Joseph I. Alcantara

A test for the diagnosis of dead regions in the cochlea.

Abstract Hearing impairment may sometimes be associated with complete loss of inner hair cells (IHCs) over a certain region of the basilar membrane. We call this a ‘dead region’. Amplification (using a hearing aid) over a frequency range corresponding to a dead region may not be beneficial and may even impair speech intelligibility. However, diagnosis of dead regions is not easily done from the audiogram. This paper reports the design and evaluation of a method for detecting and delimiting dead regions. A noise, called ‘threshold equalizing noise’ (TEN), was spectrally shaped so that, for normally hearing subjects, it would give equal masked thresholds for pure tone signals at all frequencies within the range 250–10 000 Hz. Its level is specified as the level in a one-ERB (132 Hz) wide band centred at 1000 Hz. Measurements obtained from 22 normal-hearing subjects and TEN levels of 30, 50 and 70 dB/ERB confirmed that the signal level at masked threshold was approximately equal to the noise level/ERB and was almost independent of signal frequency. Masked thresholds were measured for 20 ears of 14 subjects with sensorineural hearing loss, using TEN levels of 30, 50 and 70 dB/ERB. Psychophysical tuning curves (PTCs) were measured for the same subjects. When there are surviving IHCs corresponding to a frequency region with elevated absolute thresholds, a signal in that frequency region is detected via IHCs with characteristic frequencies (CFs) close to that region. In such a case, threshold in the TEN is close to that for normal-hearing listeners, provided that the noise intensity is sufficient to produce significant masking. Also, the tip of the PTC lies close to the signal frequency. When a dead region is present, the signal is detected via IHCs with CFs different from that of the signal frequency. In such a case, threshold in the TEN is markedly higher than normal, and the tip of the PTC is shifted away from the signal frequency. Generally, there was a very good correspondence between the results obtained using the TEN and the PTCs. We conclude that the measurement of masked thresholds in TEN provides a quick and simple method for the diagnosis of dead regions.

Masking patterns for sinusoidal and narrow-band noise maskers

The masking patterns produced by narrow-band maskers can show distinct irregularities. These experiments attempted to clarify the relative importance of factors contributing to these irregularities. A three-alternative adaptive forced-choice method with feedback was used, to promote use of the optimal detection cues. The masker and signal were either a sinusoid or a band of noise that was 80 Hz wide, giving four possible combinations of masker and signal type. In experiment 1, masking patterns were measured for maskers centered at 1 kHz, for all combinations of masker and signal type (tone or noise). The masking patterns showed irregularities (dips or “shoulders”) above the masker frequency, and the irregularities were larger for the sinusoidal than for the noise masker. Experiment 2 was similar to experiment 1, except that low-pass noise was added to mask combination products. For the noise masker, the low-pass noise slightly increased thresholds, and largely eliminated the irregularities in the patterns, but for the tone masker, the irregularities persisted. Experiment 3 used a noise signal with tone and noise maskers centered at 250, 1000, and 4000 Hz. The tone masker produced less masking than the noise masker for masker-signal frequency separations of 150–250 Hz, regardless of masker frequency. Experiment 4 used an additional masker tone to introduce beats similar to those produced by the interaction of the signal and (main) masker, and to mask combination products. This largely eliminated the dips in the masking patterns for both the noise and tone maskers. Experiment 5 used an additional pair of high-frequency tones to introduce beats, with similar results. We conclude that temporal fluctuations (beats) have a strong influence on the masking patterns for sinusoidal maskers, for masker-signal frequency separations up to a few hundred Hz. Beats may also have some influence on the masking patterns for noise maskers. The detection of combination products also plays a role.

