Speech Understanding Research Articles

Improvements in naturalistic speech-in-noise comprehension in middle-aged and older adults after 3 weeks of computer-based speechreading training

Problems in understanding speech in noisy environments are characteristic for age-related hearing loss. Since hearing aids do not mitigate these communication problems in every case, potential alternatives in a clinical rehabilitation plan need to be explored. This study investigates whether a computer-based speechreading training improves audiovisual speech perception in noise in a sample of middle-aged and older adults (N = 62, 47–83 years) with 32 participants completing a speechreading training and 30 participants of an active control group completing a foreign language training. Before and after training participants performed a speech-in-noise task mimicking real-life communication settings with participants being required to answer a speaker’s questions. Using generalized linear mixed-effects models we found a significant improvement in audiovisual speech perception in noise in the speechreading training group. This is of great relevance as these results highlight the potential of a low-cost and easy-to-implement intervention for a profound and widespread problem as speech-in-noise comprehension impairment.

Value of patient-reported outcome measures for evaluating the benefit of speech processor upgrading in patients with cochlear implants.

Patients with acochlear implant (CI) should be evaluated for anew speech processor every 6years. The aim of this analysis was to assess the subjective and audiological benefit of upgrades. Speech understanding and subjective benefit were analyzed in 99patients with the old and the new speech processor after 4weeks of wearing. Speech understanding was assessed using the Freiburg monosyllabic test in quiet (FBE) at 65 dB and 80 dB, and the Oldenburg Sentence Test (OLSA) at 65 dB noise with adaptive speech sound level. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to assess subjective hearing impairment, and the Audio Processor Satisfaction Questionnaire (APSQ) was used to assess subjective satisfaction. The speech processor upgrade resulted in asignificant improvement of speech understanding in quiet at 65 dB (mean difference 8.9 ± 25.9percentage points, p < 0.001) and 80 dB (mean difference 8.1 ± 29.7percentage points, p < 0.001) and in noise (mean difference 3.2 ± 10.7 dBsignal-to-noise ratio [S/N], p = 0.006). Using the APHAB, asignificant improvement (mean difference 0.07 ± 0.16, p < 0.001) in hearing impairment was demonstrated in all listening situations. The APSQ showed significantly higher patient satisfaction with the new speech processor (mean difference 0.42 ± 1.26, p = 0.006).A comparative assessment of the benefit based on subjective and speech audiometric results identified aproportion of patients (35-42%) who subjectively benefited from the upgrade but had no measurable benefit based on speech audiometry. There was asignificant improvement in audiologically measurable and subjectively reflected speech understanding and patient satisfaction after the upgrade. In patients with only asmall improvement in audiologically measurable speech understanding, the subjective benefit should also be assessed with validated measurement instruments in order to justify an upgrade to the payers in the health sector.

Interrelation of Speech and Speech Perception and Comprehension of a Teenager with Special Language Development: A Case Study

In this paper we analyse and present the experimental results of the speech production and speech perception and understanding process in a case of bilingual teenager who even has the special syndrome (Velocardiofacial syndrome). The results are explained both in the linguistic and pedagogical aspects, so the possible pedagogical activity is also emphasized on the basis of the results.

A Deep Denoising Sound Coding Strategy for Cochlear Implants.

Cochlear implants (CIs) have proven to be successful at restoring the sensation of hearing in people who suffer from profound sensorineural hearing loss. CI users generally achieve good speech understanding in quiet acoustic conditions. However, their ability to understand speech degrades drastically when background interfering noise is present. To address this problem, current CI systems are delivered with front-end speech enhancement modules that can aid the listener in noisy environments. However, these only perform well under certain noisy conditions, leaving quite some room for improvement in more challenging circumstances. In this work, we propose replacing the CI sound coding strategy with a deep neural network (DNN) that performs end-to-end speech denoising by taking the raw audio as input and providing a denoised electrodogram, i.e., the electrical stimulation patterns applied to the electrodes across time. We specifically introduce a DNN that emulates a common CI sound coding strategy, the advanced combination encoder (ACE). We refer to the proposed algorithm as 'Deep ACE'. Deep ACE is designed not only to accurately code the acoustic signals in the same way that ACE would but also to automatically remove unwanted interfering noises, without sacrificing processing latency. The model was optimized using a CI-specific loss function and evaluated using objective measures as well as listening tests in CI participants. Results show that, based on objective measures, the proposed model achieved higher scores when compared to the baseline algorithms. Also, the proposed deep learning-based sound coding strategy gave eight CI users the highest speech intelligibility scores.

