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Further test of a model for loudness coding after adaptation.

The present study attempted to fit Weiler and Hood's (1977) quantitative model for loudness coding to an additional set of simultaneous dichotic loudness balance (SDLB) adaptation data. The error of prediction for test values 10 dB above adapting intensity for 12 normal-hearing listeners was -2.7 to -4.7 dB, an average of -3.5 dB. Since the error of prediction was so nearly constant (S.D. = +/- 737 dB), it seemed reasonable to attribute it do differences in procedural technique, and to conclude that the loudness model does account for coding in the adaptation results.

Dichotic Listening Tests↗

Effect of interaural intensity differences on binaural summation of brainstem auditory-evoked potentials.

With binaural stimulation the two specific parameters that can modify the neural responses substantially are the intensity differences and the time of arrival of the stimulus at the two ears; these events on electrophysiological evidence, being mediated at the superior olivary complex and at the inferior colliculus, the origins of Waves III and V respectively. Comparison of the brainstem auditory-evoked potentials to monaural stimulation with that due to binaural stimulation reveals a significant increase only in the amplitude of Wave V. The amount of increase is reduced from 68.7% with equal intensities at the two ears to 44% with a 10-dB interaural intensity difference. With a 20-dB interaural intensity difference the amplitude of Wave V reverts to that due to monaural stimulation. The 68.7% greater amplitude for Wave V was not due to effective increase in loudness sensation on binaural stimulation (which is equivalent to a monaural increase in intensity of 3 dB) but to binaural summation. In contrast to Wave V, Wave III decreased in amplitude below that resulting from monaural stimulation with intensity differences of 10 and 20 dB at the two ears. This supports the suggestion of inhibitory processes at that level of the brainstem. As only Wave V shows binaural summation the region of inferior colliculus is suggested as the site for the occurrence of this phenomenon. Binaural interaction can also be demonstrated within a limited range with intensity differences at the two ears.

Brain Stem↗

Magnitude estimates of loudness adaption at 60 dB SPL.

Previous reports indicate that adaptation measured by the technique of successive magnitude estimations is not found above 30 dB SL (Fishken et al., 1977; and others). Although the present study confirmed this finding at 60 dB SPL for the original procedure, it was found that a modification of the magnitude estimation procedure resulted in significant loudness adaptation at this intensity. Introduction of a 20-dB increment for 5 s, every 30 s, resulted in a marked and statistically significant decline in successive loudness judgements of the 60-dB tone. In addition, the decline in reported loudness magnitude was cumulative and progressive throughout the 7-min duration of the monaural stimulus. This is typical of classical results found with simultaneous dichotic loudness balances.

Adult↗

Loudness adaptation: real or illusory.

There is general agreement that, except at low sensation levels, the loudness of a continuous pure tone does not appear to change with time. By contrast, using a simultaneous dichotic loudness balancing procedure (SDLB) a substantial fall in loudness can be revealed. As a result it has been held that the latter does not represent a loudness loss in real terms but is a manifestation of some form of central binaural interaction possibly involving localization mechanisms. In two studies reported here, one involving a loudness scaling procedure using as a standard a reference tone of 65 dB (HL) and the other a loudness doubling procedure, a loudness loss has been clearly demonstrated following sustained stimulation with a continuous 60-dB (HL), 1000-Hz tone applied monaurally. The progression of the loudness loss with time follows a similar course to that found with the SDLB procedure. In consequence it is concluded that both represent a loudness loss in real terms and that inability to detect a change in loudness over time of a continuous tone results from the absence of any reference standard by which it can be judged.

Acoustic Stimulation↗

The effects of high pass filtered speech on speech discrimination.

This study was designed to determine the intelligibility of speech at two intensity levels using two different conditions (broad band and high pass filtered speech) and to determine the vowels and consonants most affected by the conditions imposed. The ten subjects were all stimulated with 50 words of the CID W-22 series at two levels of intensity (30 db SL and 15 dB SL) each in the filtered and broad-band (unfiltered) conditions. The results tended to indicate that the type of condition (filtered or unfiltered) did not affect the speech comprehension until the intensity of the filtered signal approached 15 dB SL. It was also determined that consonants and vowels identification were only slightly affected by filtering if the intensity of the signal is above 15 dB SL.

Adult↗

Loudness adaptation, when induced, is real.

