A Clinically Viable Medial Olivocochlear Reflex Assay Using Transient-Evoked Otoacoustic Emissions.

Objectives: The contralateral medial olivocochlear reflex (MOCR) strength may indicate various auditory conditions in humans, but a clinically viable assay and equipment are needed for quick, accurate, and reliable measurements. The first experiment compared an earlier version of the assay, which used a nonlinear-mode chirp stimulus, with a new assay using a linear-mode click stimulus, designed to give reliable MOCR measurements in most normal-hearing ears. The second experiment extended the improved assay on a purpose-built binaural hardware platform that used forward-pressure level (FPL) calibration for both the stimulus and the contralateral MOCR elicitor.

Haptic Communication of Language.

In this review, the development of communication systems and devices that convey language tactually is examined, first from an historical perspective focusing on the communities who use the tactile modality to substitute for impairments in vision and/or hearing. Then, the more recent developments in wearable tactile communication systems for conveying text and speech to those without sensory impairments are reviewed. The performance of tactile display technology developed for these user communities is discussed in the context of the proficiency achieved by skilled users of natural methods of tactile communication.

Snake Effect: A Novel Haptic Illusion.

We present a novel, movement-based haptic illusion called the "snake effect." Unlike apparent motion or sensory saltation, the snake effect feels wavy and creepy as though the belly of a slithering snake is making and breaking contact with the skin. This illusion is achieved by modulating the amplitudes of vibrotactile pulses sent successively to an array of tactors.

Improving Tactile Codes for Increased Speech Communication Rates in a Phonemic-Based Tactile Display.

Previous research has shown evidence of tactile speech acquisition of up to 500 English words presented as tactile phonemic patterns using a 4-by-6 tactor array worn on the forearm. This article describes modifications to some of the tactile codes encoding the 39 English phonemes, and ten additional codes as abbreviated patterns for the ten most frequent phoneme pairs in spoken English. The re-design aimed to reduce the duration of phonemes and phoneme pairs that occur most frequently, with the goal to increase tactile speech transmission rates.

Acquisition of 500 English Words through a TActile Phonemic Sleeve (TAPS).

Recently, a phonemic-based tactile speech communication system was developed with the goal to transmit speech through the skin for people with hearing impairments and those whose auditory and visual channels are overloaded or compromised. The display, called the TActile Phonemic Sleeve (TAPS), consisted of a 4-by-6 tactor array worn on the dorsal and volar surfaces of the forearm. Earlier work showed that people were able to learn the haptic symbols for 39 English phonemes and reach a mean phoneme recognition rate of 86% correct within one to four hours of training.

Incidental Categorization of Vibrotactile Stimuli.

Past research has demonstrated incidental learning of task-irrelevant visual and auditory stimuli. Motivated by the possibility of similar evidence in the tactile domain and potential applications in tactile speech communication systems, we investigated incidental categorization of vibrotactile stimuli through a visuomotor task of shape identification. Two experiments were conducted where participants were exposed to position-based or movement-based vibrotactile stimuli prior to performing a speeded response to one of two targets.

A Phonemic-Based Tactile Display for Speech Communication.

Despite a long history of research, the development of synthetic tactual aids to support the communication of speech has proven to be a difficult task. The current paper describes a new tactile speech device based on the presentation of phonemic-based tactile codes. The device consists of 24 tactors under independent control for stimulation at the forearm.

Pure-Tone Audiometry With Forward Pressure Level Calibration Leads to Clinically-Relevant Improvements in Test-Retest Reliability.

Objectives: Clinical pure-tone audiometry is conducted using stimuli delivered through supra-aural headphones or insert earphones. The stimuli are calibrated in an acoustic (average ear) coupler. Deviations in individual-ear acoustics from the coupler acoustics affect test validity, and variations in probe insertion and headphone placement affect both test validity and test-retest reliability.

Masking release for hearing-impaired listeners: The effect of increased audibility through reduction of amplitude variability.

