Ask the Experts | Hearing Aids - Adults | Amplification, Directionality and Localization Amplification, Directionality and Localization Jenny Groth, MA June 25, 2012 Print Question How do you achieve amplification and directionality without localization drawbacks? Answer Localization ability and auditory representation of space are pieced together by the auditory system from a multitude of cues provided by the ear. Differences in timing and level of sounds arriving at each ear are key acoustic cues used in localization. Hearing loss has an obvious impact on localization and spatial hearing by reducing the audibility of such cues. Hearing aids, by virtue of microphone placement, microphone mode, and between-ear differences, can potentially disrupt them even while increasing their audibility. The Directional Mix is a technology that can meet the challenge of achieving amplification - and the benefits of directionality - without compromising localization. The Directional Mix applies advanced directional processing to high frequency sounds, while an omnidirectional response is maintained in the low frequencies. In this way, improved signal-to-noise ratio relative to omnidirectional processing is provided, while important localization cues are preserved.Some hearing aids attempt to preserve localization cues - specifically, differences in levels of high frequency sounds - by using wireless communication to coordinate the gains applied by bilaterally fit devices. The rationale for this processing is to prevent compression from applying different gains at the two ears, thereby changing the naturally occurring level differences. Although intuitively appealing, evidence of this processing as beneficial has not been forthcoming. For example, MacPherson (2010) reported a study finding that the binaural processing algorithm in two manufacturers' hearing aids had no significant influence on the performance of hearing impaired participants performing a localization task. An explanation for this could be that the difference in gains applied to signals at each ear may not actually cause significant localization issues. In addition, researchers at the National Acoustics Laboratory in Australia have investigated whether such alterations in level difference patterns are indeed problematic for localization (Kediser, Convery & Hamacher, 2011). Their finding was that gain mismatches of up to 9 dB between ears were not disruptive to localization, thus calling the necessity of binaural processing schemes for localization into question.Jennifer Groth, M.A., is Director of Audiology Communication at GN ReSound, where she is responsible for product definition and audiology-driven support for products in the market. She has served in roles such as research audiologist and product manager through the course of her career. She holds a Master of Arts degree in speech pathology & audiology from the University of Iowa.ReferencesMacPherson, E. (2010, October). The role of interaural difference cues in horizontal, vertical and dynamic sound localization by normal-hearing and hearing-impaired. Paper presented at the Canadian Academy of Audiology Conference, Montreal, Canada.Keidser, G., Convery, E., & Hamacher, V. (2011). The effect of gain mismatch on horizontal localization performance. The Hearing Journal, 64(2), 26-33. Retrieved from: journals.lww.com/thehearingjournal/Fulltext/2011/02000/.Learn more about ReSound at www.gnresound.com or on the ReSound web channel Jenny Groth, MA Director of Audiology Communication, ReSound Related Courses Presenter Laurel Christensen, PhD Are Modern Technologies Meeting the Amplification Needs of Aging Adults? [Text/Transcript Course] Course: #19771 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; AHIP/1.0; BAA/1.0; CAA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View This course will review the current status of meeting the amplification needs of aging adults. Course Details Presenter Lorienne Jenstad, PhD Considerations in Hearing Aid Fitting for Older Adults & Overcoming the Hearing Aid Barrier [Text/Transcript Course] Course: #19721 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/0.1; AHIP/1.0; BAA/1.0; CAA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0; TX FDHI/1.0 TX-2013-0002 Cost: Free to View The effects of amplification signal processing for older adults will be discussed in this course. Additionally we will discuss some of the barriers to hearing aid uptake and ways to overcome these barriers. Course Details Presenter Robin C. Donham, AuD, FAAA, CCC-A ReSound Government Services: What is Split-Band Directionality? [Recorded Course] Course: #17385 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View In attempt to mimic the natural properties of the ear, split-band directionality gathers the low frequencies in an omni-directional pattern to capture all the environmental sounds that provide for richness and vibrancy of sound AND independently captures high-frequency signals in a directional pattern to emphasize speech. Course explained this technology. Course Details Presenter Robin C. Donham, AuD, FAAA, CCC-A Resound Gov Services Mimicking the Normal Ear [Recorded Course] Course: #16421 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Hearing aids from ReSound have features like Surround Sound Processing and Natural Directionality, Warp Processing, the Environmental Optimizer and NoiseTracker II for comfort in noise. By name only, these features may not mean much. This course explains how these features work to mimic the normal ear and provide comfort for hearing impaired veterans. Course Details Presenter Annie Vigso, AuD Resound Government Services Surround Sound and Natural Directionality [Recorded Course] Course: #15485 CEUs/Hours Offered: AAA/0.1 Advanced; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; Calif. HADB/1.0 Hearing Aid Related; IHS/1.0; Kansas DHE, LTS-S0035/1.0 Cost: Free to View Resound Government Services Surround Sound course discussed advanced training on split-directionality processing and other directional options in products from Resound. Course Details