Effect of reducing electrical stimulation rate on hearing performance of Nucleus® cochlear implant recipients.

Objective: To evaluate whether a 500 pulses per second per channel (pps/ch) rate would provide non-inferior hearing performance compared to the 900 pps/ch rate in the Advanced Combination Encoder (ACE™) sound coding strategy. Design: A repeated measures single-subject design was employed, wherein ea...

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Publicado en:International Journal of Audiology Vol. 64; no. 2; pp. 173 - 183
Autores principales: Arora, Komal, Plant, Kerrie, Dawson, Pam, Cowan, Robert
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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        14992027
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      jtl: International Journal of Audiology
      issn: 14992027
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      dt: Feb2025
      vid: 64
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2024.2314620
        182848502
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        atl: Effect of reducing electrical stimulation rate on hearing performance of Nucleus® cochlear implant recipients.
      aug:
        au:
          Arora, Komal
          Plant, Kerrie
          Dawson, Pam
          Cowan, Robert
        affil: Cochlear TM Limited, Melbourne, Australia
      sug:
        subj:
          Persons with Hearing Disabilities
          Cochlear Implant
          Cochlear Implant Programming
          Electric Stimulation
          Hearing Evaluation
          Speech Perception Evaluation
          Human
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Music
          Listening
          Hearing Disorders
          Questionnaires
          Speech Discrimination Tests
          Audiometry Methods
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: To evaluate whether a 500 pulses per second per channel (pps/ch) rate would provide non-inferior hearing performance compared to the 900 pps/ch rate in the Advanced Combination Encoder (ACE™) sound coding strategy. Design: A repeated measures single-subject design was employed, wherein each subject served as their own control. All except one subject used 900 pps/ch at enrolment. After three weeks of using the alternative rate program, both programs were loaded into the sound processor for two more weeks of take-home use. Subjective performance, preference, words in quiet, sentences in babble, music quality, and fundamental frequency (F0) discrimination were assessed using a balanced design. Study sample: Data from 18 subjects were analysed, with complete datasets available for 17 subjects. Results: Non-inferior performance on all clinical measures was shown for the lower rate program. Subjects' preference ratings were comparable for the programs, with 53% reporting no difference overall. When a preference was expressed, the 900 pps/ch condition was preferred more often. Conclusion: Reducing the stimulation rate from 900 pps/ch to 500 pps/ch did not compromise the hearing outcomes evaluated in this study. A lower pulse rate in future cochlear implants could reduce power consumption, allowing for smaller batteries and processors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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