This research addresses basic questions related to processing of auditory signals and recognition of speech by individuals with sensorineural hearing loss. At high signal levels, predicted improvement in speech recognition in noise is often not achieved by hearing-impaired individuals, suggesting that abnormal growth of masking of speech may be a consequence of peripheral hearing loss. Accordingly, if speech is amplified to assure maximum audibility, abnormal growth of masking may negate the benefit provided by the amplification system. The proposed research consists of four related projects, each of which examines fundamental properties of masking of pure tones and speech in normal- hearing and hearing-impaired human subjects, with the goal of providing an understanding of how abnormal masking relates to diminished speech recognition.
In Aim 1, masking of pure tones and speech is measured as a function of signal and masker level to test hypotheses concerning growth of masking at moderate and high signal levels.
Aim 2 measures growth of masking and growth of loudness in individuals with cochlear hearing loss to test hypotheses concerning relationships among masking, loudness, and growth of response in impaired auditory systems.
In Aim 3, unmasking (suppression) is measured psychophysically to assess its sensitivity as an indicator of cochlear function in the absence of threshold elevation.
In Aim 4, suppression is measured in subjects with cochlear hearing loss to determine how the absence of suppression interferes with speech recognition in noise. Results of these projects will extend our general understanding of mechanisms that account for differences between normal and impaired hearing. The projects are related to each other by their emphasis on studies of auditory processing of pure tones and speech at moderate to high signal levels. A better understanding of these abilities is necessary if hearing-impaired individuals are to achieve maximum benefit from amplified speech in adverse listening conditions.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Research Project (R01)
Project #
5R01DC000184-16
Application #
2331263
Study Section
Special Emphasis Panel (ZRG1-CMS (01))
Project Start
1981-12-01
Project End
2001-01-31
Budget Start
1997-02-01
Budget End
1998-01-31
Support Year
16
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Medical University of South Carolina
Department
Otolaryngology
Type
Schools of Medicine
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
Bologna, William J; Vaden Jr, Kenneth I; Ahlstrom, Jayne B et al. (2018) Age effects on perceptual organization of speech: Contributions of glimpsing, phonemic restoration, and speech segregation. J Acoust Soc Am 144:267
McRackan, Theodore R; Fabie, Joshua E; Burton, Jane A et al. (2018) Earphone and Aided Word Recognition Differences in Cochlear Implant Candidates. Otol Neurotol 39:e543-e549
Dubno, Judy R (2018) Beyond the audiogram: application of models of auditory fitness for duty to assess communication in the real world. Int J Audiol 57:321-322
McRackan, Theodore R; Clinkscales, William B; Ahlstrom, Jayne B et al. (2018) Factors associated with benefit of active middle ear implants compared to conventional hearing aids. Laryngoscope 128:2133-2138
Settibhaktini, Harshavardhan; Chintanpalli, Ananthakrishna (2018) Modeling the level-dependent changes of concurrent vowel scores. J Acoust Soc Am 143:440
Eckert, Mark A; Matthews, Lois J; Dubno, Judy R (2017) Self-Assessed Hearing Handicap in Older Adults With Poorer-Than-Predicted Speech Recognition in Noise. J Speech Lang Hear Res 60:251-262
Fogerty, Daniel; Bologna, William J; Ahlstrom, Jayne B et al. (2017) Simultaneous and forward masking of vowels and stop consonants: Effects of age, hearing loss, and spectral shaping. J Acoust Soc Am 141:1133
McRackan, Theodore R; Ahlstrom, Jayne B; Clinkscales, William B et al. (2016) Clinical Implications of Word Recognition Differences in Earphone and Aided Conditions. Otol Neurotol 37:1475-1481
Fogerty, Daniel; Ahlstrom, Jayne B; Bologna, William J et al. (2016) Glimpsing Speech in the Presence of Nonsimultaneous Amplitude Modulations From a Competing Talker: Effect of Modulation Rate, Age, and Hearing Loss. J Speech Lang Hear Res 59:1198-1207
Vaden Jr, Kenneth I; Kuchinsky, Stefanie E; Ahlstrom, Jayne B et al. (2016) Cingulo-Opercular Function During Word Recognition in Noise for Older Adults with Hearing Loss. Exp Aging Res 42:67-82

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