Speech Understanding in Noise in Children With Cochlear Implant

Objectives: The aim of the study is to determine the effect of a cochlear implant on the ability to understand speech in a noisy environment. Materials and Methods: Turkish HINT was applied to the experimental group consisting of 15 children with a unilateral Cochlear Implant (CI) aged between 7;9, and 13;9 (year; month) and the control group consisting of 15 children aged between 8;10 and 13;0 with normal hearing. Speech Reception Thresholds (SRTs) of the groups were obtained in quiet and noise in front conditions. The data obtained from the groups were compared. Results: The mean Speech Reception Threshold (SRT) in the quiet was found to be 65.4 dB in children with CI and 21.6 dB in normal-hearing children. The mean SRT in noise was found to be +6.0 dB Signal to Noise Ratio (SNR) in children with CI and -1.6 dB SNR in normal-hearing children. A significant difference was found between the mean SRT values of the groups in quiet and noise conditions (p0,01). Conclusion: Children with CI need a higher SNR than children with normal hearing to understand speech in noise. In addition, the age of children with normal hearing had a significant effect on speech understanding skills in noisy conditions but not in quiet.

The effect of motor resource suppression on speech perception in noise in younger and older listeners: An online study.

Speech motor resources may be recruited to assist challenging speech perception in younger normally hearing listeners, but the extent to which this occurs for older adult listeners is unclear. We investigated if speech motor resources are also recruited in older adults during speech perception. Specifically, we investigated if suppression of speech motor resources via sub-vocal rehearsal affects speech perception compared to non-speech motor suppression (jaw movement) and passive listening. Participants identified words in speech-shaped noise at signal-to-noise ratios (SNRs) from -16 to +16 dB in three listening conditions during which participants: (1) opened and closed their jaw (non-speech movement); (2) sub-vocally mimed 'the' (articulatory suppression); (3) produced no concurrent movement (passive listening). Data from 46 younger adults (M age = 20.17 years, SD = 1.61, 36 female) and 41 older adults (M age = 69 years, SD = 5.82, 21 female) were analysed. Linear mixed effects modelling investigated the impact of age, listening condition, and self-reported hearing ability on speech perception (d' prime). Results indicated that speech perception ability was significantly worse in older adults relative to younger adults across all listening conditions. A significant interaction between age group and listening condition indicated that younger adults showed poorer performance during articulatory suppression compared to passive listening, but older adults performed equivalently across conditions. This finding suggests that speech motor resources are less available to support speech perception in older adults, providing important insights for auditory-motor integration for speech understanding and communication in ageing.

Digital live imaging of intraoperative electrocochleography during cochlear implantation: the first 50 patients

IntroductionReal-time visualization of intraoperative electrocochleography (ECochG) potentials via a digital microscope during cochlear implantation can provide direct feedback during electrode insertion. The aim of this prospective, randomized study of 50 patients was to obtain long-term data with a focus on residual hearing preservation and speech understanding.Material and methodsCochlear implantations were performed in 50 patients (26 female, 24 male) with residual hearing using a digital microscope. Patients were randomized into two groups. Intraoperative ECochG potentials were either displayed directly in the surgeon’s field of view (picture-in-picture display, PiP) or not directly in the field of view (without picture-in-picture display, without PiP). Residual hearing preservation and speech comprehension were recorded within a 1-year follow-up period, compared between groups (PiP versus without PiP) and to a control group of 26 patients implanted without ECochG.ResultsMean insertion time was significantly longer in the picture-in-picture group (p = 0.025). Residual hearing preservation after 6 weeks at 250 Hz was significantly better in the picture-in-picture group (p = 0.017). After one year, 76% of patients showed residual hearing in the picture-in-picture group (62% without picture-in-picture technique, p = n.s.). Use of the picture-in-picture technique resulted in better long-term pure tone residual hearing preservation at 250, 500, and 1000 Hz. Speech intelligibility improved by 46% in the picture-in-picture group (38% without picture-in-picture).DiscussionThis study is the first to describe long-term results in a large cohort of cochlear implant patients in whom digital visualization of intraoperative ECochG was used. Our results show that visualization of intraoperative ECochG has a positive effect on residual hearing preservation.

