Auditory Recognition of Words-in-Noise in Normal Hearing and Mild-to-Severe Sensorineural Hearing Loss with Different Configurations
,
Abstract
Background and Aim: Sensorineural Hearing Loss (SNHL) reduces audibility and causes distortion, which result in difficulty with speech processing, especially in noisy environments. One of the new speech-in-noise tests is the Words-in-Noise (WIN) test. This study aimed to further investigate the Signal-to-Noise Ratio 50% (SNR-50) in subjects with mild to severe SNHL and different configurations using the Persian version of the WIN test compared to normal-hearing people.
Methods: This cross-sectional study was conducted on 54 patients with SNHL aged 17–75 years and 49 normal-hearing people aged 20–48 years. The auditory recognition in the presence of multi-talker babble noise was evaluated by the Persian version of the WIN test (named ARWIN).
Results: The mean SNR-50 in the normal-hearing group was 2.56±1.2 dB, which increased significantly in subgroups with mild (10.13±4.8 dB), moderate (14.51±4.7 dB) and moderate-to-severe (16.61±4.3 dB) SNHL (p<0.001).
Conclusion: People with SNHL need more SNR by nearly 4–6 times than the normalhearing group for recognition of monosyllabic Persian words in the presence of multi-talker babble noise.
1. Taylor B. Speech-in-noise tests: How and why to include them in your basic test battery. Hear J. 2003;56(1):40, 42-6. [DOI:10.1097/01.HJ.0000293000.76300.ff]
2. Moore DR, Edmondson-Jones M, Dawes P, Fortnum H, McCormack A, Pierzycki RH, et al. Relation between speechin-noise threshold, hearing loss and cognition from 40-69 years of age. PLoS One. 2014;9(9):e107720. [DOI:10.1371/journal.pone.0107720]
3. Plomp R, Mimpen AM. Speech-reception threshold for sentences as a function of age and noise level. J Acoust Soc Am. 1979;66(5):1333-42. [DOI:10.1121/1.383554]
4. Gatehouse S. Components and determinants of hearing aid benefit. Ear Hear. 1994;15(1):30-49. [DOI:10.1097/00003446-199402000-00005]
5. Wilson RH. Development of a speech-in-multitalker-babble paradigm to assess word-recognition performance. J Am Acad Audiol. 2003;14(9):453-70. [DOI:10.1055/s-0040-1715938]
6. Killion MC. New Thinking on Hearing in Noise: A Generalized Articulation Index. Semin Hear. 2002;23(1):057-76. [DOI:10.1055/s-2002-24976]
7. Cox RM, Alexander GC, Gilmore C. Development of the Connected Speech Test (CST). Ear Hear. 1987;8(5 Suppl):119S-26S. [DOI:10.1097/00003446-198710001-00010]
8. Nilsson M, Soli SD, Sullivan JA. Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am. 1994;95(2):1085-99. [DOI:10.1121/1.408469]
9. Killion MC, Niquette PA, Gudmundsen GI, Revit LJ, Banerjee S. Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearingimpaired listeners. J Acoust Soc Am. 2004;116(4 Pt 1):2395-405. [DOI:10.1121/1.1784440]
10. McArdle RA, Wilson RH, Burks CA. Speech recognition in multitalker babble using digits, words, and sentences. J Am Acad Audiol. 2005;16(9):726-39; quiz 763-4. [DOI:10.3766/jaaa.16.9.9]
11. McArdle R, Wilson RH. Speech perception in noise: The basics. Perspectives on hearing and hearing disorders: research and diagnostics. 2009;13(1):4-13.
