehension of the accent. Furthermore, perceptual learning differed across groups: The older listeners stopped learning after the first block, whereas younger listeners showed further improvement with longer exposure. Among the older participants, hearing acuity predicted the SRT as well as the effect of the novel accent on SRT. Finally, a measure of executive function predicted the impact of accent on SRT.

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“…Elderly listeners with normal hearing thresholds still have deficits in complex temporal processing tasks (Dubno et al 1984;Schneider et al 1994;Snell and Frisina 2000;Mazelova et al 2002;Ruggles et al 2011). Among listeners with matched thresholds, the actual amplitudes of the ABR waves are significantly lower with age (Boettcher et al 1993;Konrad-Martin et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Age-Related Changes in the Relationship Between Auditory Brainstem Responses and Envelope-Following Responses

Parthasarathy

Datta

Torres

et al. 2014

JARO

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Hearing thresholds and wave amplitudes measured using auditory brainstem responses (ABRs) to brief sounds are the predominantly used clinical measures to objectively assess auditory function. However, frequency-following responses (FFRs) to tonal carriers and to the modulation envelope (envelope-following responses or EFRs) to longer and spectro-temporally modulated stimuli are rapidly gaining prominence as a measure of complex sound processing in the brainstem and midbrain. In spite of numerous studies reporting changes in hearing thresholds, ABR wave amplitudes, and the FFRs and EFRs under neurodegenerative conditions, including aging, the relationships between these metrics are not clearly understood. In this study, the relationships between ABR thresholds, ABR wave amplitudes, and EFRs are explored in a rodent model of aging. ABRs to broadband click stimuli and EFRs to sinusoidally amplitude-modulated noise carriers were measured in young (3-6 months) and aged (22-25 months) Fischer-344 rats. ABR thresholds and amplitudes of the different waves as well as phase-locking amplitudes of EFRs were calculated. Age-related differences were observed in all these measures, primarily as increases in ABR thresholds and decreases in ABR wave amplitudes and EFR phaselocking capacity. There were no observed correlations between the ABR thresholds and the ABR wave amplitudes. Significant correlations between the EFR amplitudes and ABR wave amplitudes were observed across a range of modulation frequencies in the young. However, no such significant correlations were found in the aged. The aged click ABR amplitudes were found to be lower than would be predicted using a linear regression model of the young, suggesting altered gain mechanisms in the relationship between ABRs and FFRs with age. These results suggest that ABR thresholds, ABR wave amplitudes, and EFRs measure complementary aspects of overlapping neurophysiological processes and the relationships between these measurements changes asymmetrically with age. Hence, measuring all three metrics provides a more complete assessment of auditory function, especially under pathological conditions like aging.

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Effects of age and mild hearing loss on speech recognition in noise

Cited by 479 publications

References 0 publications

A word-recognition task in multitalker babble using a descending presentation mode from 24 dB to 0 dB signal to babble

A word-recognition task in multitalker babble using a descending presentation mode from 24 dB to 0 dB signal to babble

Comprehension of a novel accent by young and older listeners.

Age-Related Changes in the Relationship Between Auditory Brainstem Responses and Envelope-Following Responses

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