Psychoacoustic performance and music and speech perception in prelingually deafened children with cochlear implants

The number of pediatric cochlear implant (CI) recipients has increased substantially over the past 10 years, and it has become more important to understand the underlying mechanisms of the variable outcomes in this population. In this study, psychoacoustic measures of spectral-ripple and Schroeder-phase discrimination, the Clinical Assessment of Music Perception, and consonant-nucleus-consonant (CNC) word recognition in quiet and spondee reception threshold (SRT) in noise tests have been presented to 11 prelingually deafened CI users, aged 8-16 years with at least 5 years of CI experience. The children's performance was compared to the previously reported results of postlingually deafened adult CI users. The average spectral-ripple threshold (n = 10) was 2.08 ripples/octave. The average Schroeder-phase discrimination was 67.3% for 50 Hz and 56.5% for 200 Hz (n = 9). The Clinical Assessment of Music Perception test showed that the average complex pitch direction discrimination was 2.98 semitones. The mean melody score was at a chance level, and the mean timbre score was 34.1% correct. The mean CNC word recognition score was 68.6%, and the mean SRT in steady noise was -8.5 dB SNR. The children's spectral-ripple resolution, CNC word recognition, and SRT in noise performances were, within statistical bounds, the same as in a population of postlingually deafened adult CI users. However, Schroeder-phase discrimination and music perception were generally poorer than in the adults. It is possible then that this poorer performance seen in the children might be partly accounted for by the delayed maturation in their temporal processing ability, and because of this, the children's performance may have been driven more by their spectral sensitivity.     

Sensory deprivation due to otitis media episodes in early childhood and its effect at later age: A psychoacoustic and speech perception measure

BackgroundPast research has reported that children with repeated occurrences of otitis media at an early age have a negative impact on speech perception at a later age. The present study necessitates documenting the temporal and spectral processing on speech perception in noise from normal and atypical groups.ObjectivesThe present study evaluated the relation between speech perception in noise and temporal; and spectral processing abilities in children with normal and atypical groups.MethodsThe study included two experiments. In the first experiment, temporal resolution and frequency discrimination of listeners with normal group and three subgroups of atypical groups (had a history of OM) a) less than four episodes b) four to nine episodes and c) More than nine episodes during their chronological age of 6 months to 2 years) were evaluated using measures of temporal modulation transfer function and frequency discrimination test. In the second experiment, SNR 50 was evaluated on each group of study participants. All participants had normal hearing and middle ear status during the course of testing.ResultsDemonstrated that children with atypical group had significantly poorer modulation detection threshold, peak sensitivity and bandwidth; and frequency discrimination to each F0 than normal hearing listeners. Furthermore, there was a significant correlation seen between measures of temporal resolution; frequency discrimination and speech perception in noise. It infers atypical groups have significant impairment in extracting envelope as well as fine structure cues from the signal.ConclusionThe results supported the idea that episodes of OM before 2 years of agecan produce periods of sensory deprivation that alters the temporal and spectral skills which in turn has negative consequences on speech perception in noise.     

Discrimination of Time-Reversed Harmonic Complexes by Normal-Hearing and Hearing-Impaired Listeners

Normal-hearing (NH) listeners and hearing-impaired (HI) listeners detected and discriminated time-reversed harmonic complexes constructed of equal-amplitude harmonic components with fundamental frequencies (F0s) ranging from 50 to 800 Hz. Component starting phases were selected according to the positive and negative Schroeder-phase algorithms to produce within-period frequency sweeps with relatively flat temporal envelopes. Detection thresholds were not affected by component starting phases for either group of listeners. At presentation levels of 80 dB SPL, NH listeners could discriminate the two waveforms nearly perfectly when the F0s were less than 300–400 Hz but fell to chance performance for higher F0s. HI listeners performed significantly poorer, with reduced discrimination at several of the F0s. In contrast, at a lower presentation level meant to nearly equate sensation levels for the two groups, NH listeners’ discrimination was poorer than HI listeners at most F0s. Roving presentation levels had little effect on performance by NH listeners but reduced performance by HI listeners. The differential impact of roving level suggests a weaker perception of timbre differences and a greater susceptibility to the detrimental effects of experimental uncertainty in HI listeners.     

Relations between perceptual measures of temporal processing, auditory-evoked brainstem responses and speech intelligibility in noise

This study investigates behavioural and objective measures of temporal auditory processing and their relation to the ability to understand speech in noise. The experiments were carried out on a homogeneous group of seven hearing-impaired listeners with normal sensitivity at low frequencies (up to 1 kHz) and steeply sloping hearing losses above 1 kHz. For comparison, data were also collected for five normal-hearing listeners. Temporal processing was addressed at low frequencies by means of psychoacoustical frequency discrimination, binaural masked detection and amplitude modulation (AM) detection. In addition, auditory brainstem responses (ABRs) to clicks and broadband rising chirps were recorded. Furthermore, speech reception thresholds (SRTs) were determined for Danish sentences in speech-shaped noise. The main findings were: (1) SRTs were neither correlated with hearing sensitivity as reflected in the audiogram nor with the AM detection thresholds which represent an envelope-based measure of temporal resolution; (2) SRTs were correlated with frequency discrimination and binaural masked detection which are associated with temporal fine-structure coding; (3) The wave-V thresholds for the chirp-evoked ABRs indicated a relation to SRTs and the ability to process temporal fine structure. Overall, the results demonstrate the importance of low-frequency temporal processing for speech reception which can be affected even if pure-tone sensitivity is close to normal.     

Development of a speaker discrimination test for cochlear implant users based on the Oldenburg Logatome corpus

The purpose of the study was to develop a speaker discrimination test for cochlear implant (CI) users. The speech material was drawn from the Oldenburg Logatome (OLLO) corpus, which contains 150 different logatomes read by 40 German and 10 French native speakers. The prototype test battery included 120 logatome pairs spoken by 5 male and 5 female speakers with balanced representations of the conditions 'same speaker' and 'different speaker'. Ten adult normal-hearing listeners and 12 adult postlingually deafened CI users were included in a study to evaluate the suitability of the test. The mean speaker discrimination score for the CI users was 67.3% correct and for the normal-hearing listeners 92.2% correct. A significant influence of voice gender and fundamental frequency difference on the speaker discrimination score was found in CI users as well as in normal-hearing listeners. Since the test results of the CI users were significantly above chance level and no ceiling effect was observed, we conclude that subsets of the OLLO corpus are very well suited to speaker discrimination experiments in CI users.     

Rate discrimination,gap detection and ranking of temporal pitch in cochlear implant users

Cochlear implant (CI) users have poor temporal pitch perception, as revealed by two key outcomes of rate discrimination tests: (i) rate discrimination thresholds (RDTs) are typically larger than the corresponding frequency difference limen for pure tones in normal hearing listeners, and (ii) above a few hundred pulses per second (i.e. the “upper limit” of pitch), CI users cannot discriminate further increases in pulse rate. Both RDTs at low rates and the upper limit of pitch vary across listeners and across electrodes in a given listener. Here, we compare across-electrode and across-subject variation in these two measures with the variation in performance on another temporal processing task, gap detection, in order to explore the limitations of temporal processing in CI users. RDTs were obtained for 4–5 electrodes in each of 10 Advanced Bionics CI users using two interleaved adaptive tracks, corresponding to standard rates of 100 and 400 pps. Gap detection was measured using the adaptive procedure and stimuli described by Bierer et al. (JARO 16:273-284, 2015), and for the same electrodes and listeners as for the rate discrimination measures. Pitch ranking was also performed using a mid-point comparison technique. There was a marginal across-electrode correlation between gap detection and rate discrimination at 400 pps, but neither measure correlated with rate discrimination at 100 pps. Similarly, there was a highly significant across-subject correlation between gap detection and rate discrimination at 400, but not 100 pps, and these two correlations differed significantly from each other. Estimates of low-rate sensitivity and of the upper limit of pitch, obtained from the pitch ranking experiment, correlated well with rate discrimination for the 100- and 400-pps standards, respectively. The results are consistent with the upper limit of rate discrimination sharing a common basis with gap detection. There was no evidence that this limitation also applied to rate discrimination at lower rates.     