12. Wilson RH, McArdle RA, Smith SL. An Evaluation of the BKBSIN, HINT, QuickSIN, and WIN Materials on Listeners With Normal Hearing and Listeners With Hearing Loss. J Speech Lang Hear Res. 2007;50(4):844-56. [DOI:10.1044/1092-4388(2007/059)]
13. Wilson RH, Weakley DG. The 500 Hz masking-level difference and word recognition in multitalker babble for 40- to 89-yearold listeners with symmetrical sensorineural hearing loss. J Am Acad Audiol. 2005;16(6):367-82. [DOI:10.3766/jaaa.16.6.5]
14. Fereczkowski M, Neher T. Predicting Aided Outcome With Aided Word Recognition Scores Measured With Linear Amplification at Above-conversational Levels. Ear Hear. 2023;44(1):155-66. [DOI:10.1097/AUD.0000000000001263]
15. Wilson RH, McArdle R. Speech signals used to evaluate functional status of the auditory system. J Rehabil Res Dev. 2005;42(4 Suppl 2):79-94. [DOI:10.1682/jrrd.2005.06.0096]
16. Wilson RH. Clinical experience with the words-in-noise test on 3430 veterans: comparisons with pure-tone thresholds and word recognition in quiet. J Am Acad Audiol. 2011;22(7):405-23. [DOI:10.3766/jaaa.22.7.3]
17. Wilson RH, Farmer NM, Gandhi A, Shelburne E, Weaver J. Normative data for the Words-in-Noise Test for 6- to 12-yearold children. J Speech Lang Hear Res. 2010;53(5):1111-21. [DOI:10.1044/1092-4388(2010/09-0270)]
18. Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory Recognition of Words and Digits in Multitalker Babble in Learning-Disabled Children with Dichotic Listening Deficit. Iran Red Crescent Med J. 2017;19(4):e42817. [DOI:10.5812/ircmj.42817]
19. Moradiju E, Mahdavi ME, Zarrinkoob H, Tabatabaee SM. Relative and Absolute Test-Retest Reliability of Several Persian Auditory Processing Tests for Dichotic Listening and Recognition of Speech-In-Noise in Normal Children Aged 6-12 Years. J Rehab Med. 2018;6(4):160-7. [DOI:10.22037/JRM.2017.110584.1389]
20. Jarollahi F, Valadbeigi A, Jalaei B, Maarefvand M, Motasaddi Zarandy M, Haghani H, et al. Comparing Sound-Field Speech-Auditory Brainstem Response Components between Cochlear Implant Users with Different Speech Recognition in Noise Scores. Iran J Child Neurol. 2022;16(2):93-105. [DOI:10.22037/ijcn.v16i2.27210]
21. Akbari M, Panahi R, Valadbeigi A, Hamadi Nahrani M. Speech-in-noise perception ability can be related to auditory efferent pathway function: a comparative study in reading impaired and normal reading children. Braz J Otorhinolaryngol. 2020;86(2):209-16. [DOI:10.1016/j.bjorl.2018.11.010]
22. Shakiba S, Rouhbakhsh N, Mohammadkhani Q, Zamiri Abdollahi F, Faqih Zadeh E. Translation, Validity, And Reliability of the Persian Version of the Fisher Auditory Problems Checklist. Journal of Modern Rehabilitation. 2018;12(3):169-80. [DOI:10.32598/JMR.V12.N3.169]
23. Rasouli Fard P, Jarollahi F, Sameni SJ, Kamali M. Development of a Training Software to Improve Speech-in-Noise Perception in the Elderly with Noise-Induced Hearing Loss. Aud Vestib Res. 2022;31(1):38-44. [DOI:10.18502/avr.v31i1.8133]
24. Wilson RH, Carnell CS, Cleghorn AL. The Words-in-Noise (WIN) test with multitalker babble and speech-spectrum noise maskers. J Am Acad Audiol. 2007;18(6):522-9. [DOI:10.3766/jaaa.18.6.7]
25. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4]
26. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [DOI:10.1016/0022-3956(75)90026-6]
27. Sterling M. General Health Questionnaire - 28 (GHQ-28). J Physiother. 2011;57(4):259. [DOI:10.1016/S1836-9553(11)70060-1]
28. Mahdavi ME, Rabiei A. Psychometric function characteristics of Persian consonant-vowel-consonant words. Aud Vestib Res. 2021;30(1):50-5. [DOI:10.18502/avr.v30i1.5311]
29. Le Prell CG, Siburt HW, Lobarinas E, Griffiths SK, Spankovich C. No Reliable Association Between Recreational Noise Exposure and Threshold Sensitivity, Distortion Product Otoacoustic Emission Amplitude, or Word-in-Noise Performance in a College Student Population. Ear Hear. 2018;39(6):1057-74. [DOI:10.1097/AUD.0000000000000575]
30. Wilson RH, Watts KL. The Words-in-Noise Test (WIN), list 3: a practice list. J Am Acad Audiol. 2012;23(2):92-6. [DOI:10.3766/jaaa.23.2.3]
31. Wilson RH, Burks CA. Use of 35 words for evaluation of hearing loss in signal-to-babble ratio: A clinic protocol. J Rehabil Res Dev. 2005;42(6):839-52. [DOI:10.1682/jrrd.2005.01.0009]
32. Wilson RH, Cates WB. A comparison of two word-recognition tasks in multitalker babble: Speech Recognition in Noise Test (SPRINT) and Words-in-Noise Test (WIN). J Am Acad Audiol. 2008;19(7):548-56. [DOI:10.3766/jaaa.19.7.4]
33. Plomp R. Noise, amplification, and compression: considerations of three main issues in hearing aid design. Ear Hear. 1994;15(1):2-12. [DOI:10.1097/00003446-199402000-00002]
34. Smith SL, Wilson RH, McArdle RA. Word recognition performance in competing sentence and multitalker babble paradigms in listeners with hearing loss. Proceedings of the International Symposium on Auditory and Audiological Research. 2007;415-22.
