Related Experiment Video
Updated: Aug 12, 2026

06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Hearing aid saturation, coherence, and aided loudness discomfort
1Argosy Electronics, Minneapolis, Minnesota 55344.
Journal of the American Academy of Audiology
|March 1, 1992
Summary
Distortion in hearing aids can affect loudness perception and sound quality. This study found that hearing aid saturation-induced distortion impacts both, particularly in Class D devices with higher saturation levels.
Area of Science:
- Audiology
- Hearing Science
- Acoustics
Background:
- Hearing aid technology aims to improve audibility and sound quality.
- Saturation-induced distortion is a potential artifact in hearing aid amplification.
- Understanding distortion's impact on loudness perception is crucial for effective hearing aid fitting.
Purpose of the Study:
- To investigate the contribution of saturation-induced distortion to the sensation of loudness.
- To evaluate the effect of distortion on sound quality in hearing-impaired listeners.
- To compare distortion characteristics between Class A and Class D linear hearing aids.
Main Methods:
- Real-ear measurements of aided Loudness Discomfort Level (LDL) were performed.
- Five hearing-impaired listeners were fitted with Class A and Class D linear hearing aids.
- Real-ear coherence and sound quality judgments were used to assess saturation and distortion.
Main Results:
- Higher SPL, coherence, and sound quality ratings at LDL were observed for Class D hearing aids with high HFA SSPL90 compared to Class A aids with low HFA SSPL90.
- Saturation-induced distortion was found to influence both perceived loudness and sound quality.
- Results supported the hypothesis that distortion impacts loudness perception and sound quality.
Conclusions:
- Saturation-induced distortion plays a role in the perception of loudness and sound quality in hearing aid users.
- Hearing aid design, specifically the High-Frequency Saturation Sound Pressure Level (HFA SSPL90), influences distortion levels.
- Further research into managing distortion is recommended for optimizing hearing aid performance.
Related Concept Videos
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Sound Intensity
The loudness of a sound source is related to how energetically the source is vibrating, consequently making the molecules of the propagation medium vibrate. To measure the loudness of a source, the physical quantity of interest is the intensity. This is defined as the energy emitted per unit of time per unit of area perpendicular to the sound wave's propagation direction. Since the total energy is greater if the source vibrates for a longer duration and over a larger area, dividing the emitted...
Sound Intensity Level
Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and hence a...
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and hence a...
Auditory Perception
The auditory system is essential for sound perception, utilizing various critical structures. When sound waves enter the outer ear, they travel through the ear canal and cause the eardrum to vibrate. These vibrations are then transmitted to the middle ear, where three tiny bones – the malleus, incus, and stapes – amplify the sound. This amplification is crucial, as it ensures that the sound vibrations are strong enough to be conveyed to the inner ear. These vibrations then reach the cochlea, a...
Perceiving Loudness, Pitch, and Location
The human brain perceives pitch through two primary mechanisms reflected in place theory and frequency theory. Each mechanism describes how sound waves are interpreted as specific pitches by the brain, offering insights into the intricate processes of auditory perception.
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Factors Affecting Perception
Perception is influenced by perceptual set, context, motivation, and emotion. Perceptual set, or perceptual expectancy, refers to the tendency to perceive things in a particular way, influenced by previous experiences and expectations. This phenomenon affects the interpretation of stimuli, creating a set of mental tendencies and assumptions that impact sensory perceptions of sound, taste, touch, and sight.
An illustrative example of a perceptual set is the scenario where an airline pilot told...
An illustrative example of a perceptual set is the scenario where an airline pilot told...