Perception of spectral contrast by hearing-impaired listeners.

The ability to discriminate the spectral shapes of complex sounds is critical to accurate speech perception. Part of the difficulty experienced by listeners with hearing loss in understanding speech sounds in noise may be related to a smearing of the internal representation of the spectral peaks and valleys because of the loss of sensitivity and an accompanying reduction in frequency resolution. This study examined the discrimination by hearing-impaired listeners of highly similar harmonic complexes with a single spectral peak located in 1 of 3 frequency regions. The minimum level difference between peak and background harmonics required to discriminate a small change in the spectral center of the peak was measured for peaks located near 2, 3, or 4 kHz. Component phases were selected according to an algorithm thought to produce either highly modulated (positive Schroeder) or very flat (negative Schroeder) internal waveform envelopes in the cochlea. The mean amplitude difference between a spectral peak and the background components required for discrimination of pairs of harmonic complexes (spectral contrast threshold) was from 4 to 19 dB greater for listeners with hearing impairment than for a control group of listeners with normal hearing. In normal-hearing listeners, improvements in threshold were seen with increasing stimulus level, and there was a strong effect of stimulus phase, as the positive Schroeder stimuli always produced lower thresholds than the negative Schroeder stimuli. The listeners with hearing loss showed no consistent spectral contrast effects due to stimulus phase and also showed little improvement with increasing stimulus level, once their sensitivity loss was overcome. The lack of phase and level effects may be a result of the more linear processing occurring in impaired ears, producing poorer-than-normal frequency resolution, a loss of gain for low amplitudes, and an altered cochlear phase characteristic in regions of damage.     

Development of a fast method for determining sensitivity to temporal fine structure

Recent evidence suggests that sensitivity to the temporal fine structure (TFS) of sounds is adversely affected by cochlear hearing loss. This may partly explain the difficulties experienced by people with cochlear hearing loss in understanding speech when background sounds, especially fluctuating backgrounds, are present. We describe a test for assessing sensitivity to TFS. The test can be run using any PC with a sound card. The test involves discrimination of a harmonic complex tone (H), with a fundamental frequency F0, from a tone in which all harmonics are shifted upwards by the same amount in Hertz, resulting in an inharmonic tone (I). The phases of the components are selected randomly for every stimulus. Both tones have an envelope repetition rate equal to F0, but the tones differ in their TFS. To prevent discrimination based on spectral cues, all tones are passed through a fixed bandpass filter, usually centred at 11F0. A background noise is used to mask combination tones. The results show that, for normal-hearing subjects, learning effects are small, and the effect of the level of testing is also small. The test provides a simple, quick, and robust way to measure sensitivity to TFS.     

Predictions of Speech Chimaera Intelligibility Using Auditory Nerve Mean-Rate and Spike-Timing Neural Cues

