Christian Füllgrabe

Age-group differences in speech identification despite matched audiometrically normal hearing: contributions from auditory temporal processing and cognition

Hearing loss with increasing age adversely affects the ability to understand speech, an effect that results partly from reduced audibility. The aims of this study were to establish whether aging reduces speech intelligibility for listeners with normal audiograms, and, if so, to assess the relative contributions of auditory temporal and cognitive processing. Twenty-one older normal-hearing (ONH; 60–79 years) participants with bilateral audiometric thresholds ≤ 20 dB HL at 0.125–6 kHz were matched to nine young (YNH; 18–27 years) participants in terms of mean audiograms, years of education, and performance IQ. Measures included: (1) identification of consonants in quiet and in noise that was unmodulated or modulated at 5 or 80 Hz; (2) identification of sentences in quiet and in co-located or spatially separated two-talker babble; (3) detection of modulation of the temporal envelope (TE) at frequencies 5–180 Hz; (4) monaural and binaural sensitivity to temporal fine structure (TFS); (5) various cognitive tests. Speech identification was worse for ONH than YNH participants in all types of background. This deficit was not reflected in self-ratings of hearing ability. Modulation masking release (the improvement in speech identification obtained by amplitude modulating a noise background) and spatial masking release (the benefit obtained from spatially separating masker and target speech) were not affected by age. Sensitivity to TE and TFS was lower for ONH than YNH participants, and was correlated positively with speech-in-noise (SiN) identification. Many cognitive abilities were lower for ONH than YNH participants, and generally were correlated positively with SiN identification scores. The best predictors of the intelligibility of SiN were composite measures of cognition and TFS sensitivity. These results suggest that declines in speech perception in older persons are partly caused by cognitive and perceptual changes separate from age-related changes in audiometric sensitivity.

Spectro-Temporal Characteristics of Speech at High Frequencies, and the Potential for Restoration of Audibility to People with Mild-to-Moderate Hearing Loss

Objectives: It is possible for auditory prostheses to provide amplification for frequencies above 6 kHz. However, most current hearing-aid fitting procedures do not give recommended gains for such high frequencies. This study was intended to provide information that could be useful in quantifying appropriate high-frequency gains, and in establishing the population of hearing-impaired people who might benefit from such amplification. Design: The study had two parts. In the first part, wide-bandwidth recordings of normal conversational speech were obtained from a sample of male and female talkers. The recordings were used to determine the mean spectral shape over a wide frequency range, and to determine the distribution of levels (the speech dynamic range) as a function of center frequency. In the second part, audiometric thresholds were measured for frequencies of 0.125, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, and 12.5 kHz for both ears of 31 people selected to have mild or moderate cochlear hearing loss. The hearing loss was never greater than 70 dB for any frequency up to 4 kHz. Results: The mean spectrum level of the speech fell progressively with increasing center frequency above about 0.5 kHz. For speech with an overall level of 65 dB SPL, the mean 1/3-octave level was 49 and 37 dB SPL for center frequencies of 1 and 10 kHz, respectively. The dynamic range of the speech was similar for center frequencies of 1 and 10 kHz. The part of the dynamic range below the root-mean-square level was larger than reported in previous studies. The mean audiometric thresholds at high frequencies (10 and 12.5 kHz) were relatively high (69 and 77 dB HL, respectively), even though the mean thresholds for frequencies below 4 kHz were 41 dB HL or better. Conclusions: To partially restore audibility for a hearing loss of 65 dB at 10 kHz would require an effective insertion gain of about 36 dB at 10 kHz. With this gain, audibility could be (partly) restored for 25 of the 62 ears assessed.

Temporal envelope perception in dyslexic children

Speech intelligibility depends heavily on the accurate perception of auditory temporal envelope cues, that is the slower amplitude modulations present in the speech waveform. In a previous study, McAnally and Stein demonstrated that dyslexics may show impaired audibility (i.e. detectability) of these envelope cues. In the present psychophysical study, the ability to process temporal envelope cues was further investigated in dyslexic children by measuring detection thresholds of sinusoidal amplitude-modulation (SAM) and discrimination thresholds of SAM depth and SAM rate. Each threshold was measured at slow and fast SAM rates of 4 and 128 Hz, respectively. Overall, SAM thresholds were higher in dyslexics than in controls at both rates. The strongest deficit was observed at 4 Hz in the SAM detection task, but a deficit was also apparent at 128 Hz in the SAM discrimination tasks. Therefore, these results reveal that, in addition to reduced audibility of slow and fast envelope cues, some dyslexic children show poor encoding fidelity for these cues (as measured by the discrimination tasks). Overall, these findings are consistent with Tallals hypothesis according to which the speech and reading deficits in some dyslexics may be caused by impaired temporal processes.

The influence of age and high-frequency hearing loss on sensitivity to temporal fine structure at low frequencies (L).