2. Moore DR, Edmondson-Jones M, Dawes P, Fortnum H, McCormack A, Pierzycki RH, et al. Relation between speechin-noise threshold, hearing loss and cognition from 40-69 years of age. PLoS One. 2014;9(9):e107720. [DOI:10.1371/journal.pone.0107720]
3. Plomp R, Mimpen AM. Speech-reception threshold for sentences as a function of age and noise level. J Acoust Soc Am. 1979;66(5):1333-42. [DOI:10.1121/1.383554]
4. Gatehouse S. Components and determinants of hearing aid benefit. Ear Hear. 1994;15(1):30-49. [DOI:10.1097/00003446-199402000-00005]
5. Wilson RH. Development of a speech-in-multitalker-babble paradigm to assess word-recognition performance. J Am Acad Audiol. 2003;14(9):453-70. [DOI:10.1055/s-0040-1715938]
6. Killion MC. New Thinking on Hearing in Noise: A Generalized Articulation Index. Semin Hear. 2002;23(1):057-76. [DOI:10.1055/s-2002-24976]
7. Cox RM, Alexander GC, Gilmore C. Development of the Connected Speech Test (CST). Ear Hear. 1987;8(5 Suppl):119S-26S. [DOI:10.1097/00003446-198710001-00010]
8. Nilsson M, Soli SD, Sullivan JA. Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. J Acoust Soc Am. 1994;95(2):1085-99. [DOI:10.1121/1.408469]
9. Killion MC, Niquette PA, Gudmundsen GI, Revit LJ, Banerjee S. Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearingimpaired listeners. J Acoust Soc Am. 2004;116(4 Pt 1):2395-405. [DOI:10.1121/1.1784440]
10. McArdle RA, Wilson RH, Burks CA. Speech recognition in multitalker babble using digits, words, and sentences. J Am Acad Audiol. 2005;16(9):726-39; quiz 763-4. [DOI:10.3766/jaaa.16.9.9]
11. McArdle R, Wilson RH. Speech perception in noise: The basics. Perspectives on hearing and hearing disorders: research and diagnostics. 2009;13(1):4-13.
12. Wilson RH, McArdle RA, Smith SL. An Evaluation of the BKBSIN, HINT, QuickSIN, and WIN Materials on Listeners With Normal Hearing and Listeners With Hearing Loss. J Speech Lang Hear Res. 2007;50(4):844-56. [DOI:10.1044/1092-4388(2007/059)]
13. Wilson RH, Weakley DG. The 500 Hz masking-level difference and word recognition in multitalker babble for 40- to 89-yearold listeners with symmetrical sensorineural hearing loss. J Am Acad Audiol. 2005;16(6):367-82. [DOI:10.3766/jaaa.16.6.5]
14. Fereczkowski M, Neher T. Predicting Aided Outcome With Aided Word Recognition Scores Measured With Linear Amplification at Above-conversational Levels. Ear Hear. 2023;44(1):155-66. [DOI:10.1097/AUD.0000000000001263]
15. Wilson RH, McArdle R. Speech signals used to evaluate functional status of the auditory system. J Rehabil Res Dev. 2005;42(4 Suppl 2):79-94. [DOI:10.1682/jrrd.2005.06.0096]
16. Wilson RH. Clinical experience with the words-in-noise test on 3430 veterans: comparisons with pure-tone thresholds and word recognition in quiet. J Am Acad Audiol. 2011;22(7):405-23. [DOI:10.3766/jaaa.22.7.3]
17. Wilson RH, Farmer NM, Gandhi A, Shelburne E, Weaver J. Normative data for the Words-in-Noise Test for 6- to 12-yearold children. J Speech Lang Hear Res. 2010;53(5):1111-21. [DOI:10.1044/1092-4388(2010/09-0270)]
18. Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory Recognition of Words and Digits in Multitalker Babble in Learning-Disabled Children with Dichotic Listening Deficit. Iran Red Crescent Med J. 2017;19(4):e42817. [DOI:10.5812/ircmj.42817]
19. Moradiju E, Mahdavi ME, Zarrinkoob H, Tabatabaee SM. Relative and Absolute Test-Retest Reliability of Several Persian Auditory Processing Tests for Dichotic Listening and Recognition of Speech-In-Noise in Normal Children Aged 6-12 Years. J Rehab Med. 2018;6(4):160-7. [DOI:10.22037/JRM.2017.110584.1389]
