scholarly journals Speech Perception with two Monosyllabic Word Lists in Cochlear Implant Users: the CI 2004 Monosyllable Lists and 67-S Lists

2019 ◽  
Vol 62 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Yusuke Matsuda ◽  
Takumi Okuda ◽  
Takahiro Nakashima ◽  
Miho Shirane ◽  
Shoken Shimoara ◽  
...  
2015 ◽  
Vol 20 (5) ◽  
pp. 314-321 ◽  
Author(s):  
Sung-Wook Jeong ◽  
Min-Young Kang ◽  
Lee-Suk Kim

Objective: To identify clinical criteria for selecting the aiding device for the contralateral ear of children with a unilateral cochlear implant (CI). Methods: Sixty-five children, including 36 bilateral CI users and 29 bimodal users, participated in the study. A speech perception test (monosyllabic word test) in noise was administered. The target speech (65 dB sound pressure level) was presented from the front loudspeaker, and noise (10 dB signal-to-noise ratio) was presented from 3 directions: from in front of the child and 90° to the child's right and left sides. The test was performed using the first CI alone and under bilateral CI or bimodal conditions. The bilateral benefits to speech perception in noise were compared between bilateral CI users and bimodal users. Results: Significant benefits in speech perception in noise were evident in bilateral CI users in all 3 noise conditions. In bimodal users, the hearing threshold at low frequencies of ≤1 kHz in the nonimplanted ear affected the bilateral benefit. Bimodal users with a low-frequency hearing threshold ≤90 dB hearing level (HL) showed a significant bilateral benefit in various noise conditions. By contrast, bimodal users with a low-frequency hearing threshold >90 dB HL showed no significant bilateral benefits in all 3 noise conditions. Conclusions: Bilateral CI and bimodal listening provide better speech perception in noise than unilateral CI alone in children. The contralateral CI is better than bimodal listening for children with a low-frequency hearing threshold >90 dB HL. A hearing threshold at low frequencies of ≤1 kHz may be a good criterion for deciding on the type of device for the contralateral ear of children with a unilateral CI.


2010 ◽  
Vol 10 ◽  
pp. 329-339 ◽  
Author(s):  
Torsten Rahne ◽  
Michael Ziese ◽  
Dorothea Rostalski ◽  
Roland Mühler

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.


2021 ◽  
Vol 11 (2) ◽  
pp. 220-226
Author(s):  
Yew-Song Cheng ◽  
Mario A. Svirsky

The presence of spiral ganglion cells (SGCs) is widely accepted to be a prerequisite for successful speech perception with a cochlear implant (CI), because SGCs provide the only known conduit between the implant electrode and the central auditory system. By extension, it has been hypothesized that the number of SGCs might be an important factor in CI outcomes. An impressive body of work has been published on findings from the laborious process of collecting temporal bones from CI users and counting the number of SGCs to correlate those numbers with speech perception scores, but the findings thus far have been conflicting. We performed a meta-analysis of all published studies with the hope that combining existing data may help us reach a more definitive conclusion about the relationship between SGC count and speech perception scores in adults.


1993 ◽  
Vol 94 (6) ◽  
pp. 3178-3189 ◽  
Author(s):  
R. J. M. van Hoesel ◽  
Y. C. Tong ◽  
R. D. Hollow ◽  
G. M. Clark

2015 ◽  
Vol 24 (4) ◽  
pp. 462-468 ◽  
Author(s):  
Jessica J. Messersmith ◽  
Lindsey E. Jorgensen ◽  
Jessica A. Hagg

Purpose The purpose of this study was to determine whether an alternate fitting strategy, specifically adjustment to gains in a hearing aid (HA), would improve performance in patients who experienced poorer performance in the bimodal condition when the HA was fit to traditional targets. Method This study was a retrospective chart review from a local clinic population seen during a 6-month period. Participants included 6 users of bimodal stimulation. Two performed poorer in the cochlear implant (CI) + HA condition than in the CI-only condition. One individual performed higher in the bimodal condition, but the overall performance was low. Three age range–matched users whose performance increased when the HA was used in conjunction with a CI were also included. The HA gain was reduced beyond 2000 Hz. Speech perception scores were obtained pre- and postmodification to the HA fitting. Results All listeners whose HA was programmed using the modified approach demonstrated improved speech perception scores with the modified HA fit in the bimodal condition when compared with the traditional HA fit in the bimodal condition. Conclusion Modifications to gains above 2000 Hz in the HA may improve performance for bimodal listeners who perform more poorly in the bimodal condition when the HA is fit to traditional targets.


