Term
Wh y Add Speech in Noise Test?
-Measuring ___ loss addresses most common complaint by patients
-Can not predict individual performance on a speech in noise task from WRS in ___
-73% of listeners had WRS at > ___% with poorer than normal
WIN performance
-__ of 387 had normal WIN performance and normal WRS quiet
-Data may help with amplification ___
-Data helps when ___ patients; especially regarding realistic expectations for amplification in noise |
|
Definition
| SNR; quiet; 80; 5; selection; counseling |
|
|
Term
|
Definition
|
|
Term
| __-__% of geriatric patients have HL |
|
Definition
|
|
Term
Sensory Presbycusis:
-___-frequency ___ sloping
-due to ___ ___ loss & ___ of CN VIII
-Progresses ___
-WRS are impacted ___ |
|
Definition
high; steeply; hair cell; atrophy; slowly; proportionally
[image] |
|
|
Term
Neural Presbycusis:
-due to loss of auditory ___ in cochlea & associated with ___ of CN VIII
-Pure tones are not affected until about __% of neurons are lost
-___-frequency loss
-Speech recognition scores are significantly ___ compared to scores expected for PTAs
-Described by ___ in 1948 as “phonemic regression” |
|
Definition
neurons; degeneration; 90; High; degraded; Gaeth
[image] |
|
|
Term
Metabolic Presbycusis:
-Involves atrophy of the ___ ___
-A.k.a.: ___ ___
-Results in ___ sensorineural hearing loss
-Speech recognition scores are typically ___ for the amount of loss |
|
Definition
stria vascularis; strial presbycusis; flat; proportionate
[image] |
|
|
Term
Mechanical Presbycusis:
-May be caused by the stiffening of the ___ ___
-A.K.A.: ___-___ presbycusis
-___ HF loss with ___ word recognition scores |
|
Definition
basilar membrane; cochlear-conductive; Sloping; appropriate
[image] |
|
|
Term
Hearing Aids & the SSI Test:
-Use the SSI-CCM test to spatially separate the speech & noise:
*CCM = ___ ___ ___
*___ from one speaker in the SF
*___ from a different speaker in the SF
-Note: for diagnostic testing, we used the SSI-___ (ipsilateral competing message) |
|
Definition
| contralateral competing message; Speech; Noise; ICM |
|
|
Term
Synthetic Sentence Identification (SSI) Test:
-Stimuli: list of 10 seven-word “___” sentences (third word order approximations)
-3 word phrases have meaning so can not ID sentence based on ___ or ___ cues
-___-set response to minimize listener’s dependence of linguistic skills
-i.e. “small boat with a picture has become”
-Competition: single ___ talker tells ___ story |
|
Definition
| synthetic; context; syntactic; Closed; male; Crockett |
|
|
Term
Listener’s Task for SSI:
-Hold paper with ___ sentences
-Report the ___ of the sentence heard
Instructions: ??? |
|
Definition
| 10; number; Tell me the number of the sentence heard (even if you hear only a few words); ignore the story about Davy Crockett |
|
|
Term
Test Booth Set-Up for the SSI:
-Same task as diagnostic test; just test in ___ using gradually more difficult MCRs
-Present ___ from one speaker & ___ from a different speaker
-___ patient appropriately
-Start test at an easy MCR (e.g. ___ MCR)
-Proceed to more ___ MCRs |
|
Definition
| SF; speech; noise; Position; +10; difficult |
|
|
Term
SSI-CCM:
-Score each correct identification as __%
-Plot ___ ___ on SSI-HAE form to show percent correct scores at various MCRs |
|
Definition
|
|
Term
Advantages of Sentences:
-Better represent ___-___ listening env.
-Take intrinsic and extrinsic ___ into acct.
-Give an overall ___ of listener’s performance in noise
-___ commercial sentence tests available |
|
Definition
| real-world; redundancies; snapshot; Several |
|
|
Term
Disadvantages of Sentences:
-Decline in ___ system and/or ___ processing could result in poor scores.
