Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

Search Results (79)

Search Parameters:
Keywords = listening effort

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
26 pages, 6051 KiB  
Article
A Novel Sound Coding Strategy for Cochlear Implants Based on Spectral Feature and Temporal Event Extraction
by Behnam Molaee-Ardekani, Rafael Attili Chiea, Yue Zhang, Julian Felding, Aswin Adris Wijetillake, Peter T. Johannesen, Enrique A. Lopez-Poveda and Manuel Segovia-Martínez
Technologies 2025, 13(8), 318; https://doi.org/10.3390/technologies13080318 - 23 Jul 2025
Viewed by 373
Abstract
This paper presents a novel cochlear implant (CI) sound coding strategy called Spectral Feature Extraction (SFE). The SFE is a novel Fast Fourier Transform (FFT)-based Continuous Interleaved Sampling (CIS) strategy that provides less-smeared spectral cues to CI patients compared to Crystalis, a predecessor [...] Read more.
This paper presents a novel cochlear implant (CI) sound coding strategy called Spectral Feature Extraction (SFE). The SFE is a novel Fast Fourier Transform (FFT)-based Continuous Interleaved Sampling (CIS) strategy that provides less-smeared spectral cues to CI patients compared to Crystalis, a predecessor strategy used in Oticon Medical devices. The study also explores how the SFE can be enhanced into a Temporal Fine Structure (TFS)-based strategy named Spectral Event Extraction (SEE), combining spectral sharpness with temporal cues. Background/Objectives: Many CI recipients understand speech in quiet settings but struggle with music and complex environments, increasing cognitive effort. De-smearing the power spectrum and extracting spectral peak features can reduce this load. The SFE targets feature extraction from spectral peaks, while the SEE enhances TFS-based coding by tracking these features across frames. Methods: The SFE strategy extracts spectral peaks and models them with synthetic pure tone spectra characterized by instantaneous frequency, phase, energy, and peak resemblance. This deblurs input peaks by estimating their center frequency. In SEE, synthetic peaks are tracked across frames to yield reliable temporal cues (e.g., zero-crossings) aligned with stimulation pulses. Strategy characteristics are analyzed using electrodograms. Results: A flexible Frequency Allocation Map (FAM) can be applied to both SFE and SEE strategies without being limited by FFT bandwidth constraints. Electrodograms of Crystalis and SFE strategies showed that SFE reduces spectral blurring and provides detailed temporal information of harmonics in speech and music. Conclusions: SFE and SEE are expected to enhance speech understanding, lower listening effort, and improve temporal feature coding. These strategies could benefit CI users, especially in challenging acoustic environments. Full article
(This article belongs to the Special Issue The Challenges and Prospects in Cochlear Implantation)
Show Figures

Figure 1

25 pages, 3131 KiB  
Article
Evaluating the Clinical- and Cost-Effectiveness of Cochlear Implant Sound Processor Upgrades in Older Adults: Outcomes from a Large Australian Multicenter Study
by Paola Vittoria Incerti, Jermy Pang, Jason Gavrilis, Vicky W. Zhang, Jessica Tsiolkas, Rajan Sharma, Elizabeth Seil, Antonio Ahumada-Canale, Bonny Parkinson and Padraig Thomas Kitterick
J. Clin. Med. 2025, 14(11), 3765; https://doi.org/10.3390/jcm14113765 - 28 May 2025
Viewed by 1028
Abstract
Background: Many older Australian adults with cochlear implants (CI) lack funding for replacement sound processors, risking complete device failure and reduced quality of life. The need for replacement CI devices for individuals with obsolete sound processors and no access to funding poses an [...] Read more.
Background: Many older Australian adults with cochlear implants (CI) lack funding for replacement sound processors, risking complete device failure and reduced quality of life. The need for replacement CI devices for individuals with obsolete sound processors and no access to funding poses an increasing public health challenge in Australia and worldwide. We aimed to investigate the clinical and cost-effectiveness of upgrading obsolete CI sound processors in older adults. Methods: Alongside an Australian Government-funded upgrade program, a prospective, mixed-methodology design study was undertaken. Participants were aged 65 and over, with obsolete Cochlear™ sound processors and no funding for replacements. This study compared speech perception in noise, as well as self-reported outcome measures, including cognition, listening effort, fatigue, device benefit, mental well-being, participation, empowerment and user experiences, between upgraded and obsolete hearing aid processors. The economic impact of the upgrade was evaluated using two state-transition microsimulation models of adults using CIs. Results: The multi-site study ran from 20 May 2021 to 21 April 2023, with recruitment from June 2021 to May 2022. A total of 340 Cochlear™ sound processors were upgraded in 304 adults. The adults’ mean age was 77.4 years (SD 6.6), and 48.5% were female. Hearing loss onset occurred on average at 30 years (SD 21.0), with 12 years (SD 6.2) of CI use. The outcomes show significant improvements in speech understanding in noise and reduced communication difficulties, self-reported listening effort and fatigue. Semi-structured interviews have revealed that upgrades alleviated the anxiety and fear of sudden processor failure. Health economic analysis found that the cost-effectiveness of upgrades stemmed from preventing device failures, rather than from access to newer technology features. Conclusions: Our study identified significant clinical and self-reported benefits from upgrading Cochlear™ sound processors. Economic value came from avoiding scenarios where a total failure of device renders its user unable to access sound. The evidence gathered can be used to inform policy on CI processor upgrades for older adults. Full article
(This article belongs to the Special Issue The Challenges and Prospects in Cochlear Implantation)
Show Figures

