본문 바로가기
KERD
논문KCI 등재

노인성 난청의 말지각에 관한 사례 보고

Case Study of Speech Perception in Presbycusis

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

초록

The purpose of study was to scrutinize speech perception ability of presbycusis in terms of confusion patterns as well as error rate(%) of individual consonant perception. As a case study, one elderly female was participated who speaks English as her first language, yet has suffered from poor ability to perceive speech and to understand conversation in noisy situations due to presbycusis since her age 60. 16 English consonant-vowel syllables consisting of 18 multiple talkers were randomly and unilaterally presented as a function of signal-to-noise ratios. Although she has a symmetrical mild-to-moderate sensorineural hearing loss in low and middle frequencies and better (lower) hearing thresholds at high frequencies above 4,000 Hz in the left ear, her consonant perception did not coincide with the audiogram. Her right ear had much trouble to perceive the consonants when noise presented, compared to the left ear. However, confused consonants (i.e., confusions) were different regardless of having same total consonant error rates. In particular, some consonants consistently responded to an incorrect consonant, rather than having several random confusions. In addition to her case, good results of consonant perception depended on male talker. We need to measure speech perception ability through many presbysusis cases and would make a general conclusion of their perceptual characteristics in the future.

Abstract

The purpose of study was to scrutinize speech perception ability of presbycusis in terms of confusion patterns as well as error rate(%) of individual consonant perception. As a case study, one elderly female was participated who speaks English as her first language, yet has suffered from poor ability to perceive speech and to understand conversation in noisy situations due to presbycusis since her age 60. 16 English consonant-vowel syllables consisting of 18 multiple talkers were randomly and unilaterally presented as a function of signal-to-noise ratios. Although she has a symmetrical mild-to-moderate sensorineural hearing loss in low and middle frequencies and better (lower) hearing thresholds at high frequencies above 4,000 Hz in the left ear, her consonant perception did not coincide with the audiogram. Her right ear had much trouble to perceive the consonants when noise presented, compared to the left ear. However, confused consonants (i.e., confusions) were different regardless of having same total consonant error rates. In particular, some consonants consistently responded to an incorrect consonant, rather than having several random confusions. In addition to her case, good results of consonant perception depended on male talker. We need to measure speech perception ability through many presbysusis cases and would make a general conclusion of their perceptual characteristics in the future.

참고문헌 (14)

  1. Anderson, S., "A neural basis of speech-in-noise perception in older adults", Ear and Hearing, 32(6), pp.750~757 (2011)
  2. Davis, A. C., "Epidemiological profile of hearing impairments: the scale and nature of the problem with special reference to the elderly", Acta Otolaryngology, 476(Suppl), pp.23~31 (1990)
  3. Folstein, M. F., "Mini-mental state : a practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12, pp.189~198 (1975)
  4. Gates, G. A., "Presbycusis", Lancet, 366, pp.1111~1120 (2005)
  5. Gates, G. A., "Screening for handicapping hearing loss in the elderly", The Journal of Family Practice, 51, pp.56~62 (2003)
  6. Gates, G. A., "Hear ye? Hear ye! Successful auditory aging", The Western Journal of Medicine, 167, pp.247~252 (1997)
  7. Hanratty, B., "Effective management of the elderly hearing impaired : A review", Journal of Public Health Medicine, 22, pp.512~517 (2000)
  8. Mazelova, J., "Auditory function in presbycusis : peripheral vs. central changes", Experimental Gerontology, 38, pp.87~94 (2003)
  9. Miller, G. A., "An analysis of perceptual confusions among some English consonants", Journal of the Acoustic Society of America, 27, pp.338~352 (1955)
  10. Nabelek, A. K., "Toleration of background noises : Relationship with patterns of hearing aid use by elderly persons", Journal of Speech and Hearing Research, 34, pp.679~685 (1991)
  11. "What is presbycusis? NIH Pub" (1998)[URL]
  12. Shannon, C. E., "A mathematical theory of communication", Bell System Technical Journal, 27(3), pp.379~423 (1948)
  13. Spoor, A., "Presbycusis values in relation to noise induced hearing loss", International Journal of Audiology, 6(1), pp.48~57 (1967)
  14. Thobaben, M., "Helping clients with presbycusis", Home Care Provider, 3(4), pp.186~188 (1998)

관련 논문AI추천

이 간행물의 다른 논문 (13건)