Sensitivity to temporal fine structure (TFS) at low frequencies may be adversely affected by hearing loss at high frequencies even when absolute thresholds at low frequencies are within the normal range. However, in several studies suggesting this, the effects of hearing loss and age were confounded. Here, interaural phase discrimination (IPD) thresholds for pure tones at 500 and 750 Hz were measured for 39 subjects with ages from 61 to 83 yr. All subjects had near-normal audiometric thresholds at low frequencies, but thresholds varied across subjects at high frequencies. IPD thresholds were correlated with age. IPD thresholds for the test frequency of 750 Hz were weakly correlated with absolute thresholds at high frequencies, but these correlations became non-significant when the effect of age was partialed out. The results do not confirm that sensitivity to TFS at low frequencies is influenced by hearing loss at high frequencies, independently of age.

The importance for speech intelligibility of random fluctuations in "steady" background noise.

Spectrally shaped steady noise is commonly used as a masker of speech. The effects of inherent random fluctuations in amplitude of such a noise are typically ignored. Here, the importance of these random fluctuations was assessed by comparing two cases. For one, speech was mixed with steady speech-shaped noise and N-channel tone vocoded, a process referred to as signal-domain mixing (SDM); this preserved the random fluctuations of the noise. For the second, the envelope of speech alone was extracted for each vocoder channel and a constant was added corresponding to the root-mean-square value of the noise envelope for that channel. This is referred to as envelope-domain mixing (EDM); it removed the random fluctuations of the noise. Sinusoidally modulated noise and a single talker were also used as backgrounds, with both SDM and EDM. Speech intelligibility was measured for N = 12, 19, and 30, with the target-to-background ratio fixed at -7 dB. For SDM, performance was best for the speech background and worst for the steady noise. For EDM, this pattern was reversed. Intelligibility with steady noise was consistently very poor for SDM, but near-ceiling for EDM, demonstrating that the random fluctuations in steady noise have a large effect.

Effect of spatial separation, extended bandwidth, and compression speed on intelligibility in a competing-speech task.

The benefit for speech intelligibility of extending the bandwidth of hearing aids was assessed when the target speech (sentences) and background (two talkers) were co-located or spatially separated. Also, the relative benefits of slow and fast compression were assessed. Sixteen hearing-impaired (HI) subjects with mild-to-moderate high-frequency hearing loss and eight normal-hearing (NH) subjects were tested. The target and interfering sounds were recorded using a KEMAR manikin and were located at +/-60 degrees azimuth, either co-located or spatially separated. Simulated binaural hearing-aid processing using five-channel slow or fast compression was performed offline, with gains set individually for each HI subject. Upper cutoff frequencies were 5, 7.5, or 10 kHz. Processed stimuli were presented via headphones. For both NH (unaided) and HI subjects, there was no significant effect of cutoff frequency for the co-located condition, but a small but significant benefit from increasing the cutoff frequency from 5 to 7.5 kHz for the spatially separated condition. For the HI subjects, slow compression gave slightly but significantly higher scores than fast compression for the spatially separated but not for the co-located condition. There were marked individual differences both in the benefit from extended bandwidth and in the relative benefit of slow and fast compression.

Determination of Preferred Parameters for Multichannel Compression Using Individually Fitted Simulated Hearing Aids and Paired Comparisons

Objective:To determine preferred parameters of multichannel compression using individually fitted simulated hearing aids and a method of paired comparisons. Design:Fourteen participants with mild to moderate hearing loss listened via a simulated five-channel compression hearing aid fitted using the CAMEQ2-HF method to pairs of speech sounds (a male talker and a female talker) and musical sounds (a percussion instrument, orchestral classical music, and a jazz trio) presented sequentially and indicated which sound of the pair was preferred and by how much. The sounds in each pair were derived from the same token and differed along a single dimension in the type of processing applied. For the speech sounds, participants judged either pleasantness or clarity; in the latter case, the speech was presented in noise at a 2-dB signal-to-noise ratio. For musical sounds, they judged pleasantness. The parameters explored were time delay of the audio signal relative to the gain control signal (the alignment delay), compression speed (attack and release times), bandwidth (5, 7.5, or 10 kHz), and gain at high frequencies relative to that prescribed by CAMEQ2-HF. Results:Pleasantness increased with increasing alignment delay only for the percussive musical sound. Clarity was not affected by alignment delay. There was a trend for pleasantness to decrease slightly with increasing bandwidth, but this was significant only for female speech with fast compression. Judged clarity was significantly higher for the 7.5- and 10-kHz bandwidths than for the 5-kHz bandwidth for both slow and fast compression and for both talker genders. Compression speed had little effect on pleasantness for 50- or 65-dB SPL input levels, but slow compression was generally judged as slightly more pleasant than fast compression for an 80-dB SPL input level. Clarity was higher for slow than for fast compression for input levels of 80 and 65 dB SPL but not for a level of 50 dB SPL. Preferences for pleasantness were approximately equal with CAMEQ2-HF gains and with gains slightly reduced at high frequencies and were lower when gains were slightly increased at high frequencies. Speech clarity was not affected by changing the gain at high frequencies. Conclusions:Effects of alignment delay were small except for the percussive sound. A wider bandwidth was slightly preferred for speech clarity. Speech clarity was slightly greater with slow compression, especially at high levels. Preferred high-frequency gains were close to or a little below those prescribed by CAMEQ2-HF.

