Sensorineural Hearing Loss Diminishes Use of Temporal Envelope Cues: Evidence From Roving-Level Tone-in-Noise Detection.

Objectives The objective of our study is to understand how listeners with and without sensorineural hearing loss (SNHL) use energy and temporal envelope cues to detect tones in noise. Previous studies of low-frequency tone-in-noise detection have shown that when energy cues are made less reliable using a roving-level paradigm, thresholds of listeners with normal hearing (NH) are only slightly increased. This result is consistent with studies demonstrating the importance of temporal envelope cues for masked detection. In contrast, roving-level detection thresholds are more elevated in listeners with SNHL at the test frequency, suggesting stronger weighting of energy cues. The present study extended these tests to a wide range of frequencies and stimulus levels. The authors hypothesized that individual listeners with SNHL use energy and temporal envelope cues differently for masked detection at different frequencies and levels, depending on the degree of hearing loss. Design Twelve listeners with mild to moderate SNHL and 12 NH listeners participated. Tone-in-noise detection thresholds at 0.5, 1, 2, and 4 kHz in 1/3 octave bands of simultaneously gated Gaussian noise were obtained using a novel, two-part tracking paradigm. A track refers to the sequence of trials in an adaptive test procedure; the signal to noise ratio was the tracked variable. Each part of the track consisted of a two-alternative, two-interval, forced-choice procedure. The initial portion of the track estimated detection threshold using a fixed masker level. When the track continued, stimulus levels were randomly varied over a 20-dB rove range (±10 dB with respect to mean masker level), and a second threshold was estimated. Rove effect (RE) was defined as the difference between thresholds for the fixed- and roving-level tests. The size of the RE indicated how strongly a listener weighted energy-based cues for masked detection. Participants were tested at one to three masker levels per frequency, depending on audibility. Results Across all stimulus frequencies and levels, NH listeners had small REs (≈1 dB), whereas listeners with SNHL typically had larger REs. Some listeners with SNHL had larger REs at higher frequencies, where pure-tone audiometric thresholds were typically elevated. RE did not vary significantly with masker level for either group. Increased RE for the SNHL group was consistent with simulations in which energy cues were more heavily weighted than envelope cues. Conclusions Tone-in-noise detection thresholds in NH listeners were typically elevated only slightly by the roving-level paradigm at any frequency or level tested, consistent with the primary use of level-independent cues, such as temporal envelope cues that are conveyed by fluctuations in neural responses. In comparison, thresholds of listeners with SNHL were more affected by the roving-level paradigm, suggesting stronger weighting of energy cues. For listeners with SNHL, the largest RE was observed at 4000 Hz, for which pure-tone audiometric thresholds were most elevated. Specifically, RE size at 4000 Hz was significantly correlated with higher pure-tone audiometric thresholds at the same frequency, after controlling for the effect of age. Future studies will explore strategies for restoring or enhancing neural fluctuation cues that may lead to improved hearing in noise for listeners with SNHL.