Abstract:
BACKGROUND: Both the Roger remote microphone and on-ear, adaptive beamforming technologies (e.g., Phonak UltraZoom) have been shown to improve speech understanding in noise for cochlear implant (CI) listeners when tested in audio-only (A-only) test environments. PURPOSE: Our aim was to determine if adult and pediatric CI recipients benefited from these technologies in a more common environment-one in which both audio and visual cues were available and when overall performance was high. STUDY SAMPLE: Ten adult CI listeners (Experiment 1) and seven pediatric CI listeners (Experiment 2) were tested. DESIGN: Adults were tested in quiet and in two levels of noise (level 1 and level 2) in A-only and audio-visual (AV) environments. There were four device conditions: (1) an ear canal-level, omnidirectional microphone (T-mic) in quiet, (2) the T-mic in noise, (3) an adaptive directional mic (UltraZoom) in noise, and (4) a wireless, remote mic (Roger Pen) in noise. Pediatric listeners were tested in quiet and in level 1 noise in A-only and AV environments. The test conditions were: (1) a behind-the-ear level omnidirectional mic (processor mic) in quiet, (2) the processor mic in noise, (3) the T-mic in noise, and (4) the Roger Pen in noise. DATA COLLECTION AND ANALYSES: In each test condition, sentence understanding was assessed (percent correct) and ease of listening ratings were obtained. The sentence understanding data were entered into repeated-measures analyses of variance. RESULTS: For both adult and pediatric listeners in the AV test conditions in level 1 noise, performance with the Roger Pen was significantly higher than with the T-mic. For both populations, performance in level 1 noise with the Roger Pen approached the level of baseline performance in quiet. Ease of listening in noise was rated higher in the Roger Pen conditions than in the T-mic or processor mic conditions in both A-only and AV test conditions. CONCLUSION: The Roger remote mic and on-ear directional mic technologies benefit both speech understanding and ease of listening in a realistic laboratory test environment and are likely do the same in real-world listening environments.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Dorman MF,Natale SC,Agrawal Sdoi
10.1055/s-0040-1718893subject
Has Abstractpub_date
2020-12-09 00:00:00eissn
1050-0545issn
2157-3107pub_type
杂志文章abstract::We examined the ability of 40 young children (aged five to eight) to understand speech (monosyllables, spondees, trochees, and trisyllables) when listening in a background of real-life classroom noise. All children had some difficulty understanding speech when the noise was at levels found in many classrooms (i.e., 65...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.7.5
更新日期:2004-07-01 00:00:00
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. Ho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract::Electrocochleography (ECochG) has evolved as an important tool in the diagnosis/assessment/monitoring of Ménière's disease/endolymphatic hydrops (MD/ELH). This manuscript provides an update on the use of ECochG for these purposes. The material presented includes descriptions of the components of the electrocochleogram...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.17.1.6
更新日期:2006-01-01 00:00:00
abstract::The cross-check principle was proposed by Jerger and Hayes over 20 years ago. Actually, the cross-check principle consists of a concept and a specific test protocol. The concept, that one test result confirms another test result, is still in use. Their specific protocol is essentially forgotten. The cross-check protoc...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:Cochlear implant (CI) recipients experience difficulty understanding speech in noise. Remote-microphone technology that improves the signal-to-noise ratio is recognized as an effective means to improve speech recognition in noise; however, there are no published studies evaluating the potential benefits of a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15005
更新日期:2015-06-01 00:00:00
abstract::The Hearing-in-Noise Test (HINT) is able to measure the benefit to speech intelligibility in noise conferred when the noise masker is displaced 90 degrees in eccentricity from a speech source located at zero degrees azimuth. Both psychoacoustic and neurophysiological data suggest that the perceptual benefit of the 90-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.14.9.7
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Many studies have reported the speech recognition benefits of a personal remote microphone system when used by adult listeners with hearing loss. The advance of wireless technology has allowed for many wireless audio transmission protocols. Some of these protocols interface with commercially available hearin...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.15008
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:To present a case study in order to alert clinicians to the possibility of occurrence of intermodulation distortion during otoacoustic emissions testing that arises from the cavity formed by the external auditory meatus and tympanic membrane rather than from the inner ear, compromising the reliability and valid...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.5.3
更新日期:2009-05-01 00:00:00
abstract::This study examined the influence of technology, demographic factors, and prefitting expectations, attitudes, and adjustment to hearing loss on hearing aid outcome. Clients obtaining new hearing aids completed questionnaires measuring personal adjustment to hearing loss, expectations of and attitudes toward hearing ai...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract::The central auditory test results for three normal-hearing children who were initially diagnosed as having a central auditory processing disorder and learning disability are presented. They were referred to the authors for second-opinion consultations. Central auditory processing retesting was performed by the authors...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:For children with developmental delays (DDs) of any kind (e.g., global DDs, autism spectrum disorder, and Down syndrome), it is essential to understand if a hearing loss may be contributing to these delays. However, toddlers with DDs may have difficulty understanding directions, may be uncomfortable with a n...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18070
更新日期:2020-05-01 00:00:00
abstract::In a clinical experiment, it was found that there is a high correlation between the compliance measured by tympanometry and the minimum size of the earmold vent, which just solves the client's occlusion problem related to his/her own voice when using a hearing aid. For ears with sensorineural hearing losses, complianc...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND/PURPOSE:The acceptable noise level (ANL) test is the only test that is known to predict success with hearing aids with a high degree of accuracy. A person's ANL is the maximal amount of background noise that he or she is "willing to put up with" while listening to running speech. It is defined as the speech ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.6.10
