Prediction of IOI-HA Scores Using Speech Reception Thresholds and Speech Discrimination Scores in Quiet

2014 ◽  
Vol 25 (02) ◽  
pp. 154-163 ◽  
Author(s):  
K. Jonas Brännström ◽  
Johannes Lantz ◽  
Lars Holme Nielsen ◽  
Steen Østergaard Olsen
Keyword(s):  
Regression Analysis ◽  
Outcome Measures ◽  
Hearing Aids ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Global Score ◽  
Speech Discrimination ◽  
Speech Reception ◽  
Speech Reception Thresholds ◽  
First Time

Background: Outcome measures can be used to improve the quality of the rehabilitation by identifying and understanding which variables influence the outcome. This information can be used to improve outcomes for clients. In clinical practice, pure-tone audiometry, speech reception thresholds (SRTs), and speech discrimination scores (SDSs) in quiet or in noise are common assessments made prior to hearing aid (HA) fittings. It is not known whether SRT and SDS in quiet relate to HA outcome measured with the International Outcome Inventory for Hearing Aids (IOI-HA). Purpose: The aim of the present study was to investigate the relationship between pure-tone average (PTA), SRT, and SDS in quiet and IOI-HA in both first-time and experienced HA users. Research Design: SRT and SDS were measured in a sample of HA users who also responded to the IOI-HA. Study Sample: Fifty-eight Danish-speaking adult HA users. Data Collection and Analysis: The psychometric properties were evaluated and compared to previous studies using the IOI-HA. The associations and differences between the outcome scores and a number of descriptive variables (age, gender, fitted monaurally/binaurally with HA, first-time/experienced HA users, years of HA use, time since last HA fitting, best ear PTA, best ear SRT, or best ear SDS) were examined. A multiple forward stepwise regression analysis was conducted using scores on the separate IOI-HA items, the global score, and scores on the introspection and interaction subscales as dependent variables to examine whether the descriptive variables could predict these outcome measures. Results: Scores on single IOI-HA items, the global score, and scores on the introspection (items 1, 2, 4, and 7) and interaction (items 3, 5, and 6) subscales closely resemble those previously reported. Multiple regression analysis showed that the best ear SDS predicts about 18–19% of the outcome on items 3 and 5 separately, and about 16% on the interaction subscale (sum of items 3, 5, and 6) Conclusions: The best ears SDS explains some of the variance displayed in the IOI-HA global score and the interaction subscale. The relation between SDS and IOI-HA suggests that a poor unaided SDS might in itself be a limiting factor for the HA rehabilitation efficacy and hence the IOI-HA outcome. The clinician could use this information to align the user’s HA expectations to what is within possible reach.

AUDIOLOGICAL CORRELATES OF AGE-RELATED MANIFESTATIONS OF AUDITORY DISORDERS

2020 ◽  
pp. 549-554
Author(s):  
Л. Е. Голованова ◽  
Е. А. Огородникова ◽  
Н. С. Белокурова ◽  
Е. С. Лаптева ◽  
М. Ю. Бобошко
Keyword(s):  
Hearing Aids ◽  
Auditory Processing ◽  
Pure Tone ◽  
Young Patients ◽  
Pure Tone Audiometry ◽  
Sound Field ◽  
Speech Audiometry ◽  
Central Auditory Processing ◽  
Central Auditory Processing Disorder ◽  
Age Related

Целью исследования был сравнительный анализ жалоб и аудиологических показателей у пациентов сурдологического центра в зависимости от возраста. Представлены результаты обследования 300 первичных пациентов (случайная выборка), обратившихся к сурдологу-оториноларингологу в течение 1 мес. В группу молодых пациентов (19-44 года) вошли 40 человек; в группу среднего возраста (45- 59 лет) - 62 человека; в группу пожилых (60-74 года) - 100 человек; в группу старческого возраста (75-90 лет) - 98 человек. Обследование включало сбор жалоб и анамнеза, ЛОР-осмотр, тональную пороговую аудиометрию, импедансометрию, речевую аудиометрию в наушниках для выявления признаков центральных слуховых расстройств или в свободном звуковом поле для оценки эффективности слухопротезирования. Установлено, что для ранней диагностики тугоухости и профилактики возрастных сенсорнокогнитивных дисфункций целесообразно использовать не только результаты тональной пороговой аудиометрии, но и данные речевой аудиометрии, а также анализ субъективных жалоб. Результаты работы свидетельствуют о необходимости организации скрининга состояния слуха в рамках диспансеризации населения старше 60 лет. The aim of the study was a comparative analysis of complaints and audiological findings in patients of the audiological center depending on their age. The results of the examination of 300 fi rstly consulted patients (random sample) are presented. The group of young patients (19-44 years) included 40 people; middle age (45-59 years) - 62 people; elderly (60-74 years) - 100 people; senile age (75-90 years) - 98 people. The survey included the collection of complaints and anamnesis, ENT checkup, pure tone audiometry, impedancemetry, speech audiometry in headphones to detect the signs of Central Auditory Processing Disorder or in the free sound field to assess the effectiveness of hearing aids. It was found that for early diagnosis of hearing loss and prevention of age-related sensory-cognitive dysfunction, it is advisable to use not only the results of pure tone audiometry, but also the data of speech audiometry, as well as the analysis of subjective complaints. The results of the work indicate the need for hearing screening in the population over 60 years old.

