RESUMEN
OBJECTIVE: An experiment was conducted to investigate the possibility that speech perception could be improved for some cochlear implant (CI) users by adjustment of the frequency allocation to the electrodes, following assessment of pitch perception along the electrode array. STUDY SAMPLE: Thirteen adult CI users with MED-EL devices participated in the study. DESIGN: Pitch perception was assessed for individual CI electrode pairs using the Pitch Contour Test (PCT), giving information on pitch discrimination and pitch ranking for adjacent electrodes. Sentence perception in noise was also assessed with ten different frequency allocations, including the default. RESULTS: Pitch perception was found to be poorer for both discrimination and ranking scores at either end of the electrode array. A significant effect of frequency allocation was found for sentence scores [F(4.24,38.2) = 7.14, p < 0.001] and a significant interaction between sentence score and PCT ranking score for basal electrodes was found [F(4.24,38.2) = 2.95, p = 0.03]. Participants with poorer pitch perception at the basal end had poorer scores for some allocations with greater basal shift. CONCLUSIONS: The results suggest that speech perception could be improved for CI users by assessment of pitch perception using the PCT and subsequent adjustment of pitch-related stimulation parameters.
Asunto(s)
Implantes Cocleares , Percepción de la Altura Tonal , Percepción del Habla , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Tests for quantifying the music perception abilities of cochlear implant users are currently being developed and trialled at the South of England Cochlear Implant Centre. In addition to measures of speech perception, tests of rhythm, and pitch have been administered to MED-EL C40+ implant users before and after upgrading from the TEMPO+ processor with continuous interleaved sampling strategy to the OPUS 2 processor with fine structure processing strategy, with the aims of comparing device performance and evaluating the potential of music perception tests for informing processor upgrades and tuning. Eight experienced adult C40+ implant recipients performed tests of rhythm and pitch discrimination using the TEMPO+ processor and, after a minimum of 6 weeks acclimatization, using the OPUS 2 processor. Stimuli included piano and sine tones in two note ranges for the pitch tasks, and drum beats for the rhythm task. Rhythm, pitch, and speech perception scores were comparable for both processors. An effect of note range was observed (z = -2.52, p = 0.008 (two-tailed), r = -0.63), which indicated that the higher range of notes used for the pitch tasks was easier for participants than the lower range. Measures of pitch discrimination in different frequency ranges further informed changes made to one participant's map, resulting in improved pitch discrimination and speech perception scores. The outcomes of this study demonstrate that music perception tests can provide important additional measures for tuning cochlear implant parameters and assessing the impact of changes to device type and processing strategy.