Evaluating the effects of audiovisual delays on speech understanding with hearables

A key consideration in the development of real-time speech processing algorithms is latency between when speech is first captured and when the processed speech is transmitted. Much of the previous work informing the acceptability of processing latency has focused on the thresholds at which delays are detectable or annoying. This study aimed to explore the effects of delays on responding to a task necessitating speech understanding. Sentence-length audiovisual speech stimuli were modified such that the audio stream was delayed relative to the visual stream as well as to an attenuated copy of the audio stream by 10 and 400 ms, respectively. These stimuli were presented in conjunction with a pictorial referent-choice task to 50 normal-hearing participants. Participants responded slower to the task when the audio stream was delayed by 400 ms relative to the video stream. With an additional attenuated copy of the audio stream synchronized with the video stream, reaction time decreased, but this effect was limited to when the target word appeared near the onset of the sentence, highlighting the complexity of delay perception in the context of continuous speech. Implications for determining permissible processing delays for digital electronic hearing protection devices are discussed.

A Case of Bilateral Sequential Sudden Sensorineural Hearing Loss in Protein S Deficiency and Successful Recovery of Hearing After Cochlear Implantation

Bilateral sequential sudden sensorineural hearing loss (SSHL) is a rare and challenging clinical condition, but its association with protein S deficiency has received limited attention. This paper reports a case of bilateral sequential SSHL in a patient with protein S deficiency who underwent cochlear implantation and achieved significant improvement in hearing. The patient received high-dose systemic corticosteroids and anticoagulation therapy before the implantation, which had no significant effect. Cochlear implantation was then performed in the left ear, and the patient showed significant improvement in speech understanding and overall hearing ability. A year later, the patient underwent surgery for the opposite ear with favorable outcome. This case highlights the potential benefits of cochlear implantation in patients with bilateral sequential SSHL and protein S deficiency and emphasizes the importance of considering cochlear implantation as a treatment option in such patients.

Speech Discrimination Outcomes in Adult Cochlear Implant Recipients by Primary Language and Bilingual Hispanic Patients.

Compare cochlear implant (CI) outcomes in English speakers, Spanish speakers, and bilingual Hispanics. Retrospective review. Academic tertiary care center. Eighty-five postlingually deafened adults unilaterally implanted between January 2014 and December 2018 were stratified by primary language. Primary outcomes were: (1) English consonant-nucleus-consonant and Spanish bisyllables word tests in quiet, and (2) English AzBio and Latin American Hearing In Noise Test (LA-HINT) sentence tests in quiet and in noise at multiple time-intervals postactivation. In the respective languages, primary Spanish speakers(n = 24), and English speakers (n = 61) experienced the greatest increases in average scores for word and sentence tests in quiet during the first 6 months postactivation, with gradual increases in average scores over time. English speakers performed significantly worse on AzBio tests in noise, compared to quiet, while the addition of noise did not significantly affect average LA-HINT scores in Spanish speakers across multiple time intervals. An early ceiling effect was also demonstrated for LA-HINT. Although not significant, bilingual Hispanics (n = 12) had lower average AzBio in quiet scores than English speakers and higher average LA-HINT in quiet scores than the Spanish speakers across multiple time intervals. English and Spanish CI users experienced the greatest increases in speech understanding in quiet the first few months after implant activation. An early ceiling effect is demonstrated with LA-HINT, indicating LA-HINT is not appropriate for evaluating longitudinal CI outcomes in Spanish speakers. Bilingual Hispanics represent a unique group, and further investigations are necessary to understand speech perception patterns in both languages and develop the best CI test strategies for these individuals.

Exploring Practical Metrics to Support Automatic Speech Recognition Evaluations.

Recent studies into the evaluation of automatic speech recognition for its quality of output in the form of text have shown that using word error rate to see how many mistakes exist in English does not necessarily help the developer of automatic transcriptions or captions. Confidence levels as to the type of errors being made remain low because mistranslations from speech to text are not always captured with a note that details the reason for the error. There have been situations in higher education where students requiring captions and transcriptions have found that some academic lecture results are littered with word errors which means that comprehension levels drop and those with cognitive, physical and sensory disabilities are particularly affected. Despite the incredible improvements in general understanding of conversational automatic speech recognition, academic situations tend to include numerous domain specific terms and the lecturers may be non-native speakers, coping with recording technology in noisy situations. This paper aims to discuss the way additional metrics are used to capture issues and feedback into the machine learning process to enable enhanced quality of output and more inclusive practices for those using virtual conferencing systems. The process goes beyond what is expressed and examines paralinguistic aspects such as timing, intonation, voice quality and speech understanding.

