Individual Differences in Behavioral Estimates of Cochlear Nonlinearities

Psychophysical methods provide a mechanism to infer the characteristics of basilar membrane responses in humans that cannot be directly measured. Because these behavioral measures are indirect, the interpretation of results depends on several underlying assumptions. Ongoing uncertainty about the suitability of these assumptions and the most appropriate measurement and compression estimation procedures, and unanswered questions regarding the effects of cochlear hearing loss and age on basilar membrane nonlinearities, motivated this experiment. Here, estimates of cochlear nonlinearities using temporal masking curves (TMCs) were obtained in a large sample of adults of various ages whose hearing ranged from normal to moderate cochlear hearing loss (Experiment 1). A wide range of compression slopes was observed, even for subjects with similar ages and thresholds, which warranted further investigation (Experiment 2). Potential sources of variance contributing to these individual differences were explored, including procedural-related factors (test–retest reliability, suitability of the linear-reference TMC, probe sensation levels, and parameters of TMC fitting algorithms) and subject-related factors (age and age-related changes in temporal processing, strength of cochlear nonlinearities estimated with distortion-product otoacoustic emissions, estimates of changes in cochlear function from damage to outer hair cells versus inner hair cells). Subject age did not contribute significantly to TMC or compression slopes, and TMC slopes did not vary significantly with threshold. Test–retest reliability of TMCs suggested that TMC masker levels and the general shapes of TMCs did not change in a systematic way when re-measured many weeks later. Although the strength of compression decreased slightly with increasing hearing loss, the magnitude of individual differences in compression estimates makes it difficult to determine the effects of hearing loss and cochlear damage on basilar membrane nonlinearities in humans.     

Compression estimates using behavioral and otoacoustic emission measures

Cochlear compression in normal-hearing listeners was estimated at octave frequencies from 250 to 4000 Hz using a forward-masking paradigm. Temporal masking curves (TMCs) for a 10-dB SL signal were obtained with two maskers -- one equal in frequency to the signal and another an octave below the signal. The ratio of the slope of the off-frequency function to that of the mid-level portion of the on-frequency function was computed as an estimate of the amount of compression at each frequency. Compression was less frequency selective at low frequencies, so an average of the off-frequency slopes at high frequencies (1000, 2000, and 4000 Hz) was used in computing the ratio for each signal frequency. Results indicated strong compression (approximately 0.15-0.30) at all frequencies using the averaged off-frequency slopes, indicating little difference in compression across frequencies. Distortion product otoacoustic emission (DPOAE) input-output (I-O) functions were obtained for each subject at 1000, 2000, and 4000 Hz. The slopes of the DPOAE I-O functions and the psychophysical growth rates were similar to one another, reinforcing the assumption that the forward-masking procedure is providing an estimate of cochlear compression, at least at frequencies from 1000 to 4000 Hz.     

Assessment of auditory nonlinearity for listeners with different hearing losses using temporal masking and categorical loudness scaling

A dysfunction or loss of outer hair cells (OHC) and inner hair cells (IHC), assumed to be present in sensorineural hearing-impaired listeners, affects the processing of sound both at and above the listeners' hearing threshold. A loss of OHC may be responsible for a reduction of cochlear gain, apparent in the input/output function of the basilar membrane and steeper-than-normal growth of loudness with level (recruitment). IHC loss is typically assumed to cause a level-independent loss of sensitivity. In the current study, parameters reflecting individual auditory processing were estimated using two psychoacoustic measurement techniques. Hearing loss presumably attributable to IHC damage and low-level (cochlear) gain were estimated using temporal masking curves (TMC). Hearing loss attributable to OHC (HL(OHC)) was estimated using adaptive categorical loudness scaling (ACALOS) and by fitting a loudness model to measured loudness functions. In a group of listeners with thresholds ranging from normal to mild-to-moderately impaired, the loss in low-level gain derived from TMC was found to be equivalent with HL(OHC) estimates inferred from ACALOS. Furthermore, HL(OHC) estimates obtained using both measurement techniques were highly consistent. Overall, the two methods provide consistent measures of auditory nonlinearity in individual listeners, with ACALOS offering better time efficiency.     