scholarly journals Words in noise audiometry in adult subjects with normal hearing

2020 ◽  
Vol 50 (1) ◽  
pp. 9
Author(s):  
Widayat Alviandi ◽  
Jenny Bashiruddin ◽  
Brastho Bramantyo ◽  
Farisa Rizky
Keyword(s):  
Speech Recognition ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Normal Hearing ◽  
Recognition Threshold ◽  
Speech Audiometry ◽  
Discrimination Score ◽  
Speech Discrimination ◽  
Speech Discrimination Score ◽  
Noise Test

Background: Patients with hearing disturbance will generally undergo pure tone audiometry andspeech audiometry in a quiet room, but those examinations cannot evaluate the ability to understand speech in daily environment with a noisy background. Words in noise test will provide valuable informationregarding patient’s hearing problem in noise. Purpose: To evaluate the hearing threshold using wordsin noise test in adults with normal hearing. Method: This cross-sectional study was conducted in CiptoMangunkusumo Hospital from January to April 2017. All subjects who fulfilled the inclusion and exclusioncriteria underwent pure tone audiometry, speech audiometry, and words in noise test. Results: A total of71 individuals with normal hearing were recruited for this study. Words in noise test showed the medianvalue of 67 dB and 100 dB for Speech Recognition Threshold (SRT) 50% and Speech DiscriminationScore (SDS) 100%, respectively. The SRT 50% and SDS 100% were significantly higher in the age group40–60 years compared to the age group 18–39 years. There was also a statistically significant differencebetween males and females at SRT 50% assessed by words in noise audiometry. Conclusion: Wordsin noise test showed a statistically significant difference in SRT 50% and SDS 100% between two agegroups, but no difference was found between genders. The result of this study can be used as a referencefor SRT and SDS values of speech audiometry test in noise.Keywords: words in noise, speech audiometry, speech recognition threshold, speech discrimination score ABSTRAKLatar belakang: Pasien dengan gangguan pendengaran umumnya menjalani pemeriksaanaudiometri nada murni dan audiometri tutur di ruangan yang sunyi, tetapi pemeriksaan ini tidakdapat menggambarkan kemampuan pemahaman wicara di lingkungan sehari-hari yang ramai. Testutur dalam bising dapat mengevaluasi masalah pendengaran pasien dalam keadaan bising. Tujuan:Untuk mengevaluasi ambang pendengaran menggunakan tes tutur dalam bising pada orang dewasadengan pendengaran normal. Metode: Penelitian potong lintang ini dilakukan di Rumah Sakit CiptoMangunkusumo dari Januari hingga April 2017. Semua subjek yang memenuhi kriteria inklusi daneksklusi menjalani pemeriksaan audiometri nada murni, audiometri tutur, dan tes tutur dalam bising.Hasil: Sebanyak 71 orang dengan pendengaran normal diikutsertakan dalam penelitian ini. Tes tuturdalam bising menunjukkan nilai median masing-masing 67 dB dan 100 dB pada Speech RecognitionThreshold (SRT) 50% dan Speech Discrimination Score (SDS) 100%. SRT 50% dan SDS 100% secarasignifikan lebih tinggi pada kelompok usia 40–60 tahun dibandingkan dengan kelompok usia 18–39 tahun. Hasil pemeriksaan tes tutur dalam bising menunjukkan perbedaan yang signifikan antara laki-laki dan wanita pada nilai SRT 50%. Kesimpulan: Tes tutur dalam bising menunjukkan perbedaan yang bermakna secara statistik pada SRT 50% dan SDS 100% antara dua kelompok umur, tetapi tidak ada perbedaan signifikan diantara jenis kelamin. Hasil penelitian ini dapat digunakan sebagai acuan untuk nilai SRT dan SDS pada pemeriksaan audiometri tutur dalam bising.

