Severity of Hearing Loss
Hearing loss is measured by the inability
to hear soft sounds and is displayed in an audiogram, as
shown in the figure. An audiogram plots the level of a pure tone
needed to reach the listener’s absolute threshold (‘I can just
hear it’) at each test frequency relative to the level needed by
young listeners with normal hearing (NH). An ordinate value of 0
dB on an audiogram indicates no hearing loss at that test
frequency. Larger degrees of loss result in larger ordinate
values, which are plotted going down.
Although hearing losses come in many
patterns, the most common is like those shown in the figure
labeled HL1-HL5. Hearing loss at low frequencies is relatively
constant and increases for higher frequencies. This is the
pattern that is usually seen with presbycusis, the hearing loss
that often accompanies old age. The simulated hearing losses HL1
through HL5 that are demonstrated here all have the same
pattern; they differ only in their severity.

The shaded area in the figure shows the average range of
intensities for conversational speech. Speech energy is
strongest in the low frequencies, and weakest in the higher
frequencies. This demo presents three sentences and two
music passages processed through the five simulated hearing
losses as well as normal hearing.
Because the same sentence (or music
passage) is used for each degree of loss, start with HL5, the
most severe loss, and proceed to less severe losses (i.e., go
from left to right across a row in the table below). If you
start with NH and hear the sentence clearly, it will be hard to
estimate the intelligibility with worse losses because you will
already know the sentence.
Click here to open the HeLPS Severity of Hearing Loss Demo in a
new window.

