Auditory steady state responses recorded in multitalker babble

Abstract

Abstract

Objective: The primary purpose of this investigation was to determine the effect of multitalker babble on ASSRs in adult subjects with normal hearing (NH) and sensorineural hearing loss (HI). The secondary purpose was to investigate the relationships among ASSRs, word recognition in quiet, and word recognition in babble. Design: ASSRs were elicited by a complex mixed-modulation tonal stimulus (carrier frequencies of 500, 1500, 2500, and 4000 Hz; modulation rate of 40 or 90 Hz) presented in quiet and in babble. The level of each carrier frequency was adjusted to match the level of the multitalker babble spectrum, which was based on the long term speech spectrum average. Word recognition in noise (WIN) performance was measured and correlated to ASSR amplitude and ASSR detection rate. Study Sample: Nineteen normal-hearing adults and nineteen adults with sensorineural hearing loss were recruited. Results and Conclusions: The presence of babble significantly reduced the ASSR detection rate and ASSR amplitude for NH subjects, but had minimal effect on ASSRs for HI subjects. In addition, babble enhanced ASSR amplitude at high stimulus levels. ASSR detection rate and ASSR amplitude recorded in quiet and babble were significantly correlated with word recognition performance for NH and HI subjects.

Sumario

Objetivo: El objetivo fundamental de esta investigación fue determinar el efecto de balbuceo de hablantes múltiples en los ASSR de adultos jóvenes con audición normal (NH) y con pérdidas auditivas sensorineurales (HI). El objetivo secundario fue investigar las relaciones entre los ASSR, el reconocimiento de palabras en silencio y el reconocimiento de palabras con en medio de balbuceo. Diseño: Los ASSR fueron evocados por estímulo tonal de modulación mezclada compleja (frecuencias portadoras de 500, 1500, 2500 y 4000 Hz; tasa de modulación de 40 o 90 Hz) presentadas en silencio y con el balbuceo. Se ajustó el nivel de cada frecuencia portadora para emparejar el nivel del espectro del balbuceo de hablantes múltiples, el cual se basó en el promedio del espectro a largo plazo. Se midió el rendimiento para el reconocimiento de palabras en ruido (WIN) y se correlacionó con la amplitud de los ASSR y con la tasa de detección de los ASSR. Muestra Del Estudio: Se reclutaron diez y nueve adultos normoyentes y diez y nueve adultos con pérdida auditiva sensorineural. Resultados Y Conclusiones: La presencia del balbuceo reduce significativamente la tasa de detección de los ASSR y la amplitud de los ASSR en sujetos NH, pero tiene efectos mínimos en los ASSR de sujetos HI. Además, el balbuceo aumenta la amplitud de los ASSR con estímulos de niveles altos. La tasa de detección de los ASSR y la amplitud de los ASSR registrada en silencio y con balbuceo, fueron significativamente correlacionadas con el rendimiento para reconocer palabras en sujetos NH y HI.

Key Words::

• Auditory evoked potentials
• Normal hearing
• Hearing loss
• Speech perception
• Auditory steady-state responses

Acknowledgments

This material is based on work supported by a Research Career Development Award to the first author, and by the Auditory and Vestibular Dysfunction Research Enhancement Award Program, both funded by the Rehabilitation Research and Development (RR&D) Service, Office of Research and Development, Department of Veterans Affairs, Veterans Health Administration, Washington D.C., USA. Portions of this paper were presented at the International Hearing Aid Conference (IHCON), August 2008, Lake Tahoe, USA.

Disclaimer: The contents do not represent the views of the Department of Veterans Affairs or the United States Government.

Declaration of interest: The authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper.