Binaural loudness matches in unilaterally impaired listeners.

Binaural loudness matching data using a 21FC adaptive procedure were obtained in high-frequency, unilateral cochlear-impaired listeners. The matches were obtained at frequencies where both ears had similarly normal thresholds, and also at other frequencies where the impaired ear had various degrees of hearing loss. In these listeners, one presumed difference between the ears is the limited or altered spread of excitation in the impaired ear. In agreement with previous studies using other approaches (Hellman, 1974, 1978; Hellman & Meiselman, 1986; Moore, Glasberg, Hess & Birchall, 1985; Schneider & Parker, 1987), the results of the present study suggest that both the range and the slope of loudness growth function are not dependent on the spread of excitation, but instead are related primarily to the degree of threshold elevation at the test frequency. Following this suggestion, a spread-of-excitation-independent model, based upon a group of neurons with the same characteristic frequency (CF) but different thresholds, is proposed to account for loudness growth in both normal and recruitment cases. In particular, it is shown quantitatively that a compressed distribution of thresholds due to threshold elevation may be responsible for loudness recruitment in sensorineural hearing loss.