Head movements can improve sound localization performance and speech intelligibility in acoustic environments with spatially distributed sources. However, they can affect the performance of hearing aid algorithms, when adaptive algorithms have to adjust to changes in the acoustic scene caused by head movement (the so-called maladaptation effect) or when directional algorithms are not facing in the optimal direction because the head has moved away (the so-called misalignment effect). In this article, we investigated the mechanisms behind these maladaptation and misalignment effects for a set of six standard hearing aid algorithms using acoustic simulations based on premade databases; this was done so we could study the effects as carefully as possible. Experiment 1 investigated the maladaptation effect by analyzing hearing aid benefit after simulated rotational head movement in simple anechoic noise scenarios. The effects of movement parameters (start angle and peak velocity), noise scenario complexity, and adaptation time were studied, as well as the recovery time of the algorithms. However, a significant maladaptation effect was only found in the most unrealistic anechoic scenario with one noise source. Experiment 2 investigated the effects of maladaptation and misalignment using previously recorded natural head movements in acoustic scenes resembling everyday life situations. In line with the results of Experiment 1, no effect of maladaptation was found in these more realistic acoustic scenes. However, a significant effect of misalignment on the performance of directional algorithms was found. This demonstrates the need to take head movement into account in the evaluation of directional hearing aid algorithms.
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