Ménière's disease: effects of glycerol on tasks involving temporal processing

Diagnostic Precision of Open-Set Versus Closed-Set Word Recognition Testing

Purpose The aim of the study was to examine the precision of forced-choice (closed-set) and open-ended (open-set) word recognition (WR) tasks for identifying a change in hearing. Method WR performance for closed-set (4 and 6 choices) and open-set tasks was obtained from 70 listeners with normal hearing. Speech recognition was degraded by presenting monosyllabic words in noise (-8, -4, 0, and 4 signal-to-noise ratios) or processed by a sine wave vocoder (2, 4, 6, and 8 channels). Results The 2 degraded speech understanding conditions yielded similarly shaped, monotonically increasing psychometric functions with the closed-set tasks having shallower slopes and higher scores than the open-set task for the same listening condition. Fitted psychometric functions to the average data were the input to a computer simulation conducted to assess the ability of each task to identify a change in hearing. Individual data were also analyzed using 95% confidence intervals for significant changes in scores for words and phonemes. These analyses found the following for the most to least efficient condition: open-set (phoneme), open-set (word), closed-set (6 choices), and closed-set (4 choices). Conclusions Closed-set WR testing has distinct advantages for implementation, but its poorer precision for identifying a change than open-set WR testing must be considered.

A demonstration of improved precision of word recognition scores

PURPOSE The purpose of this study was to demonstrate improved precision of word recognition scores (WRSs) by increasing list length and analyzing phonemic errors. METHOD Pure-tone thresholds (frequencies between 0.25 and 8.0 kHz) and WRSs were measured in 3 levels of speech-shaped noise (50, 52, and 54 dB HL) for 24 listeners with normal hearing. WRSs were obtained for half-lists and full lists of Northwestern University Test No. 6 (Tillman & Carhart, 1966) words presented at 48 dB HL. A resampling procedure was used to derive dimensionless effect sizes for identifying a change in hearing using the data. This allowed the direct comparison of the magnitude of shifts in WRS (%) and in the average pure-tone threshold (dB), which provided a context for interpreting the WRS. RESULTS WRSs based on a 50-word list analyzed by the percentage of correct phonemes were significantly more sensitive for identifying a change in hearing than the WRSs based on 25-word lists analyzed by percentage of correct words. CONCLUSION Increasing the number of items that contribute to a WRS significantly increased the test's ability to identify a change in hearing. Clinical and research applications could potentially benefit from a more precise word recognition test, the only basic audiologic measure that estimates directly the distortion component of hearing loss and its effect on communication.

Processing of temporal fine structure as a function of age

OBJECTIVES

The purpose of this study was to determine whether the processing of temporal fine structure diminishes with age, even in the presence of relatively normal audiometric hearing. Temporal fine structure processing was assessed by measuring the discrimination of interaural phase differences (IPDs). The hypothesis was that IPD discrimination is more acute in middle-aged observers than in older observers but that acuity in middle-aged observers is nevertheless poorer than in young adults.

DESIGN

Two experiments were undertaken. The first measured discrimination of 0- and π-radian interaural phases as a function of carrier frequency. The stimulus was a 5-Hz sinusoidally amplitude-modulated tone in which, in the signal waveform, the interaural phase of the carrier was inverted during alternate modulation periods. The second experiment measured IPD discrimination at fixed frequencies. The stimulus was a pair of tone pulses in which, in the signal, the trailing pulse contained an IPD. A total of 39 adults with normal audiograms ≤2000 Hz participated in this study, of which 15 were younger, 12 middle aged, and 12 older.

RESULTS

Experiment 1 showed that the highest carrier frequency at which a π-radian IPD could be discriminated from the diotic, 0-radian standard was significantly lower in middle-aged listeners than young adults, and still lower in older listeners. Experiment 2 indicated that middle-aged listeners were less sensitive to IPDs than young adults at all but the lowest frequencies tested. Older listeners, as a group, had the poorest thresholds.

CONCLUSIONS

These results suggest that deficits in temporal fine structure processing are evident in the presenescent auditory system. This adds to the accumulating evidence that deficiencies in some aspects of auditory temporal processing emerge relatively early in the aging process. It is possible that early-emerging temporal processing deficits manifest themselves in challenging speech in noise environments.

Critical difference table for word recognition testing derived using computer simulation

PURPOSE

To construct a table for upper and lower limits of the 95% critical range for changes in word recognition scores obtained with monosyllabic word lists (of lengths 10, 25, 50, and 100 words) using newly available methods. Although such a table has been available for nearly 30 years (A. R. Thornton & M. J. M. Raffin, 1978), the earlier table was constructed by calculation and used an approximation to the variance of the difference score between 2 administrations of word lists of identical size. It has been used clinically, reproduced, and recommended for use by clinicians in handbooks and textbooks.

METHOD

The new table was created using computer simulation of the relevant distributions and a direct estimate of the variance of the difference score between 2 tests, calculated using the simulated results.

RESULTS

The new table differed from the previous table in 23% of entries. Critical ranges were both narrowed (82%) and expanded (18%). No range changed by more than 1 word correct in any direction. The original table was most accurate for list sizes of 25 words each.

CONCLUSION

Using the new table will provide more accurate estimates of the 95% critical range for successive administrations of word recognition tests.