Figure 1

29 pages, 3169 KiB  
Review
Recent Developments in Investigating and Understanding Impact Sound Annoyance—A Literature Review
by Martina Marija Vrhovnik and Rok Prislan
Acoustics 2025, 7(2), 21; https://doi.org/10.3390/acoustics7020021 - 14 Apr 2025
Viewed by 1068
Abstract
Impact sound, particularly prevalent indoors, emerges as a major source of annoyance necessitating a deeper and more comprehensive understanding of its implications. This literature review provides a systematic overview of recent research developments in the study of impact sound annoyance, focusing on advances [...] Read more.
Impact sound, particularly prevalent indoors, emerges as a major source of annoyance necessitating a deeper and more comprehensive understanding of its implications. This literature review provides a systematic overview of recent research developments in the study of impact sound annoyance, focusing on advances in the assessment of impact sound perception through laboratory listening testing and standardization efforts. This review provides a detailed summary of the listening setup, assessment procedure and key findings of each study. The studied correlations between SNQs and annoyance ratings are summarized and key research challenges are highlighted. Among the studies, considerable research effort has focused on the assessment of walking impact sound and the use of spectrum adaptation terms, albeit with inconsistent outcomes. Comparison with the previous literature also shows the influence of spatial and temporal characteristics of impact sound sources on perceived annoyance, with higher spatial fidelity leading to higher annoyance ratings. Furthermore, it has been shown that the consideration of non-acoustic factors such as noise sensitivity and visual features are important for the assessment. This review provides a comprehensive overview of recent advances in the understanding and assessment of impact sound annoyance and provides information for future research directions and standardization efforts. Full article
(This article belongs to the Special Issue Vibration and Noise (2nd Edition))
Show Figures

Figure 1

14 pages, 588 KiB  
Article
Lateral Synodality: Academics of Asian Catholicism and Organizational Change
by Michel Chambon, Bubbles Beverly Asor and Renchillina Joy G. Supan
Religions 2025, 16(3), 283; https://doi.org/10.3390/rel16030283 - 25 Feb 2025
Viewed by 681
Abstract
As the Synod on Synodality has massively consulted Catholics around the globe for three years (2021–2024), this paper discusses ways in which academics with knowledge related to Asian Catholics have been involved in these processes. Focusing on this specific community of scholars, we [...] Read more.
As the Synod on Synodality has massively consulted Catholics around the globe for three years (2021–2024), this paper discusses ways in which academics with knowledge related to Asian Catholics have been involved in these processes. Focusing on this specific community of scholars, we highlight the paradoxical ways in which they contributed to these synodal conversations. They simultaneously illustrate the relatively new production of multidisciplinary knowledge on Asian Catholicism and the hesitations standing between ecclesial organizations and academia. While academics of Asian Catholicism produce scholarship not foreign to the principles of synodal listening and discernment, their involvement within synodal processes has often been indirect and filtered by their disciplinary background and ecclesial status (laity vs. clergy). Based on a survey conducted in May 2024, this paper shows that the production of academic knowledge on Asian Catholics is now driven chiefly by laity and shaped across various disciplines and places. Yet, a significantly higher proportion of scholars who directly engaged in synodal conversations were theologians belonging to the clergy. While other disciplines may have contributed indirectly, theologians were overrepresented. This creates a paradox in which synodal conversations have coexisted from a certain distance with a rich academic knowledge of Asian Catholics, and most academics of Asian Catholicism have remained outside of synodal efforts. Departing from existing theories that approach this Synod on Synodality as a vertical process, either as a bottom-up or a top-down reform of the Catholic Church, we highlight its restrained engagement with academia, a lateral community of listening and discernment. Full article
Show Figures

