Relationship between age of hearing-loss onset, hearing-loss duration, and speech recognition in individuals with severe-to-profound high-frequency hearing loss.

Abstract

The factors responsible for interindividual differences in speech-understanding ability among hearing-impaired listeners are not well understood. Although audibility has been found to account for some of this variability, other factors may play a role. This study sought to examine whether part of the large interindividual variability of speech-recognition performance in individuals with severe-to-profound high-frequency hearing loss could be accounted for by differences in hearing-loss onset type (early, progressive, or sudden), age at hearing-loss onset, or hearing-loss duration. Other potential factors including age, hearing thresholds, speech-presentation levels, and speech audibility were controlled. Percent-correct (PC) scores for syllables in dissyllabic words, which were either unprocessed or lowpass filtered at cutoff frequencies ranging from 250 to 2,000 Hz, were measured in 20 subjects (40 ears) with severe-to-profound hearing losses above 1 kHz. For comparison purposes, 20 normal-hearing subjects (20 ears) were also tested using the same filtering conditions and a range of speech levels (10-80 dB SPL). Significantly higher asymptotic PCs were observed in the early (