Document Detail


Initial development of a spatially separated speech-in-noise and localization training program.
MedLine Citation:
PMID:  20701836     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This article describes the initial development of a novel approach for training hearing-impaired listeners to improve their ability to understand speech in the presence of background noise and to also improve their ability to localize sounds.
DESIGN: Most people with hearing loss, even those well fit with hearing devices, still experience significant problems understanding speech in noise. Prior research suggests that at least some subjects can experience improved speech understanding with training. However, all training systems that we are aware of have one basic, critical limitation. They do not provide spatial separation of the speech and noise, therefore ignoring the potential benefits of training binaural hearing. In this paper we describe our initial experience with a home-based training system that includes spatially separated speech-in-noise and localization training.
RESULTS: Throughout the development of this system patient input, training and preliminary pilot data from individuals with bilateral cochlear implants were utilized. Positive feedback from subjective reports indicated that some individuals were engaged in the treatment, and formal testing showed benefit. Feedback and practical issues resulted from the reduction of an eight-loudspeaker to a two-loudspeaker system.
CONCLUSIONS: These preliminary findings suggest we have successfully developed a viable spatial hearing training system that can improve binaural hearing in noise and localization. Applications include, but are not limited to, hearing with hearing aids and cochlear implants.
Authors:
Richard S Tyler; Shelley A Witt; Camille C Dunn; Wenjun Wang
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Academy of Audiology     Volume:  21     ISSN:  1050-0545     ISO Abbreviation:  J Am Acad Audiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-12     Completed Date:  2010-09-23     Revised Date:  2011-07-28    
Medline Journal Info:
Nlm Unique ID:  9114646     Medline TA:  J Am Acad Audiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  390-403     Citation Subset:  IM    
Copyright Information:
American Academy of Audiology.
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IA 52242-1078, USA. rich-tyler@uiowa.edu
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MeSH Terms
Descriptor/Qualifier:
Attention
Audiology / instrumentation*
Cochlear Implantation / rehabilitation*
Cues
Deafness / rehabilitation*
Equipment Design
Feedback
Female
Hearing Aids*
Humans
Male
Middle Aged
Perceptual Masking*
Phonetics
Pilot Projects
Psychoacoustics
Software
Sound Localization*
Speech Discrimination Tests*
Speech Reception Threshold Test*
Therapy, Computer-Assisted / instrumentation*
Grant Support
ID/Acronym/Agency:
5 P50 DC00242/DC/NIDCD NIH HHS; M01-RR-59/RR/NCRR NIH HHS; P50 DC000242-17/DC/NIDCD NIH HHS
Comments/Corrections
Comment In:
J Am Acad Audiol. 2010 Jun;21(6):364   [PMID:  20701833 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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