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J Audiol Otol > Volume 27(1); 2023 > Article
Journal of Audiology and Otology 2023;27(1):1-9.
DOI: https://doi.org/10.7874/jao.2022.00283    Published online January 10, 2023.
Training Programs for Improving Speech Perception in Noise: A Review
Nasrin Gohari1  , Zahra Hosseini Dastgerdi2  , Nematollah Rouhbakhsh3  , Sara Afshar1  , Razieh Mobini1 
1Hearing Disorders Research Center, Department of Audiology, School of Rehabilitation, Hamadan University of Medical Sciences, Hamadan, Iran
2Department of Audiology, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran
3Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Correspondence  Zahra Hosseini Dastgerdi ,Tel: +98-09132947800, Fax: +98-(311)5145-668, Email: zahra.au46@yahoo.com
Submitted: July 3, 2022  Accepted after revision: October 26, 2022
Understanding speech in the presence of noise is difficult and challenging, even for people with normal hearing. Accurate pitch perception, coding and decoding of temporal and intensity cues, and cognitive factors are involved in speech perception in noise (SPIN); disruption in any of these can be a barrier to SPIN. Because the physiological representations of sounds can be corrected by exercises, training methods for any impairment can be used to improve speech perception. This study describes the various types of bottom-up training methods: pitch training based on fundamental frequency (F0) and harmonics; spatial, temporal, and phoneme training; and top-down training methods, such as cognitive training of functional memory. This study also discusses music training that affects both bottom-up and top-down components and speech training in noise. Given the effectiveness of all these training methods, we recommend identifying the defects underlying SPIN disorders and selecting the best training approach.
Keywords: Speech in noise perception; Speech in noise training; Rehabilitation


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