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Recent advancement in digital hearing aids has the flexibility to restore the lost compressive nonlinearity of cochlea by compression circuits. The current study is aimed at studying the loudness growth functions in normal hearing...
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Recent advancement in digital hearing aids has the flexibility to restore the lost compressive nonlinearity of cochlea by compression circuits. The current study is aimed at studying the loudness growth functions in normal hearing and hearing impaired adults those who use compressionhearing aids. Categorical loudness scaling was assessed in both the normal hearing and hearing impaired adults with hearing aid. There frequencies were tested viz. 500 Hz, 1000 Hz and 2000 Hz. The hearing aid programme was held constant (NAL-NL1) across participants. The results revealed asignificant main effect of group on loudness growth function; where the loudness growth grew steeper for low to moderately intense sounds in hearing impaired than for normal hearers. This implies, the differences in loudness growth function persist in hearing impaired even after fitting withan appropriate compression hearing aids.
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Objective: In categorical loudness scaling (CLS), subjects rate the perceived loudness on a categorical scale with alternatives. ISO 16832 describes an internationally standardized CLS procedure for the acoustical domain. This stu...
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Objective: In categorical loudness scaling (CLS), subjects rate the perceived loudness on a categorical scale with alternatives. ISO 16832 describes an internationally standardized CLS procedure for the acoustical domain. This study focuses on the reproducibility of CLS following the recommendations of ISO 16832 using electrical stimuli presented to cochlear implant (CI) users. Design: Repeated CLS measurements were done using single-electrode stimuli at four electrode positions. Loudness growth functions (LGFs) described loudness as a function of level (mu A). LGF shapes were characterized with an exponential b parameter. The reproducibility of the b parameter and inter-session intra-subject differences in percentage dynamic range (DR) between 'Very Soft' and 'Loud - Very Loud' levels were analysed. Study sample: Ten CI users. Results: Inter-session differences did not significantly differ between loudness categories or electrode positions. Across loudness categories the standard deviation of inter-session differences equalled 7.2% DR. The reproducibility of LGF shapes was moderate (r = 0.63). The LGFs of 43% of the measured electrodes significantly deviated from linear (nonzero b parameter). Conclusions: The reproducibility was comparable to the reproducibility for acoustical stimulation in normal-hearing and hearing-impaired listeners. CLS data for electrical stimuli are preferably fitted with a model that is flexible in describing LGF shapes.
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Objective: This study investigates the effect of spectral loudness summation (SLS) in the electrical domain as perceived by cochlear implant (CI) users. Analogous to SLS in the acoustical domain, SLS was defined as the effect of e...
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Objective: This study investigates the effect of spectral loudness summation (SLS) in the electrical domain as perceived by cochlear implant (CI) users. Analogous to SLS in the acoustical domain, SLS was defined as the effect of electrode separation at a fixed overall stimulation rate. Design: Categorical loudness scaling (CLS) was conducted at three overall stimulation rates using single-electrode stimuli and multi-electrode stimuli presented interleaved on two or four electrodes. The specific loudness of the pulses in the multi-electrode stimuli were equalized based on single-electrode measurements at the same overall stimulation rate. At a fixed overall stimulation rate and a fixed loudness perception, SLS was calculated as the difference in mean current between single-electrode and multi-electrode stimuli. Study sample: Ten postlingually deafened adult CI users. Results: The amount of SLS varied between subjects and between the number and location of the stimulated electrodes in the multi-electrode configuration. SLS was significantly higher than 0 for a subset of the subjects. Conclusions: For a subpopulation of CI users, loudness models should account for nonlinear interactions between electrodes (in the perceptual domain). Similarly, SLS should be accounted for when using CLS outcomes for fitting purposes, at least in a subpopulation of CI users.
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Objectives: To compare the loudness functions (loudness ratings as a function of sound level) obtained from patients diagnosed as having functional hearing loss (FHL) with those for patients with sensorineural hearing loss (SNHL) ...
