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Updated: Aug 9, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
[Hearing aids: objective and subjective evaluations of linear and nonlinear amplification users]
Letícia Pimenta Costa1, Maria Cecília Martinelli Iório
1Curso de Fonoaudiologia da Faculdade de Medicina da Universidade Federal de Minas Gerais. lepcosta@uai.com.br
This study found no significant difference in speech recognition or hearing aid adaptation between users of linear and nonlinear hearing aids. Both types of amplification performed equally well in quiet and noisy environments.
Area of Science:
- Audiology
- Hearing Aid Technology
Background:
- Nonlinear hearing aids aim to improve loudness perception for sensorineural hearing loss.
- Research on speech recognition benefits of linear versus nonlinear hearing aids remains inconclusive.
Purpose of the Study:
- To compare linear and nonlinear hearing aid user performance.
- To evaluate hearing adaptation and speech recognition in silence and noise.
- To determine the optimal amplification circuit for hearing aid users.
Main Methods:
- 21 bilateral hearing aid users (mild to moderate-severe loss) were divided into linear (n=10) and nonlinear (n=11) groups.
- Participants had used hearing aids for at least 3 months.
- Speech recognition tests (in silence and noise) and the International Outcome Inventory of Hearing Aids questionnaire were administered.
Main Results:
- No statistically significant differences were found between the linear and nonlinear groups.
- Speech recognition performance in silence and noise did not differ.
- Subjective hearing aid outcomes via questionnaire showed no significant group differences.
Conclusions:
- Linear and nonlinear hearing aids demonstrate comparable performance.
- No significant differences in adaptation or speech recognition (in quiet or noise) were observed between user groups.
- Current amplification types offer similar benefits for users with mild to moderate-severe hearing loss.
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