Author(s):  
Till F. Jakob ◽  
Iva Speck ◽  
Ann-Kathrin Rauch ◽  
Frederike Hassepass ◽  
Manuel C. Ketterer ◽  
...  

Abstract Purpose The aim of the study was to compare long-term results after 1 year in patients with single-sided deafness (SSD) who were fitted with different hearing aids. The participants tested contralateral routing of signals (CROS) hearing aids and bone-anchored hearing systems (BAHS). They were also informed about the possibility of a cochlear implant (CI) and chose one of the three devices. We also investigated which factors influenced the choice of device. Methods Prospective study with 89 SSD participants who were divided into three groups by choosing BAHS, CROS, or CI. All participants received test batteries with both objective hearing tests (speech perception in noise and sound localisation) and subjective questionnaires. Results 16 participants opted for BAHS-, 13 for CROS- and 30 for CI-treatment. The greater the subjective impairment caused by SSD, the more likely patients were to opt for surgical treatment (BAHS or CI). The best results in terms of speech perception in noise (especially when sound reaches the deaf ear and noise the hearing ear), sound localization, and subjective results were achieved with CI. Conclusion The best results regarding the therapy of SSD are achieved with a CI, followed by BAHS. This was evident both in objective tests and in the subjective questionnaires. Nevertheless, an individual decision is required in each case as to which SSD therapy option is best for the patient. Above all, the patient's subjective impairment and expectations should be included in the decision-making process.


2008 ◽  
Vol 19 (06) ◽  
pp. 496-506 ◽  
Author(s):  
Richard H. Wilson ◽  
Rachel McArdle ◽  
Heidi Roberts

Background: So that portions of the classic Miller, Heise, and Lichten (1951) study could be replicated, new recorded versions of the words and digits were made because none of the three common monosyllabic word lists (PAL PB-50, CID W-22, and NU–6) contained the 9 monosyllabic digits (1–10, excluding 7) that were used by Miller et al. It is well established that different psychometric characteristics have been observed for different lists and even for the same materials spoken by different speakers. The decision was made to record four lists of each of the three monosyllabic word sets, the monosyllabic digits not included in the three sets of word lists, and the CID W-1 spondaic words. A professional female speaker with a General American dialect recorded the materials during four recording sessions within a 2-week interval. The recording order of the 582 words was random. Purpose: To determine—on listeners with normal hearing—the psychometric properties of the five speech materials presented in speech-spectrum noise. Research Design: A quasi-experimental, repeated-measures design was used. Study Sample: Twenty-four young adult listeners (M = 23 years) with normal pure-tone thresholds (≤20-dB HL at 250 to 8000 Hz) participated. The participants were university students who were unfamiliar with the test materials. Data Collection and Analysis: The 582 words were presented at four signal-to-noise ratios (SNRs; −7-, −2-, 3-, and 8-dB) in speech-spectrum noise fixed at 72-dB SPL. Although the main metric of interest was the 50% point on the function for each word established with the Spearman-Kärber equation (Finney, 1952), the percentage correct on each word at each SNR was evaluated. The psychometric characteristics of the PB-50, CID W-22, and NU–6 monosyllabic word lists were compared with one another, with the CID W-1 spondaic words, and with the 9 monosyllabic digits. Results: Recognition performance on the four lists within each of the three monosyllabic word materials were equivalent, ±0.4 dB. Likewise, word-recognition performance on the PB-50, W-22, and NU–6 word lists were equivalent, ±0.2 dB. The mean recognition performance at the 50% point with the 36 W-1 spondaic words was ˜6.2 dB lower than the 50% point with the monosyllabic words. Recognition performance on the monosyllabic digits was 1–2 dB better than mean performance on the monosyllabic words. Conclusions: Word-recognition performances on the three sets of materials (PB-50, CID W-22, and NU–6) were equivalent, as were the performances on the four lists that make up each of the three materials. Phonetic/phonemic balance does not appear to be an important consideration in the compilation of word-recognition lists used to evaluate the ability of listeners to understand speech.A companion paper examines the acoustic, phonetic/phonological, and lexical variables that may predict the relative ease or difficulty for which these monosyllable words were recognized in noise (McArdle and Wilson, this issue).


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