The effect of fluctuating maskers on speech understanding of high-performing cochlear implant users.

Objective: The present study evaluated whether the poorer baseline performance of cochlear implant (CI) users or the technical and/or physiological properties of CI stimulation are responsible for the absence of masking release.Design: This study measured speech reception thresholds (SRTs) in contin...

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Publicado en:International Journal of Audiology Vol. 55; no. 5; pp. 295 - 305
Autores principales: Zirn, Stefan, Polterauer, Daniel, Keller, Stefanie, Hemmert, Werner
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2016
Acceso en línea:Ver este registro en EBSCOhost
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        14992027
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      dt: May2016
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/14992027.2015.1128124
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        atl: The effect of fluctuating maskers on speech understanding of high-performing cochlear implant users.
      aug:
        au:
          Zirn, Stefan
          Polterauer, Daniel
          Keller, Stefanie
          Hemmert, Werner
        affil: University of Applied Science, Offenburg, Germany
      sug:
        subj:
          Cochlear Implant
          Speech Evaluation
          Noise
          Human
          Male
          Female
          Adult
          Nonparametric Statistics
          Wilcoxon Rank Sum Test
          Mann-Whitney U Test
          Spearman's Rank Correlation Coefficient
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Objective: The present study evaluated whether the poorer baseline performance of cochlear implant (CI) users or the technical and/or physiological properties of CI stimulation are responsible for the absence of masking release.Design: This study measured speech reception thresholds (SRTs) in continuous and modulated noise as a function of signal to noise ratio (SNR).Study sample: A total of 24 subjects participated: 12 normal-hearing (NH) listeners and 12 subjects provided with recent MED-EL CI systems.Results: The mean SRT of CI users in continuous noise was −3.0 ± 1.5 dB SNR (mean ± SEM), while the normal-hearing group reached −5.9 ± 0.8 dB SNR. In modulated noise, the difference across groups increased considerably. For CI users, the mean SRT worsened to −1.4 ± 2.3 dB SNR, while it improved for normal-hearing listeners to −18.9 ± 3.8 dB SNR.Conclusions: The detrimental effect of fluctuating maskers on SRTs in CI users shown by prior studies was confirmed by the current study. Concluding, the absence of masking release is mainly caused by the technical and/or physiological properties of CI stimulation, not just the poorer baseline performance of many CI users compared to normal-hearing subjects. Speech understanding in modulated noise was more robust in CI users who had a relatively large electrical dynamic range.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
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      ougenre: Article
    language: English
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