Understanding speech in a background of competing noise is challenging, especially for individuals with hearing loss or deficits in auditory processing ability. The ability to hear in background noise cannot be predicted from the audiogram, an assessment of peripheral hearing ability; therefore, it is important to consider the impact of central and cognitive factors on speechin-noise perception. Auditory processing in complex environments is reflected in neural encoding of pitch, timing, and timbre, the crucial elements of speech and music. Musical expertise in processing pitch, timing, and timbre may transfer to enhancements in speech-in-noise perception due to shared neural pathways for speech and music. Through cognitive-sensory interactions, musicians develop skills enabling them to selectively listen to relevant signals embedded in a network of melodies and harmonies, and this experience leads in turn to enhanced ability to focus on one voice in a background of other voices. Here we review recent work examining the biological mechanisms of speech and music perception and the potential for musical experience to ameliorate speech-in-noise listening difficulties.
KeywordsBrain stem; music; speech in noise; timing; pitch From busy classrooms to crowded restaurants, our world is a noisy place. To participate fully in today's society, we must selectively attend and listen to one voice among competing voices and other noises. Listening in noise is particularly challenging for clinical populations, such as children with learning impairments (i.e., dyslexia, autism spectrum disorder, attention deficit disorder, auditory processing disorder, specific language impairment) 1-8 and older adults with and without hearing loss. [9][10][11][12][13] The problem with hearing in noise is often not an issue of audibility-the individual can hear but cannot To understand the message, the individual must process the three basic components of sound: pitch, timing, and timbre. Processing these elements is important for understanding both speech and music, and the musician's ability to tune into music (along with enhanced working memory and attention) appears to transfer to the ability to tune into speech in background noise. Music is said to be biologically powerful, 14,15 with effects of musical training on neural functions lasting for a lifetime. The auditory system is malleable and adaptive, making constant changes based on immediate sensory and behavioral contexts and past experiences, including musical training. 16 In this review, we summarize recent work examining the neural mechanisms of speech-in-noise (SIN) perception, including encoding of stimulus regularities, timing, and pitch, and the effects of musical experience on the neural encoding of speech, particularly in noise.
SUBCORTICAL APPROACH TO EXAMINING NEURAL SOUND ENCODINGThe use of auditory brain stem responses to study the neural encoding of speech and music has been fruitful for several reasons. Unlike the cortical response, the brain stem response to comp...