Figure 1

21 pages, 1531 KiB  
Article
Improving Recruitment and Retention: A Management Framework to Utilize DMAIC and Kaizen for Student Support in Engineering Education
by Kumar Yelamarthi, Elizabeth Powell and Mazen Hussein
Trends High. Educ. 2025, 4(1), 7; https://doi.org/10.3390/higheredu4010007 - 13 Feb 2025
Viewed by 1232
Abstract
The Clay N. Hixson Student Success Center within the College of Engineering at Tennessee Tech University has undergone a transformative upgrade by integrating the Define, Measure, Analyze, Improve, and Control (DMAIC) framework with select Kaizen principles for continuous improvement to enhance student support [...] Read more.
The Clay N. Hixson Student Success Center within the College of Engineering at Tennessee Tech University has undergone a transformative upgrade by integrating the Define, Measure, Analyze, Improve, and Control (DMAIC) framework with select Kaizen principles for continuous improvement to enhance student support services. Key performance indicators (KPIs) have been employed to assess the achievement of core goals, significantly advancing recruitment, retention, and overall student success. Implementing the DMAIC framework has streamlined processes such as a unified degree map and a math bridge program, resulting in a 53% increase in incoming first-year students and broadening the College of Engineering’s outreach. These efforts have also contributed to a 10% increase in first-to-second-year retention rates. Through the utilization of DMAIC, the regular redistribution of advisor caseloads and cross-training has been facilitated, ensuring timely student support without overburdening advisors. Additionally, targeted academic support initiatives have reduced the at-risk student population from 19% to 11%. These management techniques extend to multiple initiatives, including enhancements to high school summer camps, advisor listening sessions, and student surveys designed to meet evolving student needs. Creating specialized areas for academic advisors has also supported their professional growth, contributing to better student outcomes. This paper comprehensively analyzes these strategies and provides valuable insights for institutions seeking to apply DMAIC and continuous improvement models to strengthen student support systems. Full article
Show Figures

Figure 1

18 pages, 1468 KiB  
Article
Eyes on the Pupil Size: Pupillary Response During Sentence Processing in Aphasia
by Christina Sen, Noelle Abbott, Niloofar Akhavan, Carolyn Baker and Tracy Love
Brain Sci. 2025, 15(2), 107; https://doi.org/10.3390/brainsci15020107 - 23 Jan 2025
Viewed by 953
Abstract
Background/Objectives: Individuals with chronic agrammatic aphasia demonstrate real-time sentence processing difficulties at the lexical and structural levels. Research using time-sensitive measures, such as priming and eye-tracking, have associated these difficulties with temporal delays in accessing semantic representations that are needed in real time [...] Read more.
Background/Objectives: Individuals with chronic agrammatic aphasia demonstrate real-time sentence processing difficulties at the lexical and structural levels. Research using time-sensitive measures, such as priming and eye-tracking, have associated these difficulties with temporal delays in accessing semantic representations that are needed in real time during sentence structure building. In this study, we examined the real-time processing effort linked to sentence processing in individuals with aphasia and neurotypical, age-matched control participants as measured through pupil reactivity (i.e., pupillometry). Specifically, we investigated whether a semantically biased lexical cue (i.e., adjective) influences the processing effort while listening to complex noncanonical sentences. Methods: In this eye-tracking while listening study (within-subjects design), participants listened to sentences that either contained biased or unbiased adjectives (e.g., venomous snake vs. voracious snake) while viewing four images, three related to nouns in the sentence and one unrelated, but a plausible match for the unbiased adjective. Pupillary responses were collected every 17 ms throughout the entire sentence. Results: While age-matched controls demonstrated increased pupil response throughout the course of the sentence, individuals with aphasia showed a plateau in pupil response early on in the sentence. Nevertheless, both controls and individuals with aphasia demonstrated reduced processing effort in the biased adjective condition. Conclusions: Individuals with aphasia are sensitive to lexical–semantic cues despite impairments in real-time lexical activation during sentence processing. Full article
(This article belongs to the Collection Collection on Neurobiology of Language)
Show Figures

