Factors affecting speech understanding in gated interference: Cochlear implant users and normal-hearing listeners

2004 ◽  
Vol 115 (5) ◽  
pp. 2286-2294 ◽  
Author(s):  
Peggy B. Nelson ◽  
Su-Hyun Jin
Keyword(s):  
Cochlear Implant ◽  
Normal Hearing ◽  
Speech Understanding ◽  
Factors Affecting

scholarly journals Sound Localization in Single-Sided Deaf Participants Provided With a Cochlear Implant

2021 ◽  
Vol 12 ◽  
Author(s):  
Alexandra Annemarie Ludwig ◽  
Sylvia Meuret ◽  
Rolf-Dieter Battmer ◽  
Marc Schönwiesner ◽  
Michael Fuchs ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Sound Localization ◽  
High Frequency ◽  
Real Life ◽  
Low Frequency ◽  
Normal Hearing ◽  
Frequency Noise ◽  
Speech Understanding ◽  
Speech Understanding In Noise ◽  
Single Sided Deafness

Spatial hearing is crucial in real life but deteriorates in participants with severe sensorineural hearing loss or single-sided deafness. This ability can potentially be improved with a unilateral cochlear implant (CI). The present study investigated measures of sound localization in participants with single-sided deafness provided with a CI. Sound localization was measured separately at eight loudspeaker positions (4°, 30°, 60°, and 90°) on the CI side and on the normal-hearing side. Low- and high-frequency noise bursts were used in the tests to investigate possible differences in the processing of interaural time and level differences. Data were compared to normal-hearing adults aged between 20 and 83. In addition, the benefit of the CI in speech understanding in noise was compared to the localization ability. Fifteen out of 18 participants were able to localize signals on the CI side and on the normal-hearing side, although performance was highly variable across participants. Three participants always pointed to the normal-hearing side, irrespective of the location of the signal. The comparison with control data showed that participants had particular difficulties localizing sounds at frontal locations and on the CI side. In contrast to most previous results, participants were able to localize low-frequency signals, although they localized high-frequency signals more accurately. Speech understanding in noise was better with the CI compared to testing without CI, but only at a position where the CI also improved sound localization. Our data suggest that a CI can, to a large extent, restore localization in participants with single-sided deafness. Difficulties may remain at frontal locations and on the CI side. However, speech understanding in noise improves when wearing the CI. The treatment with a CI in these participants might provide real-world benefits, such as improved orientation in traffic and speech understanding in difficult listening situations.

scholarly journals Cochlear Implant: Effect of the Number of Channel and Frequency Selectivity on Speech Understanding in Noise Preliminary Results in Simulation with Normal-Hearing Subjects

2020 ◽  
Vol 81 (1-4) ◽  
pp. 17-23
Author(s):  
P.A. Cucis ◽  
C. Berger-Vachon ◽  
R. Hermann ◽  
H. Thaï-Van ◽  
S. Gallego ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Signal To Noise Ratio ◽  
Normal Hearing ◽  
Measuring Channel ◽  
Frequency Selectivity ◽  
Speech Understanding ◽  
Preliminary Results ◽  
Channel Interaction ◽  
Speech Understanding In Noise ◽  
The Impact

The cochlear implant is the most successful implantable device for the rehabilitation of profound deafness. However, in some cases, the electrical stimulation delivered by the electrode can spread inside the cochlea creating overlap and interaction between frequency channels. By using channel-selection algorithms like the “nofm” coding-strategy, channel interaction can be reduced. This paper describes the preliminary results of experiments conducted with normal hearing subjects (n = 9). Using a vocoder, the present study simulated the hearing through a cochlear implant. Speech understanding in noise was measured by varying the number of selected channels (“nofm”: 4, 8, 12 and 16of20) and the degree of simulated channel interaction (“Low”, “Medium”, “High”). Also, with the vocoder, we evaluated the impact of simulated channel interaction on frequency selectivity by measuring psychoacoustic tuning curves. The results showed a significant average effect of the signal-to-noise ratio (p < 0.0001), the degree of channel interaction (p < 0.0001) and the number of selected channels, (p = 0.029). The highest degree of channel interaction significantly decreases intelligibility as well as frequency selectivity. These results underline the importance of measuring channel interaction for cochlear implanted patients to have a prognostic test and to adjust fitting methods in consequence. The next step of this project will be to transpose these experiments to implant users, to support our results.

