Leek M R, Summers V
Army Audiology and Speech Center, Walter Reed Army Medical Center, Washington, DC 20307-5001.
J Acoust Soc Am. 1993 Dec;94(6):3127-37. doi: 10.1121/1.407218.
Listeners with sensorineural hearing impairment typically exhibit auditory processing deficits such as reduced frequency and/or temporal resolution. Such deficits may represent separate sequela of auditory pathology or may result directly from the sensitivity loss and the requirement to listen at high levels. To assess the impact of increased thresholds on frequency resolution, auditory filter characteristics were determined for hearing-impaired and normal-hearing listeners at 500 and 2000 Hz in the presence of continuous broadband noise meant as a rough simulation of hearing loss. In the fitting procedure, the low-frequency skirt of the derived auditory filter was allowed to vary as a function of signal level, permitting different filter shapes to be estimated at high versus low signal levels. Listeners with moderate hearing losses at 2000 Hz demonstrated near-normal auditory filter shapes for lower signal levels, but increasingly broad and asymmetric filters as signal level was raised. At 500 Hz, where hearing losses were mild, filter bandwidths increased little at the higher signal levels. The presence of broadband noise had essentially no effect on filter shapes of either listener group. The filter shape abnormalities demonstrated by listeners with moderate hearing loss, which were not observed in normal-hearing listeners at the same signal levels, indicate that poor frequency resolution in these patients for high-intensity stimuli does not follow directly from decreased sensitivity, but instead reflects an independent pathology.
患有感音神经性听力损失的听众通常表现出听觉处理缺陷,如频率和/或时间分辨率降低。这些缺陷可能是听觉病理学的单独后遗症,也可能直接由听力损失以及在高强度下聆听的需求导致。为了评估阈值升高对频率分辨率的影响,在存在连续宽带噪声的情况下,针对听力受损和听力正常的听众,在500赫兹和2000赫兹处确定了听觉滤波器特性,该宽带噪声大致模拟了听力损失。在拟合过程中,允许导出的听觉滤波器的低频边缘根据信号电平变化,从而能够在高信号电平和低信号电平下估计不同的滤波器形状。在2000赫兹处有中度听力损失的听众在较低信号电平下表现出接近正常的听觉滤波器形状,但随着信号电平升高,滤波器变得越来越宽且不对称。在500赫兹处,听力损失较轻,在较高信号电平下滤波器带宽增加很少。宽带噪声的存在对两组听众的滤波器形状基本没有影响。中度听力损失的听众表现出的滤波器形状异常,在相同信号电平下听力正常的听众中未观察到,这表明这些患者在高强度刺激下频率分辨率差并非直接源于敏感性降低,而是反映了一种独立的病理学现象。