title: Spectral-ripple resolution correlates with speech reception in noise in cochlear implant users.
abstract: Speech perception ability in noise is one of the most practical measures of success with a cochlear implant; however, with experience, this ability can change dramatically over time, making it a less than ideal tool for comparing performance among different processing strategies. This study examined performance on a spectral discrimination task and compared it to speech perception in noise. An adaptive procedure was used to determine the spectral-ripple density that subjects could discriminate. A closed-set, forced-choice adaptive procedure was used to determine speech reception thresholds for words in two-talker babble and in speech-shaped, steady-state noise. Spectral-ripple thresholds (ripples/octave) were significantly correlated with speech reception thresholds (dB SNR) in noise for 29 cochlear implant users (r = -0.55, p = 0.002 in two-talker babble; r = -0.62, p = 0.0004 in steady-state noise), demonstrating that better spectral resolution was associated with better speech perception in noise. A significant correlation was also found between the spectral-ripple discrimination ability and word recognition in quiet (r = 0.50, p = 0.009). In addition, test-retest reliability for spectral-ripple discrimination was good, and no learning was observed. The present study demonstrates that the spectral-ripple discrimination test, which is time efficient and nonlinguistic, would be a useful tool to evaluate cochlear implant performance with different signal processing strategies.
authors.affiliation: VM Bloedel Hearing Research Center, University of Washington, P.O. Box 357923, Seattle, WA 98195-7923, USA. jhwon@u.washington.edu
authors.forename: Jong Ho
authors.initials: JH
authors.lastname: Won
authors.forename: Ward R
authors.initials: WR
authors.lastname: Drennan
authors.forename: Jay T
authors.initials: JT
authors.lastname: Rubinstein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001303:Auditory Cortex / Q000502:physiology; D003054:Cochlear Implants; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009622:Noise; D011594:Psychometrics; D013060:Speech / Q000502:physiology; D013063:Speech Discrimination Tests; D013067:Speech Perception / Q000502:physiology*