-Using words eases the ___ overload
-Using words is more representative of ___ ___ alone |
|
Definition
| auditory; cognitive; cognitive; auditory system |
|
|
Term
Words in Noise (WIN) Test:
-Developers: ___ (2003); ___ and ___ (2007)
-Speech/Noise: ___ talker, NU-6 words with ___-___ babble
-Method: descending method that measures performance at several ___; the 50% point is calculated using the ___ ___ equation
-Normative Data: Normal performance on WIN test is < 6dB S/N (Wilson et al. 2003) (i.e. SNR loss > 6dB is abnormal) |
|
Definition
| Wilson; Wilson & McArdle; Female; multi-talker; SNRs; Spearman-Karber |
|
|
Term
| Collection of 4 or more speakers reading independent passages recorded at the same time (or recorded separately and mixed digitally) |
|
Definition
|
|
Term
WIN Test Process:
-Present __ words at various signal-to-babble (SBR) ratios from 24 to 0 dB
-Under ___
-May measure in ___ can be carried out. Obtain WRS in quiet (25 items) at hearing levels corresponding to highest & lowest ___ |
|
Definition
| 5; headphones; quiet; SBRs |
|
|
Term
WIN Test Protocol:
-Noise is presented at fixed levels: __, __, or __ dB HL
-Speech is presented at various levels: over a __-dB range
-Stimuli: __ (2 lists of 35 NU-6 words each)
-Total test time: __-__ minutes needed |
|
Definition
| 50, 60, or 70; 24; 70; 5-10 |
|
|
Term
Quick Speech in Noise (QSIN) Test:
-Measures the SNR a listener needs to understand __% of key words in sentences in a background of babble
-Provides estimate of SNR loss accurate to ___ dB at the 95% confidence level
-Research produced 12 equivalent lists with __ sentences each
-One sentence at each adjusted ___ of 25, 20, 15, 10, 5, and 0 dB |
|
Definition
|
|
Term
QSIN Purpose:
-To yield __ minute estimate of SNR loss
-Provide quick way to quantify ability to ___ ___ ___
-Determine if HF emphasis improves or degrades ___ ___ in noise
-Help to choose appropriate ___
-Show that directional mics improve speech understanding in noise
-Provide a large number of equivalent test lists to use in ___ and ___
-Provide information to use when counseling patients about ___ ___ |
|
Definition
| 1; hear in noise ; speech understanding; amplification; clinic; research; realistic expectations |
|
|
Term
QSIN:
-Sentences are presented at __-___ SNRs which decrease in 5 dB steps from 25 (easy) to 0 (very difficult)
-Uses ___ sentences as signal and ___ ___ as competing noise
-CI studies reported IEEE sentences are made up of words not highly __ from surrounding context. PI function is closer to one with ___ than ___ ___
-Each sentence has __ key words which are scored as correct or incorrect |
|
Definition
| pre-recorded; IEEE; 4-talker babble; predictable; words whole sentences ; 5 |
|
|
Term
QSIN QuickStart:
-Cue CD, Use cal tone on track 1 to adjust both channels of
audiometer to read __ on VU meter.
-Present the test with ___ or in a ___ -__. Set audiometer dial to __ dB HL. For listeners with PTA > 45 dB HL, set dial to a level that is “___ ___ ___”.
-Instruct listener to ___ sentences spoken by the female talker
-Score the 5 key words underline in each sentence, giving ___ point for each word repeated correctly
-___ the number of correct responses (totaled across all 6 sentences).
Subtract the total correct from ___ to obtain SNR loss SNR |
|
Definition
| 0; earphones; sound field; 70; loud but ok; repeat; one; Add; 25.5 (Loss = 25.5 – total correct) |
|
|
Term
| What are the instructions for the QuickSIN? |
|
Definition
| “Imagine that you are at a party. There will be a woman talking and several other talkers in the background. The woman’s voice is easy to hear at first, because her voice is louder than the others. Repeat each sentence the woman says. The background talkers will gradually become louder, making it difficult to understand the woman’s voice, but please guess and repeat as much of each sentence as possible.” |
|
|
Term
QuickSIN Interpretation:
-the ___ the SNR value, the more likely the pt will have significant difficulties understanding speech in noise
-Authors suggest using the QuickSIN battery __-fitting
-Will help to ___ pts
-May help select features such as ___ mics |
|
Definition
| higher; pre; counsel; directional |
|
|
Term
| the dB increase in the SNR required by a hearing-impaired person to understand speech in noise compared to someone with normal hearing |
|
Definition
|
|
Term
-A person with normal hearing needs about a __ dB SNR to
identify 50% of key words in sentences on QSIN test
-A hearing-impaired person who needs speech to be 8 dB
higher than the noise to achieve a 50% correct score would
have a ___ SNR loss |
|
Definition
|
|
