entertrainment Methods About

Hearing & Tinnitus

Browser-based auditory psychophysics and tinnitus phenotyping — a set of controlled, repeatable hearing and tinnitus tests that explore the relationship between peripheral hearing sensitivity, functional hearing and tinnitus perception. Intended for research, self-observation and hypothesis generation. It is not a diagnostic instrument and does not replace calibrated audiometry or clinical assessment.

The research question

When peripheral auditory input is reduced, why can the resulting tinnitus become a specific, audible percept — and how does it relate to the frequency region, magnitude and functional consequences of that loss?

One influential account of tinnitus links altered peripheral auditory input with compensatory changes in central auditory processing. That account leaves several questions a simple “hearing-loss” explanation struggles to resolve — and that measurement can address:

  • Does tinnitus pitch correspond to the frequencies with reduced sensitivity?
  • Does it sit at the edge of measurable loss, within the affected region, or at a systematically displaced frequency?
  • Can any displacement be expressed in octaves or cochlear-place coordinates?
  • How does tinnitus loudness relate to the listener’s own hearing threshold?
  • Does functional hearing — speech in noise — reveal information that pure-tone thresholds miss?
  • Can controlled external sounds produce reproducible changes in the percept?
  • Are these relationships consistent within a person when the measurements are repeated?

The panel is designed to collect the measurements needed to explore those questions — not to assume a mechanism.

What the panel measures

Hearing profile. Per-ear detection thresholds from 250 Hz–8 kHz, with optional exploratory extended-high-frequency measurements. Each threshold comes with an uncertainty estimate, a false-alarm rate, a response-quality flag and test–retest variation. These are self-referenced relative thresholds, not calibrated dB HL.

Functional hearing. A digits-in-noise test estimates the signal-to-noise ratio needed to recognise spoken digits. A listener can have relatively preserved thresholds yet still struggle to follow speech in noise, so this adds information pure-tone testing alone can miss.

Tinnitus phenotype. The percept is characterised by pitch (with an explicit octave check), loudness relative to threshold, sound character, minimum masking level and residual inhibition. These describe the percept; they do not determine its medical cause.

Where does tinnitus pitch sit relative to hearing loss?

A simple missing-input model might predict that tinnitus should correspond to the frequency region where auditory sensitivity is reduced. In practice, tinnitus pitch does not necessarily coincide with the audiometric edge. The panel therefore estimates these quantities together and compares them:

hearing profile → loss edge → tinnitus pitch → octave displacement → estimated tonotopic position

This gives a measurable way to ask a concrete question: does the tinnitus follow the missing auditory information, the boundary of that information, or a displaced frequency? The result is correlational and specific to the individual — it does not establish why any displacement occurs. This measurable relationship, rather than any single test, is the primary analytical question of the project.

Why does the percept become frequency-specific?

Auditory systems contain substantial spontaneous neural activity even in silence. A central question in tinnitus research is why a change in peripheral input can be associated with a consciously perceived, frequency-specific sound, rather than simply an imperceptible shift in background neural activity. The panel therefore measures the tinnitus percept alongside the frequency-dependent hearing profile, so the relationship between sensitivity, pitch and loudness can be examined behaviourally.

Mechanistic hypotheses

The measurements are compatible with several overlapping explanations, which may coexist. The panel does not determine which mechanism is responsible in an individual.

  • Peripheral change — altered cochlear function changes the input reaching the auditory pathway.
  • Central compensation — reduced or degraded input may drive adaptive changes in neural gain and spontaneous activity.
  • Internal-noise / stochastic-resonance models — changes in internal neural noise may alter the detectability of weak auditory signals.
  • Predictive-processing models — changes in sensory evidence may interact with the brain’s expectations about auditory input.

The experiments provide behavioural observations relevant to these models. They do not establish a mechanism or identify a treatment target. These are theoretical frameworks rather than competing diagnoses.

Controlled auditory perturbation

A secondary, explicitly experimental layer asks whether the tinnitus is sensitive to specific features of external sound. Stimuli can be varied in frequency, bandwidth, harmonic structure, spectral peaks, modulation, masking characteristics and controlled spectral degradation. The tinnitus is recorded before and after each stimulus, including a short recovery period.

The aim is not to reproduce a harmful exposure or “test tolerance”, but to determine whether particular acoustic features produce reproducible perceptual changes at comfortable levels. One later condition explores spectrally degraded, telephone-like signals — a hypothesis-generating experiment, not an assumption that codec artefacts cause tinnitus.

What this does not assume: the experiments do not assume that acoustic energy is stored in the middle ear, or that tinnitus is a mechanically resonating structure — passive mechanical energy is dissipated rapidly and does not provide an established explanation for a persistent tinnitus percept. Persistent tinnitus is treated as a perceptual phenomenon potentially involving peripheral and/or central mechanisms.

Measurement philosophy

A browser cannot measure the actual sound pressure at the eardrum — device, DAC, operating system, headphones and acoustic coupling all affect the delivered sound. Absolute levels here are therefore not clinical measurements. The panel deliberately prioritises what is meaningful on uncalibrated hardware: within-session relationships, repeated measurements, uncertainty, test–retest behaviour, frequency relationships, before/after changes and raw-data export. The objective is to make the limitations visible rather than hide them behind apparently precise numbers.

What this can — and cannot — establish

It can explore

  • an individual hearing profile
  • tinnitus pitch & loudness relationships
  • frequency-dependent patterns
  • functional hearing in noise
  • residual inhibition
  • stimulus reactivity
  • measurement repeatability

It cannot establish

  • the medical cause of tinnitus
  • cochlear pathology
  • calibrated hearing thresholds
  • a specific neural mechanism
  • treatment efficacy
  • a cure

Current scope

The present implementation is designed for exploratory, repeated single-subject measurements — one listener’s hearing profile alongside their own tinnitus. It is not validated for population-level inference or clinical decision-making, and a single result does not validate any mechanism.

Important limitations & safety

This is a browser-based research/phenotyping tool, not a clinical audiometer or diagnostic device. Browser audio cannot establish calibrated dB SPL or dB HL — output depends on the device, DAC, operating system, headphones and coupling — so results are useful for within-session relationships, trends and repeat measurements, not clinical threshold classification.

Do not increase levels to test tolerance or to reproduce a previous adverse sound exposure. Sudden hearing loss, new one-sided or asymmetric change, pulsatile tinnitus, significant vertigo, or other acute auditory/neurological symptoms require professional assessment — see an audiologist or ENT, not a web page.

Hearing profile · Speech-in-noise · Tinnitus psychoacoustics · Pitch/loss relationship · Residual inhibition · Experimental stimulus response

Key references

A few papers that anchor the design — one per theme. The full categorised bibliography, including the theoretical/preprint work behind the stochastic-resonance and nonlinear-cochlea ideas, lives on the methods page.

Links open external sites (Consensus, arXiv, journals). These informed the design; none of this is medical advice.

For interested readers

A full scientific methods reference documents every test in the panel — what it measures, how it works, the auditory science behind it, what it outputs, and (honestly) where it can be wrong. Optional, and written for anyone who wants the detail behind the numbers.

Works in any modern browser. Audio and saved history stay local unless you explicitly export, email, or send a result. Not a medical diagnosis; consult an audiologist or ENT for concerns. · Methods & science →