CRC for Cochlear Implant and Hearing Aid Innovation, Australia
Many people with a sloping high-frequency hearing loss do not find the
amplification provided by conventional hearing aids satisfactory. In
particular, if the loss is severe to profound across a range of higher
frequencies, it is unlikely that amplification will provide adequate
audibility of all speech sounds without causing discomfort. One way of
improving audibility for such people is to lower selected high-frequency
sounds. This can be achieved by using a frequency-transposing hearing aid.
In a recent comparison of the AVR TranSonic hearing aid with conventional
amplification, moderate improvements in speech perception were found for
four of the five subjects who participated in the trial. However, most of
the improvement was associated with the TranSonic's amplification
characteristics in the low frequencies, with only two subjects obtaining
benefit specifically from the frequency transposition. In another study,
psychophysical investigations were conducted with five different subjects
who had a very steeply sloping loss. The results showed local improvements
in frequency discrimination, and changes in loudness perception, at
frequencies just below the edge of the loss. It is postulated that neural
plasticity may account for these findings. A further study investigated
whether frequency lowering might be beneficial to these people.
Unfortunately, the results of speech perception tests showed that no
significant improvements were provided by a simple form of transposition,
even after a period of auditory training.