{"title":"Can maximum comfortable loudness levels in hearing impaired listeners be predicted from ipsilateral acoustic reflex thresholds recorded with high frequency probes?","authors":"V. Rawool","doi":"10.1080/010503901300112202","DOIUrl":"https://doi.org/10.1080/010503901300112202","url":null,"abstract":"This study was designed to test the effectiveness of the ipsilateral acoustic reflex thresholds measured with low and high frequency probes in predicting the maximum comfortable loudness levels (MaxCLs) in hearing-impaired subjects using recently available sophisticated procedures for acoustic reflex and loudness measures. Loudness growth functions were measured in hearing-impaired subjects at .5, 1 and 2 kHz using a computerized procedure. The maximum level among those sound pressure levels judged as 'comfortable' was designated as the MaxCL. Acoustic reflex thresholds were measured for .5, 1 and 2 kHz activator signals using 226, 678 and 1000 Hz probes. Regression analyses suggested that acoustic reflex thresholds recorded with the 678 and 1000 Hz probes could provide an objective estimate of the MaxCLs for 1 and 2 kHz. Thus, acoustic reflex thresholds may be useful in fitting hearing aids for those subjects in whom reliable measures of MaxCLs cannot be obtained.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"105 - 96"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300112202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thresholds determined using the monotic and dichotic multiple auditory steady-state response technique in normal-hearing subjects","authors":"A. Herdman, D. Stapells","doi":"10.1080/010503901750069563","DOIUrl":"https://doi.org/10.1080/010503901750069563","url":null,"abstract":"Auditory steady-state responses (ASSRs) were elicited by presenting single or multiple, 77-105 Hz amplitude-modulated 0.5, 1, 2, and 4 kHz tones to one or both ears. Objectives of this study were to (i) replicate and extend previous multiple ASSR studies in a quiet double-walled sound booth, and (ii) discover differences (if any) between thresholds assessed in monotic and dichotic conditions, which ranged between 15 and 22 dB SPL. The present study's behavioural and ASSR thresholds are 0-10 dB lower (better) than results of previous monotic studies. Further, there are no significant differences in ASSR thresholds between dichotic and monotic stimulus conditions. Therefore, dichotic multiple AM tone stimulation does not produce a change in the ASSR that affects threshold estimation in a clinically significant manner. Thus, at least for detecting normal hearing, the dichotic multiple ASSR technique is a feasible method for estimating hearing thresholds that would substantially reduce recording time compared to conventional single-stimulus techniques.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"41 - 49"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901750069563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59015009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Progression of sensorineural hearing impairment in aided and unaided ears","authors":"T. Jauhiainen","doi":"10.1080/010503901300006985","DOIUrl":"https://doi.org/10.1080/010503901300006985","url":null,"abstract":"The possibility of ''adult onset auditory deprivation'' has been proposed as a condition of extensive deterioration of speech discrimination in unaided ears. Pure tone thresholds and speech discrimination were studied in a follow-up examination on 500 patients using hearing aids unilaterally. The follow-up time ranged from 5 to 24 years. In average the same amount of deterioration was obtained in both ears. Deterioration in pure tone thresholds increased after the age of 80 years and speech discrimination after 65 years respectively. The results obtained gave no support to the concept of adult onset auditory deprivation in unaided ears.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"28 - 31"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300006985","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthias Wesselkamp, Sabine Margolf-Hackl, J. Kiessling
{"title":"Comparison of two digital hearing instrument fitting strategies","authors":"Matthias Wesselkamp, Sabine Margolf-Hackl, J. Kiessling","doi":"10.1080/010503901300007119","DOIUrl":"https://doi.org/10.1080/010503901300007119","url":null,"abstract":"Two different hearing instrument fitting strategies were compared in the laboratory and in a field test with regard to the benefit for hearing aid users and their satisfaction with the fitting. DSL [input/output (i/o)] fittings based on hearing threshold and uncomfortable levels for the subject were evaluated vs a prescriptive fitting method based on unaided loudness scaling. Twenty-one subjects were fitted diotically with both fitting strategies implemented in a digital hearing instrument (Siemens Prisma). The patients tested both fitting strategies sequentially in a 4 + 4-week field trial using a crossover study design. Speech recognition threshold measurements, sound quality ratings and paired comparisons of sound quality were performed for all conditions (unaided, DSL[i/o] fitting and loudness-based fitting). In addition, subjective benefit and preference were assessed with questionnaires. Speech audiometry did not reveal significant differences between the two fittings. DSL[i/o] fittings showed superior results in most sound quality tests and in the selfassessment of communication abilities while the loudness-based approach was slightly preferred in noisy environments. The results seemed to be influenced by the higher gain predicted by DSL[i/o]. This study provides no evidence that effort spent on loudness scaling leads to improved fitting results.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"73 - 75"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Computerized in-situ test for bone conduction hearing aids","authors":"K. Laitakari, T. Jämsä","doi":"10.1080/010503901300007137","DOIUrl":"https://doi.org/10.1080/010503901300007137","url":null,"abstract":"Conventionally, bone-conduction (BC) hearing aids are tested with skull simulator devices and the individual adjustments are reliant on psychoacoustic free-field audiometry. Here we present a novel PCbased system for in situ measurements of BC hearing aids. With the presented system, we are able to measure the hearing aid induced skull vibrations in relation to the individual BC hearing threshold at given frequencies. According to the preliminary measurements, the vibration levels are relatively low but the system is sensitive enough for relevant measurements.