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Objectives: To compare the loudness functions (loudness ratings as a function of sound level) obtained from patients diagnosed as having functional hearing loss (FHL) with those for patients with sensorineural hearing loss (SNHL) and healthy volunteers. Design: Loudness functions for a 1000 Hz tone for patients with FHL and SNHL were assessed based on the categorical loudness scaling method. The data were compared with control data obtained in our facilities. Study sample: 18 patients (33 ears) with FHL and 10 patients (19 ears) with SNHL. Results: For patients with SNHL and healthy volunteers, loudness increased progressively with increasing sound level above the audiometric threshold, with no exceptions. However, for about 70% of the patients with FHL, a different type of loudness function was obtained; the thresholds determined from the loudness function, which were defined as the minimum sound levels at which loudness could be judged, were 10dB or more lower than the audiometric threshold (>10dB), and/or the loudness ratings were elevated for a sound at the audiometric threshold. Conclusions: The results support the hypothesis that patients with FHL often make threshold judgments based on a certain loudness.
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Introduction: The common mechanism of tinnitus, hyperacusis, and loudness perception is hypothesized to be related to central gain. Although central gain increases with attempts to compensate hearing loss, reduced input can also b...
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Introduction: The common mechanism of tinnitus, hyperacusis, and loudness perception is hypothesized to be related to central gain. Although central gain increases with attempts to compensate hearing loss, reduced input can also be observed in those with clinically normal hearing. This study aimed to evaluate the loudness growth function of tinnitus patients with and without hyperacusis using behavioural and electrophysiological methods. Methods: The study consists of three groups with a total of 60 clinically normal hearing subjects, including the control group (10 men and 10 women; mean age 39.8, SD 11.8 years), tinnitus group (10 men and 10 women; mean age 40.9, SD 12.2 years), and hyperacusis group (also have tinnitus) (7 men and 13 women; mean age 38.7, SD 14.6 years). Loudness discomfort levels (LDLs), categorical loudness scaling (CLS), and cortical auditory evoked potentials were used for the evaluation of loudness growth. N1-P2 component amplitudes and latencies were measured. Results: LDL results of 500, 1,000, 2,000, 4,000, and 8,000 Hz showed a significant difference between the hyperacusis group and the other two groups (p < 0.001). In the loudness scale test performed with 500 Hz and 2,000 Hz narrow-band noise (NBN) stimulus, a significant difference was observed between the hyperacusis group and the other two groups in the “medium,” “loud,” and “very loud” categories (p < 0.001). In the cortical examination performed with 500 Hz and 2,000 Hz NBN stimulus at 40, 60, and 80 dB nHL intensities, no significant difference was observed between the groups in the N1, P2 latency, and N1-P2 peak-to-peak amplitude. Conclusion: Although the hyperacusis group is significantly different between groups in behavioural tests, the same cannot be said for electrophysiological tests. In our attempt to differentiate tinnitus and hyperacusis with electrophysiological tests over the loudness growth function, N1 and P2 responses were not seen as suitable methods. However, it appears to be beneficial to use CLS in addition to LDLs in behavioural tests.
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The main goal of this research study is focused on creating a method for loudness scaling based on categorical perception. Its main features, such as: way of testing, calibration procedure for securing reliable results, employing ...
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The main goal of this research study is focused on creating a method for loudness scaling based on categorical perception. Its main features, such as: way of testing, calibration procedure for securing reliable results, employing natural test stimuli, etc., are described in the paper and assessed against a procedure that uses 1/2-octave bands of noise (LGOB) for the loudness growth estimation. The Mann-Whitney U-test is employed to check whether the proposed method is statistically equivalent to LGOB. It is shown that loudness functions obtained in both methods are similar in the statistical context. Moreover, the band-filtered musical instrument signals are experienced as more pleasant than the narrow-band noise stimuli and the proposed test is performed in a shorter time. The method proposed may be incorporated into fitting hearing strategies or used for checking individual loudness growth functions and adapting them to the comfort level settings while listening to music.
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Sensorineural hearing loss typically results in a steepened loudness function and a reduced dynamic range from elevated thresholds to uncomfortably loud levels for narrowband and broadband signals. Restoring narrowband loudness pe...
