Amplitude compression is a feature of most hearing aids and cochlear implant processors. When compression acts independently at each ear in a bilateral fitting, interaural level differences are altered dynamically, potentially affecting spatial perception. A lateralization task was used to measure the position of sounds processed with a simulation of hearing-aid compression. Normal-hearing listeners indicated the leftmost and rightmost extents of the sound image(s) and selected from three response options according to whether they heard (1) a single, stationary image; (2) a moving image; or (3) a split image. Fast-acting compression applied at high frequencies significantly affected the perceived position of sounds. For sounds with abrupt onsets and offsets, compression shifted the entire image to a more central location. For sounds containing gradual onsets and offsets, including speech, compression shifted only the innermost extent toward the center, resulting in a wide separation between the leftmost and rightmost extents. In such cases, compression increased the occurrence of moving and split images by up to 57 percentage points. The severity of the effects was reduced when undisturbed low-frequency binaural cues were available to listeners, indicating the importance of preserving these cues in bilaterally fitted hearing devices.
Read full abstract