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Frequency
Lowering in Hearing Devices
Candidacy,
Selection, and Verification of SoundRecover
Options
3rd Phonak
Virtual Audiology Conference (May 12, 2009)
Work by Stelmachowicz and colleagues demonstrate
that the limited bandwidth of hearing aids prevents useful high-frequency
speech information from being transmitted. This is especially problematic for
children with mild-to-moderate hearing loss who are learning speech and
language. The tubing resonances
associated with behind-the-ear hearing aids, which are the only option for
children, keep the limit of usable amplification well below 5-6 kHz. In addition, children with hearing
loss cannot hear their own productions of these sounds with conventional
hearing aids and are delayed in acquiring them in their phonetic inventory.
The focus of one investigation is on a novel
forms of frequency lowering techniques intended for precipitous hearing
loss. Current hearing aid
signal processing options are limited for individuals with precipitous
hearing loss. Frequency
lowering may increase the usable information within narrow bandwidths of
audibility; however, preserving low-frequency information while recoding
high-frequency information is a challenge. The goal of this research is to
explore different ways of remapping high frequencies to perceptually
enhance acoustic differences between highly confusable consonants. Future directions will investigate
the effects of training and the feasibility of applying them to less severe
hearing loss. Study results
will inform manufacturer decisions on how to implement frequency lowering.
The focus of another investigation is on the efficacy of products on
the market that recode high-frequency information in lower frequency
regions. Collaborative research
carried out by Pat Stelmachowicz
at Boys Town National Research Hospital
(Omaha, Nebraska) investigates the efficacy of frequency lowering in adults
and children with mild-to-moderate to severe SNHL of varying configurations
on measures of speech perception, reaction time, clarity of speech and
music, and speech production.
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