Perceptual studies of speech intelligibility have shown that slow variations of acoustic envelope (ENV) in a small set of frequency bands provides adequate information for good perceptual performance in quiet, whereas acoustic temporal fine-structure (TFS) cues play a supporting role in background noise. However, the implications for neural coding are prone to misinterpretation because the mean-rate neural representation can contain recovered ENV cues from cochlear filtering of TFS. We investigated ENV recovery and spike-time TFS coding using objective measures of simulated mean-rate and spike-timing neural representations of chimaeric speech, in which either the ENV or the TFS is replaced by another signal. We (a) evaluated the levels of mean-rate and spike-timing neural information for two categories of chimaeric speech, one retaining ENV cues and the other TFS; (b) examined the level of recovered ENV from cochlear filtering of TFS speech; (c) examined and quantified the contribution to recovered ENV from spike-timing cues using a lateral inhibition network (LIN); and (d) constructed linear regression models with objective measures of mean-rate and spike-timing neural cues and subjective phoneme perception scores from normal-hearing listeners. The mean-rate neural cues from the original ENV and recovered ENV partially accounted for perceptual score variability, with additional variability explained by the recovered ENV from the LIN-processed TFS speech. The best model predictions of chimaeric speech intelligibility were found when both the mean-rate and spike-timing neural cues were included, providing further evidence that spike-time coding of TFS cues is important for intelligibility when the speech envelope is degraded.     

Voice Discrimination by Adults with Cochlear Implants: the Benefits of Early Implantation for Vocal-Tract Length Perception

Cochlear implant (CI) users find it extremely difficult to discriminate between talkers, which may partially explain why they struggle to understand speech in a multi-talker environment. Recent studies, based on findings with postlingually deafened CI users, suggest that these difficulties may stem from their limited use of vocal-tract length (VTL) cues due to the degraded spectral resolution transmitted by the CI device. The aim of the present study was to assess the ability of adult CI users who had no prior acoustic experience, i.e., prelingually deafened adults, to discriminate between resynthesized “talkers” based on either fundamental frequency (F0) cues, VTL cues, or both. Performance was compared to individuals with normal hearing (NH), listening either to degraded stimuli, using a noise-excited channel vocoder, or non-degraded stimuli. Results show that (a) age of implantation was associated with VTL but not F0 cues in discriminating between talkers, with improved discrimination for those subjects who were implanted at earlier age; (b) there was a positive relationship for the CI users between VTL discrimination and speech recognition score in quiet and in noise, but not with frequency discrimination or cognitive abilities; (c) early-implanted CI users showed similar voice discrimination ability as the NH adults who listened to vocoded stimuli. These data support the notion that voice discrimination is limited by the speech processing of the CI device. However, they also suggest that early implantation may facilitate sensory-driven tonotopicity and/or improve higher-order auditory functions, enabling better perception of VTL spectral cues for voice discrimination.     

An examination of speech recognition in a modulated background and of forward masking in younger and older listeners.

PURPOSE: To compare speech intelligibility in the presence of a 10-Hz square-wave noise masker in younger and older listeners and to relate performance to recovery from forward masking. METHOD: The signal-to-noise ratio required to achieve 50% sentence identification in the presence of a 10-Hz square-wave noise masker was obtained for each of the 8 younger/older listener pairs. Listeners were matched according to their quiet thresholds for frequencies from 600 to 4800 Hz in octave steps. Forward masking was also measured in 2 younger/older threshold-matched groups for signal delays of 2-40 ms. RESULTS: Older listeners typically required a significantly higher signal-to-noise ratio than younger listeners to achieve 50% correct sentence recognition. This effect may be understood in terms of increased forward-masked thresholds throughout the range of signal delays corresponding to the silent intervals in the modulated noise (e.g., <50 ms). CONCLUSIONS: Significant differences were observed between older and younger listeners on measures of both speech intelligibility in a modulated background and forward masking over a range of signal delays (0-40 ms). Age-related susceptibility to forward masking at relatively short delays may reflect a deficit in processing at a fairly central level (e.g., broader temporal windows or less efficient processing).     

