Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN.
J Speech Lang Hear Res. 2021 Apr 14;64(4):1341-1353. doi: 10.1044/2020_JSLHR-20-00390. Epub 2021 Mar 30.
Purpose The challenges associated with cochlear implant (CI)-mediated listening are well documented; however, they can be mitigated through the provision of aided acoustic hearing in the contralateral ear-a configuration termed . This study extends previous literature to examine the effect of acoustic bandwidth in the non-CI ear for music perception. The primary aim was to determine the minimum and optimum acoustic bandwidth necessary to obtain bimodal benefit for music perception and speech perception. Method Participants included 12 adult bimodal listeners and 12 adult control listeners with normal hearing. Music perception was assessed via measures of timbre perception and subjective sound quality of real-world music samples. Speech perception was assessed via monosyllabic word recognition in quiet. Acoustic stimuli were presented to the non-CI ear in the following filter conditions: < 125, < 250, < 500, and < 750 Hz, and wideband (full bandwidth). Results Generally, performance for all stimuli improved with increasing acoustic bandwidth; however, the bandwidth that is both minimally and optimally beneficial may be dependent upon stimulus type. On average, music sound quality required wideband amplification, whereas speech recognition with a male talker in quiet required a narrower acoustic bandwidth (< 250 Hz) for significant benefit. Still, average speech recognition performance continued to improve with increasing bandwidth. Conclusion Further research is warranted to examine optimal acoustic bandwidth for additional stimulus types; however, these findings indicate that wideband amplification is most appropriate for speech and music perception in individuals with bimodal hearing.
目的 人工耳蜗(CI)介导的聆听所面临的挑战已有大量文献记载;然而,通过在对侧耳提供辅助声学听力,可以减轻这些挑战,这种配置称为. 本研究扩展了先前的文献,以研究非 CI 耳的声学带宽对音乐感知的影响。主要目的是确定获得音乐感知和语音感知双模益处所需的最小和最佳声学带宽。 方法 参与者包括 12 名成人双模听众和 12 名具有正常听力的成人对照组听众。通过音色感知和真实音乐样本的主观音质评估来评估音乐感知。通过在安静环境中单音节词识别来评估语音感知。向非 CI 耳呈现以下滤波器条件下的声学刺激:<125、<250、<500 和<750 Hz 以及宽带(全带宽)。 结果 通常,随着声学带宽的增加,所有刺激的性能都有所提高;然而,最小和最佳有益的带宽可能取决于刺激类型。平均而言,音乐音质需要宽带放大,而在安静环境中使用男性说话者进行语音识别则需要更窄的声学带宽(<250 Hz)才能获得显著益处。尽管如此,平均语音识别性能仍随着带宽的增加而继续提高。 结论 需要进一步研究以检查其他刺激类型的最佳声学带宽;然而,这些发现表明,在具有双模听力的个体中,宽带放大最适合语音和音乐感知。