scholarly journals High- and Low-Performing Adult Cochlear Implant Users on High-Variability Sentence Recognition: Differences in Auditory Spectral Resolution and Neurocognitive Functioning

2019 ◽  
Author(s):  
Terrin N. Tamati ◽  
Christin Ray ◽  
Kara J. Vasil ◽  
David B. Pisoni ◽  
Aaron C. Moberly
Keyword(s):  
Cochlear Implant ◽  
Spectral Resolution ◽  
High Variability ◽  
Neurocognitive Functioning ◽  
Sentence Recognition

scholarly journals High- and Low-Performing Adult Cochlear Implant Users on High-Variability Sentence Recognition: Differences in Auditory Spectral Resolution and Neurocognitive Functioning

2020 ◽  
Vol 31 (05) ◽  
pp. 324-335
Author(s):  
Terrin N. Tamati ◽  
Christin Ray ◽  
Kara J. Vasil ◽  
David B. Pisoni ◽  
Aaron C. Moberly
Keyword(s):  
Individual Differences ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Spectral Resolution ◽  
High Variability ◽  
Neurocognitive Functioning ◽  
Top Down ◽  
Bottom Up ◽  
Sentence Recognition ◽  
Nonverbal Reasoning

Abstract Background Postlingually deafened adult cochlear implant (CI) users routinely display large individual differences in the ability to recognize and understand speech, especially in adverse listening conditions. Although individual differences have been linked to several sensory (‘‘bottom-up’') and cognitive (‘‘top-down’') factors, little is currently known about the relative contributions of these factors in high- and low-performing CI users. Purpose The aim of the study was to investigate differences in sensory functioning and neurocognitive functioning between high- and low-performing CI users on the Perceptually Robust English Sentence Test Open-set (PRESTO), a high-variability sentence recognition test containing sentence materials produced by multiple male and female talkers with diverse regional accents. Research Design CI users with accuracy scores in the upper (HiPRESTO) or lower quartiles (LoPRESTO) on PRESTO in quiet completed a battery of behavioral tasks designed to assess spectral resolution and neurocognitive functioning. Study Sample Twenty-one postlingually deafened adult CI users, with 11 HiPRESTO and 10 LoPRESTO participants. Data Collection and Analysis A discriminant analysis was carried out to determine the extent to which measures of spectral resolution and neurocognitive functioning discriminate HiPRESTO and LoPRESTO CI users. Auditory spectral resolution was measured using the Spectral-Temporally Modulated Ripple Test (SMRT). Neurocognitive functioning was assessed with visual measures of working memory (digit span), inhibitory control (Stroop), speed of lexical/phonological access (Test of Word Reading Efficiency), and nonverbal reasoning (Raven's Progressive Matrices). Results HiPRESTO and LoPRESTO CI users were discriminated primarily by performance on the SMRT and secondarily by the Raven's test. No other neurocognitive measures contributed substantially to the discriminant function. Conclusions High- and low-performing CI users differed by spectral resolution and, to a lesser extent, nonverbal reasoning. These findings suggest that the extreme groups are determined by global factors of richness of sensory information and domain-general, nonverbal intelligence, rather than specific neurocognitive processing operations related to speech perception and spoken word recognition. Thus, although both bottom-up and top-down information contribute to speech recognition performance, low-performing CI users may not be sufficiently able to rely on neurocognitive skills specific to speech recognition to enhance processing of spectrally degraded input in adverse conditions involving high talker variability.

scholarly journals High-Variability Sentence Recognition in Long-Term Cochlear Implant Users

2019 ◽  
Vol 40 (5) ◽  
pp. 1149-1161 ◽  
Author(s):  
Gretchen N. L. Smith ◽  
David B. Pisoni ◽  
William G. Kronenberger
Keyword(s):  
Cochlear Implant ◽  
High Variability ◽  
Sentence Recognition