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Auditory fitness for duty (AFFD) testing is an important element in an assessment of workers' ability to perform job tasks safely and effectively. Functional hearing is particularly critical to job performance in law enforcement. Most often, assessment is based on pure-tone detection thresholds; however, its...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.22.6.2
更新日期:2011-06-01 00:00:00
abstract::Real-ear sound pressure levels (SPLs) were compared among three methods used for positioning a probe microphone in the ear canal. The probe insertion techniques included (1) an acoustic method that incorporates use of the quarter-wave anti-resonance property of the ear to determine acoustically the location of the pro...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Prescriptive methods have been at the core of modern hearing aid fittings for the past several decades. Every decade or so, there have been revisions to existing methods and/or the emergence of new methods that become widely used. In 2001 Byrne et al provided a comparison of insertion gain for generic prescr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.22.7.5
更新日期:2011-07-01 00:00:00
abstract::Although it has been reported that smoking has deleterious effects on the middle ears of smokers, including their eustachian tubes, investigators have failed to find differences in the tympanometric characteristics of smokers and nonsmokers. In the present study, however, we found that the Valsalva-induced tympanometr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract::The use of tone-burst stimuli for electrocochleography (ECochG) may offer certain advantages over conventional broad-band clicks. Namely, the summating potential (SP) component can be examined at different frequencies and may be easier to define and measure. To apply these findings clinically, it would first be necess...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::The aim of this research was to study the effects of several stimulus parameters on adaptation characteristics of the auditory brainstem response (ABR). Recordings were obtained from normal hearing adults to separate trains of 5 rarefaction and 5 condensation clicks with interclick intervals of 10 msec and intertrain ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::Measures of the sound pressure level (SPL) near the eardrum were determined at discrete frequencies between 500 and 4000 Hz on 50 ears using TDH-39P and ER-3A earphones with the attenuator of an audiometer fixed at 90 dB HL. Results revealed significant differences in the measured SPL between the two earphones at all ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:Patients with cochlear malformations were long considered poor candidates for cochlear implantation (CI), and surgical approaches different than the standard facial recess approach were used to access the inner ear. There is no previous long-term follow-up of a patient with significantly malformed inner ear ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15107
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Sloping hearing loss imposes limits on audibility for high-frequency sounds in many hearing aid users. Signal processing algorithms that shift high-frequency sounds to lower frequencies have been introduced in hearing aids to address this challenge by improving audibility of high-frequency sounds. PURPOSE:T...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.16157
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Wideband acoustic immittance (WAI) measures provide information about middle-ear function across the traditional audiometric frequency range from 0.25 to 8.0 kHz. Recent studies have found that WAI is effective in predicting the presence of conductive hearing loss (CHL). It is not known whether WAI can accur...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.5.5
更新日期:2014-05-01 00:00:00
abstract::Previous research has reported reduced otoacoustic emission amplitude as a function of age. In each study, however, interpretation of findings was confounded by age-related hearing loss. The present study was designed to re-evaluate the contribution of age and peripheral hearing loss on the prevalence and amplitude of...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:Acute symptoms of dizziness and/or imbalance commonly experienced in athletes postconcussion are speculated to arise from dysfunction at multiple levels (i.e., inner ear or central vestibular system) to appropriately integrate afferent sensory information. Disruption along any pathway of the balance system c...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15110
更新日期:2017-01-01 00:00:00
abstract::Skin disorders of the external ear are common. Although audiologists will not necessarily treat these conditions, it is important for them to be aware of these disorders and refer patients to a specialist in some instances. This report summarizes eight of the most commonly encountered skin conditions with an emphasis ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:10.3766/jaaa.19.3.6
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Motivational interviewing (MI) has been used in consultation settings to motivate hearing aid users to increase hearing aid usage. However, the effect of MI on those who use their hearing aids only rarely or not at all has not been explored. PURPOSE:The aims of this pilot study were to evaluate the effect o...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16184
更新日期:2018-09-01 00:00:00
abstract::As audiology strives for cost containment, standardization, accuracy of tests, and accountability, greater use of automated tests is likely. Highly skilled audiologists employ quality control factors that contribute to test accuracy, but they are not formally included in test protocols, resulting in a wide range of ac...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18.1.7
更新日期:2007-01-01 00:00:00
abstract::This is the second in a series of two papers on masking. The objective of these papers is to develop a masking protocol that provides valid measures of threshold and is, in general, faster than the plateau method. In the first paper, a masking method was presented that can replace the traditional plateau method in mos...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.1.5
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Prior to undergoing vestibular function testing, it is not uncommon for clinicians to request that patients abstain from caffeine 24 hr prior to the administration of the tests. However, there is little evidence that caffeine affects vestibular function. PURPOSE:To evaluate whether the results from two test...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.3.5
更新日期:2014-03-01 00:00:00