Figure 1

14 pages, 6384 KiB  
Article
Influence of the Sound Source’s Position on the Stage on the Speech Perception in the Auditorium
by Stefan Brachmański and Piotr Kozłowski
Appl. Sci. 2024, 14(24), 11727; https://doi.org/10.3390/app142411727 - 16 Dec 2024
Viewed by 855
Abstract
Constant efforts to achieve the best possible speech intelligibility during theatre performances were the motivation for the research presented in this article. The acoustic conditions in a theatre hall depend not only on the design of the room acoustics, but also on the [...] Read more.
Constant efforts to achieve the best possible speech intelligibility during theatre performances were the motivation for the research presented in this article. The acoustic conditions in a theatre hall depend not only on the design of the room acoustics, but also on the stage decoration and the positioning of the sound source (actor) on stage. The ACR (Absolute Category Rating) method recommended by the ITU was used to investigate the influence of the decorations and the position of the speaker on stage on the subjective evaluation of the listeners’ perception of speech. Subjective tests were carried out in situ and in the laboratory based on recordings made in the facility that was the subject of the measurements. An extensive analysis of the results was carried out, taking into account individual aspects of the tests, such as the type of decoration, speaker position, listener position, and the way the recording was made. Based on the discussion of the results, the conclusions are presented. Full article
(This article belongs to the Special Issue Architectural Acoustics: From Theory to Application)
Show Figures

Figure 1

13 pages, 18381 KiB  
Article
Sound and Perception in Ridley Scott’s Blade Runner (1982)
by Audrey Scotto le Massese
Arts 2024, 13(5), 154; https://doi.org/10.3390/arts13050154 - 5 Oct 2024
Viewed by 3395
Abstract
This paper discusses the renewal of the conception of film sound and music following the technological advances of the late 1970s. It analyses the ways in which film sound and music freed themselves from traditional uses and became elements to be designed creatively. [...] Read more.
This paper discusses the renewal of the conception of film sound and music following the technological advances of the late 1970s. It analyses the ways in which film sound and music freed themselves from traditional uses and became elements to be designed creatively. The soundtrack composed by Vangelis for Blade Runner (1982) is exceptional in this regard: produced in parallel to the editing of the film, it forged an intimate connection between sound and image. Through the method of reduced listening put forward by Michel Chion in Audio-Vision (2019), this paper scrutinizes the specific ways in which sound shapes the perception of the image and narrative in Blade Runner. The first part of this paper analyses how sounds come to replace music to characterize moods and atmospheres. Ambient sounds create a concrete, sonically dense diegetic world, while music is associated with an abstract, extra-diegetic world where spectators are designated judges. This contrast is thematically relevant and delineates the struggle between humans and replicants; sound and music are used for their metaphorical implications rather than in an effort for realism. The second part discusses the agency of characters through the sonorousness of their voices and bodies. Intonations, pronunciation, and acousmatic sounds anchor characters’ natures as humans or replicants to their bodies. Yet, these bodies are revealed to be mere vessels awaiting definition; in the third part, we explore how sound is used to craft synaesthetic depictions of characters, revealing their existence beyond the human/replicant divide. Full article
(This article belongs to the Special Issue Film Music)
Show Figures