Urgensi yang Dialami Peserta Didik Sekolah Dasar dalam Literasi

Urgensi yang Dialami Peserta Didik Sekolah Dasar dalam Literasi

Longitudinal Auditory Benefit for Elderly Patients After Cochlear Implant for Bilateral Hearing Loss, Including Those Meeting Expanded Centers for Medicare & Medicaid Services Criteria.

To examine the effect of patient age on longitudinal speech understanding outcomes after cochlear implantation (CI) in bilateral hearing loss. Retrospective cohort study. Tertiary academic center. One thousand one hundred five adult patients with bilateral hearing loss receiving a unilateral CI between 1987 and 2022InterventionsNone. Postoperative speech recognition outcomes, including AzBio sentences, consonant-nucleus-consonant word, and Hearing in Noise Test in quiet were analyzed at short-term (<2 yr), medium-term (2-8 y), and long-term (>8 yr) term postoperative intervals. Eighty-six very elderly (>80 yr), 409 elderly (65-80 yr), and 709 nonelderly (18-65 yr) patients were included. Short-term postoperative AzBio scores demonstrated similar magnitude of improvement relative to preoperative scores in the very elderly (47.6, 95% confidence interval [CI], 28.9-66.4), elderly (49.0; 95% CI, 39.2-58.8), and nonelderly (47.9; 95% CI, 35.4-60.4). Scores for those older than 80 years remained stable after 2 years after implant, but in those 80 years or younger, scores continued to improve for up to 8 years (elderly: 6.2 [95% CI, 1.5-12.4]; nonelderly: 9.9 [95% CI, 2.1-17.7]) after implantation. Similar patterns were observed for consonant-nucleus-consonant word scores. Across all age cohorts, patients with preoperative Hearing in Noise Test scores between 40 and 60% had similar scores to those with preoperative scores of less than 40%, at short-term (82.4, 78.9; 95% CI, -23.1 to 10.0), medium-term (77.2, 83.9; 95% CI, -15.4 to 8.2), or long-term (73.4, 71.2; 95% CI, -18.2 to 12.2) follow-up. Patients older than 80 years gain significant and sustained auditory benefit after CI, including those meeting expanded Centers for Medicare & Medicaid Service criteria for implantation. Patients younger than 80 years demonstrated continued improvement over longer periods than older patients, suggesting a role of central plasticity in mediating CI outcomes as a function of age.

A natural language fMRI dataset for voxelwise encoding models

Speech comprehension is a complex process that draws on humans’ abilities to extract lexical information, parse syntax, and form semantic understanding. These sub-processes have traditionally been studied using separate neuroimaging experiments that attempt to isolate specific effects of interest. More recently it has become possible to study all stages of language comprehension in a single neuroimaging experiment using narrative natural language stimuli. The resulting data are richly varied at every level, enabling analyses that can probe everything from spectral representations to high-level representations of semantic meaning. We provide a dataset containing BOLD fMRI responses recorded while 8 participants each listened to 27 complete, natural, narrative stories (~6 hours). This dataset includes pre-processed and raw MRIs, as well as hand-constructed 3D cortical surfaces for each participant. To address the challenges of analyzing naturalistic data, this dataset is accompanied by a python library containing basic code for creating voxelwise encoding models. Altogether, this dataset provides a large and novel resource for understanding speech and language processing in the human brain.

Prediction of speech understanding with the transcutaneous partially implantable bone conduction hearing system Osia®. German Version

The active transcutaneous, partially implantable osseointegrated bone conduction system Cochlear™ Osia® (Cochlear, Sydney, Australia) has been approved for use in German-speaking countries since April 2021. The Osia is indicated for patients with conductive (CHL) or mixed hearing loss (MHL) with an average bone conduction (BC) hearing loss of 55 dB or less, or with single-sided deafness (SSD). The aim of this retrospective study was to investigate the prediction of postoperative speech recognition with Osia and to evaluate the speech recognition of patients with MHL and an aided dynamic range of less than 30 dB with Osia. Between 2017 and 2022, 29adult patients were fitted with the Osia, 10patients (11ears) with CHL and 19patients (21ears) with MHL. MHL was subdivided into two groups: MHL‑I with four-frequency pure-tone average in BC (BC-4PTA) ≥ 20 dB HL and < 40 dB HL (n = 15patients; 20ears) vs. MHL-II with BC-4PTA ≥ 40 dB HL (n = 4patients; 5ears). All patients tested abone conduction hearing device on asoftband preoperatively. Speech intelligibility in quiet was assessed preoperatively using the Freiburg monosyllabic test unaided and with the test system and postoperatively with Osia. The maximum monosyllabic score (mEV) unaided and the monosyllabic score with the test system at 65 dB SPL were correlated with the postoperative monosyllabic score with Osia at 65 dB SPL. Preoperative prediction of postoperative outcome with Osia was better using the mEV than the EV at 65 dB SPL with the test device on the softband. Postoperative EV was most predictive for patients with CHL and least predictive for patients with mixed hearing loss with 4PTA BC ≥ 40 dB HL. For the test device at softband, results tended to show the minimum achievable outcome and the mEV tended to predict the realistically achievable outcome. Osia can be used for the treatment of CHL and MHL within the indication limits. The average preoperative bone conduction hearing threshold also provides an approximate estimate of the postoperative EV with Osia, for which the most accurate prediction is obtained using the preoperative mEV. Prediction accuracy decreases from aBC-4PTA of ≥ 40 dB.