The masking release (i.e., better speech recognition in fluctuating compared to continuous noise backgrounds) observed for normal-hearing (NH) listeners is generally reduced or absent in hearing-impaired (HI) listeners.

Effect of Energy Equalization on the Intelligibility of Speech in Fluctuating Background Interference for Listeners With Hearing Impairment.

The masking release (MR; i.e., better speech recognition in fluctuating compared with continuous noise backgrounds) that is evident for listeners with normal hearing (NH) is generally reduced or absent for listeners with sensorineural hearing impairment (HI).

Level variations in speech: Effect on masking release in hearing-impaired listeners.

Acoustic speech is marked by time-varying changes in the amplitude envelope that may pose difficulties for hearing-impaired listeners. Removal of these variations (e.g.

Auditory-Tactile integration: Effects of Phase of Sinusoidal Stimulation at 50 and 250 Hz.

The perceptual integration of 50- and 250-Hz, 500-ms vibrotactile and auditory tones was studied in detection experiments as a function of the relative phase (0°, 72°, 144°, 216°, and 288°) of the tone pulses. Vibrotactile stimuli were delivered through a single-channel vibrator to the left middle fingertip and auditory stimuli were presented diotically through headphones in a background of 50 dB SPL broadband noise. The observers were four adults with normal hearing.

Consonant identification in noise using Hilbert-transform temporal fine-structure speech and recovered-envelope speech for listeners with normal and impaired hearing.

Consonant-identification ability was examined in normal-hearing (NH) and hearing-impaired (HI) listeners in the presence of steady-state and 10-Hz square-wave interrupted speech-shaped noise. The Hilbert transform was used to process speech stimuli (16 consonants in a-C-a syllables) to present envelope cues, temporal fine-structure (TFS) cues, or envelope cues recovered from TFS speech. The performance of the HI listeners was inferior to that of the NH listeners both in terms of lower levels of performance in the baseline condition and in the need for higher signal-to-noise ratio to yield a given level of performance.

Otoacoustic-emission-based medial-olivocochlear reflex assays for humans.

Otoacoustic emission (OAE) tests of the medial-olivocochlear reflex (MOCR) in humans were assessed for viability as clinical assays. Two reflection-source OAEs [TEOAEs: transient-evoked otoacoustic emissions evoked by a 47 dB sound pressure level (SPL) chirp; and discrete-tone SFOAEs: stimulus-frequency otoacoustic emissions evoked by 40 dB SPL tones, and assessed with a 60 dB SPL suppressor] were compared in 27 normal-hearing adults. The MOCR elicitor was a 60 dB SPL contralateral broadband noise.

Masking Release for Igbo and English.

In this research, we explored the effect of noise interruption rate on speech intelligibility. Specifically, we used the Hearing In Noise Test (HINT) procedure with the original HINT stimuli (English) and Igbo stimuli to assess speech reception ability in interrupted noise. For a given noise level, the HINT test provides an estimate of the signal-to-noise ratio (SNR) required for 50%-correct speech intelligibility.

Consonant identification using temporal fine structure and recovered envelope cues.

The contribution of recovered envelopes (RENVs) to the utilization of temporal-fine structure (TFS) speech cues was examined in normal-hearing listeners. Consonant identification experiments used speech stimuli processed to present TFS or RENV cues. Experiment 1 examined the effects of exposure and presentation order using 16-band TFS speech and 40-band RENV speech recovered from 16-band TFS speech.

Auditory and tactile gap discrimination by observers with normal and impaired hearing.

Temporal processing ability for the senses of hearing and touch was examined through the measurement of gap-duration discrimination thresholds (GDDTs) employing the same low-frequency sinusoidal stimuli in both modalities. GDDTs were measured in three groups of observers (normal-hearing, hearing-impaired, and normal-hearing with simulated hearing loss) covering an age range of 21-69 yr. GDDTs for a baseline gap of 6 ms were measured for four different combinations of 100-ms leading and trailing markers (250-250, 250-400, 400-250, and 400-400 Hz).

Psychoacoustic and phoneme identification measures in cochlear-implant and normal-hearing listeners.