Listening Effort With Cochlear Implant Simulations

2013 ◽  
Vol 56 (4) ◽  
pp. 1075-1084 ◽  
Author(s):  
Carina Pals ◽  
Anastasios Sarampalis ◽  
Deniz Başkent
Keyword(s):  
Cochlear Implant ◽  
Spectral Resolution ◽  
Speech Intelligibility ◽  
Self Report ◽  
Cognitive Resources ◽  
Visual Response ◽  
Processing Conditions ◽  
Listening Effort ◽  
Dual Task Paradigm ◽  
Spectral Channels

Purpose Fitting a cochlear implant (CI) for optimal speech perception does not necessarily optimize listening effort. This study aimed to show that listening effort may change between CI processing conditions for which speech intelligibility remains constant. Method Nineteen normal-hearing participants listened to CI simulations with varying numbers of spectral channels. A dual-task paradigm combining an intelligibility task with either a linguistic or nonlinguistic visual response-time (RT) task measured intelligibility and listening effort. The simultaneously performed tasks compete for limited cognitive resources; changes in effort associated with the intelligibility task are reflected in changes in RT on the visual task. A separate self-report scale provided a subjective measure of listening effort. Results All measures showed significant improvements with increasing spectral resolution up to 6 channels. However, only the RT measure of listening effort continued improving up to 8 channels. The effects were stronger for RTs recorded during listening than for RTs recorded between listening. Conclusion The results suggest that listening effort decreases with increased spectral resolution. Moreover, these improvements are best reflected in objective measures of listening effort, such as RTs on a secondary task, rather than intelligibility scores or subjective effort measures.

scholarly journals Computer-Based Connected-Text Training of Speech-in-Noise Perception for Cochlear Implant Users

2019 ◽  
Vol 23 ◽  
pp. 233121651984387 ◽  
Author(s):  
Tim Green ◽  
Andrew Faulkner ◽  
Stuart Rosen
Keyword(s):  
Cochlear Implant ◽  
Cognitive Abilities ◽  
Digit Span ◽  
Clinical Intervention ◽  
Primary Outcome Measure ◽  
Training Performance ◽  
Sentence Recognition ◽  
Speech In Noise ◽  
Connected Text ◽  
Computer Based

An interactive method for training speech perception in noise was assessed with adult cochlear implant users. The method employed recordings of connected narratives divided into phrases of 4 to 10 words, presented in babble. After each phrase, the listener identified key words from the phrase from among similar sounding foil words. Nine postlingually deafened adult cochlear implant users carried out 12 hr of training over a 4-week period. Training was carried out at home on tablet computers. The primary outcome measure was sentence recognition in babble. Vowel and consonant identification in speech-shaped noise were also assessed, along with digit span in noise, intended as a measure of some important underlying cognitive abilities. Talkers for speech tests were different from those used in training. To control for procedural learning, the test battery was administered repeatedly prior to training. Performance was assessed immediately after training and again after a further 4 weeks during which no training occurred. Sentence recognition in babble improved significantly after training, with an improvement in speech reception threshold of approximately 2 dB, which was maintained at the 4-week follow-up. There was little evidence of improvement in the other measures. It appears that the method has potential as a clinical intervention. However, the underlying sources of improvement and the extent to which benefits generalize to real-world situations remain to be determined.

The development of sentence recognition in noise by cochlear implant users

2018 ◽  
Vol 143 (3) ◽  
pp. 1941-1941
Author(s):  
Chris J. James ◽  
Chadlia Karoui ◽  
Mathieu Marx ◽  
Marie-Laurence Laborde ◽  
Marjorie Tartayre ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Sentence Recognition

scholarly journals Subjective Benefits of Bimodal Listening in Cochlear Implant Recipients with Asymmetric Hearing Loss

2020 ◽  
Vol 162 (6) ◽  
pp. 933-941 ◽  
Author(s):  
Nicholas J. Thompson ◽  
Margaret T. Dillon ◽  
Emily Buss ◽  
Meredith A. Rooth ◽  
English R. King ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Sound Field ◽  
Profound Hearing Loss ◽  
Sentence Recognition ◽  
Academic Center ◽  
Asymmetric Hearing Loss

