Minimum stimulus levels for temporal gap resolution in listeners with sensorineural hearing loss.

The minimum sensation levels required for optimal temporal gap resolution were measured in five listeners with moderately severe degrees of sensorineural hearing loss. The stimuli were three continuous octave-band noises centered at 0.5, 2.0, and 4.0 kHz. Subjects used a Békésy tracking procedure to determine the minimum signal levels needed to resolve periodic temporal gaps of fixed durations. Analysis of data across subjects and signal revealed only a weak correlation between this minimum SL and the corresponding HLs; most listeners resolved threshold gaps at minimum levels of 25-35 dB SL, independent of degree of hearing loss. The results differ from those of normal subjects with masking-induced hearing loss [Fitzgibbons, Percept. Psychophys. 35, 446-450 (1984)], which showed an inverse relationship between HL and the SLs required for gap threshold. The findings indicate that assessment of optimal gap resolution in listeners with cochlear impairment requires stimulus presentation levels of at least 25-35 dB SL. Even with sufficient stimulus intensity, each of the hearing-impaired listeners exhibited abnormal gap resolution for each octave-band signal.