Figure 1

13 pages, 1223 KiB  
Article
New Insights into Laryngeal Articulation and Breathing Control of Trumpeters: Biomedical Signals and Auditory Perception
by Luis M. T. Jesus
Appl. Sci. 2024, 14(19), 8957; https://doi.org/10.3390/app14198957 - 4 Oct 2024
Viewed by 1351
Abstract
The activation of the musculature of the larynx of six professional trumpeters during performance was analysed using audio, electroglottography (EGG), oxygen saturation, and heart rate signals. Two university trumpet teachers listened to the audio recordings, to evaluate the participants’ laryngeal effort during performance. [...] Read more.
The activation of the musculature of the larynx of six professional trumpeters during performance was analysed using audio, electroglottography (EGG), oxygen saturation, and heart rate signals. Two university trumpet teachers listened to the audio recordings, to evaluate the participants’ laryngeal effort during performance. Statistical analysis was performed to explore if there were any correlations between parameters extracted from the EGG data and the responses to the audio stimuli by the listeners. Two hundred and fifty (250) laryngeal articulations were identified where laryngeal raising and effort was observed during trumpet performance. It was not possible to find any correlation between the EGG data and the auditory evaluation results, but both listeners could clearly hear the laryngeal effort. Full article
Show Figures

Figure 1

10 pages, 251 KiB  
Article
A Possible Dark Side of Listening? Teachers Listening to Pupils Can Increase Burnout
by Eli Vinokur, Guy Itzchakov and Avinoam Yomtovian
Educ. Sci. 2024, 14(10), 1040; https://doi.org/10.3390/educsci14101040 - 24 Sep 2024
Viewed by 1785
Abstract
A growing body of the literature on interpersonal listening has revealed numerous positive outcomes in the workplace. For example, employees who listen well are perceived as leaders, perform better at work, gain trust, and succeed in negotiations, among other benefits. However, there is [...] Read more.
A growing body of the literature on interpersonal listening has revealed numerous positive outcomes in the workplace. For example, employees who listen well are perceived as leaders, perform better at work, gain trust, and succeed in negotiations, among other benefits. However, there is a gap in the literature regarding the potential negative consequences of listening in the workplace, especially when it is effortful and challenging. This study explored the potential relationship between teachers listening to their pupils and burnout. Conducted in 2024, this field study involved 106 middle and high school teachers from Israel. We used multiple regression analysis to control for well-known predictors of job burnout: motivation, job satisfaction, and competence. The results indicated that teachers’ perception of their listening quality significantly and positively predicted job burnout, even when accounting for these variables as well as seniority and school-type; 0.24 ≤ βs ≤ 0.36. This study highlights the potential negative consequences of workplace listening and contributes to the less explored aspect of listening in the literature with important implications for work-related outcomes. Full article
24 pages, 1111 KiB  
Review
Music Listening as Exploratory Behavior: From Dispositional Reactions to Epistemic Interactions with the Sonic World
by Mark Reybrouck, Piotr Podlipniak and David Welch
Behav. Sci. 2024, 14(9), 825; https://doi.org/10.3390/bs14090825 - 16 Sep 2024
Cited by 6 | Viewed by 2540
Abstract
Listening to music can span a continuum from passive consumption to active exploration, relying on processes of coping with the sounds as well as higher-level processes of sense-making. Revolving around the major questions of “what” and “how” to explore, this paper takes a [...] Read more.
Listening to music can span a continuum from passive consumption to active exploration, relying on processes of coping with the sounds as well as higher-level processes of sense-making. Revolving around the major questions of “what” and “how” to explore, this paper takes a naturalistic stance toward music listening, providing tools to objectively describe the underlying mechanisms of musical sense-making by weakening the distinction between music and non-music. Starting from a non-exclusionary conception of “coping” with the sounds, it stresses the exploratory approach of treating music as a sound environment to be discovered by an attentive listener. Exploratory listening, in this view, is an open-minded and active process, not dependent on simply recalling pre-existing knowledge or information that reduces cognitive processing efforts but having a high cognitive load due to the need for highly focused attention and perceptual readiness. Music, explored in this way, is valued for its complexity, surprisingness, novelty, incongruity, puzzlingness, and patterns, relying on processes of selection, differentiation, discrimination, and identification. Full article
(This article belongs to the Special Issue Music Listening as Exploratory Behavior)
Show Figures