Comparison of the electroacoustic characteristics of five hearing aids

Abstract This paper describes a comparison of the electroacoustic characteristics of five hearing aids: (1) a linear BTE aid of the type dispensed under the UK National Health Service (NHS), the BE 19; (2) an analogue programmable BTE aid incorporating two-channel wide dynamic range compression, the ReSound BT2; (3) and (4) two digital BTE aids incorporating multi-channel wide dynamic range compression, the Phonak Claro and the Danavox Danalogic; (5) a disposable ITE hearing aid with single-channel compression, the Songbird. Measurements of frequency response using a 2 cc coupler showed that the NHS aid had a distinct undesired peak around 1 kHz. The response rolled off at low and high frequencies, and no gain was applied above about 4000 Hz. The BT2 and Claro both showed somewhat irregular responses with effective upper frequency limits of 5000-6000 Hz. The Danalogic had a reasonably smooth response and provided gain up to 6000 Hz. The Songbird had a smooth response and provided gain up to about 7000 Hz. All aids showed reasonably low harmonic and intermodulation distortion (probably below audible levels for hearing-impaired listeners), the Phonak Claro being the best in this respect. Measures of the effective input noise were obtained using two new methods. The NHS aid had the highest (worst) effective input noise, whereas the Songbird had the lowest, especially at low frequencies. The BT2 and the two digital aids had similar noise levels on one measure, but the BT2 was superior on the other measure. The compression circuits were characterized by measuring attack and release times and by using a method described by Stone and Moore (1992). The aids varied markedly in the extent to which they compressed amplitude modulation at the rates typically occurring in speech (2-10 Hz), the Claro providing the least compression and the Danalogic and Songbird aids providing the most. Overall, the results indicate that the NHS aid performed more poorly in several respects than the other aids. There were no great differences in eleclroacouslic characteristics between the remaining analogue aids and the digital aids, although the Songbird had a somewhat wider frequency range and lower effective input noise than the other aids.

Comparison of three procedures for initial fitting of compression hearing aids. I. Experienced users, fitted bilaterally

Abstract We compared the effectiveness of three procedures for the initial fitting of hearing aids with multiband compression: (1) CAMEQ, which aims to amplify speech so as to give equal loudness per critical band over the frequency range important for speech intelligibility, and to give similar overall loudness to ‘normal’; (2) CAMREST, which aims to amplify speech so as to restore ‘normal’ specific loudness patterns, over a wide range of speech levels; (3) DSL I/O, which aims to map the dynamic range of normally hearing people into the reduced dynamic range of hearing-impaired people, with ‘full’ restoration of audibility. Ten experienced hearing aid users with moderate sensorineural loss were fitted bilaterally with Danalogic 163D digital hearing aids, using each procedure in turn; the order was counterbalanced across subjects. The fitting required specification of gains for input levels of 55 and 80 dB SPL at six centre frequencies. Real-ear measurements were made to ensure that target gains were reached (±3 dB). Immediately after fitting with a given procedure, and one week after fitting, the gains were adjusted when required by the minimum amount necessary to achieve acceptable fittings. The amount of adjustment required provides one measure of the adequacy of the initial fitting. On average, the adjustments were smallest for the CAMEQ procedure. The gain changes were slightly larger for the CAMREST procedure and were largest of all for DSL I/O. For the latter, the gain changes were mostly negative, especially for high frequencies and the higher input level. This indicates that the DSL I/O procedure prescribes more high-frequency gain than is preferred by adult users. After these gain adjustments, users wore the aids for at least three weeks before filling out the APHAB questionnaire and taking part in laboratory measurements of the speech reception threshold (SRT) for sentences in quiet and in steady and fluctuating background noise at levels of 60 and 75 dB SPL. Following these tests, the hearing aids were re-fitted with the next procedure. The scores on the APHAB test and the SRTs did not differ significantly for the three procedures. We conclude that the CAMEQ and CAMREST procedures provide more appropriate initial fittings than DSL I/O.

