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评估一种用于确定正常和低频听力受损老年听力者对时间精细结构(TFS-AF 测试)的双耳敏感性的方法。

Evaluation of a Method for Determining Binaural Sensitivity to Temporal Fine Structure (TFS-AF Test) for Older Listeners With Normal and Impaired Low-Frequency Hearing.

机构信息

1 Medical Research Council Institute of Hearing Research, School of Medicine, The 6123 University of Nottingham , UK.

2 Department of Psychology, University of Cambridge, UK.

出版信息

Trends Hear. 2017 Jan-Dec;21:2331216517737230. doi: 10.1177/2331216517737230.

Abstract

The ability to process binaural temporal fine structure (TFS) information was assessed using the TFS-AF test (where AF stands for adaptive frequency) for 26 listeners aged 60 years or more with normal or elevated low-frequency audiometric thresholds. The test estimates the highest frequency at which a fixed interaural phase difference (IPD) of ϕ (varied here between 30° and 180°) can be discriminated from an IPD of 0°, with higher thresholds indicating better performance. A sensation level of 30 dB was used. All listeners were able to perform the task reliably, giving thresholds well above the lowest allowed frequency of 30 Hz. The duration of a run averaged 5 min. Repeated testing of the normal-hearing listeners showed no significant practice effects. Thresholds varied markedly across listeners, but their ranking was fairly consistent across values of ϕ. Thresholds decreased (worsened) with decreasing ϕ and were lower than for a group of young listeners tested in an earlier study. There were weak to moderate, negative correlations between TFS-AF thresholds and audiometric thresholds at low frequencies (125-1000 Hz) but not at high frequencies (4000-8000 Hz). In conclusion, the TFS-AF test yielded a graded measure of binaural TFS sensitivity for all listeners. This contrasts with the TFS-LF (low-frequency) test, which measures the smallest detectable shift in IPD for a fixed frequency. The absence of practice effects and a reasonably short administration time make the TFS-AF test a good candidate for the assessment of sensitivity to changes in binaural TFS for older listeners without or with hearing loss.

摘要

使用 TFS-AF 测试(其中 AF 代表自适应频率)评估了 26 名年龄在 60 岁及以上、低频听力阈值正常或升高的听力正常者处理双耳时间精细结构(TFS)信息的能力。该测试估计了一个固定的双耳相位差(IPD)为ϕ(此处在 30°到 180°之间变化)可以与 IPD 为 0°区分开来的最高频率,较高的阈值表示性能更好。使用 30dB 的感觉水平。所有听众都能够可靠地完成任务,给出的阈值远高于允许的最低频率 30Hz。一次运行的平均持续时间为 5 分钟。对正常听力听众的重复测试没有显示出明显的练习效应。阈值在听众之间差异显著,但它们的排序在ϕ值之间相当一致。阈值随着ϕ的减小而降低(恶化),并且低于在早期研究中测试的年轻听众组的阈值。TFS-AF 阈值与低频(125-1000Hz)听力阈值之间存在弱到中度的负相关,但与高频(4000-8000Hz)听力阈值之间没有相关。总之,TFS-AF 测试为所有听众提供了双耳 TFS 敏感性的分级测量。这与 TFS-LF(低频)测试形成对比,后者测量固定频率下 IPD 的最小可检测变化。没有练习效应和合理的短管理时间使得 TFS-AF 测试成为评估年龄较大的听力正常或听力损失的听众对双耳 TFS 变化敏感性的良好候选者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9b9/5669320/bccacb0dc21c/10.1177_2331216517737230-fig1.jpg

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