Cochlear compression in listeners with moderate sensorineural hearing loss

Psychophysical estimates of basilar membrane (BM) responses suggest that normal-hearing (NH) listeners exhibit constant compression for tones at the characteristic frequency (CF) across the CF range from 250 to 8000 Hz. The frequency region over which compression occurs is broadest for low CFs. This study investigates the extent that these results differ for three hearing-impaired (HI) listeners with sensorineural hearing loss. Temporal masking curves (TMCs) were measured over a wide range of probe (500-8000 Hz) and masker frequencies (0.5-1.2 times the probe frequency). From these, estimated BM response functions were derived and compared with corresponding functions for NH listeners. Compressive responses for tones both at and below CF occur for the three HI ears across the CF range tested. The maximum amount of compression was uncorrelated with absolute threshold. It was close to normal for two of the three HI ears, but was either slightly (at CFs < or =1000 Hz) or considerably (at CFs > or =4000 Hz) reduced for the third ear. Results are interpreted in terms of the relative damage to inner and outer hair cells affecting each of the HI ears. Alternative interpretations for the results are also discussed, some of which cast doubts on the assumptions of the TMC-based method and other behavioral methods for estimating human BM compression.     

Estimates of basilar-membrane nonlinearity effects on masking of tones and speech

OBJECTIVE: The aim of this experiment was to assess the contribution of cochlear nonlinearities to speech recognition in noise for individuals with normal hearing and a range of quiet thresholds. For signals close to the characteristic frequency (CF) of a place on the basilar membrane, the normal growth of response of the basilar membrane is linear at lower signal levels and compressed at medium to higher signal levels. In contrast, at moderate to high CFs, the basilar membrane responds more linearly to stimuli at frequencies well below the CF regardless of input level. Thus, for moderate-level speech and a lower frequency masker, the response to the masker grows linearly whereas the response to the speech is compressed, which may result in changes in the effectiveness of the masker on speech recognition with increases in masker level. To test this hypothesis, observed speech-recognition scores were compared with scores predicted using an audibility-based model, which did not include nonlinear effects that may influence masker effectiveness. DESIGN: Growth of simultaneous masking was measured for moderate-level bandpass-filtered nonsense syllables and for 350-msec pure tones at frequencies within the speech passband. Masker frequencies were within (on-frequency) or below (off-frequency) the speech passband. Estimates of basilar-membrane nonlinearities were derived from growth-of-masking functions for 10-msec, 2.0- and 4.0-kHz tones in narrowband, off-frequency maskers presented simultaneously. Subjects were 26 adults with normal hearing with approximately a 20-dB range of average quiet thresholds. RESULTS: Breakpoints (i.e., the levels corresponding to the transitions from linear to nonlinear responses) were strongly associated with quiet thresholds but slopes measured above the breakpoints were independent of quiet thresholds. Individual differences were substantially larger for off-frequency masking of pure tones and speech than for on-frequency masking of pure tones and speech. Using an audibility-based predictive model, the change in speech audibility resulting from the compressed response to speech with increasing off-frequency masker level (and the resulting decline in scores) was well predicted from nonlinear growth of masking for pure tones measured in the same off-frequency masker. However, absolute speech-recognition predictions were generally inaccurate and were a function of how well pure-tone signal levels at masked threshold estimated masker effectiveness for speech. That is, subjects with lower off-frequency masked thresholds had less accurate predictions of speech recognition in off-frequency maskers. CONCLUSIONS: Large individual differences in off-frequency masking of pure tones and speech are consistent with the assumption that small changes in the shape of the basilar-membrane input-output function result in large changes in the amount of off-frequency masking but small (if any) changes in on-frequency masking where the signal and masker are subject to a similar compression. Growth of off-frequency masking of pure tones and speech were correlated with each other, consistent with the underlying basilar-membrane response, and consistent with changes in breakpoints for subjects with normal hearing and a range of quiet thresholds. These results provide support for a role of nonlinear effects in the understanding of speech in noise.     

