Department of Otolaryngology, New York University School of Medicine, New York, USA.
Ear Hear. 2021 Mar/Apr;42(2):301-312. doi: 10.1097/AUD.0000000000000922.
Pitch is poorly perceived by cochlear implant (CI) users. However, as it is not well understood how pitch is encoded with electric stimulation, improving pitch representation with a CI is challenging. Changes in place of stimulation along the cochlea have been described as changes in pitch and can be accurately ranked by CI users. However, it remains unknown if place-pitch can be used to encode musical intervals, which are a necessary attribute of pitch. The objective of these experiments is to determine if place-pitch coding can be used to represent musical intervals with a CI.
In the first experiment, 10 CI users and 10 normal hearing (NH) controls were tested on their sensitivity to changes in the semitone spacing between each of the notes in the melody "Happy Birthday." The changes were implemented by uniformly expanding or compressing the frequency differences between each note in the melody. The participant's task was to scale how "out-of-tune" the melody was for various semitone spacing distortions. The notes were represented by pure-tones ≥440 Hz to minimize potential useful temporal information from the stimuli. A second experiment replicated the first experiment using single-sided deafened CI users allowing for a within-subject control. A third experiment verified that the CI users who participated in Experiment 1 were each able to determine pitch direction reliably.
Unlike NH listeners, CI listeners often ranked all distortions of interval spacing similarly in both the first and second experiment, and no effect of interval spacing was detected across CI users. Some participants found distorted interval spacings to be less out-of-tune than the nominally correct interval spacings. However, these patterns were inconsistent across listeners. Although performance was better for the NH listeners, the third experiment demonstrated that the CI listeners were able to reliably identify changes in pitch direction from place-pitch coding.
The data suggest that place-pitch intervals are not properly represented through a CI sound processor. Some limited support is found for place-pitch being useful for interval encoding as some participants demonstrated improved ratings for certain interval distortions. Presumably the interval representation for these participants could be improved by a change to the frequencies represented by each electrode. However, as these patterns vary across listeners, there is not a universal correction to frequency representation that will solve this issue. As results are similar for single-sided deafened CI users, the limitations in ratings are likely not limited by an eroded representation of the melody caused by an extended duration of deafness.
人工耳蜗(CI)使用者对音高的感知能力较差。然而,由于对电刺激下的音高编码方式了解甚少,因此使用 CI 来改善音高的表示形式具有挑战性。耳蜗内刺激位置的变化已被描述为音高的变化,并且可以被 CI 用户准确地排序。然而,目前尚不清楚位置音高是否可用于编码音乐音程,而音乐音程是音高的必要属性。这些实验的目的是确定位置音高编码是否可用于用 CI 表示音乐音程。
在第一个实验中,10 名 CI 用户和 10 名正常听力(NH)对照者接受了测试,以测试他们对旋律“生日快乐”中每个音符之间半音间距变化的敏感性。通过均匀扩展或压缩旋律中每个音符之间的频率差来实现这些变化。参与者的任务是对旋律进行音高调整,以确定旋律的音高失真程度。为了最小化刺激中的潜在有用时间信息,使用了≥440 Hz 的纯音来表示音符。第二个实验使用单侧聋 CI 用户复制了第一个实验,从而可以进行受试者内对照。第三个实验验证了参加实验 1 的 CI 用户能够可靠地确定音高方向。
与 NH 听众不同,CI 听众在第一个和第二个实验中通常会对所有间隔失真进行相似的排序,并且在 CI 用户中未检测到间隔的影响。一些参与者发现失真的间隔比标称正确的间隔更和谐。然而,这些模式在听众之间并不一致。尽管 NH 听众的表现更好,但第三个实验表明,CI 听众能够可靠地从位置音高编码中识别音高方向的变化。
数据表明,CI 声处理器不能正确地表示位置音高间隔。虽然有些参与者表现出对某些间隔失真的评分提高,但某些情况下,位置音高间隔对间隔编码可能有用。可以推测,对于这些参与者,通过改变每个电极所代表的频率,可以改善间隔表示。然而,由于这些模式在听众之间存在差异,因此不存在可以解决此问题的通用频率表示修正方法。由于单侧聋 CI 用户的结果相似,因此评分的限制不太可能是由于听力丧失时间延长而导致旋律表示的削弱所致。