Speech understanding in noise for cochlear implant recipients using a spatial noise reduction setting in an off the ear sound processor with directional microphones

Purpose Cochlear implant (CI) recipients struggle to hear in competing background noise. ForwardFocus is a spatial noise reduction setting from Cochlear Ltd. (Sydney) that can simultaneously attenuate noise from multiple sources behind the listener. This study assessed hearing performance with ForwardFocus in an off-the-ear (OTE) sound processor. Method Twenty-two experienced adult CI recipients participated. Speech reception data was collected in fixed noise acutely in the clinic. After three to five weeks take home experience, subjective impressions were recorded, and evaluations were conducted for speech reception in quiet and roving noise. Results Group mean speech reception thresholds (SRT) were below 0 dB in two spatially-separated noise test conditions when using ForwardFocus in the OTE sound processor. SRT were −8.5 dB (SD 2.9) in 4-talker babble roving in a rear hemi-field (S0Nrearhemi) and −3.9 dB (SD 3.3) in 12-talker babble presented laterally and behind (S0N3). Results in S0N3 were significantly better with ForwardFocus On (p = 0.0018). Subjective ratings with the OTE were comparable to, or better than, with their walk-in BTE or OTE sound processor. Conclusions ForwardFocus provides significant benefits for speech recognition in competing background noise in an OTE sound processor. These results support clinicians in counselling CI recipients on potential sound processor options to consider.

Value of patient-reported outcome measures for evaluating the benefit of speech processor upgrading in patients with cochlear implants. German version

Patients with acochlear implant (CI) should be evaluated for anew speech processor every 6years. The aim of this analysis was to assess the subjective and audiological benefit of upgrades. Speech understanding and subjective benefit were analyzed in 99patients with the old and the new speech processor after 4weeks of wearing. Speech understanding was assessed using the Freiburg monosyllabic test in quiet (FBE) at 65 dB and 80 dB, and the Oldenburg Sentence Test (OLSA) at 65 dB noise with adaptive speech sound level. The Abbreviated Profile of Hearing Aid Benefit (APHAB) was used to assess subjective hearing impairment, and the Audio Processor Satisfaction Questionnaire (APSQ) was used to assess subjective satisfaction. The speech processor upgrade resulted in asignificant improvement of speech understanding in quiet at 65 dB (mean difference 8.9 ± 25.9percentage points, p < 0.001) and 80 dB (mean difference 8.1 ± 29.7percentage points, p < 0.001) and in noise (mean difference 3.2 ± 10.7 dBsignal-to-noise ratio [S/N], p = 0.006). Using the APHAB, asignificant improvement (mean difference 0.07 ± 0.16, p < 0.001) in hearing impairment was demonstrated in all listening situations. The APSQ showed significantly higher patient satisfaction with the new speech processor (mean difference 0.42 ± 1.26, p = 0.006).A comparative assessment of the benefit based on subjective and speech audiometric results identified aproportion of patients (35-42%) who subjectively benefited from the upgrade but had no measurable benefit based on speech audiometry. There was asignificant improvement in audiologically measurable and subjectively reflected speech understanding and patient satisfaction after the upgrade. In patients with only asmall improvement in audiologically measurable speech understanding, the subjective benefit should also be assessed with validated measurement instruments in order to justify an upgrade to the payers in the health sector.

