DSL & COMPRESSION

         Audibility vs. Loudness

The patient/client hearing thresholds up to
the loudest sounds the patient/client can
tolerate is defined as the patient/client’s
dynamic range of hearing ability—for each
ear.
DSL & COMPRESSION

          Audibility vs. Loudness

The typical dynamic range for the mid-
frequencies is about one hundred decibels.
Soft—barely apparent sounds to loud but
tolerated sound falls within this typical
dynamic range area.
DSL & COMPRESSION

          Audibility vs. Loudness

With hearing loss, the soft sounds become
more difficult to hear; while loud sounds
continue to be tolerated at the same decibel
level.
Thus, hearing loss results in a reduced
dynamic range for the hearing impaired
patient/client.
DSL & COMPRESSION

          Audibility vs. Loudness

The challenge, as a hearing instrument
specialist, is to place the perception of soft,
average, and loud sounds into this residual
dynamic range area.
DSL & COMPRESSION

          Audibility vs. Loudness

Some types of hearing loss even reduce the
tolerance for loud sounds which even further
reduces the residual dynamic range area.
When this abnormal growth of loudness
(recruitment) is encountered, this creates a
greater and more critical necessity for
compression.
DSL & COMPRESSION

           Audibility & HI Gain

As previously discussed, various fitting
formulae described a single gain target for
linear hearing instrument fittings.
With compression hearing instruments, three
gain targets are normally described/defined.
They are: Soft, Average, and Loud.
DSL & COMPRESSION
             Audibility & HI Gain

A linear fitting formula would provide enough
gain for soft speech however, when a loud
sound was received it was too much gain.
Remember: Gain + Input = Output (this
formula is true for both compression and linear HIs)
Output is what the patient/client perceives as
comfortable sound.
DSL & COMPRESSION

           Audibility & HI Gain

Compression based fitting formulae provide
for different amounts of gain based upon the
instrument’s received input intensity levels.
These gain targets are based upon Soft,
Average, and Loud inputs.
Remember: Gain + Input = Output
DSL & COMPRESSION

    Compression & Loudness Growth
HI’s can not replace normal cochlear function.
However, the goal for fitting most HI’s is to
restore normal loudness growth for mild to
moderate hearing loss.
As we learned, the cochlea is a WDRC
amplifier. Thus, WDRC HI’s are appropriate
for mild to moderate hearing loss encountered
by the hearing instrument specialist.
DSL & COMPRESSION

    Compression & Loudness Growth

Let’s review Venema, figure 4-1, on page #67
and figure 4-2, on page #68.
Notice the impaired loudness growth curve
for the fifty-five decibel hearing loss and the
perceived loudness is the same as the normal
loudness growth curve.
DSL & COMPRESSION

    Compression & Loudness Growth

From figure 4-2 in Venema, please notice how
the loudness growth frequency contours for
normal hearing begin to flatten with increased
intensity levels.
At one hundred decibels the frequency
contour is almost flat.
DSL & COMPRESSION

    Compression & Loudness Growth

These psychoacoustic loudness growth curves
reveal that the cochlea is a non-linear organ.
They also reveal that the physical acoustic
properties of the outer and middle ear
perceptually influence the minimal audibility
frequency curves in loudness growth
measurement.
DSL & COMPRESSION

    Compression & Loudness Growth

Most digital compression instruments have
algorithms designed to increase gain for soft
level inputs and reduce and/or produce little
to no gain for high level inputs (similar to the
amplification function of outer hair cells in a
cochlea).
DSL & COMPRESSION

    Compression & Loudness Growth

Digital hearing instruments will often employ
two types of compression within their
algorithms. They are:
1. Compression output limiting
2. Wide Dynamic Range Compression
DSL & COMPRESSION

            DSL Fitting Method

The Desired Sensation Level fitting formula
was based upon creating audibility for speech
information in order to enhance language
development of hearing impaired children.
DSL & COMPRESSION

            DSL Fitting Method

The goal was to place as much of the
conversational speech input signal into the
residual dynamic range of the children’s
hearing ability using compression hearing
instruments.
DSL & COMPRESSION