Peripheral perception mechanism of ultrasonic hearing

Ultrasound can be perceived by bone conduction, and its characteristics differ from those of air-conducted audible sound (ACAS) in some respects. Despite many studies on ultrasonic hearing, the details have not yet been clarified. In this study, to elucidate the perception mechanism, the masking of bone-conducted ultrasound (BCU) produced by ACAS and the sensitivity of BCU in hearing impaired subjects were evaluated. We found that BCU was masked by high frequency ACAS, especially in the frequency range of 10-14 kHz. The most effective masker frequency depended on masker intensity. For hearing impaired subjects, the pure tone thresholds at 1-8 kHz and the maximum audible frequencies at cut-off intensities of 70-100 dB HL were significantly associated with the BCU threshold (p < 0.01 or p < 0.05). No subjects with estimated total loss of the inner hair cell system in the cochlear basal turn could hear BCU. These results suggest the peripheral perceptual region to be located in the cochlea. The results of masking show the faster excitation spread to the lower frequency range, depending on the intensity. This faster excitation spread may be due to nonlinearity in cochlear mechanics, which may work even without cochlear amplifier, and induce unique characteristics of BCU.     

Tinnitus and Patterns of Hearing Loss

Tinnitus is strongly linked with the presence of damaged hearing. However, it is not known why tinnitus afflicts only some, and not all, hearing-impaired listeners. One possibility is that tinnitus patients have specific inner ear damage that triggers tinnitus. In this study, differences in cochlear function inferred from psychophysical measures were measured between hearing-impaired listeners with tinnitus and hearing-impaired listeners without tinnitus. Despite having similar average hearing loss, tinnitus patients were observed to have better frequency selectivity and compression than those without tinnitus. The results suggest that the presence of subjective tinnitus may not be strongly associated to outer hair cell impairment, at least where hearing impairment is evident. The results also show a different average pattern of hearing impairment amongst the tinnitus patients, consistent with the suggestion that inner hair cell dysfunction with subsequent reduced auditory innervation is a possible trigger of tinnitus.     

Cochlear compression: perceptual measures and implications for normal and impaired hearing

This article provides a review of recent developments in our understanding of how cochlear nonlinearity affects sound perception and how a loss of the nonlinearity associated with cochlear hearing impairment changes the way sounds are perceived. The response of the healthy mammalian basilar membrane (BM) to sound is sharply tuned, highly nonlinear, and compressive. Damage to the outer hair cells (OHCs) results in changes to all three attributes: in the case of total OHC loss, the response of the BM becomes broadly tuned and linear. Many of the differences in auditory perception and performance between normal-hearing and hearing-impaired listeners can be explained in terms of these changes in BM response. Effects that can be accounted for in this way include poorer audiometric thresholds, loudness recruitment, reduced frequency selectivity, and changes in apparent temporal processing. All these effects can influence the ability of hearing-impaired listeners to perceive speech, especially in complex acoustic backgrounds. A number of behavioral methods have been proposed to estimate cochlear nonlinearity in individual listeners. By separating the effects of cochlear nonlinearity from other aspects of hearing impairment, such methods may contribute towards identifying the different physiological mechanisms responsible for hearing loss in individual patients. This in turn may lead to more accurate diagnoses and more effective hearing-aid fitting for individual patients. A remaining challenge is to devise a behavioral measure that is sufficiently accurate and efficient to be used in a clinical setting.     

Temporal masking curves for hearing-impaired listeners

The decay of forward masking was investigated for three subjects with moderate sensorineural hearing loss. For such subjects, compression on the basilar membrane (BM) is thought to be largely absent, enabling one to determine the decay of masking without the influence of compression. Temporal masking curves (TMCs), plots of the masker level at threshold against delay between masker offset and signal onset, were measured for delays of 0, 15, 30, 45, 60, and 75 ms, for signal frequencies, fs, of 500, 1000, 2000, 4000, and 6000 Hz. Masker frequencies were 0.5, 0.8, 1.0, 1.15, and 1.3 times fs. Most of the TMCs were well fitted with single-segment straight lines, which, except for high masker levels, were roughly parallel for each fs, supporting the belief that BM compression was largely absent in these subjects. However, the slopes of the TMCs were greater for fs = 500 and 1000 Hz than for higher frequencies, which may indicate that the decay of forward masking is not the same for all signal frequencies. The results suggest that it may not be valid to infer BM compression at low signal frequencies by using a reference TMC for a high fs.     

