摘要:

ABSTRACTThe goals of this investigation were to determine whether hearing aid benefit improved significantly over the first 10 weeks of hearing aid use and whether time-related changes in benefit (if any) were affected by the type of benefit measurement (i.e., objective or subjective). A total of 17 hearing-impaired subjects participated, with different subjects completing different phases of the study. Benefit was measured soon after the hearing aid fitting and again after 10 weeks of adjustment to hearing aid use. Objective benefit data were determined using the Connected Speech Test. No significant changes in objective benefit were noted in noisy or reverberant listening environments when visual cues were available. However, in a low-noise setting and in a noisy setting without visual cues, improvements in objective benefit were seen over time. Subjective benefit data were derived from responses to the Profile of Hearing Aid Benefit. These data indicated significant benefit improvement over time in all five types of daily life situations assessed, although the improvement was small in reverberant and noisy environments. Significant, but modest, correlations were found between objective and subjective data for low-noise and reverberant listening environments. Comparison of experienced and novice hearing aid wearers suggested that although experienced wearers obtain more benefit than novice wearers, they evidence similar time-related changes in benefit during the first 10 weeks of new hearing aid use.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTSeveral methods have been proposed to estimate the sensation level (SL) at which children receive amplified speech from their hearing aids. The present study compared the SL estimates obtained with two such methods: (1) a sound field aided audiogram approach, and (2) an electroacoustic approach that incorporated the use of a probe tube microphone system (Seewald, ROSS, & Stelmachowicz, 1987). Sound field aided thresholds were obtained for 13 hearing-impaired subjects at eight audio-metric frequencies. For the electroacoustic approach, in situ thresholds were obtained using a button-type hearing aid receiver attached to a custom earmold. Real ear aided responses were measured using a 70 dB RMS speech-weighted composite noise signal (Frye, 1986). A comparison of the frequency-specific SL estimates derived from the two different methods revealed that the sound field aided audiogram approach yielded higher SL estimates for 74% of the individual comparisons. A detailed analysis of the findings obtained from two subjects suggested that when the results of the two methods did not agree, the differences were due to an interaction between signal level and the unique input/output characteristics of the subjects' hearing aids. A precautionary measure is suggested for those who wish to use sound field aided threshold data to estimate the SLs at which children receive amplified conversational speech. (Ear Hear 13 3:142-149)