Figure 1

16 pages, 2957 KiB  
Article
Perceptual Differences in Urban Soundscape Assessment Using Protocol Proposed in Method a of the ISO/TS 12913–2: A Cross-Language Comparison between Arabic and French Attributes
by Djihed Berkouk, Tallal Abdel Karim Bouzir, Sara Khelil, Nader Azab and Mohamed Mansour Gomaa
Urban Sci. 2024, 8(3), 116; https://doi.org/10.3390/urbansci8030116 - 16 Aug 2024
Viewed by 1457
Abstract
The urban soundscape contributes significantly to defining human perception and experience. Several standard assessment methods for data collection refer to in situ evaluations to determine how people perceive urban acoustic qualities. These methods, which generally involve soundwalks accompanied by questionnaires, are valuable but [...] Read more.
The urban soundscape contributes significantly to defining human perception and experience. Several standard assessment methods for data collection refer to in situ evaluations to determine how people perceive urban acoustic qualities. These methods, which generally involve soundwalks accompanied by questionnaires, are valuable but need to be validated in different cultural contexts. To address this need, international efforts such as the Soundscape Attribute Translation Project (SATP) are underway to ensure the effectiveness of a data collection standard in non-English-speaking regions. As a part of the SATP project, this study explores potential variations in how people experience urban soundscapes in North Africa. A standardized listening experiment was used to compare how Arabic speakers and French speakers rate the perceived affective qualities (PAQ) of urban soundscapes. Using data collected in public urban spaces in London, participants from both language groups rated 27 recorded urban soundscapes using a PAQ questionnaire. Findings from the Kruskal–Wallis H-test suggest that the perception of pleasant, chaotic, and vibrant are significant, while the dimensions of eventful, monotonous, and quiet show no significant distinctions between the two PAQ groups. Furthermore, opposing Pearson correlations were observed for the attributes of pleasantness and eventfulness, along with contradictions for vibrant, monotonous, and calm. The two-dimensional circumplex models visually map the differences in perceptual responses between the two PAQ groups, displaying distinct circular distortions along the monotone-vibrant axis for Arabic PAQs and the chaotic-calm axis for the French PAQs. The findings of this study suggest that further investigations are needed to understand whether the differences in the urban soundscape perception between these two PAQs are due to linguistic factors or other factors. Full article
(This article belongs to the Collection Urban Acoustic Environments)
Show Figures

Figure 1

10 pages, 903 KiB  
Article
Differences in Sitting Time by Club Sports Participation among Austrian Youth
by Klaus Greier, Clemens Drenowatz, Gerhard Ruedl, Elisabeth Ostermann, Elisabeth Haas and Carla Greier
Youth 2024, 4(3), 1158-1167; https://doi.org/10.3390/youth4030072 - 1 Aug 2024
Cited by 1 | Viewed by 1194
Abstract
Despite the well-documented detrimental health effects of prolonged engagement in sedentary behaviors, children and adolescents spent a large amount of time with seated activities. The present study examined the association between participation in club sports and various sedentary behaviors during weekdays and the [...] Read more.
Despite the well-documented detrimental health effects of prolonged engagement in sedentary behaviors, children and adolescents spent a large amount of time with seated activities. The present study examined the association between participation in club sports and various sedentary behaviors during weekdays and the weekend in youth between 11 and 17 years of age. A total of 1225 (50.1% male) adolescents completed a validated questionnaire that examined sitting time in activities related to work as well as during leisure time such as screen use, reading, and listening to music in addition to sleep time. Participants spent an average of 12.7 ± 1.7 and 9.9 ± 2.0 h/day during weekdays and the weekend, respectively, in seated behaviors while they were awake. Club sports participants reported less time spent sitting (p < 0.01), which was mainly attributed to recreational activities (e.g., screen use, reading, listening to music). Sleep time during weekdays, on the other hand, was higher in club sports participants. Sex-specific results further showed that differences by club sports participation were more pronounced in girls compared to boys. Despite the potential beneficial effects of club sports participation, additional efforts are needed to reduce sitting time in adolescents as either group spent the majority of their time awake with sedentary behaviors. Full article
Show Figures