A Re-examination of the Effect of Masker Phase Curvature on Non-simultaneous Masking

Forward masking of a sinusoidal signal is determined not only by the masker’s power spectrum but also by its phase spectrum. Specifically, when the phase spectrum is such that the output of an auditory filter centred on the signal has a highly modulated (“peaked”) envelope, there is less masking than when that envelope is flat. This finding has been attributed to non-linearities, such as compression, reducing the average neural response to maskers that produce more peaked auditory filter outputs (Carlyon and Datta, J Acoust Soc Am 101:3636–3647, 1997). Here we evaluate an alternative explanation proposed by Wotcjzak and Oxenham (Wojtczak and Oxenham, J Assoc Res Otolaryngol 10:595–607, 2009). They reported a masker phase effect for 6-kHz signals when the masker components were at least an octave below the signal frequency. Wotcjzak and Oxenham argued that this effect was inconsistent with cochlear compression, and, because it did not occur at lower signal frequencies, was also inconsistent with more central compression. It was instead attributed to activation of the efferent system reducing the response to the subsequent probe. Here, experiment 1 replicated their main findings. Experiment 2 showed that the phase effect on off-frequency forward masking is similar at signal frequencies of 2 and 6 kHz, provided that one equates the number of components likely to interact within an auditory filter centred on the signal, thereby roughly equating the effect of masker phase on the peakiness of that filter output. Experiment 3 showed that for some subjects, masker phase also had a strong influence on off-frequency backward masking of the signal, and that the size of this effect correlated across subjects with that observed in forward masking. We conclude that the masker phase effect is mediated mainly by cochlear non-linearities, with a possible additional effect of more central compression. The data are not consistent with a role for the efferent system.     

The effects of hearing loss on growth-of-masking functions for sinusoidal and complex-tone maskers with differing phase spectra

Growth-of-masking (GOM) functions in forward masking (0-ms masker-signal delay) were measured for normally hearing (NH) and hearing-impaired (HI) listeners using as maskers complex tones (harmonics 1-40, 100-Hz fundamental frequency) with components starting in cosine or random phase, and on-frequency sinusoids. The signal was a 20-ms sinusoid, usually with a frequency of 1 or 2 kHz. It is argued that differences in the slopes of the GOM functions for the random- and cosine-phase maskers provide a measure of the strength of compression in the cochlea. For the NH listeners and some of the HI listeners, the slopes were significantly greater for the random- than for the cosine-phase maskers, and for these listeners the slopes for the complex-tone maskers were less than for the sinusoidal maskers. For the remaining HI listeners, the slopes of the GOM functions were similar for all masker types. It is argued that these listeners had almost complete loss of cochlear compression. The GOM functions for the sinusoidal maskers had slopes between 0.45 and 0.78 and were typically in the range 0.6-0.7. The finding of slopes below one for listeners in whom cochlear compression was probably absent is not consistent with linear-integrator models of forward masking.     

Psychophysical measures from electrical stimulation of the human cochlear nucleus

Auditory performance on basic psychophysical tasks was measured in ten deaf patients with electrodes positioned near their cochlear nucleus. The device is called the auditory brainstem implant (ABI). Electrodes were placed during surgery to remove an acoustic neuroma, which results in the removal of the VIII nerve and, thus deafness. In patients who received auditory sensation from electrical stimulation we measured auditory performance on standard psychophysical tasks: thresholds, loudness growth, intensity discrimination, temporal integration, temporal modulation detection, gap detection, and forward masking. Plots of threshold as a function of frequency or biphasic pulse duration were markedly different from those of patients with cochlear implants. The difference in threshold functions is probably partly due to the biophysical difference in the neural elements stimulated. Another possibility is that part of the difference is due to the highly abnormal spatial pattern of activation in the cochlear nucleus from electrical stimulation, which prevents normal spatial integration of activity. The usable range of electrical amplitudes above threshold is comparable with that of cochlear implants, typically 10-15 dB. Little temporal integration occurs over a range of stimulus durations from 2-1000 ms. When compared at equivalent loudness levels, gap detection thresholds are similar to, or a bit longer than, gap thresholds in normal-hearing listeners and cochlear implant patients. Forward masking recovery functions are similar to those of normal listeners and cochlear implant patients. Patients' ability to detect amplitude modulation as a function of modulation frequency is similar to that of cochlear implant patients and normal listeners. Thus, direct electrical stimulation of the brainstem produces temporal resolution that does not significantly differ from that of normal listeners when compared in equivalent amplitude units. This implies that the limiting factors for these tasks are more centrally located, and not directly related to threshold mechanisms. Thus, a properly designed speech processor could preserve the important temporal features of speech for these patients.     