           DSL Fitting Method

They chose to measure long term average
speech (LTASS) as received at the ear
(hearing) rather than had been previously
measured at the mouth (spoken word).
This resulted in more low and high frequency
outputs required for this fitting formula as
contrasted by others.
DSL & COMPRESSION

           DSL Fitting Method

This long term average speech spectrum
(LTASS) information is, of course, to be
presented to the auditory system without
distortion and comfortably—not too loud!
DSL & COMPRESSION

            DSL Fitting Method

What sets this fitting method apart from
others, is that its final interest is not
necessarily with the gain component of the
formula but, with the hearing instrument’s
output. This is why you will often see its
targets measured in dBSPL not dBgain.
DSL & COMPRESSION

            DSL Fitting Method

In other words, this formula looks at the
output delivered to the eardrum (both
acoustically and electroacoustically)--not just
the gain for audibility, or the in-situ gain.
DSL & COMPRESSION
             DSL Fitting Method

When attempting to transform dBSPL output
accurately into a fitting formula, there are
three transforms to consider. They are:
1. Real ear to dial difference (REDD)—audiometer
   headset
2. Real ear to coupler difference (RECD)--ANSI 2cc
   coupler
3. Microphone location effect (MLE)--Style of HI
   microphone location/placement
DSL & COMPRESSION

           DSL Fitting Method

Let’ review Venema, pages #76 thru #79.
This will provide information regarding the
output transforms as well as the measurement
decibel levels for soft, average, and loud
speech signals
DSL & COMPRESSION

             DSL Fitting Method

To measure outputs of wide dynamic range
hearing instruments, Canada and the United
States have chosen three common levels of
standardized measurement input. They are:
1. Soft inputs presented at fifty decibels
2. Moderate inputs presented at seventy decibels
3. Loud inputs presented at eighty-five decibels
DSL & COMPRESSION

           DSL Fitting Method

The three input levels used to measure HI
output are measured by frequency using the
long term average speech spectrum (LTASS).
DSL & COMPRESSION

            DSL Fitting Method

These decibel levels by frequency result in the
DSL fitting formula. Output is recorded
from consistent input levels (50dB, 70dB,
85dB) using the LTASS frequencies.