Effects of Musical Training and Hearing Loss on Fundamental Frequency Discrimination and Temporal Fine Structure Processing: Psychophysics and Modeling

Several studies have shown that musical training leads to improved fundamental frequency (F₀) discrimination for young listeners with normal hearing (NH). It is unclear whether a comparable effect of musical training occurs for listeners whose sensory encoding of F₀ is degraded. To address this question, the effect of musical training was investigated for three groups of listeners (young NH, older NH, and older listeners with hearing impairment, HI). In a first experiment, F₀ discrimination was investigated using complex tones that differed in harmonic content and phase configuration (sine, positive, or negative Schroeder). Musical training was associated with significantly better F₀ discrimination of complex tones containing low-numbered harmonics for all groups of listeners. Part of this effect was caused by the fact that musicians were more robust than non-musicians to harmonic roving. Despite the benefit relative to their non-musicians counterparts, the older musicians, with or without HI, performed worse than the young musicians. In a second experiment, binaural sensitivity to temporal fine structure (TFS) cues was assessed for the same listeners by estimating the highest frequency at which an interaural phase difference was perceived. Performance was better for musicians for all groups of listeners and the use of TFS cues was degraded for the two older groups of listeners. These findings suggest that musical training is associated with an enhancement of both TFS cues encoding and F₀ discrimination in young and older listeners with or without HI, although the musicians’ benefit decreased with increasing hearing loss. Additionally, models of the auditory periphery and midbrain were used to examine the effect of HI on F₀ encoding. The model predictions reflected the worsening in F₀ discrimination with increasing HI and accounted for up to 80 % of the variance in the data.

     

Mechanisms underlying azimuth selectivity in the auditory cortex of the pallid bat

A cochlear implant (CI) signal processing strategy named F0 modulation (F0mod) was compared with the advanced combination encoder (ACE) strategy in a group of four post-lingually deafened Mandarin Chinese speaking CI listeners. F0 provides an enhanced temporal pitch cue by amplitude modulating the multichannel electrical stimulation pattern at the fundamental frequency (F0) of the incoming speech signal. Word and sentence recognition tests were carried out in quiet and in noise. The responses for the word-recognition test were further segmented into phoneme and tone scores. Off-line implementations of ACE and F0mod were used, and electrical stimulation patterns were directly streamed to the CI subject's implant. To focus on the feasibility of enhanced temporal cues for tonal language perception, idealized F0 information that was extracted from speech tokens in quiet was used in the F0mod processing of speech-in-noise mixtures. The results indicated significantly better lexical tone perception with the F0mod strategy than with ACE for the male voice (p<0.05). No significant differences in sentence recognition were found between F0mod and ACE.     

Perception of the voicing distinction in speech produced during simultaneous communication

This study investigated the perception of voice onset time (VOT) in speech produced during simultaneous communication (SC). Four normally hearing, experienced sign language users were recorded under SC and speech alone (SA) conditions speaking stimulus words with voiced and voiceless initial consonants embedded in a sentence. Twelve hearing-impaired listeners participated, with three of them randomly assigned to audit the speech sample provided by each one of the four speakers under the SC and SA conditions. In addition, 24 normal hearing listeners were randomly assigned to audit the speech samples produced by the four speakers under the SC and SA conditions, three listeners in noise and three listeners in filtered listening conditions for each of the four speakers. Although results indicated longer sentence durations for SC than SA, results showed no difference in the perception of the voicing distinction for speech produced during SC versus speech produced during SA under either the noise or filtered listening condition, or any difference in perception for the hearing-impaired listeners. This conclusion is consistent with previous research indicating that temporal alterations produced by SC do not produce degradation of temporal or spectral cues in speech or disruption of the perception of specific English phoneme segments. LEARNING OUTCOMES: As a result of this activity, the participant will be able to: (1) describe simultaneous communication; (2) explain the role of simultaneous communication in communication with persons who are hearing-impaired; (3) discuss methods of measuring perception of voice onset time with hearing-impaired listeners and with hearing listeners under filtered and noise conditions; and (4) specify the ability of listeners to perceive the voicing distinction in speech produced during simultaneous communication.     

