Comparing Sound Localization Deficits in Bilateral Cochlear-Implant Users and Vocoder Simulations With Normal-Hearing Listeners.
Bilateral cochlear-implant (BiCI) users are less accurate at localizing free-field (FF) sound sources than normal-hearing (NH) listeners. This performance gap is not well understood but is likely due to a combination of compromises in acoustic signal representation by the two independent speech proc...
| Publicado en: | Trends in Hearing Vol. 18; pp. 1 - 17 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109004392&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109004392 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23312165 HCEJ jtl: Trends in Hearing issn: 23312165 maglogo: N pubinfo: dt: 2014 vid: 18 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 109004392 10.1177/2331216514554574 109004392 ppf: 1 ppct: 16 formats: tig: atl: Comparing Sound Localization Deficits in Bilateral Cochlear-Implant Users and Vocoder Simulations With Normal-Hearing Listeners. aug: au: Jones, Heath Kan, Alan Litovsky, Ruth Y. affil: Waisman Center, University of Wisconsin-Madison, WI, USA sug: subj: Sound Localization Cochlear Implant Acoustic Stimulation Human Male Female Adult Middle Age Aged Descriptive Statistics Data Analysis Software Visual Analog Scaling Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Bilateral cochlear-implant (BiCI) users are less accurate at localizing free-field (FF) sound sources than normal-hearing (NH) listeners. This performance gap is not well understood but is likely due to a combination of compromises in acoustic signal representation by the two independent speech processors and neural degradation of auditory pathways associated with a patient's hearing loss. To exclusively investigate the effect of CI speech encoding on horizontal-plane sound localization, the present study measured sound localization performance in NH subjects listening to vocoder processed and nonvocoded virtual acoustic space (VAS) stimuli. Various aspects of BiCI stimulation such as independently functioning devices, variable across-ear channel selection, and pulsatile stimulation were simulated using uncorrelated noise (Nu), correlated noise (N0), or Gaussian-enveloped tone (GET) carriers during vocoder processing. Additionally, FF sound localization in BiCI users was measured in the same testing environment for comparison. Distinct response patterns across azimuthal locations were evident for both listener groups and were analyzed using a multilevel regression analysis. Simulated implant speech encoding, regardless of carrier, was detrimental to NH localization and the GET vocoder best simulated BiCI FF performance in NH listeners. Overall, the detrimental effect of vocoder processing on NH performance suggests that sound localization deficits may persist even for BiCI patients who have minimal neural degradation associated with their hearing loss and indicates that CI speech encoding plays a significant role in the sound localization deficits experienced by BiCI users. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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