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| Fitting strategies for advanced signal
processing hearing aids
Carl Ludvigsen
Widex, Denmark
Prescriptive fitting formulae have been used with linear hearing aids
for many years. Especially the NAL-R formula has been accepted and used
throughout the world. While the application of generic fitting rules like
the NAL-R rule is likely to result in acceptable fittings for linear
hearing aids, the use of generic fitting rules for multi-band non-linear
hearing aids is more problematic. This is especially true when these
hearing aids include one or more functions not related to the hearing
loss, for instance adaptive systems for noise reduction or adaptive time
constants for the compression function. Problems arise because a large
number of factors related to the construction of the hearing aid
significantly influence the sound reproduction. In this presentation, the
effects of such factors are discussed. Thus, the influence of filter
bandwidth, number of channels, detector type, compression threshold,
attack and release times, and distortion on sound reproduction will be
discussed. Moreover, certain hearing aid functions adapt to the listening
environment and these are, in general, device specific and may further
complicate the use of general fitting rules. These observations have made
most hearing aid manufacturers develop hearing aid specific fitting rules.
These may be beneficial when adjusting a specific hearing aid, but as
Byrne (1996) pointed out, they are typically proprietary and their effect
is likely to be insufficiently documented. Various possible ways to unite
the two fitting strategies (generic vs. device specific) are presented.
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