Objective To investigate the influence of cochlear implant (CI) use on subjective benefits in quality of life in cases of asymmetric hearing loss (AHL). Study Design Prospective clinical trial. Setting Tertiary academic center. Subjects and Methods Subjects included CI recipients with AHL (n = 20), defined as moderate-to-profound hearing loss in the affected ear and mild-to-moderate hearing loss in the contralateral ear. Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing Scale (SSQ) pragmatic subscales, which assess binaural benefits. Subjective benefit on the pragmatic subscales was compared to word recognition in quiet and spatial hearing abilities (ie, masked sentence recognition and localization). Results Subjects demonstrated an early, significant improvement ( P < .01) in abilities with the CI as compared to preoperative abilities on the SSQ pragmatic subscales by the 1-month interval. Perceived abilities were either maintained or continued to improve over the study period. There were no significant correlations between results on the Speech in Quiet subscale and word recognition in quiet, the Speech in Speech Contexts subscale and masked sentence recognition, or the Localization subscale and sound field localization. Conclusions CI recipients with AHL report a significant improvement in quality of life as measured by the SSQ pragmatic subscales over preoperative abilities. Reported improvements are observed as early as 1 month postactivation, which likely reflect the binaural benefits of listening with bimodal stimulation (CI and contralateral hearing aid). The SSQ pragmatic subscales may provide a more in-depth insight into CI recipient experience as compared to behavioral sound field measures alone.

Psychoacoustic and Demographic Factors for Speech Recognition of Older Adult Cochlear Implant Users

2020 ◽  
Vol 63 (6) ◽  
pp. 1712-1725
Author(s):  
Xin Luo ◽  
Courtney Kolberg ◽  
Kathryn R. Pulling ◽  
Tamiko Azuma
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Discrimination Performance ◽  
Demographic Factors ◽  
Small Sample ◽  
Gap Detection ◽  
Sentence Recognition ◽  
Speech Reception Thresholds ◽  
Effects Of Aging ◽  
Better Than

Purpose This study aimed to evaluate the effects of aging and cochlear implant (CI) on psychoacoustic and speech recognition abilities and to assess the relative contributions of psychoacoustic and demographic factors to speech recognition of older CI (OCI) users. Method Twelve OCI users, 12 older acoustic-hearing (OAH) listeners age-matched to OCI users, and 12 younger normal-hearing (YNH) listeners underwent tests of temporal amplitude modulation detection, temporal gap detection in noise, and spectral–temporal modulated ripple discrimination. Speech reception thresholds were measured for sentence recognition in multitalker, speech-babble noise. Results Statistical analyses showed that, for the small sample of OAH listeners, the degree of hearing loss did not significantly affect any outcome measure. Temporal resolution, spectral resolution, and speech recognition all significantly degraded with both age and the use of a CI (i.e., YNH better than OAH and OAH better than OCI performance). Although both were significantly correlated with OCI users' speech recognition, the duration of CI use no longer had a significant effect on speech recognition once the effect of spectral–temporal ripple discrimination performance was taken into account. For OAH listeners, the only significant predictor of speech recognition was temporal gap detection performance. Conclusion The preliminary results suggest that speech recognition of OCI users may improve with longer duration of CI use, mainly due to higher perceptual acuity to spectral–temporal modulated ripples in acoustic stimuli.

