Hearing Loss Clinical Trial
Official title:
Perception of Intonation by Bimodal and Bilateral Cochlear Implant Users
The purpose of this study is to evaluate the benefit of bimodal hearing and bilateral cochlear implant hearing in comparison to unilateral cochlear implant hearing in the perception of speech intonation.
Bilateral hearing which is a fundamental characteristic of normal auditory system provides
significant advantages in adverse listening conditions. In cochlear implant users, binaural
hearing can be achieved via bilateral cochlear implant (CI/CI) or binaural-bimodal
stimulation, i.e. a cochlear implant in one ear and a hearing aid in the other (CI/HA). It
is assumed that CI/CI hearing and CI/HA hearing differ with respect to their physiological
sources and functional benefit. Although both hearing prosthesis (CI/CI or CI/HA) lack
several of the features needed to allow listeners to experience the full binaural advantage
conferred by a normal-hearing auditory system it can, however, provide significant
advantages over the use of a unilateral hearing prosthesis. Most of the accepted assessment
clinical materials are not sensitive enough to evaluate the contribution of binaural hearing
rehabilitation via CI/CI or CI/HA hearing for the perception of intonation. In a previous
study the perception of intonation was evaluated in 29 adults CI/HA users via a closed-set
format design with the same target talker. The results of the study showed small bimodal
benefit. The test paradigm was apparently an easy task for the adult listeners and not
sensitive enough to show the expected CI/HA bimodal benefit over cochlear implant alone.
The perception of correct intonation identification will be computed for each listener in
each of the listening conditions. The amount of change in the fundamental frequency that was
required in order to identify a question will be computed for each listener in each of the
conditions. ANOVA with repeated measures will be used to assess the differences among the
conditions for each group as well as the differences among the groups.
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Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label
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