In two recent articles, Hood and Wade (1982) and Weiler et al. (1981) have argued that the loudness of a steady tone does not appear to decline over time unless listeners are given a reference sound by which to judge loudness. The present experiments show, by the method of successive magnitude estimation, that listeners do not need a reference sound in order (1) to track accurately the decline in the loudness of a tone slowly decreasing from 60 to 40 dB SPL or (2) to track the loudness decline of a constant-intensity tone under special conditions that lead to adaptation. Since a reference sound is not needed by listeners to track a decline in loudness, and since Hood and Wade and Weiler et al. have found a decline with a reference but not without, it follows that adding a reference sound to a sustained sound must induce adaptation that otherwise does not occur. In support of that interpretation, the present measurements show that when subjects are told to ignore the same reference sound as used by Hood and Wade and by Weiler et al.--an increment every 30 s to a steady tone--loudness still declines. The bigger the increment (20 dB v. 5 dB) and the longer (5 s v. 1 s), the more loudness declines. Thus, loudness adaptation may be induced not only by a contralateral intermittent sound (Botte et al., 1982) but also by an ipsilateral intermittent sound. However, under normal listening conditions at levels above about 30 dB SL, loudness does not adapt.

Acoustic Stimulation↗

Parametric studies of tinnitus masking and residual inhibition.

A study was made of the relation between tinnitus masker composition (frequency, bandwidth, intensity duration) and the time course and magnitude of residual inhibition (RI). RI was determined by methods of (a) loudness estimation - where the subject varied the pointer position on a loudness scale (b) loudness balance - where the tinnitus loudness was maintained in loudness balance in the period following masking with a tone of variable intensity presented to the opposite ear. In addition, sensitivity change (temporary threshold shift, TTS) in the tinnitus and masker frequency regions was measured by determining tone thresholds (using a tracking technique) before and after masker presentation. The key findings were as follows: (I) RI depends on masker centre frequency. The frequency producing maximal RI is usually lower than the tinnitus frequency (as determined by pitch matching). (2) In some subjects only narrow-band noise produces RI. (3) RI is proportional to the masker intensity provided the tinnitus is completely masked; little or no RI is produced by a partial masker. (4) For the masker durations used (in the range 10 s to 10 min) RI duration is linearly related to the logarithm of masker duration. (5) A second masker presentation during RI does not potentiate RI. (6) Contralateral masking did not produce RI. (7) maskers producing RI also produce TTS around the tinnitus frequency. (8) The TTS magnitude and the time course of TTS appear to be related to RI.

Acoustics↗

Some aspects of the auditory nerve responses evoked by tone bursts.

Short latency (10 ms post-stimulus-time) auditory evoked potentials are a useful tool for assessing the hearing integrity at different frequency bands, especially if frequency-specific stimuli, like tone bursts, are used. However, a proper interpretation of the evoked potentials should rely upon the understanding of the single auditory nerve units activity patterns and their relations with the gross potentials, under the same stimulating conditions. In this paper, the basic properties of the burst evoked PST histograms of single units are explained with the aid of a model for the cochlear events. The relationships between single units activity and the gross potentials are then analysed on this ground, in particular for what concerns the Action Potential input-output latency curve, the off-response rising at the burst offset and the growth of N2.

Acoustic Stimulation↗

A clinical study of tinnitus maskers.

This report describes a three-centre study of the effectiveness of tinnitus maskers, combination instruments (masker plus hearing aid), and hearing aids in the management of tinnitus. Some 472 patients entered the study with 382 reaching the first evaluation session after a minimum period of 6 months from fitting, and 206 reaching the second evaluation not less than 6 months after the first. The study included two control groups, by which to assess the comparative benefit to be derived solely from the investigation and counselling of such patients. The principal results were as follows: thorough investigation and careful counselling do much to help the patient; much further benefit is given by tinnitus masking instruments of various kinds; maskers are more often effective than hearing aids, although the latter are frequently the most appropriate first treatment of those patients who have substantial (but not yet treated or insufficiently treated) hearing difficulties as well; there is no evidence of masking having any harmful effect on hearing. None of the audiometric or tinnitus tests currently employed can be regarded as predictive, either of tinnitus severity, or of the eventual outcome of masking therapy, however certain measurements may help as a guide to patient management.

Adult↗

Hearing acuity and susceptibility to noise-induced hearing loss.

Above a critical level (CL) of fatiguing tone, temporary threshold shift (TTS) rises rapidly with intensity. Using a fatiguing tone of 1000 Hz, threshold shift following 1 min stimulation at varying intensities was measured at the same frequency in 55 normal subjects and the CL determined for each. In a second and more limited study, TTS was measured at a frequency half an octave above that of the fatiguing tone. A significant inverse correlation was established between hearing level (HL) and CL at the same frequency with a fall of 2.5 dB in the latter for every 10 dB rise in the former. CLs measured half an octave above the fatiguing tone frequency were appreciably lower by 5 to 11 dB. No correlation was apparent between TTS and HTL, implying that TTS and CL are subserved by differing physiological mechanisms. The findings have relevance to the topic of susceptibility to noise-induced hearing loss and the formulation of damage risk criteria.

