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청력 손실자의 보청기 착용 전후의 말 지각에서의 변화
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  • 청력 손실자의 보청기 착용 전후의 말 지각에서의 변화
  • A Relationship of Speech Perception and Amplification for Hearing-Impaired Listeners
저자명
한우재
간행물명
Audiology and Speech ResearchKCI,SCOPUS
권/호정보
2011년|7권 2호(통권12호)|pp.133-144 (12 pages)
발행정보
한국청각언어재활학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(1.61MB)
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영문초록

Individuals with sensorineural hearing loss (SNHL) are treated with hearing aids and/or a cochlear implant, based on their pure-tone thresholds and speech perception scores. Although these assistive listening devices do help those individuals communicate in quiet surroundings, many still have difficulty understanding speech in noisy environments. The purpose of current study is to compare results of consonant perception when using flat gain (or most comfortable level, MCL) and to see changes in consonant error rate occurred by hearing impairment after applying a frequency specific amplification. Twenty American English speakers with mild-to-moderate SNHL were tested. Isolated English consonant-vowel (CV) syllables, consisting of sixteen consonants followed by the /a/ vowel, were used as stimuli. They were presented monaurally in quiet and at five different signal-to-noise ratios (SNRs) in speech-weighted noise. To compare the consonant error between ‘no NAL-R amplification’ (flat gain) and ‘NAL-R amplification’ conditions, all subjects were tested in the two conditions. When simulating the NAL-R condition, its formula was calculated in two steps for each subject, by obtaining the required gain as a function of frequency. Overall consonant percent errors were decreased with NAL-R correction, compared to the no NAL-R conditions. When we look at the aided audibility and average consonant errors (or scores) after fitting a hearing aid, hearing-impaired (HI) speech perception seems better than before wearing the hearing aid. However, there is a significant difference among consonants: some consonants obtain great benefit from NAL-R and others do not. Also, subjects who have similar pure-tone audibility do not receive the same benefit from the amplification. We conclude that although current amplification fitting methods can offer positive benefit on average to the speech perception of HI listeners, they cannot offer equally positive benefits to every consonant and every HI listener.

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION AND CONCLUSION
ACKNOWLEDGEMENT
REFERENCES

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