Preliminary results of a novel enhancement method for high-frequency hearing loss

In this study, a software program was developed for high-frequency hearing loss subjects that includes a detailed audiogram and novel enhancement methods. The software performs enhancements of the audibility of high-frequency sounds according to the subject's detailed 31-point audiogram. This provides subject-specific gains in the entire frequency spectrum, and especially for high frequencies, of sounds. Amplification, compression, and transposition are the three main processing methods used to obtain the desired enhancements for the subjects. For low frequencies, only the amplification method was used according to the dB value of the input. For mid and high frequencies, the compression and transposition methods were used together. To obtain the preliminary results of the study, 10 subjects were enrolled in a detailed audiogram study for five weeks. In the study, environmental, music, and speech sounds were used. While the perceptual mean performances of the subjects were in the range of 25.33-63.77% in the first week, those values increased to 68.75-95.75% in the fifth week. In particular, all noisy and speech sounds were more significantly identified and understood by the subjects with the enhancement method (from 25.33% to 87.5% and from 42.33% to 90.5%, respectively). Three subjects had dropped out at the end of the study and small number of participants are the limitations of this study; however, as a preliminary result, some ideas can be inferred from the results for a smaller set of subjects obtained in the five weeks of the study. Thus, the reliability of the study needs to be tested with more subjects and a comparison with their own hearing aids should be conducted.

[1]  D Ling,et al.  Three experiments on frequency transposition. , 1968, American annals of the deaf.

[2]  Yuji Murahara,et al.  Critical-band based frequency compression for digital hearing aids , 2004 .

[3]  J. Mackenzie,et al.  A study of the application of a frequency transposition hearing system in children , 2001, British journal of audiology.

[4]  Andrea L Pittman,et al.  Aided Perception of /s/ and /z/ by Hearing-Impaired Children , 2002, Ear and hearing.

[5]  C M Reed,et al.  Discrimination of speech processed by low-pass filtering and pitch-invariant frequency lowering. , 1983, The Journal of the Acoustical Society of America.

[6]  D Byrne,et al.  Speech recognition of hearing-impaired listeners: predictions from audibility and the limited role of high-frequency amplification. , 1998, The Journal of the Acoustical Society of America.

[7]  M. Hardin-Jones,et al.  Oral communication skills of children who are hard of hearing. , 1994, Journal of speech and hearing research.

[8]  H J McDermott,et al.  Improvements in speech perception with use of the AVR TranSonic frequency-transposing hearing aid. , 1999, Journal of speech, language, and hearing research : JSLHR.

[9]  B. Moore,et al.  Using transposition to improve consonant discrimination and detection for listeners with severe high-frequency hearing loss , 2007, International Journal of Audiology.

[10]  Dawna E Lewis,et al.  Effect of Stimulus Bandwidth on Auditory Skills in Normal-Hearing and Hearing-Impaired Children , 2007, Ear and hearing.

[11]  M Velmans,et al.  The acceptability of spectrum-preserving and spectrum-destroying transposition to severely hearing-impaired listeners. , 1983, British journal of audiology.

[12]  B. Moore,et al.  Effects of low-pass filtering on the intelligibility of speech in quiet for people with and without dead regions at high frequencies. , 2001, The Journal of the Acoustical Society of America.

[13]  Mark B. Gardner,et al.  The Dependence of Hearing Impairment on Sound Intensity , 1937 .

[14]  T. M. Nearey Static, dynamic, and relational properties in vowel perception. , 1989, The Journal of the Acoustical Society of America.

[15]  B. Moore,et al.  Effects of low pass filtering on the intelligibility of speech in noise for people with and without dead regions at high frequencies. , 2001, The Journal of the Acoustical Society of America.

[16]  J Jerger,et al.  Comparison of performance with frequency transposition hearing aids and conventional hearing aids. , 1997, Journal of the American Academy of Audiology.

[17]  R R Hurtig,et al.  Proportional frequency compression of speech for listeners with sensorineural hearing loss. , 1999, The Journal of the Acoustical Society of America.

[18]  Hugh J. McDermott,et al.  Improvements in speech perception with an experimental nonlinear frequency compression hearing device , 2005, International journal of audiology.

[19]  Hugh J. McDermott,et al.  Preliminary results with the AVR ImpaCt frequency-transposing hearing aid. , 2001, Journal of the American Academy of Audiology.