Working Memory and Extended High-Frequency Hearing in Adults: Diagnostic Predictors of Speech-in-Noise Perception

Abstract

These findings suggest that both peripheral (auditory) and central (cognitive) factors contribute to the speech-in-noise difficulties reported by normal hearing adults in their mid-adult years. The demonstrated utility of the diagnostic criterion proposed here suggests that audiologists should include assessment of EHF hearing and working memory as part of routine clinical practice with this population. The "diagnostic criterion" we developed based on these two factors could form the basis of future clinical tests and rehabilitation tools and be used in evidence-based counseling for normal hearers who present with unexplained communication difficulties in noise.