Related Experiment Video
Updated: Jul 16, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
The role of high-frequency hearing in age-related speech understanding deficits
S M Abel1, A Sass-Kortsak, J J Naugler
1The Samuel Lunenfeld Research, Institute of Mount Sinai Hospital, Toronto, Canada.
Abstract:
An experiment was conducted to further explore the effect of ageing on speech understanding under degraded listening conditions. Two groups of subjects, aged 20-39 years and 50-75 years were tested. Measurements were made of hearing thresholds in each ear from 0.25-10kHz, consonant discrimination in quiet and continuous speech spectrum noise (S/N= -10 dB) and monophonic and stereophonic frequency selectivity. Neither group would have been diagnosed as hearing-impaired. Nonetheless, the older group had significantly higher hearing thresholds, which increased systematically with frequency. Poorer consonant discrimination in noise was observed for the older group. This outcome was correlated with high-frequency thresholds, not with age. There was no between-group difference in stereophonic frequency selectivity, minimizing the possibility of age-related changes in central auditory processing. Monophonic frequency selectivity, an index of cochlear processing, was correlated with speech understanding. The results support the conclusion that observed age-related effects are secondary to cochlear dysfunction.
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