Perception of vowels and prosody by cochlear implant recipients in noise

The aim of the present study was to compare the ability of cochlear implant (CI) recipients to recognise speech prosody in the presence of speech-weighted noise to their ability to recognise vowels in the same test paradigm and listening condition. All test materials were recorded from four different speakers (two male, two female). Two prosody recognition tasks were developed, both using single words as stimuli. The first task involved a question/statement distinction, while the second task required listeners to make a judgement about the speaker's attitude. Vowel recognition tests were conducted using vowel pairs selected on the basis of specific acoustic cues (frequencies of the first two formants and duration). Ten CI users and ten normal-hearing controls were tested in both quiet and an adaptive noise condition, using a two-alternative forced-choice test paradigm for all the tests. Results indicated that vowel recognition was significantly better than prosody recognition in both listener groups in both quiet and noise, and that question/statement discrimination was the most difficult task for CI listeners in noise. Data from acoustic analyses were used to interpret differences in performance on different tasks and with different speakers.Learning outcomes: As a result of this activity, readers will be able to (1) describe suitable methods for comparing vowel and prosody perception in noise, (2) compare performance on vowel and prosody perception tasks in quiet in normal-hearing listeners and cochlear implant recipients, (3) compare performance on vowel and prosody perception tasks in noise in normal-hearing listeners and cochlear implant recipients and (4) relate performance on prosody tasks in quiet to performance on these tasks in noise.     

Gender Categorization Is Abnormal in Cochlear Implant Users

In normal hearing (NH), the perception of the gender of a speaker is strongly affected by two anatomically related vocal characteristics: the fundamental frequency (F0), related to vocal pitch, and the vocal tract length (VTL), related to the height of the speaker. Previous studies on gender categorization in cochlear implant (CI) users found that performance was variable, with few CI users performing at the level of NH listeners. Data collected with recorded speech produced by multiple talkers suggests that CI users might rely more on F0 and less on VTL than NH listeners. However, because VTL cannot be accurately estimated from recordings, it is difficult to know how VTL contributes to gender categorization. In the present study, speech was synthesized to systematically vary F0, VTL, or both. Gender categorization was measured in CI users, as well as in NH participants listening to unprocessed (only synthesized) and vocoded (and synthesized) speech. Perceptual weights for F0 and VTL were derived from the performance data. With unprocessed speech, NH listeners used both cues (normalized perceptual weight: F0 = 3.76, VTL = 5.56). With vocoded speech, NH listeners still made use of both cues but less efficiently (normalized perceptual weight: F0 = 1.68, VTL = 0.63). CI users relied almost exclusively on F0 while VTL perception was profoundly impaired (normalized perceptual weight: F0 = 6.88, VTL = 0.59). As a result, CI users’ gender categorization was abnormal compared to NH listeners. Future CI signal processing should aim to improve the transmission of both F0 cues and VTL cues, as a normal gender categorization may benefit speech understanding in competing talker situations.     

Speech perception with F0mod,a cochlear implant pitch coding strategy

Objective: The fundamental frequency modulation (F0mod) sound processing strategy was developed to improve pitch perception with cochlear implants. In previous work it has been shown to improve performance in a number of pitch-related tasks such as pitch ranking, familiar melody identification, and Mandarin Chinese tone identification. The objective of the current study was to compare speech perception with F0mod and the standard clinical advanced combination encoder (ACE) strategy. Study sample: Seven cochlear-implant listeners were recruited from the clinical population of the University Hospital Leuven. Design: F0mod was implemented on a real-time system. Speech recognition in quiet and noise was measured for seven cochlear-implant listeners, comparing F0mod with ACE, using three different Dutch-language speech materials. Additionally the F0 estimator used was evaluated physically, and pitch ranking performance was compared between F0mod and ACE. Results: Immediately after switch-on of the F0mod strategy, speech recognition in quiet and noise were similar for ACE and F0mod, for four out of seven listeners. The remaining three listeners were subjected to a short training protocol with F0mod, after which their performance was reassessed, and a significant improvement was found. Conclusions: As F0mod improves pitch perception, for the seven subjects tested it did not interfere with speech recognition in quiet and noise, and has a low computational complexity, it seems promising for implementation in a clinical sound processor.     