Spatial Release From Masking in Bimodal and Bilateral Pediatric Cochlear Implant Recipients

2020 ◽  
pp. 1-9
Author(s):  
Kaylene King ◽  
Margaret T. Dillon ◽  
Brendan P. O'Connell ◽  
Kevin D. Brown ◽  
Lisa R. Park
Keyword(s):  
Cochlear Implant ◽  
Multiple Regression ◽  
Recognition Performance ◽  
Regression Analyses ◽  
Sentence Recognition ◽  
Spatial Release ◽  
The Difference ◽  
Release From Masking ◽  
Device Use ◽  
Clinical Measures

Purpose Traditional clinical measures of cochlear implant (CI) recipient performance may not fully evaluate the benefit of bimodal listening (hearing aid contralateral to a CI). The clinical assessment of spatial release from masking (SRM) may be a sensitive measure of the benefit of listening with bimodal stimulation. This study compared the SRM of pediatric bimodal and bilateral CI listeners using a clinically feasible method, and investigated variables that may contribute to speech recognition performance with spatially separated maskers. Method Forty pediatric bimodal ( N = 20) and bilateral CI ( N = 20) participants were assessed in their best aided listening condition on sentence recognition in a four-talker masker. Testing was completed with target and masker colocated at 0° azimuth, and with the masker directed at 90° to either ear. SRM was calculated as the difference in performance between the colocated and each 90° condition. A two-way mixed-methods analysis of variance was used to compare performance between groups in the three masker conditions. Multiple regression analyses were conducted to investigate potential predictors for SRM asymmetry including hearing history, unaided thresholds, word recognition, duration of device use, and acoustic bandwidth. Results Both groups demonstrated SRM, with significantly better recognition in each 90° condition as compared to the colocated condition. The groups did not differ significantly in SRM. The multiple regression analyses did not reveal any significant predictors of SRM asymmetry. Conclusions Bimodal and bilateral CI listeners demonstrated similar amounts of SRM. While no specific variables predicted SRM asymmetry in bimodal listeners, pediatric bimodal and bilateral CI recipients should expect similar amounts of SRM regardless of the side of the masker. SRM asymmetry in pediatric bimodal listeners may signal a need for consideration of a second CI.

Comparison of Speech Recognition in Cochlear Implant Users with Different Speech Processors

2021 ◽  
Vol 32 (07) ◽  
pp. 469-476
Author(s):  
Maria Madalena Canina Pinheiro ◽  
Patricia Cotta Mancini ◽  
Alexandra Dezani Soares ◽  
Ângela Ribas ◽  
Danielle Penna Lima ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Paired Comparison ◽  
Signal To Noise Ratio ◽  
Cross Sectional Study ◽  
Signal Design ◽  
Cross Sectional ◽  
Sentence Recognition ◽  
Significant Difference ◽  
Sound Processor

Abstract Background Speech recognition in noisy environments is a challenge for both cochlear implant (CI) users and device manufacturers. CI manufacturers have been investing in technological innovations for processors and researching strategies to improve signal processing and signal design for better aesthetic acceptance and everyday use. Purpose This study aimed to compare speech recognition in CI users using off-the-ear (OTE) and behind-the-ear (BTE) processors. Design A cross-sectional study was conducted with 51 CI recipients, all users of the BTE Nucleus 5 (CP810) sound processor. Speech perception performances were compared in quiet and noisy conditions using the BTE sound processor Nucleus 5 (N5) and OTE sound processor Kanso. Each participant was tested with the Brazilian-Portuguese version of the hearing in noise test using each sound processor in a randomized order. Three test conditions were analyzed with both sound processors: (i) speech level fixed at 65 decibel sound pressure level in a quiet, (ii) speech and noise at fixed levels, and (iii) adaptive speech levels with a fixed noise level. To determine the relative performance of OTE with respect to BTE, paired comparison analyses were performed. Results The paired t-tests showed no significant difference between the N5 and Kanso in quiet conditions. In all noise conditions, the performance of the OTE (Kanso) sound processor was superior to that of the BTE (N5), regardless of the order in which they were used. With the speech and noise at fixed levels, a significant mean 8.1 percentage point difference was seen between Kanso (78.10%) and N5 (70.7%) in the sentence scores. Conclusion CI users had a lower signal-to-noise ratio and a higher percentage of sentence recognition with the OTE processor than with the BTE processor.

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