Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

2016 ◽  
Vol 21 (6) ◽  
pp. 383-390 ◽  
Author(s):  
Rebecca L. Heywood ◽  
Deborah A. Vickers ◽  
Francesca Pinto ◽  
George Fereos ◽  
Azhar Shaida
Keyword(s):  
New York ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Predictive Factors ◽  
Speech Intelligibility ◽  
Age At Onset ◽  
Patient Expectations ◽  
Speech Discrimination ◽  
Profound Deafness ◽  
The Mean

The objectives of this study were to assess: (i) patient expectations met as a measure of outcome in early-deafened, late-implanted (non-traditional) cochlear implant recipients and (ii) pre-implantation predictive factors for postoperative speech perception. The notes of 13 recipients were retrospectively reviewed. The mean age at onset of profound deafness was 1.5 years (range 0-6). The mean age at implantation was 37 years (range 22-51 years). Patient expectations were assessed pre-operatively and 1 year after implantation. They were met or exceeded in 129/140 (92%) domains overall. A higher Speech Intelligibility Rating and audiovisual City University of New York sentence score before implantation were found to be positive predictive factors for improved speech discrimination after cochlear implantation.

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.

scholarly journals Predicting Speech Recognition Using the Speech Intelligibility Index and Other Variables for Cochlear Implant Users

2019 ◽  
Vol 62 (5) ◽  
pp. 1517-1531 ◽  
Author(s):  
Sungmin Lee ◽  
Lisa Lucks Mendel ◽  
Gavin M. Bidelman
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Predictive Factors ◽  
Cognitive Skills ◽  
Speech Intelligibility ◽  
Digit Span ◽  
Individual Variability ◽  
Large Individual ◽  
Speech Intelligibility Index ◽  
Speech Performance

Purpose Although the speech intelligibility index (SII) has been widely applied in the field of audiology and other related areas, application of this metric to cochlear implants (CIs) has yet to be investigated. In this study, SIIs for CI users were calculated to investigate whether the SII could be an effective tool for predicting speech perception performance in a population with CI. Method Fifteen pre- and postlingually deafened adults with CI participated. Speech recognition scores were measured using the AzBio sentence lists. CI users also completed questionnaires and performed psychoacoustic (spectral and temporal resolution) and cognitive function (digit span) tests. Obtained SIIs were compared with predicted SIIs using a transfer function curve. Correlation and regression analyses were conducted on perceptual and demographic predictor variables to investigate the association between these factors and speech perception performance. Result Because of the considerably poor hearing and large individual variability in performance, the SII did not predict speech performance for this CI group using the traditional calculation. However, new SII models were developed incorporating predictive factors, which improved the accuracy of SII predictions in listeners with CI. Conclusion Conventional SII models are not appropriate for predicting speech perception scores for CI users. Demographic variables (aided audibility and duration of deafness) and perceptual–cognitive skills (gap detection and auditory digit span outcomes) are needed to improve the use of the SII for listeners with CI. Future studies are needed to improve our CI-corrected SII model by considering additional predictive factors. Supplemental Material https://doi.org/10.23641/asha.8057003

scholarly journals The relationship between speech intelligibility and speech perception in cochlear implant patients

2018 ◽  
Author(s):  
N Freimann ◽  
D Polterauer ◽  
S Gollwitzer ◽  
J Müller ◽  
ME Schuster
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Speech Intelligibility ◽  
The Relationship

scholarly journals Discrimination of Stochastic Frequency Modulation by Cochlear Implant Users

2015 ◽  
Vol 26 (06) ◽  
pp. 572-581 ◽  
Author(s):  
Stanley Sheft ◽  
Min-Yu Cheng ◽  
Valeriy Shafiro
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Stimulus Duration ◽  
Frequency Modulation ◽  
Speech Intelligibility ◽  
Signal To Noise Ratio ◽  
Normal Hearing ◽  
Signal To Noise ◽  
Common Basis ◽  
Low Rate