Contralateral masking in cochlear implant users with residual hearing in the non-implanted ear

Contralateral masking was investigated in cochlear implant users with residual hearing in the non-implanted ear. Threshold elevations for acoustic probes were observed when electrical maskers were presented in the opposite ear. Also, threshold elevations for electrical probes were observed when acoustic contralateral maskers were presented. The amount of threshold shift expressed in decibels charge or decibels sound pressure level produced by either contralateral acoustic or electric maskers was within the range found in normal listeners for similar stimuli (i.e. 4-8 dB). There was a correlation between the sensation level of acoustic maskers and the maximum amount of masking observed which is consistent with data for normally hearing subjects. The width of the masking patterns was similar to that expected from forward masking patterns in severely sensorineurally impaired ears and implanted ears. The maximum amount of acoustic masking tended to occur for electrode positions that were more basal than expected from characteristic frequency positions. However, where a relatively high-frequency 4-kHz masker could be used, there was a good match between the characteristic frequency position of the maximum threshold elevation and that of the masker.     

High-frequency tinnitus without hearing loss does not mean absence of deafferentation

A broad consensus within the neuroscience of tinnitus holds that this audiologic condition is triggered by central deafferentation, mostly due to cochlear damage. The absence of audiometrically detectable hearing loss however poses a challenge to this rather generalizing assumption. The aim of this study was therefore to scrutinize cochlear functioning in a sample of tinnitus subjects audiometrically matched to a normal hearing control group. Two tests were applied: the Threshold Equalizing Noise (TEN) test and a pitch scaling task. To perform well on both tasks relatively normal functioning of inner hair cells is a requirement. In the TEN test the tinnitus group revealed a circumscribed increment of thresholds partially overlapping with the tinnitus spectrum. Abnormal slopes were observed in the pitch scaling task which indicated that tinnitus subjects, when presented with a high-frequency stimulus, relied heavily on input derived from lower-frequency inner hair cells (off-frequency listening). In total both results argue for the presence of a deafferentation also in tinnitus subjects with audiometrically normal thresholds and therefore favour the deafferentation assumption posed by most neuroscientific theories.     

The Role of Suppression in the Upward Spread of Masking

The upward spread of masking refers to the higher growth rate of masking for maskers lower in frequency than the signal, compared to maskers at the signal frequency (Wegel RL, Lane CE. The auditory masking of one pure tone by another and its possible relation to the dynamics of the inner ear. Physics Rev. 23:266–285, 1924; Egan JP, Hake HW. On the masking pattern of a simple auditory stimulus. J. Acoust. Soc. Am. 22:622–630, 1950; Delgutte B. Physiological mechanisms of psychophysical masking: Observations from auditory-nerve fibres. J. Acoust. Soc. Am. 87:791–809, 1990a, Delgutte B. Two-tone rate suppression in auditory-nerve fibres: Dependence on suppressor frequency and level. Hear Res. 49:225–246, 1990b). The upward spread of simultaneous masking may arise from a combination of excitatory and suppressive effects. In this study, growth of masking functions were obtained for a 4-kHz signal masked by an on-frequency (4 kHz) or off-frequency (2.4 kHz), simultaneous or forward masker, in the presence of a notched noise with a center frequency of 4 kHz presented to restrict off-frequency listening. Compression was estimated from the slopes of the off-frequency growth of masking functions. Suppression was estimated by comparing the off-frequency simultaneous- and forward-masked growth of masking functions. Results showed that, for mid-level signals (35–60 dB SPL), the compression exponent estimated from simultaneous and forward masking averaged 0.31 and 0.26, respectively. The maximum amount of suppression (defined as the decrease in the basilar-membrane response to the signal) was variable, ranging from about 6 to 17 dB across subjects. Despite the substantial reduction in the response to the signal, the results suggest that suppression has a minimal effect on the slope of the masking function at mid levels. Rather, upward spread of masking seems to be mainly determined by the compressive basilar-membrane response to the signal in relation to the linear response to the lower-frequency masker.     