Comparison of quick speech-in-noise test and pure tone audiometry in noise-induced hearing loss

Objective Complaints of speech understanding in situations where background noise exists, can be seen from early stages of Noise-Induced Hearing Loss (NIHL); therefore, speech-in-noise tests including Quick speech-in-noise (Q-SIN) tests may be a suitable method for screening NIHL. The Q-SIN test uses the Signal to Noise Ratio (SNR) to evaluates speech perception in the presence of noise. This study aimed to compare pure tone audiometry and Q-SIN tests in patients with NIHL and normal hearing subjects. Methods In this cross-sectional study, according to the result of audiometry, subjects were classified into two groups: 45 individuals with audiograms suggestive of NIHL as a case group and 57 normal-hearing individuals as controls. The Persian version of the Quick-SIN test was performed for two study groups. The Mann-Whitney U Test was used for the comparison of mean SNR and hearing thresholds between the study groups. Spearman test was implemented for evaluation of the correlation between mean SNR and mean hearing thresholds in high and low frequencies in both ears. Results The median SNR loss was significantly higher in the NIHL group [0.75 (IQR: −0.75, 2.75)] than in the normal hearing group [−1.25 (−0.25, 1.25)] (p < 0.0001). It was also found that in the NIHL group, SNR loss had a direct and significant correlation with the high frequencies of both ears and the low frequency of the left ear, as the average hearing threshold increases at high frequencies and low frequencies of the left ear, the SNR loss mean increases as well. Conclusion The present study showed that the Q-SIN test as a rapid, easily applicable test has a positive correlation with pure tone audiometry results, especially at higher frequencies.

Reasons for ceiling ratings in real-life evaluations of hearing aids: the relationship between SNR and hearing aid ratings.

In past Ecological Momentary Assessment (EMA) studies, hearing aid outcome ratings have often been close to ceiling. To analyze the underlying reasons for the very positive ratings, we conducted a study with 17 experienced hearing aid wearers who were fitted with study hearing aids. The acceptable noise level and the noise level where participants were unable to follow speech were measured. The participants then rated hearing aid satisfaction, speech understanding and listening effort for pre-defined SNRs between -10 and +20 dB SPL in the laboratory. These ratings were compared to ratings of a two-week EMA trial. Additionally, estimates of SNRs were collected from hearing aids during the EMA trial and we assessed whether the participants experienced those SNRs rated poorly in the laboratory in real life. The results showed that for hearing aid satisfaction and speech understanding, the full rating scale was used in the laboratory, while the ratings in real life were strongly skewed towards the positive end of the scale. In the laboratory, SNRs where participants indicated they could not follow the narrator ("unable to follow" noise level) were rated clearly better than the lowest possible ratings. This indicates that very negative ratings may not be applicable in real-life testing. The lower part of the distribution of real-life SNR estimates was related to participants' individual "unable to follow" noise levels and the SNRs which were rated poorly in the laboratory made up less than 10% of the speech situations experienced in real life. This indicates that people do not seem to frequently experience listening situations at SNRs where they are dissatisfied with their hearing aids and this could be the reason for the overly positive hearing aid outcome ratings in EMA studies. It remains unclear to what extent the scarcity of such situations is due lack of encounters or intentional avoidance.

Frequency detection, frequency discrimination, and spectro-temporal pattern perception in older and younger typically hearing adults

Elderly adults often experience difficulties in speech understanding, possibly due to age-related deficits in frequency perception. It is unclear whether age-related deficits in frequency perception differ between the apical or basal regions of the cochlea. It is also unclear how aging might differently affect frequency discrimination or detection of a change in frequency within a stimulus. In the present study, pure-tone frequency thresholds were measured in 19 older (61–74 years) and 20 younger (22–28 years) typically hearing adults. Participants were asked to discriminate between reference and probe frequencies or to detect changes in frequency within a probe stimulus. Broadband spectro-temporal pattern perception was also measured using the spectro-temporal modulated ripple test (SMRT). Frequency thresholds were significantly poorer in the basal than in the apical region of the cochlea; the deficit in the basal region was 2 times larger for the older than for the younger group. Frequency thresholds were significantly poorer in the older group, especially in the basal region where frequency detection thresholds were 3.9 times poorer for the older than for the younger group. SMRT thresholds were 1.5 times better for the younger than for the older group. Significant age effects were observed for SMRT thresholds and for frequency thresholds only in the basal region. SMRT thresholds were significantly correlated with frequency thresholds only in the older group. The poorer frequency and spectro-temporal pattern perception may contribute to age-related deficits in speech perception, even when audiometric thresholds are nearly normal.