Outcomes after Application of Active Bone Conducting Implants

2019 ◽  
Vol 24 (4) ◽  
pp. 197-205 ◽  
Author(s):  
Eleonor Koro ◽  
Mimmi Werner
Keyword(s):  
Hearing Aids ◽  
Pure Tone ◽  
Care Center ◽  
Pure Tone Audiometry ◽  
Sound Field ◽  
Hearing Gain ◽  
Mixed Hearing Loss ◽  
Glasgow Benefit Inventory ◽  
The Mean ◽  
Single Sided Deafness

Background: A bone conducting implant is a treatment option for individuals with conductive or mixed hearing loss (CHL, MHL) who do not tolerate regular hearing aids, and for individuals with single-sided deafness (SSD). An active bone conducting implant (ABCI) was introduced in 2012 with indication in CHL, MHL, and SSD, and it is still the only ABCI available. With complete implantation of the active transducer and consequent intact skin, a decrease in infections, skin overgrowth, and implant losses, all common disadvantages with earlier passive bone conducting implants, could be expected. Our Ear, Nose and Throat Department, a secondary care center for otosurgery that covers a population of approximately 365,000 inhabitants, was approved to implant ABCIs in 2012. Objectives: Our aim was to conduct an evaluation of audiological and subjective outcomes after ABCIs. Method: A cohort study with retrospective and prospective data collection was performed.The first 20 consecutive patients operated with an ABCI were asked for informed consent. The main outcome measures werepure tone and speech audiometry and the Glasgow Benefit Inventory (GBI). Results: Seventeen patients accepted to participate and 15 were able to complete all parts. Six patients had CHL or MHL. In this group the pure tone audiometry tests are comparable with an average functional hearing gain of 29.8 dB HL. With bilateral hearing, the mean Word Recognition Score (WRS) in noise was 35.7% unaided and 62.7% aided. Ten patients had the indication SSD. With the hearing ear blocked, the pure tone average was >101 dB HL, compared to 29.3 dB HL in sound field aided. With bilateral hearing, the mean WRS in noise was 59.7% unaided and 72.8% aided. The mean of the total GBI score was 42.1 in the group with CHL or MHL and 20.6 in the group with SSD. Conclusions: The patients benefit from their implants in terms of quality of life, and there is a substantial hearing gain from the implant for patients with conductive or MHL. Patients with SSD benefit less from the implant than other diagnoses but the positive outcomes are comparable to other options for this group.

Auditory Functional Age

1972 ◽  
Vol 3 (2) ◽  
pp. 183-187 ◽  
Author(s):  
Benjamin Bell
Keyword(s):  
Bone Conduction ◽  
Low Frequency ◽  
Speech Discrimination ◽  
Hearing Ability ◽  
Speech Reception ◽  
Aging Study ◽  
Normative Aging ◽  
Bone Conduction Hearing ◽  
Speech Reception Thresholds ◽  
Air Conduction

In the audiologic research of the Boston VA Normative Aging Study, an auditory age measure has been developed to represent the extent to which an individual is older or younger than his age peers in terms of his hearing ability. Sixteen auditory measures were placed in a stepwise regression procedure: air and bone conduction hearing at various frequencies, speech reception thresholds, speech discrimination scores, and two and three frequency averages. With chronological age as criterion, the resulting equation yielded an auditory age calculated from two variables: air conduction at 8,000 cps and speech reception threshold. Because of redundancy among the larger number of measures, these two effectively index the larger number. The two include high and low frequency measures so are sensitive to high frequency loss at older age.

scholarly journals The effects of N95 mask and face shield on speech perception among healthcare workers in the coronavirus disease 2019 pandemic scenario

2020 ◽  
Vol 134 (10) ◽  
pp. 895-898
Author(s):  
S V Bandaru ◽  
A M Augustine ◽  
A Lepcha ◽  
S Sebastian ◽  
M Gowri ◽  
...  
Keyword(s):  
Speech Perception ◽  
Personal Protective Equipment ◽  
Healthcare Workers ◽  
Pure Tone Audiometry ◽  
Normal Hearing ◽  
Protective Equipment ◽  
Discrimination Score ◽  
Speech Discrimination ◽  
Speech Discrimination Score ◽  
Speech Reception

