MacLeod A, Summerfield Q
Br J Audiol. 1987 May;21(2):131-41. doi: 10.3109/03005368709077786.
The intelligibility of sentences presented in noise improves when the listener can view the talker's face. Our aims were to quantify this benefit, and to relate it to individual differences among subjects in lipreading ability and among sentences in lipreading difficulty. Auditory and audiovisual speech-reception thresholds (SRTs) were measured in 20 listeners with normal hearing. Sixty sentences, selected to range in the difficulty with which they could be lipread (with vision alone) from easy to hard, were presented for identification in white noise. Using the ascending method of limits, the SRT was defined as the lowest signal-to-noise ratio at which all three 'key words' in each sentence could be identified correctly. Measured as the difference in dB between auditory-alone and audiovisual SRTs, 'audiovisual benefit' averaged 11 dB, ranging from 6 to 15 dB among subjects, and from 3 to 22 dB among sentences. As predicted, audiovisual benefit is a measure of lipreading ability. It was highly correlated with visual-alone performance (n = 20, r = 0.86, P less than 0.01). Likewise, those sentences which were easiest to lipread gave a higher measure of benefit from vision in audiovisual conditions than did sentences that were hard to lipread (n = 60, r = 0.92, P less than 0.01). The results establish the basis of an efficient test of speech-reception disability in which measures are freed from the floor and ceiling effects encountered when percentage correct is used as the dependent variable.
当听众能够看到说话者的面部时,在噪声环境中呈现的句子的可懂度会提高。我们的目的是量化这种益处,并将其与受试者在唇读能力方面的个体差异以及句子在唇读难度方面的差异联系起来。对20名听力正常的听众测量了听觉和视听言语接受阈值(SRT)。选择了60个句子,这些句子在仅靠视觉进行唇读的难度上从易到难不等,在白噪声中呈现以进行识别。使用极限递增法,SRT被定义为每个句子中所有三个“关键词”都能被正确识别的最低信噪比。以听觉单独SRT和视听SRT之间的分贝差来衡量,“视听益处”平均为11分贝,受试者之间的范围为6至15分贝,句子之间的范围为3至22分贝。正如所预测的,视听益处是唇读能力的一种度量。它与仅靠视觉的表现高度相关(n = 20,r = 0.86,P小于0.01)。同样,那些最容易唇读的句子在视听条件下从视觉中获得的益处比难以唇读的句子更高(n = 60,r = 0.92,P小于0.01)。这些结果建立了一种有效的言语接受障碍测试的基础,在这种测试中,测量不受使用正确百分比作为因变量时遇到的下限和上限效应的影响。