Temporal coding and music perception in bimodal listeners

ObjectiveLimited low frequency (LF) pitch and temporal fine structure (TFS) sensitivity have been thought to contribute significantly to poor music perception in cochlear implant (CI) listeners. Thus, this study aimed to evaluate music perception in relation to LF pitch perception and temporal coding, specifically in people with bimodal stimulation as a promising approach to improve spectro-temporal sensitivity in CI listeners.MethodsEleven postlingually deafened bimodal listeners participated in the study (mean age=55.5 years, range 36–75 years, SD=11.7). LF pitch/TFS sensitivity was evaluated by using two recently developed tests: Harmonic Intonation (HI) and Disharmonic Intonation (DI). The music perception protocol was based on three audio files in the genres of Classical, Jazz and Soul music and a music quality questionnaire regarding four subjective aspects: Clarity, Pleasantness, Naturalness and General Quality of Sounds.ResultsCI alone and bimodal findings showed statistically significant differences for both temporal coding and music perception. DI findings showed statistically significant correlations with music quality ratings (p<0.05).ConclusionBimodal music quality ratings were significantly better, indicating a significant improvement in the quality of music towards being significantly more clear, more natural, more pleasant, and better quality. Similarly, bimodal HI/DI findings improved significantly, although the amount of benefit was greater for the DI task with spectral information only below 300 Hz. Significant DI correlations with music quality ratings supported the test to be more indicative of better temporal coding of LF residual hearing and its effects on music perception.     

Modulation Frequency Discrimination with Modulated and Unmodulated Interference in Normal Hearing and in Cochlear-Implant Users

Differences in fundamental frequency (F0) provide an important cue for segregating simultaneous sounds. Cochlear implants (CIs) transmit F0 information primarily through the periodicity of the temporal envelope of the electrical pulse trains. Successful segregation of sounds with different F0s requires the ability to process multiple F0s simultaneously, but it is unknown whether CI users have this ability. This study measured modulation frequency discrimination thresholds for half-wave rectified sinusoidal envelopes modulated at 115 Hz in CI users and normal-hearing (NH) listeners. The target modulation was presented in isolation or in the presence of an interferer. Discrimination thresholds were strongly affected by the presence of an interferer, even when it was unmodulated and spectrally remote. Interferer modulation increased interference and often led to very high discrimination thresholds, especially when the interfering modulation frequency was lower than that of the target. Introducing a temporal offset between the interferer and the target led to at best modest improvements in performance in CI users and NH listeners. The results suggest no fundamental difference between acoustic and electric hearing in processing single or multiple envelope-based F0s, but confirm that differences in F0 are unlikely to provide a robust cue for perceptual segregation in CI users.     

An investigation into the effect of limiting the frequency bandwidth of speech on speech recognition in adult cochlear implant users

The purpose of this study was to investigate the effect of the limited-frequency bandwidth employed by telephones (300-3400 Hz) on speech recognition in adult cochlear implant users. The Four Alternative Auditory Feature (FAAF) test was used in four conditions: unfiltered and in three filtered conditions of 300-4500 Hz, 300-3400 Hz and 300-2500 Hz. Ten subjects implanted with the Nucleus CI24M device and 10 normal-hearing listeners were assessed to examine differences between word discrimination scores in each condition. Scores obtained from the 300-3400-Hz and 300-2500-Hz filtered conditions were significantly worse than those with unfiltered speech for the cochlear implant subjects, decreasing by 17.7% and 21.4%, respectively, from scores with unfiltered speech. By contrast, the normal-hearing listeners did not experience difficulties in discriminating between words in any of the conditions. Analysis of the word errors demonstrated that the reduction in implant subject scores with bandwidth arose from errors in place of articulation. Filtering speech in this way has a significant effect on speech recognition for cochlear implant subjects but not normal-hearing listeners. Hence, the limitations of the normal telephone bandwidth can be expected to have a negative effect on speech recognition for cochlear implant users using the telephone.