J Am Acad Audiol 2022; 33(05): 285-292
DOI: 10.1055/a-1817-6840
Research Article

The Effect of Multichannel and Channel-Free Hearing Aids on Spectral-Temporal Resolution and Speech Understanding in Noise

1   Department of Audiology, Institute of Graduate Studies, Istanbul University-Cerrahpasa, Istanbul/Turkey
,
2   Department of Audiology, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul/Turkey
› Author Affiliations
Funding The authors declared that this study has received no financial support.

Abstract

Background Identifying and understanding speech is difficult for individuals with sensorineural hearing loss, especially in noisy environments. Possible causes include less audibility of the signal, impaired temporal resolution, and low selectivity of frequency. The hearing aid is the most common option used to minimize the problems faced by individuals with sensorineural hearing loss.

Purpose This article investigates the effects of multichannel and channel-free hearing aid signal processing techniques on spectral-temporal resolution and speech understanding in noise.

Research Design An experimental study was used in which the determined tests were applied to the participants.

Study Sample Thirty-four individuals with bilateral symmetrical sensorineural hearing loss between the ages of 18 and 70 were included in our study.

Data Collection and Analysis Spectral-temporally modulated ripple test, random gap detection test (RGDT), and Turkish matrix test were applied to the participants using multichannel and channel-free hearing aids. All the data obtained were compared statistically in terms of the performances of the hearing aids.

Results There was no significant difference between multichannel and channel-free hearing aids for spectral resolution and speech understanding in noise tests (p > 0.05). While there was no significant difference between the two hearing aids for 500 and 4,000 Hz RGDT in temporal resolution measurement (p > 0.05), for 1,000 Hz (p = 0.045), 2,000 Hz (p = 0.046), and composite RGDT (p = 0.001), statistically significant better performances were obtained with the channel-free hearing aids.

Conclusion It is thought that faster processing of the incoming signal in the channel-free hearing aids improves the temporal resolution performance. It is predicted that our study findings might help to determine the signal processing technique that will maximize the communication skills of the patients in various conditions.

Authors' Contributions

Mert Kılıç: Conception, design, data collection and/or processing, literature review, analysis and/or interpretation, writing.


Eyyup Kara: Design, data collection and/or processing, literature review, writing.


Disclaimer

Any mention of a product, service, or procedure in the Journal of the American Academy of Audiology does not constitute an endorsement of the product, service, or procedure by the American Academy of Audiology.




Publication History

Received: 01 January 2022

Accepted: 01 April 2022

Accepted Manuscript online:
05 April 2022

Article published online:
09 November 2022

© 2022. American Academy of Audiology. This article is published by Thieme.

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333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Dillon H. Hearing Aids. 1st ed.. New York: Thieme Publishers Series; 2001
  • 2 Ayllón D, Gil-Pita R, Rosa-Zurera M. et al. Improving speech intelligibility in hearing aids. Part I: Signal processing algorithms. In Waves. Instituto de Telecomunicaciones y Aplicaciones Multimedia (ITEAM) 2014; 6: 61-71
  • 3 Dillon H. Hearing Aids. 2nd ed.. New York: Thieme Medical Publishers; 2012
  • 4 Rallapalli VH, Alexander JM. Effects of noise and reverberation on speech recognition with variants of a multichannel adaptive dynamic range compression scheme. Int J Audiol 2019; 58 (10) 661-669
  • 5 Plyler PN, Reber MB, Kovach A, Galloway E, Humphrey E. Comparison of multichannel wide dynamic range compression and ChannelFree processing in open canal hearing instruments. J Am Acad Audiol 2013; 24 (02) 126-137
  • 6 DeSilva MDK, Kooknoor V, Shetty HN, Thontadarya S. Effect of multichannel and channels free hearing aid signal processing on phoneme recognition in quiet and noise. Int J Health Sci Res 2016; 6 (03) 248-257
  • 7 Mohan KM, Rajashekhar B. Temporal processing and speech perception through multi-channel and channel-free hearing aids in hearing impaired. Int J Audiol 2019; 58 (12) 923-932
  • 8 Clark JG. Uses and abuses of hearing loss classification. ASHA 1981; 23 (07) 493-500
  • 9 Aronoff JM, Landsberger DM. The development of a modified spectral ripple test. J Acoust Soc Am 2013; 134 (02) EL217-EL222
  • 10 Braga BHC, Pereira LD, Dias KZ. Normality tests of temporal resolution: random gap detection test and gaps-in-noise. Rev CEFAC 2015; 17 (03) 836-845
  • 11 Zokoll MA, Fidan D, Türkyılmaz D. et al. Development and evaluation of the Turkish matrix sentence test. Int J Audiol 2015; 54 (Suppl. 02) 51-61
  • 12 Plomp R. The negative effect of amplitude compression in multichannel hearing aids in the light of the modulation-transfer function. J Acoust Soc Am 1988; 83 (06) 2322-2327
  • 13 Schaub A. Enhancing temporal resolution and sound quality: a novel approach to compression. Hear Rev. 2009; 16 (08) 28-33
  • 14 Kodiyath G, Mohan K, Bellur R. Influence of channel and ChannelFree™ processing technology on the vocal parameters in hearing-impaired individuals. Indian J Otol. 2017; 23 (01) 21-26
  • 15 Plyler P, Hedrick M, Rinehart B, Tripp R. Comparison of multichannel wide dynamic range compression and ChannelFree processing strategies on consonant recognition. J Am Acad Audiol 2015; 26 (07) 607-614
  • 16 Roy AK, Rajalakshmi K. Speech identification with single channel multichannel and channel-free hearing aids. Student Research at A.I.I.S.H Mysore (Articles based on dissertations done at AIISH). J All India Inst Speech Hear 2006; Volume V: Part-A