scholarly journals Voice fundamental frequency differences and speech recognition with noise and speech maskers in cochlear implant recipients

2020 ◽  
Vol 147 (1) ◽  
pp. EL19-EL24 ◽  
Author(s):  
Hartmut Meister ◽  
Martin Walger ◽  
Ruth Lang-Roth ◽  
Verena Müller
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Fundamental Frequency ◽  
Voice Fundamental Frequency

Saliency of Vowel Features in Neural Responses of Cochlear Implant Users

2018 ◽  
Vol 49 (6) ◽  
pp. 388-397
Author(s):  
François Prévost ◽  
Alexandre Lehmann
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Fundamental Frequency ◽  
Mismatch Negativity ◽  
Free Field ◽  
Event Related Potentials ◽  
Oddball Paradigm ◽  
Aural Rehabilitation ◽  
Spectral Components ◽  
Related Potentials

Cochlear implants restore hearing in deaf individuals, but speech perception remains challenging. Poor discrimination of spectral components is thought to account for limitations of speech recognition in cochlear implant users. We investigated how combined variations of spectral components along two orthogonal dimensions can maximize neural discrimination between two vowels, as measured by mismatch negativity. Adult cochlear implant users and matched normal-hearing listeners underwent electroencephalographic event-related potentials recordings in an optimum-1 oddball paradigm. A standard /a/ vowel was delivered in an acoustic free field along with stimuli having a deviant fundamental frequency (+3 and +6 semitones), a deviant first formant making it a /i/ vowel or combined deviant fundamental frequency and first formant (+3 and +6 semitones /i/ vowels). Speech recognition was assessed with a word repetition task. An analysis of variance between both amplitude and latency of mismatch negativity elicited by each deviant vowel was performed. The strength of correlations between these parameters of mismatch negativity and speech recognition as well as participants’ age was assessed. Amplitude of mismatch negativity was weaker in cochlear implant users but was maximized by variations of vowels’ first formant. Latency of mismatch negativity was later in cochlear implant users and was particularly extended by variations of the fundamental frequency. Speech recognition correlated with parameters of mismatch negativity elicited by the specific variation of the first formant. This nonlinear effect of acoustic parameters on neural discrimination of vowels has implications for implant processor programming and aural rehabilitation.

Letter to the Editor Concerning Skuk et al., “Parameter-Specific Morphing Reveals Contributions of Timbre and Fundamental Frequency Cues to the Perception of Voice Gender and Age in Cochlear Implant Users”

2020 ◽  
Vol 63 (12) ◽  
pp. 4325-4326 ◽  
Author(s):  
Hartmut Meister ◽  
Katrin Fuersen ◽  
Barbara Streicher ◽  
Ruth Lang-Roth ◽  
Martin Walger
Keyword(s):  
Cochlear Implant ◽  
Fundamental Frequency ◽  
Stimulus Type ◽  
Voice Perception ◽  
Letter To The Editor ◽  
Gender And Age ◽  
General Influence

Purpose The purpose of this letter is to compare results by Skuk et al. (2020) with Meister et al. (2016) and to point to a potential general influence of stimulus type. Conclusion Our conclusion is that presenting sentences may give cochlear implant recipients the opportunity to use timbre cues for voice perception. This might not be the case when presenting brief and sparse stimuli such as consonant–vowel–consonant or single words, which were applied in the majority of studies.

Long-Term Follow-Up of Early Cochlear Implant Device Activation

2021 ◽  
pp. 1-11
Author(s):  
Stefanie Bruschke ◽  
Uwe Baumann ◽  
Timo Stöver
Keyword(s):  
Speech Recognition ◽  
Side Effects ◽  
Cochlear Implant ◽  
Surgical Techniques ◽  
Control Group ◽  
First Year ◽  
Safe Procedure ◽  
Sound Processor

Background: The cochlear implant (CI) is a standard procedure for the treatment of patients with severe to profound hearing loss. In the past, a standard healing period of 3–6 weeks occurred after CI surgery before the sound processor was initially activated. Advancements of surgical techniques and instruments allow an earlier initial activation of the processor within 14 days after surgery. Objective: Evaluation of the early CI device activation after CI surgery within 14 days, comparison to the first activation after 4–6 weeks, and assessment of the feasibility and safety of the early fitting over a 12 month observation period were the objectives of this study. Method: In a prospective study, 127 patients scheduled for CI surgery were divided into early fitting group (EF, n = 67) and control group (CG, n = 60). Individual questionnaires were used to evaluate medical and technical outcomes of the EF. Medical side effects, speech recognition, and follow-up effort were compared with the CG within the first year after CI surgery. Results: The early fitting was feasible in 97% of the EF patients. In the EF, the processor was activated 25 days earlier than in the CG. No major complications were observed in either group. At the follow-up appointments, side effects such as pain and balance problems occurred with comparable frequency in both groups. At initial fitting, the EF showed a significantly higher incidence of medical minor complications (p < 0.05). When developing speech recognition within the first year of CI use, no difference was observed. Furthermore, the follow-up effort within the first year after CI surgery was comparable in both groups. Conclusions: Early fitting of the sound processor is a feasible and safe procedure with comparable follow-up effort. Although more early minor complications were observed in the EF, there were no long-term wound healing problems caused by the early fitting. Regular inspection of the magnet strength is recommended as part of the CI follow-up since postoperative wound swelling must be expected. The early fitting procedure enabled a clear reduction in the waiting time between CI surgery and initial sound processor activation.

