Consonant recognition and confusion patterns among elderly hearing-impaired subjects
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Updated: Sep 29, 2026

Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
Published on: June 25, 2019
1Department of Hearing and Speech Sciences, University of Maryland, College Park.
Abstract:
This study investigated whether unique consonant recognition and confusion patterns are associated with hearing loss among elderly listeners. Subjects were all greater than 65 years, and had normal hearing, or gradually or sharply sloping sensorineural hearing losses. Recognition of 19 consonants, paired with each of three vowels in a CV format, was assessed at two speech levels in a background of babble (+6 dB signal-to-babble ratio). Analyses of percent correct scores for overall nonsense syllable performance and for consonants according to place, manner, and voicing categories generally revealed better performance by the normal-hearing subjects than by the hearing-impaired subjects. However, individual differences scaling analysis of consonant confusions failed to retrieve speech perception patterns that were unique to listener group. These results tentatively suggest that the presence and configuration of hearing loss among elderly listeners may affect the level of performance but not the specific pattern of performance.
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