The identification of vowel‐like harmonic complexes: Effects of component phase, level, and fundamental frequency

These experiments investigate how the identification of vowel-like harmonic complexes, similar to those used by Leek et al. [J. Acoust. Soc. Am. 81, 148-154 (1987)], is affected by spectral contrast, overall level, component phase, and fundamental frequency (F0). Four normally hearing subjects were required to identify which of six vowel-like harmonic complexes was presented on each trial. The test stimuli were complex tones containing the first 35 harmonics of a 100-Hz fundamental or the first 70 harmonics of a 50-Hz fundamental. All of the harmonics with frequencies below 3000 Hz were equal in amplitude except for three pairs of successive harmonics which were located at the first, second, and third formant frequency values, and incremented in level by 1, 2, 4, 8, and 16 dB relative to the other components. Three overall levels were used, 85, 65, and 45 dB SPL, and harmonics were added in either cosine or random phase. The results indicated that identification was better for cosine phase than for random phase, except for the 100-Hz fundamental at 45 dB SPL. The difference between the two phase conditions increased with increasing presentation level and with decreasing fundamental frequency. The results are explained in terms of the waveforms that would occur at the outputs of different auditory filters. It does not appear necessary to invoke nonlinear enhancement mechanisms to explain the results, although an influence of such mechanisms cannot be ruled out.

Perception of sentences, words, and speech features by profoundly hearing‐impaired children using a multichannel electrotactile speech processor

Fourteen prelinguistically profoundly hearing-impaired children were fitted with the multichannel electrotactile speech processor (Tickle Talker) developed by Cochlear Pty. Ltd. and the University of Melbourne. Each child participated in an ongoing training and evaluation program, which included measures of speech perception and production. Results of speech perception testing demonstrate clear benefits for children fitted with the device. Thresholds for detection of pure tones were lower for the Tickle Talker than for hearing aids across the frequency range 250-4000 Hz, with the greatest tactual advantage in the high-frequency consonant range (above 2000 Hz). Individual and mean speech detection thresholds for the Ling 5-sound test confirmed that speech sounds were detected by the electrotactile device at levels consistent with normal conversational speech. Results for three speech feature tests showed significant improvement when the Tickle Talker was used in combination with hearing aids (TA) as compared with hearing aids along (A). Mean scores in the TA condition increased by 11% for vowel duration, 20% for vowel formant, and 25% for consonant manner as compared with hearing aids alone. Mean TA score on a closed-set word test (WIPI) was 48%, as compared with 32% for hearing aids alone. Similarly, mean WIPI score for the combination of Tickle Talker, lipreading, and hearing aids (TLA) increased by 6% as compared with combined lipreading and hearing aid (LA) scores. Mean scores on open-set sentences (BKB) showed a significant increase of 21% for the tactually aided condition (TLA) as compared with unaided (LA). These results indicate that, given sufficient training, children can utilize speech feature information provided through the Tickle Talker to improve discrimination of words and sentences. These results indicate that, given sufficient training, children can utilize speech feature information provided through the Tickle Talker to improve discrimination of words and sentences. These results are consistent with improvement in speech discrimination previously reported for normally hearing and hearing-impaired adults using the device. Anecdotal evidence also indicates some improvements in speech production for children fitted with the Tickle Talker.

Preliminary evaluation of a multichannel electrotactile speech processor

Speech discrimination testing, using both open- and closed-set materials, was carried out with four severely to profoundly hearing impaired adults and seven normally hearing subjects to assess performance of a wearable eight-channel electrotactile aid (Tickle Talker). Significant increases in speechtracking rates were noted for all subjects when using the electrotactile aid. After 70 h of training, mean tracking rate in the tactile plus lipreading condition was 55 words per minute (wpm), as compared with 36 wpm for lipreading alone, for the normally hearing group. For the hearing impaired group, the mean tracking rate in the aided condition was 37 wpm, as compared with 24 wpm for lipreading alone, following 35 h of training. Performance scores on Central Institute for the Deaf (CID) everyday sentences, Consonant Nucleus Consonant (CNC) words, and closed-set vowel and consonant identification were significantly improved when using the electrotactile aid. Performance scores, using the aid without lipreading, were well above chance on consonant and vowel identification and on elements of the Minimal Auditory Capabilities Battery. Two hearing impaired subjects have used the device satisfactorily in the home environment.