The purpose of this study is to identify precise and repeatable measures for assessing cochlear-implant (CI) hearing. The study presents psychoacoustic and phoneme identification measures in CI and normal-hearing (NH) listeners, with correlations between measures examined. Psychoacoustic measures included pitch discrimination tasks using pure tones, harmonic complexes, and tone pips; intensity perception tasks included intensity discrimination for tones and modulation detection; spectral-temporal masking tasks included gap detection, forward and backward masking, tone-on-tone masking, synthetic formant-on-formant masking, and tone in noise detection.

Auditory-filter characteristics for listeners with real and simulated hearing impairment.

Functional simulation of sensorineural hearing impairment is an important research tool that can elucidate the nature of hearing impairments and suggest or eliminate compensatory signal-processing schemes. The objective of the current study was to evaluate the capability of an audibility-based functional simulation of hearing loss to reproduce the auditory-filter characteristics of listeners with sensorineural hearing loss. The hearing-loss simulation used either threshold-elevating noise alone or a combination of threshold-elevating noise and multiband expansion to reproduce the audibility-based characteristics of the loss (including detection thresholds, dynamic range, and loudness recruitment).

Temporal masking functions for listeners with real and simulated hearing loss.

A functional simulation of hearing loss was evaluated in its ability to reproduce the temporal masking functions for eight listeners with mild to severe sensorineural hearing loss. Each audiometric loss was simulated in a group of age-matched normal-hearing listeners through a combination of spectrally-shaped masking noise and multi-band expansion. Temporal-masking functions were obtained in both groups of listeners using a forward-masking paradigm in which the level of a 110-ms masker required to just mask a 10-ms fixed-level probe (5-10 dB SL) was measured as a function of the time delay between the masker offset and probe onset.

Temporal modulation transfer functions for listeners with real and simulated hearing loss.

A functional simulation of hearing loss was evaluated in its ability to reproduce the temporal modulation transfer functions (TMTFs) for nine listeners with mild to profound sensorineural hearing loss. Each hearing loss was simulated in a group of three age-matched normal-hearing listeners through spectrally shaped masking noise or a combination of masking noise and multiband expansion. TMTFs were measured for both groups of listeners using a broadband noise carrier as a function of modulation rate in the range 2 to 1024 Hz.

Integration of auditory and vibrotactile stimuli: effects of frequency.

Perceptual integration of vibrotactile and auditory sinusoidal tone pulses was studied in detection experiments as a function of stimulation frequency. Vibrotactile stimuli were delivered through a single channel vibrator to the left middle fingertip. Auditory stimuli were presented diotically through headphones in a background of 50 dB sound pressure level broadband noise.

Perceptual interactions in the loudness of combined auditory and vibrotactile stimuli.

The loudness of auditory (A), tactile (T), and auditory-tactile (A+T) stimuli was measured at supra-threshold levels. Auditory stimuli were pure tones presented binaurally through headphones; tactile stimuli were sinusoids delivered through a single-channel vibrator to the left middle fingertip. All stimuli were presented together with a broadband auditory noise.

Speech reception by listeners with real and simulated hearing impairment: effects of continuous and interrupted noise.

The effects of audibility and age on masking for sentences in continuous and interrupted noise were examined in listeners with real and simulated hearing loss. The absolute thresholds of each of ten listeners with sensorineural hearing loss were simulated in normal-hearing listeners through a combination of spectrally-shaped threshold noise and multi-band expansion for octave bands with center frequencies from 0.25-8 kHz.

Measures of tactual detection and temporal order resolution in congenitally deaf and normal-hearing adults.

To guide the development of tactile speech aids, tactual detection and temporal order discrimination by congenitally deaf and normal-hearing adults have been examined. Tactual detection thresholds for sinusoidal vibrations between 2 and 300 Hz were measured at the left thumb and index finger using an adaptive paradigm. Temporal onset- and offset-order discrimination were tested using stimuli of 50 Hz at the thumb and 250 Hz at the index finger, delivered asynchronously and varied independently in amplitude and duration.