1/17
Looks like no tags are added yet.
The Core Goal of HAs is to
Improve Speech Audibility
Amplitude Modulations
Modulation rate
Range from 30 Hz (e.g., 33 ms) for the shortest phoneme
0.5 Hz (e.g., 2 sec) for some sentences
Modulation depth
how large of a change in amplitude there is from the maxima of the signal to its minima.
Speech Envelope
Used by HA algorithms to identify and separate speech from noise
Effect of Reverberation
fills in the modulation depths within speech
Signal-to-noise ratio (SNR)
level of speech in comparison with the level
of noise
+ SNR = speech is higher than the noise
- SNR = noise is higher than the speech
Individuals with NH require a SNR of
+6 dB for satisfactory communication
Individuals with SNHL require
a significantly greater SNR to achieve similar performance with individuals with NH
Long-Term Average Speech Spectrum (LTASS)
Graphic plot of level across frequency (speech spectrum) after averaging over some predefined segment of time
Defined by Vocal Effort for Production
Soft, Conversational, Loud, Shouted
Direct measure of the mean SPL of speech as a function of frequency and provides a global representation of the acoustic characteristics of continuous discourse
LTASS Variables:
Gender
Language
Vocal Effort
Vocal Hygiene
Speech material
Distance
Dynamic Range of Speech
The difference between the lowest level of speech i.e., speech minima and the highest level of speech i.e., speech maxima at any frequency
Minima: 10%
Maxima: 90%
Dynamic Range: 10-90%
_______depends greatly on the length of a speech sample (Averaging longer samples=smaller dynamic range)
speech dynamic range
___ is the dynamic range suggested for making predictions about speech recognition
30 dB
Why is LTAAS useful?
can quantify the relationship between speech levels and hearing thresholds, giving us a specific indication of audibility for a given patient.
When combined with example of hearing loss, it tells us that speech below the plotted audiogram is audible and speech above the plotted audiogram is not audible
Articulation Index (AI):
Sound metric developed to indicate how much background sound levels can interfere with human speech, Tool used to predict the amount of speech that is audible to a patient with a specific hearing loss
AI has a value ranging from 0-100%
0%: no speech understood
100%: all speech understood
______ standards have been developed regarding AI measurement, including the current method, which is called the ______
ANSI, Speech Intelligibility Index (SII)
Articulation Index in Clinics
Count the dot audiogram
Many variations of this
Count the dots below the threshold line
The more dots that occur below the hearing threshold line, the more speech energy that the individual will perceive.
AI provides an indication of relative changes in audibility but is not useful for precise prediction of an individual patient’s speech recognition score.
Why?
No 1:1 relationship between the AI and speech understanding
70% AI does not equal a 70% speech recognition score.