Preliminary evaluation of a method for fitting hearing aids with extended bandwidth.

Abstract This paper describes a preliminary laboratory-based evaluation of a method for fitting hearing aids with an extended high-frequency response, called CAMEQ2-HF. Linear filtering was used to implement the CAMEQ2-HF-prescribed gains for speech with an input level of 65 dB SPL. The results obtained using four normal-hearing (NH) and fifteen hearing-impaired (HI) listeners showed: (1) The gains were sufficient to make components above 5 kHz audible when those components were presented alone, and when they were presented together with the lower-frequency components; (2) NH listeners preferred a wider bandwidth (10 or 7.5 kHz versus 5 kHz) for both pleasantness and speech clarity, while HI listeners usually preferred a narrower bandwidth for pleasantness but a wider bandwidth for clarity; (3) HI listeners performed better on the ‘S-test’ (detection of word-final /s/ or /z/) with a wider than with a narrower bandwidth (7.5 versus 5 kHz); (4) Identification of vowel-consonant-vowel nonsense syllables improved with increasing bandwidth from 5 to 7.5 kHz for the NH but not for the HI listeners. Sumario Este trabajo describe una evaluación preliminar basada en el laboratorio para un método de adaptación de auxiliares auditivos con una respuesta extendida a las frecuencias elevadas, llamada CAMEQ2-HF. Se utilizó una filtración lineal para implementar la ganancia CAMEQ2-HF prescrita para el lenguaje (CAMEQ2-HF) con un nivel de entrada de 65 dB SPL. El resultado obtenido utilizando cuatro sujetos normoyentes (NH) y quince hipoacúsicos (HI) mostró: (1) La ganancia fue suficiente para que los componentes por encima de 5kHz fueran audibles cuando esos componentes se presentaban solos y cuando se presentaban junto con componente de más baja frecuencia; (2) Los NH prefirieron una banda más ancha (10 a 7.5 kHz) en cuanto a la confortabilidad como a la claridad del lenguaje, mientras que los HI usualmente prefirieron un ancho de banda menor para la confortabilidad pero uno más amplio para la claridad; (3) Los HI se desempeñaron mayor en la “prueba S” (detección de palabras con /s/ o /z/ final con un ancho de banda más amplio que con el más estrecho (7.5 vs 5 kHz); (4) La identificación de sílabas sin sentido vocal-consonante-vocal mejoró conforme se ampliaba el ancho de banda de 5 a 7.5 kHz para los NH pero no para los oyentes HI.

On The (Un)importance of Working Memory in Speech-in-Noise Processing for Listeners with Normal Hearing Thresholds

With the advent of cognitive hearing science, increased attention has been given to individual differences in cognitive functioning and their explanatory power in accounting for inter-listener variability in the processing of speech in noise (SiN). The psychological construct that has received much interest in recent years is working memory. Empirical evidence indeed confirms the association between WM capacity (WMC) and SiN identification in older hearing-impaired listeners. However, some theoretical models propose that variations in WMC are an important predictor for variations in speech processing abilities in adverse perceptual conditions for all listeners, and this notion has become widely accepted within the field. To assess whether WMC also plays a role when listeners without hearing loss process speech in adverse listening conditions, we surveyed published and unpublished studies in which the Reading-Span test (a widely used measure of WMC) was administered in conjunction with a measure of SiN identification, using sentence material routinely used in audiological and hearing research. A meta-analysis revealed that, for young listeners with audiometrically normal hearing, individual variations in WMC are estimated to account for, on average, less than 2% of the variance in SiN identification scores. This result cautions against the (intuitively appealing) assumption that individual variations in WMC are predictive of SiN identification independently of the age and hearing status of the listener.

Investigating the Role of Working Memory in Speech-in-noise Identification for Listeners with Normal Hearing

With the advent of cognitive hearing science, increased attention has been given to individual differences in cognitive functioning and their explanatory power in accounting for inter-listener variability in understanding speech in noise (SiN). The psychological construct that has received most interest is working memory (WM), representing the ability to simultaneously store and process information. Common lore and theoretical models assume that WM-based processes subtend speech processing in adverse perceptual conditions, such as those associated with hearing loss or background noise. Empirical evidence confirms the association between WM capacity (WMC) and SiN identification in older hearing-impaired listeners. To assess whether WMC also plays a role when listeners without hearing loss process speech in acoustically adverse conditions, we surveyed published and unpublished studies in which the Reading-Span test (a widely used measure of WMC) was administered in conjunction with a measure of SiN identification. The survey revealed little or no evidence for an association between WMC and SiN performance. We also analysed new data from 132 normal-hearing participants sampled from across the adult lifespan (18–91 years), for a relationship between Reading-Span scores and identification of matrix sentences in noise. Performance on both tasks declined with age, and correlated weakly even after controlling for the effects of age and audibility (r = 0.39, p ≤ 0.001, one-tailed). However, separate analyses for different age groups revealed that the correlation was only significant for middle-aged and older groups but not for the young (< 40 years) participants.