20. Jarollahi F, Valadbeigi A, Jalaei B, Maarefvand M, Motasaddi Zarandy M, Haghani H, et al. Comparing Sound-Field Speech-Auditory Brainstem Response Components between Cochlear Implant Users with Different Speech Recognition in Noise Scores. Iran J Child Neurol. 2022;16(2):93-105. [DOI:10.22037/ijcn.v16i2.27210]
21. Akbari M, Panahi R, Valadbeigi A, Hamadi Nahrani M. Speech-in-noise perception ability can be related to auditory efferent pathway function: a comparative study in reading impaired and normal reading children. Braz J Otorhinolaryngol. 2020;86(2):209-16. [DOI:10.1016/j.bjorl.2018.11.010]
22. Shakiba S, Rouhbakhsh N, Mohammadkhani Q, Zamiri Abdollahi F, Faqih Zadeh E. Translation, Validity, And Reliability of the Persian Version of the Fisher Auditory Problems Checklist. Journal of Modern Rehabilitation. 2018;12(3):169-80. [DOI:10.32598/JMR.V12.N3.169]
23. Rasouli Fard P, Jarollahi F, Sameni SJ, Kamali M. Development of a Training Software to Improve Speech-in-Noise Perception in the Elderly with Noise-Induced Hearing Loss. Aud Vestib Res. 2022;31(1):38-44. [DOI:10.18502/avr.v31i1.8133]
24. Wilson RH, Carnell CS, Cleghorn AL. The Words-in-Noise (WIN) test with multitalker babble and speech-spectrum noise maskers. J Am Acad Audiol. 2007;18(6):522-9. [DOI:10.3766/jaaa.18.6.7]
25. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4]
26. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. [DOI:10.1016/0022-3956(75)90026-6]
27. Sterling M. General Health Questionnaire - 28 (GHQ-28). J Physiother. 2011;57(4):259. [DOI:10.1016/S1836-9553(11)70060-1]
28. Mahdavi ME, Rabiei A. Psychometric function characteristics of Persian consonant-vowel-consonant words. Aud Vestib Res. 2021;30(1):50-5. [DOI:10.18502/avr.v30i1.5311]
29. Le Prell CG, Siburt HW, Lobarinas E, Griffiths SK, Spankovich C. No Reliable Association Between Recreational Noise Exposure and Threshold Sensitivity, Distortion Product Otoacoustic Emission Amplitude, or Word-in-Noise Performance in a College Student Population. Ear Hear. 2018;39(6):1057-74. [DOI:10.1097/AUD.0000000000000575]
30. Wilson RH, Watts KL. The Words-in-Noise Test (WIN), list 3: a practice list. J Am Acad Audiol. 2012;23(2):92-6. [DOI:10.3766/jaaa.23.2.3]
31. Wilson RH, Burks CA. Use of 35 words for evaluation of hearing loss in signal-to-babble ratio: A clinic protocol. J Rehabil Res Dev. 2005;42(6):839-52. [DOI:10.1682/jrrd.2005.01.0009]
32. Wilson RH, Cates WB. A comparison of two word-recognition tasks in multitalker babble: Speech Recognition in Noise Test (SPRINT) and Words-in-Noise Test (WIN). J Am Acad Audiol. 2008;19(7):548-56. [DOI:10.3766/jaaa.19.7.4]
33. Plomp R. Noise, amplification, and compression: considerations of three main issues in hearing aid design. Ear Hear. 1994;15(1):2-12. [DOI:10.1097/00003446-199402000-00002]
34. Smith SL, Wilson RH, McArdle RA. Word recognition performance in competing sentence and multitalker babble paradigms in listeners with hearing loss. Proceedings of the International Symposium on Auditory and Audiological Research. 2007;415-22.
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| Issue | Vol 33 No 2 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v33i2.14813 | |
| Keywords | ||
| Sensorineural hearing loss words-in-noise auditory recognition speech perception | ||
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How to Cite
1.
Nasiri E, Jalilvand H, Mahdavi ME, Koravand A. Auditory Recognition of Words-in-Noise in Normal Hearing and Mild-to-Severe Sensorineural Hearing Loss with Different Configurations. Aud Vestib Res. 2023;33(2):110-117.