AbstractObjectiveThe current circumstances of the coronavirus disease 2019 pandemic necessitate the use of personal protective equipment in hospitals. N95 masks and face shields are being used as personal protective equipment to protect from aerosol-related spread of infection. Personal protective equipment, however, hampers communication. This study aimed to assess the effect of using an N95 mask and face shield on speech perception among healthcare workers with normal hearing.MethodsTwenty healthcare workers were recruited for the study. Pure tone audiometry was conducted to ensure normal hearing. Speech reception threshold and speech discrimination score were obtained, first without using personal protective equipment and then repeated with the audiologist wearing an N95 mask and face shield.ResultsA statistically significant increase in speech reception threshold (mean of 12.4 dB) and decrease in speech discrimination score (mean of 7 per cent) was found while using the personal protective equipment.ConclusionUse of personal protective equipment significantly impairs speech perception. Alternate communication strategies should be developed for effective communication.

Transcranial Contralateral Cochlear Stimulation in Unilateral Deafness

2003 ◽  
Vol 129 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Jack J. Wazen ◽  
Jaclyn B. Spitzer ◽  
Soha N. Ghossaini ◽  
José N. Fayad ◽  
John K. Niparko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Aids ◽  
Speech Intelligibility ◽  
Recognition Performance ◽  
Auditory Stimuli ◽  
Unilateral Deafness ◽  
Speech Reception ◽  
Speech Reception Thresholds ◽  
Single Sided Deafness

OBJECTIVES: The purpose of this study is to evaluate the effectiveness of Bone Anchored Cochlear Stimulator (BAHA) in transcranial routing of signal by implanting the deaf ear. STUDY DESIGN AND SETTINGS: Eighteen patients with unilateral deafness were included in a multisite study. They had a 1-month pre-implantation trial with a contralateral routing of signal (CROS) hearing aid. Their performance with BAHA was compared with the CROS device using speech reception thresholds, speech recognition performance in noise, and the Abbreviated Profile Hearing Benefit and Single Sided Deafness questionnaires. RESULTS: Patients reported a significant improvement in speech intelligibility in noise and greater benefit from BAHA compared with CROS hearing aids. Patients were satisfied with the device and its impact on their quality of life. No major complications were reported. CONCLUSION AND SIGNIFICANCE: BAHA is effective in unilateral deafness. Auditory stimuli from the deaf side can be transmitted to the good ear, avoiding the limitations inherent in CROS amplification.

scholarly journals Relationship Between Mandarin Speech Reception Thresholds and Pure-tone Thresholds in the Geriatric Population

2006 ◽  
Vol 105 (10) ◽  
pp. 832-838 ◽  
Author(s):  
Chih-Hung Chien ◽  
Tzong-Yang Tu ◽  
Shu-Feng Chien ◽  
Angela Chung-I Li ◽  
Mei-Jan Yang ◽  
...  
Keyword(s):  
Pure Tone ◽  
Geriatric Population ◽  
Speech Reception ◽  
Speech Reception Thresholds

Effects of Expansion Algorithms on Speech Reception Thresholds

2008 ◽  
Vol 19 (02) ◽  
pp. 147-157 ◽  
Author(s):  
Christi L. Wise ◽  
Justin A. Zakis
Keyword(s):  
Hearing Aids ◽  
Single Channel ◽  
Multiple Channel ◽  
Low Level ◽  
Speech Reception ◽  
Average Spectrum ◽  
Channel Expansion ◽  
The Difference ◽  
Speech Reception Thresholds ◽  
The Impact