Speech perception studies using a multichannel electrotactile speech processor, residual hearing, and lipreading

Three studies are reported on the speech perception of normally hearing and hearing-impaired adults using combinations of visual, auditory, and tactile input. In study 1, mean scores for four normally hearing subjects showed that addition of tactile information, provided through the multichannel electrotactile speech processor, to either audition alone (300-Hz low-pass-filtered speech) or lipreading plus audition resulted in significant improvements in phoneme and word discrimination scores. Information transmission analyses demonstrated the effectiveness of the tactile aid in providing cues to duration, F1 and F2 features for vowels, and manner of articulation features for consonants, especially features requiring detection and discrimination of high-frequency information. In study 2, six different cutoff frequencies were used for a low-pass-filtered auditory signal. Mean scores for vowel and consonant identification were significantly higher with the addition of tactile input to audition alone at each cutoff frequency up to 1500 Hz. The mean speechtracking rate was also significantly increased by the additional tactile input up to 1500 Hz. Study 3 examined speech discrimination of three hearing-impaired adults. Additional information available through the tactile aid was shown to improve speech discrimination scores; however, the degree of increase was inversely related to the level of residual hearing. Results indicate that the electrotactile aid may be useful for patients with little residual hearing and for the severely to profoundly hearing impaired, who could benefit from the high-frequency information presented through the tactile modality, but unavailable through hearing aids.

Perception of amplitude envelope variations of pulsatile electrotactile stimuli

Gross variations of the speech amplitude envelope, such as the duration of different segments and the gaps between them, carry information about prosody and some segmental features of vowels and consonants. The amplitude envelope is one parameter encoded by the Tickle Talker, an electrotactile speech processor for the hearing impaired which stimulates the digital nerve bundles with a pulsatile electric current. Psychophysical experiments measuring the duration discrimination and identification, gap detection, and integration times for pulsatile electrical stimulation are described and compared with similar auditory measures for normal and impaired hearing and electrical stimulation via a cochlear implant. The tactile duration limen of 15% for a 300-ms standard was similar to auditory measures. Tactile gap detection thresholds of 9 to 20 ms were larger than for normal-hearing but shorter than for some hearing-impaired listeners and cochlear implant users. The electrotactile integration time of about 250 ms was shorter than previously measured tactile values but longer than auditory integration times. The results indicate that the gross amplitude envelope variations should be conveyed well by the Tickle Talker. Short bursts of low amplitude are the features most likely to be poorly perceived.

Preliminary Evaluation of a Formant Enhancement Algorithm on the Perception of Speech in Noise for Normally Hearing Listeners

The effects on speech perception in noise of dynamic filtering with bandpass filters centred at the first formant (f1) and second formant (f2) frequencies were evaluated with four normally hearing listeners. Multitalker babble was added to the speech signal with signal-to-noise ratios of -5 to -15 dB, chosen to reduce intelligibility to about 50%. The combined signal was then filtered with two-pole programmable bandpass filters centred at f1 and f2 under the control of a real-time speech processor. The f1 and f2 frequencies were estimated from the speech signal before noise was added to avoid hardware processing errors. Closed set vowel and consonant tests (using 11 /h/vowel/d/ and 12 /a/consonant/a/ stimuli), the Consonant-Nucleus-Consonant Monosyllabic Word Test and the Bamford-Kowal-Bench Sentence Test were carried out for three filter bandwidths (3/4, 1/3 and 1/6 octave) and for unprocessed speech in noise. The processing produced a small significant improvement for vowels in all three processed speech conditions and for monosyllables at the broadest filter setting compared to the unprocessed speech condition. There was no significant effect on consonants. A small negative effect was observed for sentences at the narrowest filter setting.