The binaural intelligibility level difference in hearing-impaired listeners: the role of supra-threshold deficits.

Reduced binaural performance of hearing-impaired listeners may not only be caused by raised hearing thresholds (reduced audibility), but also by supra-threshold coding deficits in signal cues. This question was investigated in the present study using binaural intelligibility level difference (BILD) comparisons: the improvement of speech-reception threshold scores for N(0)S(π) relative to N(0)S(0) presentation conditions. Investigated was what types of supra-threshold deficits play a role in reducing BILDs in hearing-impaired subjects. BILDs were investigated for 25 mild to moderate sensorineural hearing-impaired listeners, under conditions where optimal audibility was assured. All stimuli were bandpass filtered (250-4000 Hz). A distortion-sensitivity approach was used to investigate the sensitivity of subjects BILDs to external stimulus perturbations in the phase, frequency, time, and intensity domains. The underlying assumption of this approach was that an auditory coding deficit occurring in a signal cue in a particular domain will result in a low sensitivity to external perturbations applied in that domain. Compared to reference data for listeners with normal BILDs, distortion-sensitivity data for a subgroup of eight listeners with reduced BILDs suggests that these reductions in BILD were caused by coding deficits in the phase and time domains.