Expansion is commonly used to reduce microphone noise and low-level environmental noises that can be annoying to hearing aid users. It may also improve or reduce the perception of low-level speech. This study assessed the impact of two expansion algorithms, single and multiple channel, on speech reception thresholds (SRT) with 10 hearing impaired listeners wearing hearing aids with ADRO® processing. The single-channel algorithm suppressed sounds below 45 dB A, while the multiple-channel algorithm suppressed sounds below the long-term average spectrum of speech at either 55 or 45 dB SPL. The mean HINT SRTs in quiet were 39.4, 40.7, 40.6, and 41.8 dB A without expansion, with single-channel expansion, and with multiple-channel expansion at expansion thresholds of 45 and 55 dB SPL, respectively. The difference in mean SRT was only statistically significant between no expansion and multiple-channel expansion at a 55 dB SPL threshold. A regression analysis between the change in individual SRT for each expansion condition and pure tone average hearing loss showed no correlation. Our calculations indicate that only those with exceptionally good hearing will find microphone noise audible. The current practice of prescribing expansion algorithms based on hearing thresholds alone is questioned, and other rationales are discussed. La expansión se utiliza comúnmente para reducir el ruido de los micrófonos y los ruidos ambientales de bajo nivel que pueden ser perturbadores para los usuarios de auxiliares auditivos. También puede mejorar o reducir la percepción de lenguaje a bajo voumen. Este estudio evaluó el impacto de dos algoritmos de expansión, de canal múltiple y el canal único, sobre los umbrales de recepción del lenguaje (SRT) con 10 sujetos hipoacúsicos utilizando auxiliares auditivos con procesamiento ADRO®. El algoritmo de canal único suprimió sonidos por debajo de 45 dB A, mientras que el algoritmo de canal múltiple suprimió sonidos por debajo del espectro promedio a largo plazo del lenguaje, a 55 ó 45 dB SPL, respectivamente. La diferencia en el SRT medio fue sólo estadísticamente significativa entre la no expansión y la expansión de canal múltiple a un umbral de 55 dB SPL. Un análisis de regresión no mostró correlación entre el cambio en los SRT individuales para cada condición de expansión y la pérdida auditiva promedio para tonos puros. Nuestros cálculos indican que solamente aquellos con una audición excepcionalmente buena encontrarán audible el ruido del micrófono. Se cuestiona la práctica actual de prescribir algoritmos de expansión con base sólo en umbrales auditivos, y se discuten otros razonamientos.

scholarly journals Cochlear Implantation in Patients with Keratitis-Ichthyosis-Deafness Syndrome: A Report of Two Cases

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Birgul Gumus ◽  
Armagan Incesulu ◽  
Mehmet Ozgur Pinarbasli
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Cochlear Implantation ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
External Ear ◽  
Ear Canal ◽  
External Ear Canal ◽  
Brainstem Response ◽  
Visual Disturbances

Background.Keratitis-ichthyosis-deafness (KID) syndrome is a syndrome which presents with hearing loss and visual and keratinization disorders. In such patients, hearing aids cannot be effectively used in the rehabilitation of hearing loss because of the frequent blockage of the external ear canal with epithelial debris and due to dry and tense skin of the external ear canal. Moreover, severe or profound hearing loss also limits the benefits gained from the conventional hearing aids. On the other hand, cochlear implantation is a method that has been used in limited cases in the literature.Case Report.This study presents the results of cochlear implantation applied in our clinic to two children who had been diagnosed with KID. Audiological assessments before and after the cochlear implant operation were performed using pure-tone audiometry, immittance audiometry, and auditory brainstem response (ABR), and the postoperative follow-up was conducted using pure-tone audiometry.Conclusion.Skin problems, visual disturbances, and other additional problems complicate the short-term and long-term rehabilitation after implantation in individuals with KID syndrome. Close monitoring should be exercised due to possible skin complications that may develop during the postoperative period. The families and rehabilitation teams should be warned about the possible visual disturbances and skin complications.

A Comparison of the Auditec of St. Louis Cassette Recordings of NU-6 and CID W-22 on a Normal-Hearing Population

1977 ◽  
Vol 42 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Randall C. Beattie ◽  
Brad J. Edgerton ◽  
Dion V. Svihovec
Keyword(s):  
Normal Hearing ◽  
Discrimination Score ◽  
Speech Discrimination ◽  
Speech Discrimination Tests ◽  
Speech Discrimination Score ◽  
Speech Reception ◽  
Speech Reception Thresholds ◽  
Better Than

Articulation functions were generated on a normal-hearing population with the Auditec of St. Louis cassette recordings of the NU-6 and CID W-22 speech discrimination tests. Both tests were similar and yielded slopes of about 4.4%/dB. Each gave a speech discrimination score of approximately 95% at 32 dB SL. Speech reception thresholds were obtained with monitored live voice and yielded good testretest consistency. Speech thresholds were about 9 dB better than the ANSI (1969) specifications.

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