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Sensorineural hearing loss typically results in a steepened loudness function and a reduced dynamic range from elevated thresholds to uncomfortably loud levels for narrowband and broadband signals. Restoring narrowband loudness perception for hearing-impaired (HI) listeners can lead to overly loud perception of broadband signals and it is unclear how binaural presentation affects loudness perception in this case. Here, loudness perception quantified by categorical loudness scaling for nine normal-hearing (NH) and ten HI listeners was compared for signals with different bandwidth and different spectral shape in monaural and in binaural conditions. For the HI listeners, frequency- and level-dependent amplification was used to match the narrowband monaural loudness functions of the NH listeners. The average loudness functions for NH and HI listeners showed good agreement for monaural broadband signals. However, HI listeners showed substantially greater loudness for binaural broadband signals than NH listeners: on average a 14.1 dB lower level was required to reach "very loud" (range 30.8 to -3.7 dB). Overall, with narrowband loudness compensation, a given binaural loudness for broadband signals above "medium loud" was reached at systematically lower levels for HI than for NH listeners. Such increased binaural loudness summation was not found for loudness categories below "medium loud" or for narrowband signals. Large individual variations in the increased loudness summation were observed and could not be explained by the audiogram or the narrowband loudness functions. (C) 2016 Elsevier B.V. All rights reserved.
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Objectives: Normalizing perceived loudness is an important rationale for gain adjustments in hearing aids. It has been demonstrated that gains required for restoring normal loudness perception for monaural narrowband signals can l...
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Objectives: Normalizing perceived loudness is an important rationale for gain adjustments in hearing aids. It has been demonstrated that gains required for restoring normal loudness perception for monaural narrowband signals can lead to higher-than-normal loudness in listeners with hearing loss, particularly for binaural broadband presentation. The present study presents a binaural bandwidth-adaptive dynamic compressor (BBDC) that can apply different gains for narrow- and broadband signals. It was hypothesized that normal perceived loudness for a broad variety of signals could be restored for listeners with mild to moderate high-frequency hearing loss by applying individual signal-dependent gain corrections.
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This study investigated the potential and limitations of a self-fit hearing aid. This can be used in the "developing" world or in countries with large distances between the hearing-impaired subjects and the professional. It contai...
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This study investigated the potential and limitations of a self-fit hearing aid. This can be used in the "developing" world or in countries with large distances between the hearing-impaired subjects and the professional. It contains an on-board tone generator for in situ user-controlled, automated audiometry, and other tests for hearing aid fitting. Twenty subjects with mild hearing losses were involved. In situ audiometry showed a test-retest reliability (SD < 3.7 dB) that compared well with the precision of diagnostic audiometry using headphones. There was good correspondence (SD < 5.2 dB) with traditional pure-tone audiometry. In situ loudness scaling yielded important information about suprathreshold perception, which will have an added value for the selection of compression and the selection of maximum power output to be allowed in hearing aids. (C) 2017 S. Karger AG, Basel
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Categorical loudness scaling (CLS) measures provide useful information about an individual’s loudness perception across the dynamic range of hearing. A probability model of CLS categories has previously been described as a multi-...
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Categorical loudness scaling (CLS) measures provide useful information about an individual’s loudness perception across the dynamic range of hearing. A probability model of CLS categories has previously been described as a multi-category psychometric function (MCPF). In the study, a representative “catalog” of potential listener MCPFs was used in conjunction with maximum-likelihood estimation to derive CLS functions for participants with normal hearing and with hearing loss. The approach of estimating MCPFs for each listener has the potential to improve the accuracy of the CLS measurements, particularly when a relatively low number of data points are available. The present study extends the MCPF approach by using Bayesian inference to select stimulus parameters that are predicted to yield maximum expected information (MEI) during data collection. The accuracy and reliability of the MCPF-MEI approach were compared to the standardized CLS measurement procedure (ISO16832:2006). A non-adaptive, fixed-level, paradigm served as a “gold-standard” for this comparison. The test time required to obtain measurements in the standard procedure is a major barrier to its clinical uptake. Test time was reduced from approximately 15 minutes to approximately 3 minutes with the MEI-adaptive procedure. Results indicated that the test-retest reliability and accuracy of the MCPF-MEI adaptive procedures were similar to the standardized CLS procedure. Computer simulations suggest that the reliability and accuracy of the MEI procedure were limited by intrinsic uncertainty of the listeners represented in the MCPF catalog. In other words, the MCPF provided insufficient predictive power to significantly improve adaptive-tracking efficiency under practical conditions. Concurrent optimization of both the MCPF catalog and the MEI-adaptive procedure have the potential to produce better results. Regardless of the adaptive-tracking method used in the CLS procedure, the MCPF catalog remains clinically useful for enabling maximum-likelihood determination of loudness categories.
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