Performance Monitoring and Cognitive Inhibition during a Speech-in-Noise Task in Older Listeners.

The goal of this study was to examine the effect of hearing loss on theta and alpha electroencephalography (EEG) frequency power measures of performance monitoring and cognitive inhibition, respectively, during a speech-in-noise task. It was hypothesized that hearing loss would be associated with an increase in the peak power of theta and alpha frequencies toward easier conditions compared to normal hearing adults. The shift would reflect how hearing loss modulates the recruitment of listening effort to easier listening conditions.

Wideband Acoustic Reflex Measurement.

Acoustic reflex thresholds (ART) obtained using pure-tone probe stimuli as part of a traditional immittance test battery can be used to evaluate site of lesion and provide a cross-check with behavioral results. ARTs obtained as part of a wideband acoustic immittance (WAI) test battery using a click as the probe stimulus can be used in the same way with the added benefit that they may provide lower ARTs than those obtained using a pure-tone probe. Another benefit of the WAI ART test is that it can be completed without requiring a hermetic seal or pressurizing the ear canal.

Automated Adaptive Wideband Acoustic Stapedius Reflex Thresholds in Adults With Normal Hearing and Sensorineural Hearing Loss.

Objectives: This study compared the measurement of the acoustic stapedius reflex threshold (ART) obtained using a traditional method with that obtained using an automated adaptive wideband (AAW) method. Participants included three groups of adults with normal hearing (NH), mild sensorineural hearing loss (SNHL), or moderate SNHL. The purpose of the study was to compare ARTs for the three groups and to determine which method had the best performance in detecting SNHL.

Impact of Effortful Word Recognition on Supportive Neural Systems Measured by Alpha and Theta Power.

Objectives: The goal of this study was to use theta and alpha electroencephalography (EEG) frequency power and self-report measures to examine performance monitoring, cognitive inhibition, and perceived effort required for speech understanding in noise. It was hypothesized that with a linear increase in word recognition task difficulty, there would be a linear increase in listening effort and word recognition performance would decrease in the challenging conditions. In addition, theta and alpha power would have an inverted U-shape across easy to challenging listening conditions.

Automated Adaptive Wideband Acoustic Reflex Threshold Estimation in Normal-hearing Adults.

Objectives: Acoustic stapedius reflex threshold (ART) tests are included in a standard clinical acoustic immittance test battery as an objective cross-check with behavioral results and to help identify site of lesion. In traditional clinical test batteries, middle-ear admittance of a 226 Hz probe is estimated using ear-canal measurements in the presence of a reflex-activating stimulus. In the wideband (WB) acoustic immittance ART test used in this study, the pure-tone probe is replaced by a WB probe stimulus and changes in absorbed power are estimated using ear-canal measurements in the presence of the activator.

Consensus statement: Eriksholm workshop on wideband absorbance measures of the middle ear.

The participants in the Eriksholm Workshop on Wideband Absorbance Measures of the Middle Ear developed statements for this consensus article on the final morning of the Workshop. The presentations of the first 2 days of the Workshop motivated the discussion on that day. The article is divided into three general areas: terminology; research needs; and clinical application.

Alternative ear-canal measures related to absorbance.

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound source. Examples are (1) sound intensity level, (2) forward pressure level, (3) time-domain ear-canal reflectance, and (4) cochlear reflectance. These four related measures are similar to absorbance in their utilization of wideband stimuli and their focus on recording ear-canal sound pressure.

Acoustic reflex measurement.

Middle ear muscle reflex (MEMR) measurements have been a part of the standard clinical immittance test battery for decades as a cross-check with the behavioral audiogram and as a way to separate cochlear from retrocochlear pathologies. MEMR responses are measured in the ear canal by using a probe stimulus (e.g.

Wideband acoustic immittance normative data: ethnicity, gender, aging, and instrumentation.

This article describes the effect of ethnicity, gender, aging, and instrumentation on wideband acoustic immittance (WAI). This is an important topic to investigate as the goal of any audiological test is optimize the test's sensitivity and specificity. One way to improve the test's sensitivity and specificity is to reduce the variability of the normative data.

Relationships among standard and wideband measures of middle ear function and distortion product otoacoustic emissions.

Background: The overall goal of the current study was to examine the relationships among uncompensated admittance (Ya) at ambient pressure extracted from tympanograms, energy reflectance (ER) measures at ambient pressure from wideband acoustic transfer functions (WATF), and distortion product otoacoustic emissions (DPOAEs). If WATF measures of Ya are comparable to tympanometric measures of Ya at ambient pressure, it would be further evidence that the two systems provide comparable information at ambient pressure. Such a relationship could be used as a cross-check or validation for WATF measures and support the use of WATFs in lieu of tympanograms in some applications.

Specification of absorbed-sound power in the ear canal: application to suppression of stimulus frequency otoacoustic emissions.