Background: Past work has shown that low-rate frequency modulation (FM) may help preserve signal coherence, aid segmentation at word and syllable boundaries, and benefit speech intelligibility in the presence of a masker. Purpose: This study evaluated whether difficulties in speech perception by cochlear implant (CI) users relate to a deficit in the ability to discriminate among stochastic low-rate patterns of FM. Research Design: This is a correlational study assessing the association between the ability to discriminate stochastic patterns of low-rate FM and the intelligibility of speech in noise. Study Sample: Thirteen postlingually deafened adult CI users participated in this study. Data Collection and Analysis: Using modulators derived from 5-Hz lowpass noise applied to a 1-kHz carrier, thresholds were measured in terms of frequency excursion both in quiet and with a speech-babble masker present, stimulus duration, and signal-to-noise ratio in the presence of a speech-babble masker. Speech perception ability was assessed in the presence of the same speech-babble masker. Relationships were evaluated with Pearson product–moment correlation analysis with correction for family-wise error, and commonality analysis to determine the unique and common contributions across psychoacoustic variables to the association with speech ability. Results: Significant correlations were obtained between masked speech intelligibility and three metrics of FM discrimination involving either signal-to-noise ratio or stimulus duration, with shared variance among the three measures accounting for much of the effect. Compared to past results from young normal-hearing adults and older adults with either normal hearing or a mild-to-moderate hearing loss, mean FM discrimination thresholds obtained from CI users were higher in all conditions. Conclusions: The ability to process the pattern of frequency excursions of stochastic FM may, in part, have a common basis with speech perception in noise. Discrimination of differences in the temporally distributed place coding of the stimulus could serve as this common basis for CI users.

scholarly journals Individual Hearing Outcomes in Cochlear Implant Users Influence Social Engagement and Listening Behavior in Everyday Life

2021 ◽  
pp. 1-18
Author(s):  
Erin R. O'Neill ◽  
John D. Basile ◽  
Peggy Nelson
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Everyday Life ◽  
Social Engagement ◽  
Speech Intelligibility ◽  
Daily Life ◽  
Coping Behavior ◽  
Listening Behavior ◽  
Listening Strategies ◽  
Hearing Outcomes

Purpose The goal of this study was to assess the listening behavior and social engagement of cochlear implant (CI) users and normal-hearing (NH) adults in daily life and relate these actions to objective hearing outcomes. Method Ecological momentary assessments (EMAs) collected using a smartphone app were used to probe patterns of listening behavior in CI users and age-matched NH adults to detect differences in social engagement and listening behavior in daily life. Participants completed very short surveys every 2 hr to provide snapshots of typical, everyday listening and socializing, as well as longer, reflective surveys at the end of the day to assess listening strategies and coping behavior. Speech perception testing, with accompanying ratings of task difficulty, was also performed in a lab setting to uncover possible correlations between objective and subjective listening behavior. Results Comparisons between speech intelligibility testing and EMA responses showed poorer performing CI users spending more time at home and less time conversing with others than higher performing CI users and their NH peers. Perception of listening difficulty was also very different for CI users and NH listeners, with CI users reporting little difficulty despite poor speech perception performance. However, both CI users and NH listeners spent most of their time in listening environments they considered “not difficult.” CI users also reported using several compensatory listening strategies, such as visual cues, whereas NH listeners did not. Conclusion Overall, the data indicate systematic differences between how individual CI users and NH adults navigate and manipulate listening and social environments in everyday life.

Experiences with the Nucleus Multichannel Cochlear Implant in Three Young Children

1988 ◽  
Vol 97 (5_suppl2) ◽  
pp. 14-16 ◽  
Author(s):  
William M. Luxford ◽  
Lisa L. Tonokawa ◽  
William F. House ◽  
Karen I. Berliner ◽  
Jack V. D. Hough ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Young Children ◽  
Cochlear Implant ◽  
Age At Onset ◽  
Educational Settings ◽  
Profound Deafness

Clinical trials for the Nucleus multichannel cochlear implant in children 2 through 9 years of age have been ongoing for approximately 1 year. We describe three children who have used the device for at least 8 months. Based on these three cases, we discuss some factors that might affect the outcome of the Nucleus implant in young children: age at implantation, age at onset of deafness, and duration of profound deafness before implantation. Surgical and rehabilitation issues, including educational settings, are reviewed.

