| Evaluation of different signal processing options in unilateral and bilateral cochlear freedom implant recipients using R-Space background noise. | |
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MedLine Citation:
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PMID: 21463562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Difficulty understanding in background noise is a common complaint of cochlear implant (CI) recipients. Programming options are available to improve speech recognition in noise for CI users including automatic dynamic range optimization (ADRO), autosensitivity control (ASC), and a two-stage adaptive beamforming algorithm (BEAM). However, the processing option that results in the best speech recognition in noise is unknown. In addition, laboratory measures of these processing options often show greater degrees of improvement than reported by participants in everyday listening situations. To address this issue, Compton-Conley and colleagues developed a test system to replicate a restaurant environment. The R-SPACE™ consists of eight loudspeakers positioned in a 360 degree arc and utilizes a recording made at a restaurant of background noise. PURPOSE: The present study measured speech recognition in the R-SPACE with four processing options: standard dual-port directional (STD), ADRO, ASC, and BEAM. Research Design: A repeated-measures, within-subject design was used to evaluate the four different processing options at two noise levels. Study Sample: Twenty-seven unilateral and three bilateral adult Nucleus Freedom CI recipients. Intervention: The participants' everyday program (with no additional processing) was used as the STD program. ADRO, ASC, and BEAM were added individually to the STD program to create a total of four programs. DATA COLLECTION AND ANALYSIS: Participants repeated Hearing in Noise Test sentences presented at 0 degrees azimuth with R-SPACE restaurant noise at two noise levels, 60 and 70 dB SPL. The reception threshold for sentences (RTS) was obtained for each processing condition and noise level. RESULTS: In 60 dB SPL noise, BEAM processing resulted in the best RTS, with a significant improvement over STD and ADRO processing. In 70 dB SPL noise, ASC and BEAM processing had significantly better mean RTSs compared to STD and ADRO processing. Comparison of noise levels showed that STD and BEAM processing resulted in significantly poorer RTSs in 70 dB SPL noise compared to the performance with these processing conditions in 60 dB SPL noise. Bilateral participants demonstrated a bilateral improvement compared to the better monaural condition for both noise levels and all processing conditions, except ASC in 60 dB SPL noise. CONCLUSIONS: The results of this study suggest that the use of processing options that utilize noise reduction, like those available in ASC and BEAM, improve a CI recipient's ability to understand speech in noise in listening situations similar to those experienced in the real world. The choice of the best processing option is dependent on the noise level, with BEAM best at moderate noise levels and ASC best at loud noise levels for unilateral CI recipients. Therefore, multiple noise programs or a combination of processing options may be necessary to provide CI users with the best performance in a variety of listening situations. |
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Authors:
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Alison M Brockmeyer; Lisa G Potts |
Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of the American Academy of Audiology Volume: 22 ISSN: 1050-0545 ISO Abbreviation: J Am Acad Audiol Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-04-05 Completed Date: 2011-05-26 Revised Date: 2013-04-24 |
Medline Journal Info:
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Nlm Unique ID: 9114646 Medline TA: J Am Acad Audiol Country: Canada |
Other Details:
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Languages: eng Pagination: 65-80 Citation Subset: IM |
Copyright Information:
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American Academy of Audiology. |
Affiliation:
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Washington University School of Medicine, USA. brockmeyera@ent.wustl.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Auditory Threshold Calibration Cochlear Implants* Female Hearing Loss / therapy* Humans Male Middle Aged Noise Signal Processing, Computer-Assisted* Speech Discrimination Tests Speech Perception* |
| Grant Support | |
ID/Acronym/Agency:
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UL1 RR024992/RR/NCRR NIH HHS; UL1 RR024992/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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