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Original Article

The role of silent intervals for sentence intelligibility in fluctuating noise in hearing-impaired listeners

El papel de los intervalos de silencio para la inteligibilidad de frases en medio de ruido fluctuante en sujetos hipoacùsicos

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Pages 26-33 | Received 13 Jul 2004, Published online: 07 Jul 2009
 

Abstract

Fluctuating interfering noises are highly suitable for speech audiometry because of the large inter-individual variability in intelligibility results. This study explores the maximum duration of silent intervals in the masker as an important factor underlying sentence intelligibility in fluctuating noise. Three versions of speech-simulating fluctuating interfering noises based on the icra noises (Dreschler et al, Citation) were explored: The original noise which simulates one interfering speaker and contains pause durations up to two seconds, as well as two modified versions with pause durations limited to 250 ms and 62.5 ms, respectively. In addition, a stationary speech-shaped noise was used. Test-retest reliability as well as speech reception threshold (SRT) and speech intelligibility function slope were determined with hearing-impaired subjects. All fluctuating noises differentiated very well between subjects. Partial rank correlation analysis showed that SRTs in fluctuating noise with longest maximum pause durations mostly depended on SRTs in quiet. SRTs in fluctuating noises with smaller maximum pause durations correlated both with SRTs in quiet and in stationary noise.

Sumario

Los ruidos fluctuantes de interferencia son muy apropiados en logoaudiometría debido a la gran variabilidad inter-individuos en los resultados de inteligibilidad. Este estudio explora la duración máxima de intervalos de silencio en el enmascarador, como un importante factor subyacente en la inteligibilidad de frases en medio de ruido fluctuante. Se exploraron tres versiones de ruidos fluctuantes de interferencia simulando lenguaje, con base en los ruidos icra (Dreschler y col., 2001): el ruido original que simula la interferencia de un hablante y contiene pausas de hasta 2 segundos de duración, y también dos versiones modificadas con pausas de duración limitadas a 250 mseg y 62.5 mseg, respectivamente. Además, se utilizó un ruido estacionario moldeado como lenguaje. Se determinó la confiabilidad test-retest al igual que la pendiente de las funciones del SRT y la inteligibilidad del lenguaje, en sujetos hipoacúsicos. Todos los ruidos fluctuantes se diferenciaron muy bien entre los sujetos. Un análisis de correlación de rango parcial mostró que los SRT en ruido fluctuante con las duraciones más prolongadas de pausa máxima, dependían del SRT en silencio. Los SRT en ruido fluctuante con duraciones menores de pausa máxima, correlacionaron tanto con los SRT en silencio como con el ruido estacionario.

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