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThe purpose was to determine a target for the upper frequency limit of a hearing aid that will provide access to the important spectral cues for all the sounds of English. The sibilant /s/ was studied because of its high-frequency content. Repeated tokens of Is/ were recorded from five men and five women before and between the vowels /u/, /a/, and /i/. Using fast Fourier transform analysis, the prominent spectral peak with the lowest frequency was identified and its center frequency determined for each token. This frequency averaged around 4.9 kHz for the /u/ context, 5.6 kHz for the /a/ context, and 6.0 kHz for the /i/ context. There were dramatic differences among talkers, with subject means ranging from 3.2 to 8.4 kHz. The women generated consistently higher frequency /s/ sounds than the men, but there were also large differences within gender groups. These data suggest that the upper frequency limit of a high-fidelity hearing aid should be in the region of 10 kHz. If this cannot be accomplished with direct amplification, an alternative might be the selective use of frequency transposition.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThe mismatch negativity (MMN) is a passively elicited event-related potential that is extremely sensitive to acoustic stimulus properties. The MMN was characterized in normal adults and school-age children in response to speech stimuli differing minimally in the onset frequency of the second and third formant transitions. The speech-evoked MMN consists of a negative waveform at about 230 msec that occurs in response to the deviant stimulus when it is presented in an oddball paradigm. It is absent in response to that same stimulus when presented alone. The MMN was clearly present in all adults and children tested. Using the procedures developed in this study, this event-related potential was found to be robust enough in individual subjects to be considered a potential clinical measure for assessing central auditory function in school-age children and adults.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThe chained stimuli ABR method, which allows acquisition of data for a seven-point latency-intensity function for both ears in approximately 35 min, is described. Testing of 22 ears with a simulated conductive loss, and 20 ears with sensorineural impairment, indicates that the chained stimuli method provides equivalent threshold estimates to that obtained with the conventional ABR measurement technique.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTAuditory brain stem response (ABR) testing is widely used to detect lesions of the auditory neural pathways. The ABR waves depend not only on the integrity of the neural pathways, but also on the condition of the cochlea. To properly interpret the ABR response, it is necessary to understand the effects of cochlear hearing loss on the ABR wave latencies. We studied two populations of subjects with cochlear hearing loss: one with varying degrees of high-frequency hearing loss and the other with varying degrees of flat configuration hearing loss. The degree of cochlear hearing loss was quantified in several different ways and subjected to one linear and three nonlinear regression analyses to test for accuracy in predicting ABR wave latencies and interpeak intervals (waves I, III, V, I-V, I-III, and III-V) for three click intensities. Hearing loss levels from 2 to 6 kHz, in particular 4 kHz, were superior to other audiometric test frequencies as predictors of ABR wave latencies for the group with the high-frequency losses. No particular characterization was found to be superior for the flat hearing loss configurations. From these results, modeled predictions of wave latencies as a function of degree and configuration of hearing loss were made. The modeled predictions are then used to suggest guidelines for interpretations of ABR results where hearing impaired patients are involved.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThis investigation was undertaken to explore the feasibility of screening for hearing impairment in an intensive care nursery population with a combined acoustic stapedius reflex-ABR approach. Acoustic reflex threshold measurements (AR) were made on intensive care nursery patients in an existing ABR screening program. Pass-fail results were determined for the two methods, separately and in combination. AR screening identified all 10 ears that failed the ABR screen. The cost savings of screening with a combined AR-ABR approach was determined for various pass-fail criteria. The results suggest that the AR-ABR approach can produce a significant cost savings without compromising the sensitivity and specificity of the screening program.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThe purpose of this investigation was to study the relationship between visual reinforcement audiometry (VRA) performance and age (i.e., corrected and mental) with 60 premature infants. VRA performance was classified as unacceptable, marginal, or acceptable based on conditionability and number of responses obtained before habituation to the task. The results indicated that mental age and corrected age were significantly related to VRA performance. It was found that a corrected age of 8 mo and/ or a mental age of 6 mo is typically required for acceptable performance using VRA. A lack of responsiveness to the VRA procedure at these ages would most likely be due to hearing loss as opposed to a general developmental delay. The data from this study would not support a large scale behavioral hearing screening program for premature infants below 8 mo corrected age or 6 mo mental age. (Ear Hear 13 3:187-194)

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThe ability to remove cochlear implants from children and subsequently reimplant a more complex device in the same ear was the concern of this single case study. A postlinguistically deafened child, J.L., received a single-channel cochlear implant 1 yr after contracting meningitis and suffering a profound bilateral sensorineural hearing loss. After 3 yr of successful implant use, J.L. suffered an internal coil failure. She was then explanted and reimplanted with a multichannel cochlear implant in the same ear. This case report details her speech perception skills with her single-channel cochlear implant, a vibrotactile aid, and a multichannel cochlear implant. Results from auditory perceptual measures suggest that the explantation/reimplantation process was technically feasible with no adverse effects on J.L.'s ability to utilize a more sophisticated device and to exceed her previous performance levels.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

ABSTRACTThis investigation determined whether the audiological performance of cochlear implant users varied with experience. Thirteen Nucleus and 14 Ineraid subjects were evaluated at 1, 9, and 18 mo after cochlear implant connection. Ten Nucleus and five Ineraid subjects were tested at 30 mo. On average, the ability of the subjects to recognize words and phonemes in an audition-only condition improved during the first 9 mo, as did their ability to recognize spondees in noise. The phoneme scores continued to improve during the next 9 mo. Environmental sound recognition improved gradually; significant improvement from the 1 mo scores was not noted until 18 mo. About half of the subjects who demonstrated poor word recognition at 1 mo showed significantly improved percent word correct scores by 18 mo. The Nucleus and Ineraid subjects did not differ in their patterns of change overtime. An information transmission analysis performed on the subjects' consonant confusion matrices showed relatively little change for the nasality and place features during the first 18 mo, and relatively large change for the voice, duration, and frication features. Most improvement in the feature scores occurred during the first 9 mo.

ISSN:0196-0202    

出版商:OVID    

年代:1992

数据来源: OVID