An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals – Part 2: dynamic range.

Objective: The dynamic range (DR) available to the patient is a central parameter to determine speech intelligibility in quiet. Design: In this retrospective study, the DR for the Vibrant Soundbridge implanted in individual patients was calculated using in situ thresholds of the patients and technic...

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Publicado en:International Journal of Audiology Vol. 64; no. 3; pp. 298 - 306
Autores principales: Busch, Susan, Lenarz, Thomas, Maier, Hannes
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2025
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: Mar2025
      vid: 64
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2024.2360031
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        atl: An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals – Part 2: dynamic range.
      aug:
        au:
          Busch, Susan
          Lenarz, Thomas
          Maier, Hannes
        affil: Department of Otorhinolaryngology and Cluster of Excellence "Hearing4all", Hannover Medical School, Hannover, Germany
      sug:
        subj:
          Speech Perception
          Speech Intelligibility
          Auditory Threshold
          Acoustic Stimulation
          Hearing Aids
          Treatment Outcomes
          Human
          Male
          Female
          Middle Age
          Aged
          Adolescence
          Adult
          Retrospective Design
          Record Review
          Language Processing
          Recognition (Psychology)
          Descriptive Statistics
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Objective: The dynamic range (DR) available to the patient is a central parameter to determine speech intelligibility in quiet. Design: In this retrospective study, the DR for the Vibrant Soundbridge implanted in individual patients was calculated using in situ thresholds of the patients and technical data of the implant system. The average DR across frequencies (0.5, 1, 2, 4 kHz) was correlated with the patients' assigned word recognition score (WRS) in quiet. Study sample: A data set of 66 cases (4 bilateral and 2 revised cases) from 60 implanted patients between 14.3–81.8 years were analysed. Results: The relationship between DR and WRS was described by a sigmoidal growth function with R2=0.6371 and a maximum WRS (upper asymptote) of 93.5%. Word recognition scores in quiet improved with increasing DR. A significant shift in performance was detected from DR bin 2 (10–20 dB, median WRS 55%) to bin 3 (20–30 dB, median WRS 80%) and from DR bin 4 (30–40 dB, median WRS 82.5%) to bin 5 (40–50 dB, median WRS 90%). Conclusion: A minimum DR of 20 dB can yield sufficient speech intelligibility in quiet in implanted patients, however, an optimum DR is suggested to be 40 dB.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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