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1.
Hear Res ; 391: 107969, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32320925

RESUMO

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.


Assuntos
Implante Coclear/instrumentação , Implantes Cocleares , Perda Auditiva/terapia , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/reabilitação , Percepção da Fala , Estimulação Acústica , Idoso , Idoso de 80 Anos ou mais , Estimulação Elétrica , Audição , Perda Auditiva/diagnóstico , Perda Auditiva/fisiopatologia , Perda Auditiva/psicologia , Humanos , Percepção Sonora , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/psicologia , Inteligibilidade da Fala
2.
Sci Rep ; 9(1): 11428, 2019 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-31388053

RESUMO

Cochlear implant (CI) users receive only limited sound information through their implant, which means that they struggle to understand speech in noisy environments. Recent work has suggested that combining the electrical signal from the CI with a haptic signal that provides crucial missing sound information ("electro-haptic stimulation"; EHS) could improve speech-in-noise performance. The aim of the current study was to test whether EHS could enhance speech-in-noise performance in CI users using: (1) a tactile signal derived using an algorithm that could be applied in real time, (2) a stimulation site appropriate for a real-world application, and (3) a tactile signal that could readily be produced by a compact, portable device. We measured speech intelligibility in multi-talker noise with and without vibro-tactile stimulation of the wrist in CI users, before and after a short training regime. No effect of EHS was found before training, but after training EHS was found to improve the number of words correctly identified by an average of 8.3%-points, with some users improving by more than 20%-points. Our approach could offer an inexpensive and non-invasive means of improving speech-in-noise performance in CI users.


Assuntos
Estimulação Acústica/métodos , Implantes Cocleares , Estimulação Elétrica/métodos , Perda Auditiva/reabilitação , Percepção da Fala/fisiologia , Estimulação Acústica/instrumentação , Adulto , Idoso , Audiometria da Fala , Limiar Auditivo/fisiologia , Estimulação Elétrica/instrumentação , Feminino , Perda Auditiva/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Ruído/efeitos adversos , Pessoas com Deficiência Auditiva/reabilitação , Resultado do Tratamento
3.
Trends Hear ; 22: 2331216518797838, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30222089

RESUMO

Many cochlear implant (CI) users achieve excellent speech understanding in acoustically quiet conditions but most perform poorly in the presence of background noise. An important contributor to this poor speech-in-noise performance is the limited transmission of low-frequency sound information through CIs. Recent work has suggested that tactile presentation of this low-frequency sound information could be used to improve speech-in-noise performance for CI users. Building on this work, we investigated whether vibro-tactile stimulation can improve speech intelligibility in multi-talker noise. The signal used for tactile stimulation was derived from the speech-in-noise using a computationally inexpensive algorithm. Eight normal-hearing participants listened to CI simulated speech-in-noise both with and without concurrent tactile stimulation of their fingertip. Participants' speech recognition performance was assessed before and after a training regime, which took place over 3 consecutive days and totaled around 30 min of exposure to CI-simulated speech-in-noise with concurrent tactile stimulation. Tactile stimulation was found to improve the intelligibility of speech in multi-talker noise, and this improvement was found to increase in size after training. Presentation of such tactile stimulation could be achieved by a compact, portable device and offer an inexpensive and noninvasive means for improving speech-in-noise performance in CI users.


Assuntos
Estimulação Acústica/métodos , Implante Coclear/métodos , Perda Auditiva/cirurgia , Inteligibilidade da Fala/fisiologia , Percepção da Fala/fisiologia , Adulto , Algoritmos , Audiometria da Fala/métodos , Percepção Auditiva/fisiologia , Limiar Auditivo/fisiologia , Implantes Cocleares , Feminino , Humanos , Masculino , Ruído , Estudos de Amostragem , Sensibilidade e Especificidade , Treinamento por Simulação , Localização de Som/fisiologia , Adulto Jovem
4.
J Acoust Soc Am ; 141(3): 1985, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28372043

RESUMO

Machine-learning based approaches to speech enhancement have recently shown great promise for improving speech intelligibility for hearing-impaired listeners. Here, the performance of three machine-learning algorithms and one classical algorithm, Wiener filtering, was compared. Two algorithms based on neural networks were examined, one using a previously reported feature set and one using a feature set derived from an auditory model. The third machine-learning approach was a dictionary-based sparse-coding algorithm. Speech intelligibility and quality scores were obtained for participants with mild-to-moderate hearing impairments listening to sentences in speech-shaped noise and multi-talker babble following processing with the algorithms. Intelligibility and quality scores were significantly improved by each of the three machine-learning approaches, but not by the classical approach. The largest improvements for both speech intelligibility and quality were found by implementing a neural network using the feature set based on auditory modeling. Furthermore, neural network based techniques appeared more promising than dictionary-based, sparse coding in terms of performance and ease of implementation.


Assuntos
Auxiliares de Audição , Perda Auditiva/reabilitação , Aprendizado de Máquina , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/reabilitação , Processamento de Sinais Assistido por Computador , Inteligibilidade da Fala , Percepção da Fala , Estimulação Acústica , Idoso , Audiometria da Fala , Estimulação Elétrica , Feminino , Perda Auditiva/diagnóstico , Perda Auditiva/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Redes Neurais de Computação , Pessoas com Deficiência Auditiva/psicologia , Reconhecimento Psicológico
5.
Hear Res ; 344: 183-194, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27913315

RESUMO

Speech understanding in noisy environments is still one of the major challenges for cochlear implant (CI) users in everyday life. We evaluated a speech enhancement algorithm based on neural networks (NNSE) for improving speech intelligibility in noise for CI users. The algorithm decomposes the noisy speech signal into time-frequency units, extracts a set of auditory-inspired features and feeds them to the neural network to produce an estimation of which frequency channels contain more perceptually important information (higher signal-to-noise ratio, SNR). This estimate is used to attenuate noise-dominated and retain speech-dominated CI channels for electrical stimulation, as in traditional n-of-m CI coding strategies. The proposed algorithm was evaluated by measuring the speech-in-noise performance of 14 CI users using three types of background noise. Two NNSE algorithms were compared: a speaker-dependent algorithm, that was trained on the target speaker used for testing, and a speaker-independent algorithm, that was trained on different speakers. Significant improvements in the intelligibility of speech in stationary and fluctuating noises were found relative to the unprocessed condition for the speaker-dependent algorithm in all noise types and for the speaker-independent algorithm in 2 out of 3 noise types. The NNSE algorithms used noise-specific neural networks that generalized to novel segments of the same noise type and worked over a range of SNRs. The proposed algorithm has the potential to improve the intelligibility of speech in noise for CI users while meeting the requirements of low computational complexity and processing delay for application in CI devices.


Assuntos
Implante Coclear/instrumentação , Implantes Cocleares , Redes Neurais de Computação , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/reabilitação , Processamento de Sinais Assistido por Computador , Inteligibilidade da Fala , Percepção da Fala , Estimulação Acústica , Acústica , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Audiometria da Fala , Compreensão , Estimulação Elétrica , Humanos , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/psicologia , Desenho de Prótese , Espectrografia do Som , Adulto Jovem
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