An insert ear-canal probe including sound source and microphone can deliver a calibrated sound power level to the ear. The aural power absorbed is proportional to the product of mean-squared forward pressure, ear-canal area, and absorbance, in which the sound field is represented using forward (reverse) waves traveling toward (away from) the eardrum. Forward pressure is composed of incident pressure and its multiple internal reflections between eardrum and probe.

Effects of external noise on detection of intensity increments.

The detection of an intensity increment in a longer duration sinusoid or pedestal is often used as a measure of intensity resolution, but the decision processes underlying this measure are poorly understood. Thresholds were obtained for detection of an increment in a 370-ms, 4-kHz pedestal in quiet or in noise to determine the relative contributions of background noise level and pedestal level, the effect of increment duration, and the effect of different noise spectra. Increment detection thresholds expressed in units of DeltaL[10 log(1+DeltaI/I)] decreased as pedestal levels increased.

Use of stimulus-frequency otoacoustic emissions to investigate efferent and cochlear contributions to temporal overshoot.

Behavioral threshold for a tone burst presented in a long-duration noise masker decreases as the onset of the tone burst is delayed relative to masker onset. The threshold difference between detection of early- and late-onset tone bursts is called overshoot. Although the underlying mechanisms are unclear, one hypothesis is that overshoot occurs due to efferent suppression of cochlear nonlinearity [von Klitzing, R.

Use of psychometric-function slopes for forward-masked tones to investigate cochlear nonlinearity.

Schairer et al. [(2003). "Effects of peripheral nonlinearity on psychometric functions for forward-masked tones," J.

Wideband ipsilateral measurements of middle-ear muscle reflex thresholds in children and adults.

The goals of the current study were to: 1) evaluate the feasibility of a new wideband approach to measuring middle-ear muscle reflex (MEMR) status, and 2) to test the hypothesis that ipsilateral thresholds elicited with 1 or 2 kHz tones and broadband noise activators on a wideband acoustic transfer function (WATF) system are lower than thresholds elicited on a clinical system. Clinical MEMR tests have limitations, including the need for high activator levels to elicit a shift in a narrowband probe (e.g.

Use of stimulus-frequency otoacoustic emission latency and level to investigate cochlear mechanics in human ears.

Stimulus frequency otoacoustic emission (SFOAE) sound pressure level (SPL) and latency were measured at probe frequencies from 500 to 4000 Hz and probe levels from 40 to 70 dB SPL in 16 normal-hearing adult ears. The main goal was to use SFOAE latency estimates to better understand possible source mechanisms such as linear coherent reflection, nonlinear distortion, and reverse transmission via the cochlear fluid, and how those sources might change as a function of stimulus level. Another goal was to use SFOAE latencies to noninvasively estimate cochlear tuning.

Effect of variability in level on forward masking and on increment detection.

In the first of four experiments, all with the same four subjects, varying the level of a forward masker from interval to interval in a two-interval forced-choice (2IFC) adaptive procedure had little effect on threshold. In the second experiment, the signal level was fixed and performance was measured in units of d'. Varying the level of the forward masker again had little effect.

Simultaneous recording of stimulus-frequency and distortion-product otoacoustic emission input-output functions in human ears.

Stimulus frequency otoacoustic emission (SFOAE) input-output (I/O) functions were elicited in normal-hearing adults using unequal-frequency primaries in equal-level and fixed-suppressor level (Ls) conditions. Responses were repeatable and similar across a range of primary frequency ratios in the fixed-Ls condition. In comparison to equal-frequency primary conditions [Schairer, Fitzpatrick, and Keefe, J.

A measure of internal noise based on sample discrimination.

Internal noise is often inferred from the difference between observed performance and optimum performance in detection and discrimination tasks. It can be measured directly in some cases by observing the extent to which a change in external variability impacts performance. In the studies reported here, external variability was added to an intensity discrimination task by adding a Gaussian random variable with zero mean to the overall level presented in each interval of a two-interval forced-choice task.

Input-output functions for stimulus-frequency otoacoustic emissions in normal-hearing adult ears.

Input-output (I/O) functions for stimulus-frequency (SFOAE) and distortion-product (DPOAE) otoacoustic emissions were recorded in 30 normal-hearing adult ears using a nonlinear residual method. SFOAEs were recorded at half octaves from 500-8000 Hz in an L1=L2 paradigm with L2=0 to 85 dB SPL, and in a paradigm with L1 fixed and L2 varied. DPOAEs were elicited with primary levels of Kummer et al.

Effects of peripheral nonlinearity on psychometric functions for forward-masked tones.

Psychometric functions (PFs) for forward-masked tones were obtained for conditions in which signal level was varied to estimate threshold at several masker levels (variable-signal condition), and in which masker level was varied to estimate threshold at several signal levels (variable-masker condition). The changes in PF slope across combinations of masker frequency, masker level, and signal delay were explored in three experiments. In experiment 1, a 2-kHz, 10-ms tone was masked by a 50, 70 or 90 dB SPL, 20-ms on-frequency forward masker, with signal delays of 2, 20, or 40 ms, in a variable-signal condition.