The effect of fluctuating maskers on speech understanding of high-performing cochlear implant users

Abstract

Objective: The present study evaluated whether the poorer baseline performance of cochlear implant (CI) users or the technical and/or physiological properties of CI stimulation are responsible for the absence of masking release. Design: This study measured speech reception thresholds (SRTs) in continuous and modulated noise as a function of signal to noise ratio (SNR). Study sample: A total of 24 subjects participated: 12 normal-hearing (NH) listeners and 12 subjects provided with recent MED-EL CI systems. Results: The mean SRT of CI users in continuous noise was −3.0 ± 1.5 dB SNR (mean ± SEM), while the normal-hearing group reached −5.9 ± 0.8 dB SNR. In modulated noise, the difference across groups increased considerably. For CI users, the mean SRT worsened to −1.4 ± 2.3 dB SNR, while it improved for normal-hearing listeners to −18.9 ± 3.8 dB SNR. Conclusions: The detrimental effect of fluctuating maskers on SRTs in CI users shown by prior studies was confirmed by the current study. Concluding, the absence of masking release is mainly caused by the technical and/or physiological properties of CI stimulation, not just the poorer baseline performance of many CI users compared to normal-hearing subjects. Speech understanding in modulated noise was more robust in CI users who had a relatively large electrical dynamic range.

Key Words:

• Cochlear implant
• speech understanding
• fluctuating noise
• electrical dynamic range

Acknowledgements

We want to thank the subjects who participated in this study for their time and effort. Furthermore, we thank David Babbel, Rosalyn Tait, and Michael Todd for proofreading versions of the manuscript, and Dr. Peter Nopp for his comments. This work was supported by the German Federal Ministry of Education and Research within the Munich Bernstein Center for Computational Neuroscience (reference No. 01GQ1004B), the DFG “Ultrafast and temporally precise information processing: normal and dysfunctional hearing” SPP 1608 (HE6713/1-1 and 1-2) and MED-EL, Innsbruck, Austria.

Declaration of interest

The authors report no conflicts of interest.