        GAIN + INPUT = OUTPUT

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Dsl & compression

  • 1. DSL & COMPRESSION  Audibility vs. Loudness The patient/client hearing thresholds up to the loudest sounds the patient/client can tolerate is defined as the patient/client’s dynamic range of hearing ability—for each ear.
  • 2. DSL & COMPRESSION  Audibility vs. Loudness The typical dynamic range for the mid- frequencies is about one hundred decibels. Soft—barely apparent sounds to loud but tolerated sound falls within this typical dynamic range area.
  • 3. DSL & COMPRESSION  Audibility vs. Loudness With hearing loss, the soft sounds become more difficult to hear; while loud sounds continue to be tolerated at the same decibel level. Thus, hearing loss results in a reduced dynamic range for the hearing impaired patient/client.
  • 4. DSL & COMPRESSION  Audibility vs. Loudness The challenge, as a hearing instrument specialist, is to place the perception of soft, average, and loud sounds into this residual dynamic range area.
  • 5. DSL & COMPRESSION  Audibility vs. Loudness Some types of hearing loss even reduce the tolerance for loud sounds which even further reduces the residual dynamic range area. When this abnormal growth of loudness (recruitment) is encountered, this creates a greater and more critical necessity for compression.
  • 6. DSL & COMPRESSION  Audibility & HI Gain As previously discussed, various fitting formulae described a single gain target for linear hearing instrument fittings. With compression hearing instruments, three gain targets are normally described/defined. They are: Soft, Average, and Loud.
  • 7. DSL & COMPRESSION  Audibility & HI Gain A linear fitting formula would provide enough gain for soft speech however, when a loud sound was received it was too much gain. Remember: Gain + Input = Output (this formula is true for both compression and linear HIs) Output is what the patient/client perceives as comfortable sound.
  • 8. DSL & COMPRESSION  Audibility & HI Gain Compression based fitting formulae provide for different amounts of gain based upon the instrument’s received input intensity levels. These gain targets are based upon Soft, Average, and Loud inputs. Remember: Gain + Input = Output
  • 9. DSL & COMPRESSION  Compression & Loudness Growth HI’s can not replace normal cochlear function. However, the goal for fitting most HI’s is to restore normal loudness growth for mild to moderate hearing loss. As we learned, the cochlea is a WDRC amplifier. Thus, WDRC HI’s are appropriate for mild to moderate hearing loss encountered by the hearing instrument specialist.
  • 10. DSL & COMPRESSION  Compression & Loudness Growth Let’s review Venema, figure 4-1, on page #67 and figure 4-2, on page #68. Notice the impaired loudness growth curve for the fifty-five decibel hearing loss and the perceived loudness is the same as the normal loudness growth curve.
  • 11. DSL & COMPRESSION  Compression & Loudness Growth From figure 4-2 in Venema, please notice how the loudness growth frequency contours for normal hearing begin to flatten with increased intensity levels. At one hundred decibels the frequency contour is almost flat.
  • 12. DSL & COMPRESSION  Compression & Loudness Growth These psychoacoustic loudness growth curves reveal that the cochlea is a non-linear organ. They also reveal that the physical acoustic properties of the outer and middle ear perceptually influence the minimal audibility frequency curves in loudness growth measurement.
  • 13. DSL & COMPRESSION  Compression & Loudness Growth Most digital compression instruments have algorithms designed to increase gain for soft level inputs and reduce and/or produce little to no gain for high level inputs (similar to the amplification function of outer hair cells in a cochlea).
  • 14. DSL & COMPRESSION  Compression & Loudness Growth Digital hearing instruments will often employ two types of compression within their algorithms. They are: 1. Compression output limiting 2. Wide Dynamic Range Compression
  • 15. DSL & COMPRESSION  DSL Fitting Method The Desired Sensation Level fitting formula was based upon creating audibility for speech information in order to enhance language development of hearing impaired children.
  • 16. DSL & COMPRESSION  DSL Fitting Method The goal was to place as much of the conversational speech input signal into the residual dynamic range of the children’s hearing ability using compression hearing instruments.
  • 17. DSL & COMPRESSION  DSL Fitting Method They chose to measure long term average speech (LTASS) as received at the ear (hearing) rather than had been previously measured at the mouth (spoken word). This resulted in more low and high frequency outputs required for this fitting formula as contrasted by others.
  • 18. DSL & COMPRESSION  DSL Fitting Method This long term average speech spectrum (LTASS) information is, of course, to be presented to the auditory system without distortion and comfortably—not too loud!
  • 19. DSL & COMPRESSION  DSL Fitting Method What sets this fitting method apart from others, is that its final interest is not necessarily with the gain component of the formula but, with the hearing instrument’s output. This is why you will often see its targets measured in dBSPL not dBgain.
  • 20. DSL & COMPRESSION  DSL Fitting Method In other words, this formula looks at the output delivered to the eardrum (both acoustically and electroacoustically)--not just the gain for audibility, or the in-situ gain.
  • 21. DSL & COMPRESSION  DSL Fitting Method When attempting to transform dBSPL output accurately into a fitting formula, there are three transforms to consider. They are: 1. Real ear to dial difference (REDD)—audiometer headset 2. Real ear to coupler difference (RECD)--ANSI 2cc coupler 3. Microphone location effect (MLE)--Style of HI microphone location/placement
  • 22. DSL & COMPRESSION  DSL Fitting Method Let’ review Venema, pages #76 thru #79. This will provide information regarding the output transforms as well as the measurement decibel levels for soft, average, and loud speech signals
  • 23. DSL & COMPRESSION  DSL Fitting Method To measure outputs of wide dynamic range hearing instruments, Canada and the United States have chosen three common levels of standardized measurement input. They are: 1. Soft inputs presented at fifty decibels 2. Moderate inputs presented at seventy decibels 3. Loud inputs presented at eighty-five decibels
  • 24. DSL & COMPRESSION  DSL Fitting Method The three input levels used to measure HI output are measured by frequency using the long term average speech spectrum (LTASS).
  • 25. DSL & COMPRESSION  DSL Fitting Method These decibel levels by frequency result in the DSL fitting formula. Output is recorded from consistent input levels (50dB, 70dB, 85dB) using the LTASS frequencies. GAIN + INPUT = OUTPUT