Evaluation of a cochlear-implant processing strategy incorporating phantom stimulation and asymmetric pulses.

Objective: To evaluate a speech-processing strategy in which the lowest frequency channel is conveyed using an asymmetric pulse shape and 'phantom stimulation', where current is injected into one intra-cochlear electrode and where the return current is shared between an intra-cochlear and an extra-c...

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Published in:International Journal of Audiology Vol. 53; no. 12; pp. 871 - 880
Main Authors: Carlyon, Robert P., Monstrey, Jolijn, Deeks, John M., Macherey, Olivier
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2014
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Audiology
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      dt: Dec2014
      vid: 53
      iid: 12
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/14992027.2014.932024
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        atl: Evaluation of a cochlear-implant processing strategy incorporating phantom stimulation and asymmetric pulses.
      aug:
        au:
          Carlyon, Robert P.
          Monstrey, Jolijn
          Deeks, John M.
          Macherey, Olivier
        affil: MRC Cognition & Brain Sciences Unit, Cambridge, UK
      sug:
        subj:
          Cochlear Implant
          Acoustic Stimulation
          Speech Perception Evaluation
          Human
          Funding Source
          Aged
          Middle Age
          Adult
          Phonation
          Analysis of Variance
          Male
          Female
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Objective: To evaluate a speech-processing strategy in which the lowest frequency channel is conveyed using an asymmetric pulse shape and 'phantom stimulation', where current is injected into one intra-cochlear electrode and where the return current is shared between an intra-cochlear and an extra-cochlear electrode. This strategy is expected to provide more selective excitation of the cochlear apex, compared to a standard strategy where the lowest-frequency channel is conveyed by symmetric pulses in monopolar mode. In both strategies all other channels were conveyed by monopolar stimulation. Design: Within-subjects comparison between the two strategies. Four experiments: (1) discrimination between the strategies, controlling for loudness differences, (2) consonant identification, (3) recognition of lowpass-filtered sentences in quiet, (4) sentence recognition in the presence of a competing speaker. Study sample: Eight users of the Advanced Bionics CII/Hi-Res 90k cochlear implant. Results: Listeners could easily discriminate between the two strategies but no consistent differences in performance were observed. Conclusions: The proposed method does not improve speech perception, at least in the short term.
      pubtype: Academic Journal
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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