Improving Speech Perception in Noise for Children with Cochlear Implants

2011 ◽  
Vol 22 (09) ◽  
pp. 623-632 ◽  
Author(s):  
René H. Gifford ◽  
Amy P. Olund ◽  
Melissa DeJong
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Repeated Measures ◽  
Background Noise ◽  
Normal Hearing ◽  
Speech Understanding ◽  
The Mean ◽  
Experimental Subjects

Background: Current cochlear implant recipients are achieving increasingly higher levels of speech recognition; however, the presence of background noise continues to significantly degrade speech understanding for even the best performers. Newer generation Nucleus cochlear implant sound processors can be programmed with SmartSound strategies that have been shown to improve speech understanding in noise for adult cochlear implant recipients. The applicability of these strategies for use in children, however, is not fully understood nor widely accepted. Purpose: To assess speech perception for pediatric cochlear implant recipients in the presence of a realistic restaurant simulation generated by an eight-loudspeaker (R-SPACE™) array in order to determine whether Nucleus sound processor SmartSound strategies yield improved sentence recognition in noise for children who learn language through the implant. Research Design: Single subject, repeated measures design. Study Sample: Twenty-two experimental subjects with cochlear implants (mean age 11.1 yr) and 25 control subjects with normal hearing (mean age 9.6 yr) participated in this prospective study. Intervention: Speech reception thresholds (SRT) in semidiffuse restaurant noise originating from an eight-loudspeaker array were assessed with the experimental subjects’ everyday program incorporating Adaptive Dynamic Range Optimization (ADRO) as well as with the addition of Autosensitivity control (ASC). Data Collection and Analysis: Adaptive SRTs with the Hearing In Noise Test (HINT) sentences were obtained for all 22 experimental subjects, and performance—in percent correct—was assessed in a fixed +6 dB SNR (signal-to-noise ratio) for a six-subject subset. Statistical analysis using a repeated-measures analysis of variance (ANOVA) evaluated the effects of the SmartSound setting on the SRT in noise. Results: The primary findings mirrored those reported previously with adult cochlear implant recipients in that the addition of ASC to ADRO significantly improved speech recognition in noise for pediatric cochlear implant recipients. The mean degree of improvement in the SRT with the addition of ASC to ADRO was 3.5 dB for a mean SRT of 10.9 dB SNR. Thus, despite the fact that these children have acquired auditory/oral speech and language through the use of their cochlear implant(s) equipped with ADRO, the addition of ASC significantly improved their ability to recognize speech in high levels of diffuse background noise. The mean SRT for the control subjects with normal hearing was 0.0 dB SNR. Given that the mean SRT for the experimental group was 10.9 dB SNR, despite the improvements in performance observed with the addition of ASC, cochlear implants still do not completely overcome the speech perception deficit encountered in noisy environments accompanying the diagnosis of severe-to-profound hearing loss. Conclusion: SmartSound strategies currently available in latest generation Nucleus cochlear implant sound processors are able to significantly improve speech understanding in a realistic, semidiffuse noise for pediatric cochlear implant recipients. Despite the reluctance of pediatric audiologists to utilize SmartSound settings for regular use, the results of the current study support the addition of ASC to ADRO for everyday listening environments to improve speech perception in a child's typical everyday program.

scholarly journals Effects of age and duration of deafness on Mandarin speech understanding in competing speech by normal-hearing and cochlear implant children

2018 ◽  
Vol 144 (2) ◽  
pp. EL131-EL137 ◽  
Author(s):  
Duo-Duo Tao ◽  
Yang-Wenyi Liu ◽  
Ye Fei ◽  
John J. Galvin ◽  
Bing Chen ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Normal Hearing ◽  
Speech Understanding ◽  
Competing Speech

scholarly journals Head Shadow, Summation, and Squelch in Bilateral Cochlear-Implant Users With Linked Automatic Gain Controls

2021 ◽  
Vol 25 ◽  
pp. 233121652110181
Author(s):  
Taylor A. Bakal ◽  
Kristina DeRoy Milvae ◽  
Chen Chen ◽  
Matthew J. Goupell
Keyword(s):  
Cochlear Implant ◽  
Functional Performance ◽  
Binaural Hearing ◽  
Normal Hearing ◽  
Functional Asymmetry ◽  
Speech Understanding ◽  
Speech Understanding In Noise ◽  
Bilateral Cochlear Implant ◽  
Automatic Gain Controls ◽  
Interaural Level Differences

Speech understanding in noise is poorer in bilateral cochlear-implant (BICI) users compared to normal-hearing counterparts. Independent automatic gain controls (AGCs) may contribute to this because adjusting processor gain independently can reduce interaural level differences that BICI listeners rely on for bilateral benefits. Bilaterally linked AGCs may improve bilateral benefits by increasing the magnitude of interaural level differences. The effects of linked AGCs on bilateral benefits (summation, head shadow, and squelch) were measured in nine BICI users. Speech understanding for a target talker at 0° masked by a single talker at 0°, 90°, or −90° azimuth was assessed under headphones with sentences at five target-to-masker ratios. Research processors were used to manipulate AGC type (independent or linked) and test ear (left, right, or both). Sentence recall was measured in quiet to quantify individual interaural asymmetry in functional performance. The results showed that AGC type did not significantly change performance or bilateral benefits. Interaural functional asymmetries, however, interacted with ear such that greater summation and squelch benefit occurred when there was larger functional asymmetry, and interacted with interferer location such that smaller head shadow benefit occurred when there was larger functional asymmetry. The larger benefits for those with larger asymmetry were driven by improvements from adding a better-performing ear, rather than a true binaural-hearing benefit. In summary, linked AGCs did not significantly change bilateral benefits in cases of speech-on-speech masking with a single-talker masker, but there was also no strong detriment across a range of target-to-masker ratios, within a small and diverse BICI listener population.