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 Current and Planned Cochlear Implant Research at New York University Laboratory for Translational Auditory Research

2012 ◽  
Vol 23 (06) ◽  
pp. 422-437 ◽  
Author(s):  
Mario A. Svirsky ◽  
Matthew B. Fitzgerald ◽  
Arlene Neuman ◽  
Elad Sagi ◽  
Chin-Tuan Tan ◽  
...  
Keyword(s):  
New York ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
New York University ◽  
School Of Medicine ◽  
Basic Studies ◽  
University Laboratory ◽  
Auditory Research

The Laboratory of Translational Auditory Research (LTAR/NYUSM) is part of the Department of Otolaryngology at the New York University School of Medicine and has close ties to the New York University Cochlear Implant Center. LTAR investigators have expertise in multiple related disciplines including speech and hearing science, audiology, engineering, and physiology. The lines of research in the laboratory deal mostly with speech perception by hearing impaired listeners, and particularly those who use cochlear implants (CIs) or hearing aids (HAs). Although the laboratory’s research interests are diverse, there are common threads that permeate and tie all of its work. In particular, a strong interest in translational research underlies even the most basic studies carried out in the laboratory. Another important element is the development of engineering and computational tools, which range from mathematical models of speech perception to software and hardware that bypass clinical speech processors and stimulate cochlear implants directly, to novel ways of analyzing clinical outcomes data. If the appropriate tool to conduct an important experiment does not exist, we may work to develop it, either in house or in collaboration with academic or industrial partners. Another notable characteristic of the laboratory is its interdisciplinary nature where, for example, an audiologist and an engineer might work closely to develop an approach that would not have been feasible if each had worked singly on the project. Similarly, investigators with expertise in hearing aids and cochlear implants might join forces to study how human listeners integrate information provided by a CI and a HA. The following pages provide a flavor of the diversity and the commonalities of our research interests.

scholarly journals Benefit and predictive factors for speech perception outcomes in pediatric bilateral cochlear implant recipients

2019 ◽  
Vol 85 (5) ◽  
pp. 571-577 ◽  
Author(s):  
Young-Soo Chang ◽  
Sung Hwa Hong ◽  
Eun Yeon Kim ◽  
Ji Eun Choi ◽  
Won-Ho Chung ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Predictive Factors ◽  
Bilateral Cochlear Implant

Mobile and Landline Telephone Performance Outcomes among Telephone-Using Cochlear Implant Recipients

2011 ◽  
Vol 146 (2) ◽  
pp. 283-288 ◽  
Author(s):  
Barrie Yau Boon Tan ◽  
Michael Brian Gluth ◽  
Elle Louise Statham ◽  
Robert Henry Eikelboom ◽  
Marcus David Atlas
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Demographic Data ◽  
Performance Outcomes ◽  
Mobile Telephone ◽  
Tertiary Referral Center ◽  
Mobile Telephones ◽  
The Mean ◽  
Telephone Speech ◽  
Landline Telephone

Objective. To objectively study mobile and standard landline telephone speech perception performance using cochlear implant recipients. Study Design. Nonrandomized trial. Setting. Tertiary referral center. Subjects and Methods. Twenty-five subjects enrolled in this study from a pool of 50 cochlear implant recipients who had participated in an earlier questionnaire study from which demographic data were gathered. Preoperative speech perception scores were collated from preoperative audiological data. Postoperative speech perception scores were calculated with subjects listening to the Australian Version of the Bamford-Kowal-Bench Sentence Test read aloud in a soundproof booth via live voice, played back on a speaker, on a standard landline and mobile phone. Telephone speech perception scores were analyzed and banded into 3 performance categories: very good (90%-100%), good (80%-89%), and fair (<80%). Results. The mean speech perception scores were 88.6% (SD, 14.3%) for postoperative recorded speech and 92.3% (SD, 10.7%) for live voice listening, which were significantly better than the mean score of 37.2% (SD, 29.1%) listening to recorded voice preoperatively. The mean speech perception score was 84.3% (SD, 20.7%) using a mobile telephone and 57% (SD, 29.4%) using the standard landline. Further analysis showed better performance with mobile phones over standard landlines. Seventy-six percent of subjects attained at least good telephone speech performance (score >80%). Older patients had poorer telephone speech perception than younger patients did. Conclusions. Many cochlear implant recipients achieve good objective telephone speech perception performance, indicating that they should be effective telephone users, especially when using mobile telephones and among younger implant recipients.

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