Acoustic Stimulation↗

Multivariate analyses of tinnitus complaint and change in tinnitus complaint: a masker study.

Multivariate statistical techniques were used to re-analyse the data from the recent DHSS multi-centre masker study. These analyses were undertaken to three ends. First, to clarify and attempt to replicate the previously found factor structure of complaints about tinnitus. Secondly, to attempt to identify common factors in the change or improvement measures pre- and post-masker treatment. Thirdly, to identify predictors of any such outcome factors. Two complaint factors were identified; 'Distress' and 'intrusiveness'. A series of analyses were conducted on change measures using different numbers of subjects and variables. When only semantic differential scales were used, the change factors were very similar to the complaint factors noted above. When variables measuring other aspects of improvement were included, several other factors were identified. These included; 'tinnitus helped', 'masking effects', 'residual inhibition' and 'matched loudness'. Twenty-five conceptually distinct predictors of outcome were identified. These predictor variables were quite different for different outcome factors. For example, high-frequency hearing loss was a predictor of tinnitus being helped by the masker, and a low frequency match and a low masking threshold predicted therapeutic success on residual inhibition. Decrease in matched loudness was predicted by louder tinnitus initially.

Adaptation, Psychological↗

Sound levels from personal cassette players.

Techniques have been devised whereby the levels at which users of personal cassette players listen to tape-recorded sounds through lightweight headphones may be measured and expressed in terms of free-field equivalent continuous A-weighted sound pressure levels. Data have been obtained on over 60 users of such devices who variously listened, in laboratory and field conditions, to music and speech against quiet and noisy backgrounds. The results have been interpreted in terms of noise exposure. Comparison with damage risk criteria indicates that 5% of the sample are listening in such a manner that habitual use would constitute a damage risk to hearing.

Hearing Loss, Noise-Induced↗

Damage risk from personal cassette players.

Studies of the listening habits of personal cassette player users have been carried out in both Southampton and Turin. The results have been compared with other researches carried out independently in London and Nottingham. Patterns of noise exposure have been examined and estimates of hearing damage risk hypothesised. Habitual users of such devices could suffer adverse effects and should be aware of the symptoms associated with temporary threshold shifts in hearing.

Adolescent↗

Low-powered ultrasound in the inhibition of tinnitus.

An experiment was performed using low-level ultrasound in an attempt to inhibit tinnitus during and after stimulation. The method used a double-blind crossover technique with a placebo. Forty subjects were tested, and they generally reported little or no change in their tinnitus, the results from placebo and ultrasound not being statistically different. It cannot be concluded, therefore, that the ultrasound we were using has any beneficial effect on tinnitus. These results do not confirm the findings of the pilot study using the same ultrasound devices (Carrick et al., 1986).

Clinical Trials as Topic↗

The functional significance of auditory adaptation.

If a short duration pulse is added periodically every 30 s to a continuous tone, then the loudness of the continuous tone, which would otherwise remain unchanged, appears to undergo a progressive decline over a period of 3 min. The question at issue is whether the loss of loudness is actually induced by the pulse or merely made obvious. In support of the latter proposition a model has been developed which indicates how the loudness difference between the pulsed and continuous tone will increase as a result of adaptation. However, the model also predicts that a loudness loss should, in addition, be apparent in the pulsed tone itself. This has been confirmed by balancing the loudness in one ear of a 10 dB increment to a continuous tone of 60 dB at 1 kHz with an intermittent pulsed tone of the same frequency in the other. The magnitude of the loudness loss (of the order of 5 dB) accords well with the model prediction. The functional implications are that adaptation of continuous background noise should serve to reduce its masking effect upon speech and other transitory auditory stimuli rendering them more easily detectable.

Adaptation, Physiological↗

Predictors of tinnitus discomfort, adaptation and subjective loudness.

In a nation-wide investigation, covering all the hearing centres in Sweden, a study was made of adaptation processes, subjective discomfort from tinnitus, subjective loudness of tinnitus and psychological complaints in 3372 subjects by means of a questionnaire. The most important predictors of discomfort from and adaptation to tinnitus were found to be the controllability and the degree of maskability by external sounds, i.e. the subject's coping abilities or internal-external locus of control. Increased control and masking effects from the environment imply a decrease in discomfort and better adaptation. The most important predictor of worsened subjective loudness of tinnitus was the duration of the tinnitus. That is, subjects who had had tinnitus for a longer time perceived the loudness as more intense. The psychosomatic factors which most strongly predicted increased discomfort from and decreased tolerance to tinnitus were depression and insomnia. These findings have theoretical and practical implications for the management and treatment of tinnitus.

Adaptation, Psychological↗