The Relative Importance of Amplitude, Temporal, and Spectral Cues for Cochlear Implant Processor Design

2002 ◽  
Vol 11 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Robert V. Shannon
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Speech Intelligibility ◽  
Normal Hearing ◽  
Spectral Information ◽  
Speech Understanding ◽  
Prosthetic Devices ◽  
Spectral Cues ◽  
Temporal Cues ◽  
Types Of Information

Speech understanding with cochlear implants has improved steadily over the last 25 years, and the success of implants has provided a powerful tool for understanding speech recognition in general. Comparing speech recognition in normal-hearing listeners and in cochlear-implant listeners has revealed many important lessons about the types of information necessary for good speech recognition—and some of the lessons are surprising. This paper presents a summary of speech perception research over the last 25 years with cochlear-implant and normal-hearing listeners. As long as the speech is audible, even the relatively severe amplitude distortion has only a mild effect on intelligibility. Temporal cues appear to be useful for speech intelligibility only up to about 20 Hz. Whereas temporal information above 20 Hz may contribute to improved quality, it contributes little to speech understanding. In contrast, the quantity and quality of spectral information appear to be critical for speech understanding. Only four spectral "channels" of information can produce good speech understanding, but more channels are required for difficult listening situations. Speech understanding is sensitive to the placement of spectral information along the cochlea. In prosthetic devices, in which the spectral information can be delivered to any cochlear location, it is critical to present spectral information to the normal acoustic tonotopic location for that information. If there is a shift or distortion of 2 to 3 mm between frequency and cochlear place, speech recognition is decreased dramatically.

scholarly journals Speech Perception With Music Maskers by Cochlear Implant Users and Normal-Hearing Listeners

2012 ◽  
Vol 55 (3) ◽  
pp. 800-810 ◽  
Author(s):  
Elizabeth N. Eskridge ◽  
John J. Galvin ◽  
Justin M. Aronoff ◽  
Tianhao Li ◽  
Qian-Jie Fu
Keyword(s):  
Fine Structure ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Normal Hearing ◽  
Background Music ◽  
Speech Understanding ◽  
Temporal Properties ◽  
Release From Masking ◽  
Energetic Masking ◽  
Better Than

Purpose The goal of this study was to investigate how the spectral and temporal properties in background music may interfere with cochlear implant (CI) and normal-hearing listeners' (NH) speech understanding. Method Speech-recognition thresholds (SRTs) were adaptively measured in 11 CI and 9 NH subjects. CI subjects were tested while using their clinical processors; NH subjects were tested while listening to unprocessed audio. Speech was presented with different music maskers (excerpts from musical pieces) and with steady, speech-shaped noise. To estimate the contributions of energetic and informational masking, SRTs were also measured in “music-shaped noise” and in music-shaped noise modulated by the music temporal envelopes. Results NH performance was much better than CI performance. For both subject groups, SRTs were much lower with the music-related maskers than with speech-shaped noise. SRTs were strongly predicted by the amount of energetic masking in the music maskers. Unlike CI users, NH listeners obtained release from masking with envelope and fine structure cues in the modulated noise and music maskers. Conclusions Although speech understanding was greatly limited by energetic masking in both subject groups, CI performance worsened as more spectrotemporal complexity was added to the maskers, most likely due to poor spectral resolution.

scholarly journals Logatome Discrimination in Cochlear Implant Users: Subjective Tests Compared to the Mismatch Negativity

2010 ◽  
Vol 10 ◽  
pp. 329-339 ◽  
Author(s):  
Torsten Rahne ◽  
Michael Ziese ◽  
Dorothea Rostalski ◽  
Roland Mühler
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Mismatch Negativity ◽  
Speech Intelligibility ◽  
Event Related Potentials ◽  
Normal Hearing ◽  
Discrimination Test ◽  
Speech Database ◽  
Automated Speech Recognition ◽  
Related Potentials

This paper describes a logatome discrimination test for the assessment of speech perception in cochlear implant users (CI users), based on a multilingual speech database, the Oldenburg Logatome Corpus, which was originally recorded for the comparison of human and automated speech recognition. The logatome discrimination task is based on the presentation of 100 logatome pairs (i.e., nonsense syllables) with balanced representations of alternating “vowel-replacement” and “consonant-replacement” paradigms in order to assess phoneme confusions. Thirteen adult normal hearing listeners and eight adult CI users, including both good and poor performers, were included in the study and completed the test after their speech intelligibility abilities were evaluated with an established sentence test in noise. Furthermore, the discrimination abilities were measured electrophysiologically by recording the mismatch negativity (MMN) as a component of auditory event-related potentials. The results show a clear MMN response only for normal hearing listeners and CI users with good performance, correlating with their logatome discrimination abilities. Higher discrimination scores for vowel-replacement paradigms than for the consonant-replacement paradigms were found. We conclude that the logatome discrimination test is well suited to monitor the speech perception skills of CI users. Due to the large number of available spoken logatome items, the Oldenburg Logatome Corpus appears to provide a useful and powerful basis for further development of speech perception tests for CI users.

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