Do the minimum and maximum comfortable stimulation levels influence the cortical potential latencies or the speech recognition in adult cochlear implant users?

2021 ◽  
Vol 404 ◽  
pp. 108206
Author(s):  
Kelly Vasconcelos Chaves Martins ◽  
Maria Valéria Schmidt Goffi-Gomez ◽  
Robinson Koji Tsuji ◽  
Ricardo Ferreira Bento
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Cortical Potential

Maximizing Cochlear Implant Outcomes with Short-Term Aural Rehabilitation

2021 ◽  
Author(s):  
Claire Marcus Bernstein ◽  
Diane Majerus Brewer ◽  
Matthew H. Bakke ◽  
Anne D. Olson ◽  
Elizabeth Jackson Machmer ◽  
...  
Keyword(s):  
Clinical Study ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Active Control ◽  
Analysis Of Variance ◽  
Control Group ◽  
Active Control Group ◽  
Short Term ◽  
Aural Rehabilitation ◽  
Profound Deafness

Abstract Background Increasing numbers of adults are receiving cochlear implants (CIs) and many achieve high levels of speech perception and improved quality of life. However, a proportion of implant recipients still struggle due to limited speech recognition and/or greater communication demands in their daily lives. For these individuals a program of aural rehabilitation (AR) has the potential to improve outcomes. Purpose The study investigated the effects of a short-term AR intervention on speech recognition, functional communication, and psychosocial outcomes in post lingually deafened adult CI users. Research Design The experimental design was a multisite clinical study with participants randomized to either an AR treatment or active control group. Each group completed 6 weekly 90-minute individual treatment sessions. Assessments were completed pretreatment, 1 week and 2 months post-treatment. Study Sample Twenty-five post lingually deafened adult CI recipients participated. AR group: mean age 66.2 (48–80); nine females, four males; months postactivation 7.7 (3–16); mean years severe to profound deafness 18.4 (2–40). Active control group: mean age 62.8 (47–85); eight females, four males; months postactivation 7.0 (3–13); mean years severe to profound deafness 18.8 (1–55). Intervention The AR protocol consisted of auditory training (words, sentences, speech tracking), and psychosocial counseling (informational and communication strategies). Active control group participants engaged in cognitive stimulation activities (e.g., crosswords, sudoku, etc.). Data Collection and Analysis Repeated measures ANOVA or analysis of variance, MANOVA or multivariate analysis of variance, and planned contrasts were used to compare group performance on the following measures: CasperSent; Hearing Handicap Inventory; Nijmegen Cochlear Implant Questionnaire; Client Oriented Scale of Improvement; Glasgow Benefit Inventory. Results The AR group showed statistically significant improvements on speech recognition performance, psychosocial function, and communication goals with no significant improvement seen in the control group. The two groups were statistically equivalent on all outcome measures at preassessment. The robust improvements for the AR group were maintained at 2 months post-treatment. Conclusion Results of this clinical study provide evidence that a short-term AR intervention protocol can maximize outcomes for adult post lingually deafened CI users. The impact of this brief multidimensional AR intervention to extend CI benefit is compelling, and may serve as a template for best practices with adult CI users.

Effects of Laryngeal Topical Anesthesia on Voice Fundamental Frequency Perturbation

1980 ◽  
Vol 23 (2) ◽  
pp. 274-283 ◽  
Author(s):  
David Sorensen ◽  
Yoshiyuki Horii ◽  
Rebecca Leonard
Keyword(s):  
Fundamental Frequency ◽  
High Frequency ◽  
Frequency Control ◽  
Topical Anesthesia ◽  
Proprioceptive Feedback ◽  
Adult Males ◽  
Voice Fundamental Frequency

Fundamental frequency perturbation (jitter) during sustained vowel phonations of speakers under topical anesthesia of the larynx was investigated for five adult males. The results showed that the average jitter was significantly greater under the anesthesia than normal conditions, and that the jitter difference between the two conditions was more prominent at high frequency phonations. Implications of these data for tactile and proprioceptive feedback in phonatory frequency control are discussed.

Speech Recognition as a Function of Age and Listening Experience in Adult Cochlear Implant Users

2021 ◽  
Author(s):  
Alexander T. Murr ◽  
Michael W. Canfarotta ◽  
Brendan P. O'Connell ◽  
Emily Buss ◽  
English R. King ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Listening Experience

Comparison of speech recognition in cochlear implant patients with and without residual hearing: A review of indications

2021 ◽  
pp. 1-8
Author(s):  
Gayane Sargsyan ◽  
Natalie Kanaan ◽  
Thomas Lenarz ◽  
Anke Lesinski-Schiedat
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Residual Hearing

scholarly journals The Effect of Hearing Aid Bandwidth and Configuration of Hearing Loss on Bimodal Speech Recognition in Cochlear Implant Users

2019 ◽  
Vol 40 (3) ◽  
pp. 621-635 ◽  
Author(s):  
Arlene C. Neuman ◽  
Annette Zeman ◽  
Jonathan Neukam ◽  
Binhuan Wang ◽  
Mario A. Svirsky
Keyword(s):  
Hearing Loss ◽  
Speech Recognition ◽  
Cochlear Implant ◽  
Hearing Aid
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