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"79 - 80"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educational needs of speech and language therapists in the field of audiology","authors":"K. Huttunen","doi":"10.1080/010503901300007173","DOIUrl":"https://doi.org/10.1080/010503901300007173","url":null,"abstract":"Speech and language therapists have rather diverse educational backgrounds globally. Their qualifications vary from a 1 to 2-year diploma or certificate programme in a non-university educational setting, to a 6-year university graduate education. Although speech and language therapy is generally considered an interdisciplinary profession, both in education and in clinical practice, in some countries the main emphasis may still be on special education, medicine (mainly medical audiology) or, because of a joint qualification, psychology. This article discusses the requirements for audiological education in proper assessment and (re)habilitation of hearing impairments. Future challenges of both the profession and the discipline of speech and language therapy are also highlighted.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"88 - 89"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Amplitude modulation following responses in awake and sleeping humans - a comparison for 40 Hz and 80 Hz modulation frequency","authors":"J. Pethe, H. Specht, R. Mühler, T. Hocke","doi":"10.1080/010503901300007371","DOIUrl":"https://doi.org/10.1080/010503901300007371","url":null,"abstract":"There have been several studies, which suggest that the amplitude of amplitude modulation following responses (AMFR) is correlated to the state of vigilance, similar to the 40 Hz event-related potentials. The aim of the present study was to compare the dependency of the AMFR-amplitude from the state of sleep for 40 Hz and 80 Hz modulation frequency. Eight normal hearing adults were investigated during natural and drug-induced sleep. The stimuli used were sinusoidally amplitude-modulated tones of 1 kHz carried frequency and 40 or 80 Hz modulation frequency at 60 dB nH stimulation level. For 40 Hz modulation frequency an increase of EEG-activity in the Delta-and Theta-band during periods of sleep correlates significantly with a decreased AMFR-amplitude whereas for 80 Hz no significant relation between stage of sleep and AMFR-amplitude could be found. The results suggest that in audiological use of 40 Hz-AMFR the state of vigilance should be monitored and stabilized at a high level.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"152 - 155"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Douniadakis, Kyriaki I. Kalli, I. Psarommatis, M. Tsakanikos, Nikolaos K. Apostolopoulos
{"title":"Incidence of hearing loss among children presented with speech-language delay","authors":"D. Douniadakis, Kyriaki I. Kalli, I. Psarommatis, M. Tsakanikos, Nikolaos K. Apostolopoulos","doi":"10.1080/010503901300007533","DOIUrl":"https://doi.org/10.1080/010503901300007533","url":null,"abstract":"Infants' first attempts to communicate with their environment begin shortly after birth. However, real words appear by age of 12-15 months. Any delay in expressing their needs verbally beyond this age is defined as speech delay and may be associated with a variety of pathological conditions. The aim of this study is to investigate the incidence of hearing impairment in those children presented with speech delay. Ninety-one speech-delayed children were audiologically assessed between March 1993 and March 1995. In 25 out of 91 children (27.4%) a moderate to severe hearing loss was detected, either sensorineural or conductive. The increased incidence of hearing impairment found in this group mandates a thorough hearing evaluation for any case of speech-language delay.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"204 - 205"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of tinnitus retraining therapy (TRT) for patients with tinnitus and subjective hearing loss versus tinnitus only","authors":"G. Bartnik, A. Fabijańska, M. Rogowski","doi":"10.1080/010503901300007542","DOIUrl":"https://doi.org/10.1080/010503901300007542","url":null,"abstract":"The patients with tinnitus and/or hyperacusis undergoing an 18-24 month period of TRT are divided into five categories of treatment. Different types of counselling and sound therapy are used in each category. Selection of patients into a specific category depends on such factors as: hyperacusis, subjective hearing loss and long-lasting effect of noise on tinnitus. The 108 cases were evaluated After 1 year of treatment. The results of therapy of 40 patients with tinnitus and subjective hearing loss (category II) were compared with the results of therapy of patients with tinnitus only (categories 0 and I). A special questionnaire, answered before and during the treatment, was used to assess the results. Our data indicate significant improvement in about 70% of patients with tinnitus only and in about 90% of patients with tinnitus and subjective hearing loss after one year of therapy.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"40 1","pages":"206 - 208"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of an Arabic battery for remediation of selective auditory attention disorder in children","authors":"S. Tawfik, N. Hazzaa, A. Shalaby, Merahan Thabet","doi":"10.1080/010503901300007560","DOIUrl":"https://doi.org/10.1080/010503901300007560","url":null,"abstract":"A battery of Arabic speech material was developed for remediation of selective auditory attention disorder (SAAD) in children and standardized on 40 normal children aged from 6 to 12 years. This battery included: the Word Intelligibility by Picture Identification (WIPI) test, newly developed sentences for speech discrimination in noise, bisyllabic words and monosyllabic words. The tests were recorded against a background noise of either multitalker babble or stories. Variables affecting the results of the new battery, namely age, type of speech material and type of background noise, were studied. A significant positive correlation was found between the age of the child and the test scores. The WIPI test was the easiest test, giving the highest scores. The monosyllabic words test was the most difficult, yet normal children gave mean scores around 92%. The type of background noise showed a non-significant effect on the test scores. Results of two cases with SAAD are also presented.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"211 - 216"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}