Article

Differences and intersubject variability of loudness discomfort levels measured in sound pressure level and hearing level for TDH-50P and ER-3A earphones.

Department of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Journal of the American Academy of Audiology (Impact Factor: 1.63). 03/1997; 8(1):59-67.
Source: PubMed

ABSTRACT Loudness discomfort levels (LDLs) were measured in dB HL and SPL at discrete frequencies between 500 to 4000 Hz on 31 hearing-impaired ears using TDH-50P and ER-3A earphones. The results revealed no significant differences in the measured sound pressure level (SPL) between the two earphones at all test frequencies. However, with dB HL measurements, statistically significant differences were revealed at 1500 and 4000 Hz between earphone conditions. The results also revealed large intersubject differences in the measured LDL (HL and SPL) for both earphones. The results of this study highlight the difficulty in accurately predicting individual performance from averaged group data.

0 Bookmarks
 · 
168 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: The purpose of this study was to evaluate the reliability and validity of the real ear to coupler difference (RECD) and the real ear to dial difference (REDD) in predicting real ear SPL (RESPL). Design: The RESPL, RECD, and REDD were measured in the right ear of 24 normal-hearing subjects using probe microphone equipment and both insert and supra-aural earphones. The phones and probe tube were removed and replaced, and the RECD and REDD were remeasured. Results: RESPL was predicted using the RECD for insert earphone data and the REDD for supra-aural earphone data. Reliability estimates were calculated as the difference between test and retest values for the RECD and REDD. Validity estimates were calculated as the difference between measured and predicted RESPL. Results indicate that the RECD and REDD have equal and high reliability and validity in predicting RESPL. Conclusions: It is concluded that the RECD and REDD may be used as level-independent HL to SPL transforms as a substitute for in situ audiometric procedures.
    Ear and Hearing 09/1998; 19(5):407-413. · 3.26 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A better understanding of melodic pitch perception in cochlear implants (CIs) may guide signal processing and/or rehabilitation techniques to improve music perception and appreciation in CI patients. In this study, the mismatch negativity (MMN) in response to infrequent changes in 5-tone pitch contours was obtained in CI users and normal-hearing (NH) listeners. Melodic contour identification (MCI) was also measured. Results showed that MCI performance was poorer in CI than in NH subjects; the MMNs were missing in all CI subjects for the 1-semitone contours. The MMNs with the 5-semitone contours were observed in a smaller proportion of CI than NH subjects. Results suggest that encoding of pitch contour changes in CI users appears to be degraded, most likely due to the limited pitch cues provided by the CI and deafness-related compromise of brain substrates. © 2013 S. Karger AG, Basel.
    Audiology and Neurotology 08/2013; 18(5):275-288. · 2.32 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A better understanding of the neural correlates of large variability in cochlear implant (CI) patients' speech performance may allow us to find solutions to further improve CI benefits. The present study examined the mismatch negativity (MMN) and the adaptation of the late auditory evoked potential (LAEP) in 10 CI users. The speech syllable /da/ and 1-kHz tone burst were used to examine the LAEP adaptation. The amount of LAEP adaptation was calculated according to the averaged N1-P2 amplitude for the LAEPs evoked by the last 3 stimuli and the amplitude evoked by the first stimulus. For the MMN recordings, the standard stimulus (1-kHz tone) and the deviant stimulus (2-kHz tone) were presented in an oddball condition. Additionally, the deviants alone were presented in a control condition. The MMN was derived by subtracting the response to the deviants in the control condition from the oddball condition. Results showed that good CI performers displayed a more prominent LAEP adaptation than moderate-to-poor performers. Speech performance was significantly correlated to the amount of LAEP adaptation for the 1-kHz tone bursts. Good performers displayed large MMNs and moderate-to-poor performers had small or absent MMNs. The abnormal electrophysiological findings in moderate-to-poor performers suggest that long-term deafness may cause damage not only at the auditory cortical level, but also at the cognitive level.
    Hearing research 12/2010; 275(1-2):17-29. · 2.18 Impact Factor

Full-text (2 Sources)

Download
9 Downloads
Available from
May 30, 2014