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Hear Res ; 391: 107969, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32320925

RESUMEN

Speech recognition in noisy environments remains a challenge for cochlear implant (CI) recipients. Unwanted charge interactions between current pulses, both within and between electrode channels, are likely to impair performance. Here we investigate the effect of reducing the number of current pulses on speech perception. This was achieved by implementing a psychoacoustic temporal-masking model where current pulses in each channel were passed through a temporal integrator to identify and remove pulses that were less likely to be perceived by the recipient. The decision criterion of the temporal integrator was varied to control the percentage of pulses removed in each condition. In experiment 1, speech in quiet was processed with a standard Continuous Interleaved Sampling (CIS) strategy and with 25, 50 and 75% of pulses removed. In experiment 2, performance was measured for speech in noise with the CIS reference and with 50 and 75% of pulses removed. Speech intelligibility in quiet revealed no significant difference between reference and test conditions. For speech in noise, results showed a significant improvement of 2.4 dB when removing 50% of pulses and performance was not significantly different between the reference and when 75% of pulses were removed. Further, by reducing the overall amount of current pulses by 25, 50, and 75% but accounting for the increase in charge necessary to compensate for the decrease in loudness, estimated average power savings of 21.15, 40.95, and 63.45%, respectively, could be possible for this set of listeners. In conclusion, removing temporally masked pulses may improve speech perception in noise and result in substantial power savings.


Asunto(s)
Implantación Coclear/instrumentación , Implantes Cocleares , Pérdida Auditiva/terapia , Ruido/efectos adversos , Enmascaramiento Perceptual , Personas con Deficiencia Auditiva/rehabilitación , Percepción del Habla , Estimulación Acústica , Anciano , Anciano de 80 o más Años , Estimulación Eléctrica , Audición , Pérdida Auditiva/diagnóstico , Pérdida Auditiva/fisiopatología , Pérdida Auditiva/psicología , Humanos , Percepción Sonora , Masculino , Persona de Mediana Edad , Personas con Deficiencia Auditiva/psicología , Inteligibilidad del Habla
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