title: Parameter selection to optimize speech recognition with the Nucleus implant.
abstract: Speech coding strategy, frequency boundary assignment table, and speech processor program minimum and maximum stimulation levels are parameters of the Nucleus Cochlear Implant System whose selection affects speech recognition performance in adults and children. Research studies show that speech recognition is significantly better with (1) the Spectral Peak than with the Multipeak speech coding strategy and (2) frequency boundary assignment Table 7 than with Table 9 in an individual's speech processor program (MAP). Minimum and maximum stimulation levels in this MAP are based on psychophysical measurements on each electrode but often need to be modified for optimum use in everyday life. Many children and adults have increases, decreases, or fluctuations in electrical hearing that require changes in the MAP minimum and maximum levels to maintain their ability to recognize speech and other sounds.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: M W
authors.initials: MW
authors.lastname: Skinner
authors.forename: L K
authors.initials: LK
authors.lastname: Holden
authors.forename: T A
authors.initials: TA
authors.lastname: Holden
mesh_terms: D000328:Adult; D002648:Child; D019929:Cochlear Implantation; D003054:Cochlear Implants; D004558:Electric Stimulation / Q000295:instrumentation; D004567:Electrodes, Implanted; D006309:Hearing / Q000502:physiology; D006801:Humans; D011474:Prosthesis Design; D012815:Signal Processing, Computer-Assisted; D013018:Sound Spectrography; D013061:Speech Acoustics; D013067:Speech Perception / Q000502:physiology*