Behavioral Estimates of the Contribution of Inner and Outer Hair Cell Dysfunction to Individualized Audiometric Loss

Differentiating the relative importance of the various contributors to the audiometric loss (HL_TOTAL) of a given hearing impaired listener and frequency region is becoming critical as more specific treatments are being developed. The aim of the present study was to assess the relative contribution of inner (IHC) and outer hair cell (OHC) dysfunction (HL_IHC and HL_OHC, respectively) to the audiometric loss of patients with mild to moderate cochlear hearing loss. It was assumed that HL_TOTAL = HL_OHC + HL_IHC (all in decibels) and that HL_OHC may be estimated as the reduction in maximum cochlear gain. It is argued that the latter may be safely estimated from compression threshold shifts of cochlear input/output (I/O) curves relative to normal hearing references. I/O curves were inferred behaviorally using forward masking for 26 test frequencies in 18 hearing impaired listeners. Data suggested that the audiometric loss for six of these 26 test frequencies was consistent with pure OHC dysfunction, one was probably consistent with pure IHC dysfunction, 13 were indicative of mixed IHC and OHC dysfunction, and five were uncertain (one more was excluded from the analysis). HL_OHC and HL_IHC contributed on average 60 and 40 %, respectively, to the audiometric loss, but variability was large across cases. Indeed, in some cases, HL_IHC was up to 63 % of HL_TOTAL, even for moderate losses. The repeatability of the results is assessed using Monte Carlo simulations and potential sources of bias are discussed.     

High-level psychophysical tuning curves: forward masking in normal-hearing and hearing-impaired listeners.

Forward-masked psychophysical tuning curves (PTCs) were obtained for 1000-Hz probe tones at multiple probe levels from one ear of 26 normal-hearing listeners and from 24 ears of 21 hearing-impaired listeners with cochlear hearing loss. Comparisons between normal-hearing and hearing-impaired PTCs were made at equivalent masker levels near the tips of PTCs. Comparisons were also made of PTC characteristics obtained by fitting each PTC with three straight-line segments using least-squares fitting procedures. Abnormal frequency resolution was revealed only as abnormal downward spread of masking. The low-frequency slopes of PTCs from hearing-impaired listeners were not different from those of normal-hearing listeners. That is, hearing-impaired listeners did not demonstrate abnormal upward spread of masking when equivalent masker levels were compared. Ten hearing-impaired ears demonstrated abnormally broad PTCs, due exclusively to reduced high-frequency slopes in their PTCs. This abnormal downward spread of masking was observed only in listeners with hearing losses greater than 40 dB HL. From these results, it would appear that some, but not all, cochlear hearing losses greater than 40 dB HL influence the sharp tuning capabilities usually associated with outer hair cell function.     

Auditory time constants for off-frequency forward masking in normal-hearing and hearing-impaired listeners

Previous research has shown that frequency-specific estimates of auditory time constants for recovery from short-term adaptation can be made using a fixed-probe forward-masking procedure (Nelson & Freyman, 1987) if the masker and the probe stimuli are at the same frequency. This study examines the validity of time-constant estimates for off-frequency forward-masking conditions in which the masker frequency is below (900 Hz) or above (1100 Hz) the probe frequency (1000 Hz). Fixed-probe-level temporal masking functions were obtained from four normal-hearing and four hearing-impaired listeners. Auditory time constants were estimated with iterative least-squares procedures to derive parameter values for an exponential model of recovery from forward masking. After appropriate corrections were made for attenuation to the maskers provided by the auditory filter centered at the probe frequency, recovery from forward masking produced by either off-frequency or on-frequency maskers could be described by a single time constant. That time constant was around 50 ms in normal-hearing listeners and was larger in those hearing-impaired listeners who demonstrated moderate hearing loss at the probe frequency.     

Auditory brainstem and middle latency responses to 1 kHz tones in noise-masked normally-hearing and sensorineurally hearing-impaired adults

The present study provides comparative evaluation of the ABR and MLR to 1 kHz brief tones in two groups of hearing-impaired subjects (noise-masked normally-hearing; and sensorineurally hearing-impaired adults), as well as a normally-hearing control group. Tones were presented at intensities from threshold to 80–90 dB nHL. The results of this study show that: (1) the ABR and MLR to these low-frequency (1 kHz) tones are equally accurate in estimating hearing threshold, (2) at supra-threshold levels, there are differences in the ABRs and MLRs for subjects with decreased hearing sensitivity resulting from cochlear pathology, compared to those obtained from adults with simulated hearing loss due to broadband masking, and (3) supra-threshold stimuli produce differential effects on the latency and amplitude characteristics of the ABR and MLR in listeners with true sensorineural hearing impairments. Possible physiologic explanations are offered for this differential pattern of results.