Temporal Resolution With a Prescriptive Fitting Formula

• Published in: American journal of audiology Vol. 22; no. 2; pp. 216 - 225
• Main Authors: Brennan, Marc A., Gallun, Frederick J., Souza, Pamela E., Stecker, G. Christopher
• Format: Journal Article
• Language: English
• Published: United States American Speech-Language-Hearing Association 01.12.2013
• Subjects: Adult; Aged; Aged, 80 and over; Algorithms; Amplitude (Acoustics); Assistive Technology; Audiometry, Pure-Tone; Auditory perception; Compression; Hearing Aids; Hearing loss; Hearing Loss, Sensorineural - rehabilitation; Humans; Methods; Middle Aged; Noise; Pediatrics; Physiological aspects; Psychoacoustics; Psychological aspects; Psychological research; Speech Perception; Studies; Thresholds; Treatment Outcome; Voice recognition; Young Adult; United States
• ISSN: 1059-0889; 1558-9137; 1558-9137
• DOI: 10.1044/1059-0889(2013/13-0001)

Authors of previous work using laboratory-based paradigms documented that wide dynamic range compression (WDRC) may improve gap detection compared to linear amplification. The purpose of this study was to measure temporal resolution using WDRC fit with compression ratios set for each listener’s hearing loss. Nineteen adults with mild-to-moderate hearing loss fitted with WDRC or linear amplification set to a prescriptive fitting method participated in this study. Subjects detected amplitude modulations and gaps. Two types of noise carrier were used: narrowband (1995–2005 Hz) and broadband (100–8000 Hz). Small differences between WDRC and linear amplification were observed in the measures of temporal resolution. Modulation detection thresholds worsened by a mean of 0.7 dB with WDRC compared to linear amplification. This reduction was observed for both carrier types. Gap detection thresholds did not differ between the 2 amplification conditions. WDRC set using a prescriptive fitting method with individualized compression ratios had a small but statistically significant effect on measures of modulation thresholds. Differences were not observed between the two amplification conditions for the measures of gap detection. These findings contrast with previous work using fixed compression ratios, suggesting that the effect of the fitting method on the compression ratio should be considered when attempting to generalize the effect of WDRC on temporal resolution to the clinical setting.