Knight K K, Margolis R H
J Speech Hear Res. 1984 Mar;27(1):28-32. doi: 10.1044/jshr.2701.28.
Because clinical methods most commonly used for assessing loudness are indirect measures that require one normal or near normal ear, loudness perception has not been studied thoroughly in listeners with symmetrical hearing loss. In this investigation, loudness perception was studied in three groups of listeners: normal listeners, listeners with asymmetrical sensorineural hearing loss, and individuals with bilaterally symmetrical hearing impairment due to presbycusis. In Experiment 1, a Magnitude Estimation of Loudness (ME) technique was compared to Alternate Binaural Loudness Balance ( ABLB ) results for subjects with asymmetrical hearing impairment. Results indicate that ME and ABLB measurements produce similar evidence of abnormally rapid growth of loudness in asymmetrically impaired listeners. In Experiment 2, loudness growth in individuals with normal hearing or with presbycusic hearing impairment was determined from ME measurements. Although presbycusic subjects tended to have steeper loudness functions than normal subjects, the differences did not reach statistical significance except at 6000 Hz, suggesting that, as a group, presbycusic listeners display little, if any, recruitment of loudness.
由于临床评估响度最常用的方法是间接测量,需要一只正常或接近正常的耳朵,因此对于对称性听力损失的听众,响度感知尚未得到充分研究。在本研究中,对三组听众的响度感知进行了研究:正常听众、不对称感音神经性听力损失的听众以及因老年性耳聋导致双侧对称性听力障碍的个体。在实验1中,对不对称听力障碍受试者,将响度大小估计(ME)技术与双耳响度平衡交替法(ABLB)的结果进行了比较。结果表明,ME和ABLB测量在不对称听力受损听众中产生了类似的响度异常快速增长的证据。在实验2中,通过ME测量确定了听力正常或老年性听力障碍个体的响度增长情况。虽然老年性耳聋受试者的响度函数往往比正常受试者更陡峭,但除了在6000Hz时,差异未达到统计学显著性,这表明,作为一个群体,老年性耳聋听众几乎没有(如果有的话)响度重振现象。