title: The effect of instantaneous input dynamic range setting on the speech perception of children with the nucleus 24 implant.
abstract: OBJECTIVE
  The purpose of this study was to examine the effects of a wider instantaneous input dynamic range (IIDR) setting on speech perception and comfort in quiet and noise for children wearing the Nucleus 24 implant system and the Freedom speech processor. In addition, children's ability to understand soft and conversational level speech in relation to aided sound-field thresholds was examined.
  
  
  METHODS
  Thirty children (age, 7 to 17 years) with the Nucleus 24 cochlear implant system and the Freedom speech processor with two different IIDR settings (30 versus 40 dB) were tested on the Consonant Nucleus Consonant (CNC) word test at 50 and 60 dB SPL, the Bamford-Kowal-Bench Speech in Noise Test, and a loudness rating task for four-talker speech noise. Aided thresholds for frequency-modulated tones, narrowband noise, and recorded Ling sounds were obtained with the two IIDRs and examined in relation to CNC scores at 50 dB SPL. Speech Intelligibility Indices were calculated using the long-term average speech spectrum of the CNC words at 50 dB SPL measured at each test site and aided thresholds.
  
  
  RESULTS
  Group mean CNC scores at 50 dB SPL with the 40 IIDR were significantly higher (p < 0.001) than with the 30 IIDR. Group mean CNC scores at 60 dB SPL, loudness ratings, and the signal to noise ratios-50 for Bamford-Kowal-Bench Speech in Noise Test were not significantly different for the two IIDRs. Significantly improved aided thresholds at 250 to 6000 Hz as well as higher Speech Intelligibility Indices afforded improved audibility for speech presented at soft levels (50 dB SPL).
  
  
  CONCLUSIONS
  These results indicate that an increased IIDR provides improved word recognition for soft levels of speech without compromising comfort of higher levels of speech sounds or sentence recognition in noise.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA. davidsonl@ent.wustl.edu
authors.forename: Lisa S
authors.initials: LS
authors.lastname: Davidson
authors.forename: Margaret W
authors.initials: MW
authors.lastname: Skinner
authors.forename: Beth A
authors.initials: BA
authors.lastname: Holstad
authors.forename: Beverly T
authors.initials: BT
authors.lastname: Fears
authors.forename: Marie K
authors.initials: MK
authors.lastname: Richter
authors.forename: Margaret
authors.initials: M
authors.lastname: Matusofsky
authors.forename: Christine
authors.initials: C
authors.lastname: Brenner
authors.forename: Timothy
authors.initials: T
authors.lastname: Holden
authors.forename: Amy
authors.initials: A
authors.lastname: Birath
authors.forename: Jerrica L
authors.initials: JL
authors.lastname: Kettel
authors.forename: Susan
authors.initials: S
authors.lastname: Scollie