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Hearing

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.

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Semi-Automated Analysis of Peak Amplitude and Latency for Auditory Brainstem Response Waveforms Using R

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Auditory brainstem response to complex sounds predicts self-reported speech-in-noise performance.

Samira Anderson¹, Alexandra Parbery-Clark, Travis White-Schwoch

¹Auditory Neuroscience Laboratory, Northwestern University, Evanston, IL, USA. sander22@umd.edu

Journal of Speech, Language, and Hearing Research : JSLHR

|July 5, 2012

Summary

The auditory brainstem response to complex sounds (cABR) effectively predicts self-reported speech understanding in noise, offering more insight than traditional hearing tests. This auditory test shows a strong link to hearing ability in noisy environments.

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Area of Science:

Audiology
Neuroscience
Speech Perception

Background:

Assessing speech understanding in noise is crucial for hearing aid fitting and rehabilitation.
Subjective reports of hearing difficulties in noise can be influenced by various factors.
Objective measures are needed to complement subjective assessments of hearing in noise.

Purpose of the Study:

To evaluate the auditory brainstem response to complex sounds (cABR) in predicting subjective speech understanding in noise.
To compare the predictive ability of cABR with the Quick Speech-in-Noise test (QuickSIN) and pure-tone hearing thresholds.

Main Methods:

111 middle- to older-age adults (45-78 years) with varying hearing loss participated.
Audiometric testing, QuickSIN, SSQ (Speech, Spatial, and Qualities of Hearing Scale), and cABR were administered.

Main Results:

The cABR, along with QuickSIN, hearing thresholds, and age, accounted for 30% of the variance in the SSQ Speech subtest.
Excluding cABR, these factors explained significantly less variance (19%).

Conclusions:

The cABR is effective in predicting self-reported difficulties with speech-in-noise perception.
cABR provides additional predictive value for hearing in noise beyond QuickSIN and hearing thresholds.
Findings highlight the significant relationship between cABR and an individual's ability to hear in background noise.