Figure 1

13 pages, 755 KiB  
Article
Factors to Describe the Outcome Characteristics of a CI Recipient
by Matthias Hey, Kevyn Kogel, Jan Dambon, Alexander Mewes, Tim Jürgens and Thomas Hocke
J. Clin. Med. 2024, 13(15), 4436; https://doi.org/10.3390/jcm13154436 - 29 Jul 2024
Cited by 1 | Viewed by 1039
Abstract
Background: In cochlear implant (CI) treatment, there is a large variability in outcome. The aim of our study was to identify the independent audiometric measures that are most directly relevant for describing this variability in outcome characteristics of CI recipients. An extended audiometric [...] Read more.
Background: In cochlear implant (CI) treatment, there is a large variability in outcome. The aim of our study was to identify the independent audiometric measures that are most directly relevant for describing this variability in outcome characteristics of CI recipients. An extended audiometric test battery was used with selected adult patients in order to characterize the full range of CI outcomes. Methods: CI users were recruited for this study on the basis of their postoperative results and divided into three groups: low (1st quartile), moderate (medium decentile), and high hearing performance (4th quartile). Speech recognition was measured in quiet by using (i) monosyllabic words (40–80 dB SPL), (ii) speech reception threshold (SRT) for numbers, and (iii) the German matrix test in noise. In order to reconstruct demanding everyday listening situations in the clinic, the temporal characteristics of the background noise and the spatial arrangements of the signal sources were varied for tests in noise. In addition, a survey was conducted using the Speech, Spatial, and Qualities (SSQ) questionnaire and the Listening Effort (LE) questionnaire. Results: Fifteen subjects per group were examined (total N = 45), who did not differ significantly in terms of age, time after CI surgery, or CI use behavior. The groups differed mainly in the results of speech audiometry. For speech recognition, significant differences were found between the three groups for the monosyllabic tests in quiet and for the sentences in stationary (S0°N0°) and fluctuating (S0°NCI) noise. Word comprehension and sentence comprehension in quiet were both strongly correlated with the SRT in noise. This observation was also confirmed by a factor analysis. No significant differences were found between the three groups for the SSQ questionnaire and the LE questionnaire results. The results of the factor analysis indicate that speech recognition in noise provides information highly comparable to information from speech intelligibility in quiet. Conclusions: The factor analysis highlighted three components describing the postoperative outcome of CI patients. These were (i) the audiometrically measured supra-threshold speech recognition and (ii) near-threshold audibility, as well as (iii) the subjective assessment of the relationship to real life as determined by the questionnaires. These parameters appear well suited to setting up a framework for a test battery to assess CI outcomes. Full article
Show Figures

Figure 1

17 pages, 2684 KiB  
Article
Characterization of Cochlear Implant Artifact and Removal Based on Multi-Channel Wiener Filter in Unilateral Child Patients
by Dario Rossi, Giulia Cartocci, Bianca M. S. Inguscio, Giulia Capitolino, Gianluca Borghini, Gianluca Di Flumeri, Vincenzo Ronca, Andrea Giorgi, Alessia Vozzi, Rossella Capotorto, Fabio Babiloni, Alessandro Scorpecci, Sara Giannantonio, Pasquale Marsella, Carlo Antonio Leone, Rosa Grassia, Francesco Galletti, Francesco Ciodaro, Cosimo Galletti and Pietro Aricò
Bioengineering 2024, 11(8), 753; https://doi.org/10.3390/bioengineering11080753 - 24 Jul 2024
Viewed by 1728
Abstract
Cochlear implants (CI) allow deaf patients to improve language perception and improving their emotional valence assessment. Electroencephalographic (EEG) measures were employed so far to improve CI programming reliability and to evaluate listening effort in auditory tasks, which are particularly useful in conditions when [...] Read more.
Cochlear implants (CI) allow deaf patients to improve language perception and improving their emotional valence assessment. Electroencephalographic (EEG) measures were employed so far to improve CI programming reliability and to evaluate listening effort in auditory tasks, which are particularly useful in conditions when subjective evaluations are scarcely appliable or reliable. Unfortunately, the presence of CI on the scalp introduces an electrical artifact coupled to EEG signals that masks physiological features recorded by electrodes close to the site of implant. Currently, methods for CI artifact removal have been developed for very specific EEG montages or protocols, while others require many scalp electrodes. In this study, we propose a method based on the Multi-channel Wiener filter (MWF) to overcome those shortcomings. Nine children with unilateral CI and nine age-matched normal hearing children (control) participated in the study. EEG data were acquired on a relatively low number of electrodes (n = 16) during resting condition and during an auditory task. The obtained results obtained allowed to characterize CI artifact on the affected electrode and to significantly reduce, if not remove it through MWF filtering. Moreover, the results indicate, by comparing the two sample populations, that the EEG data loss is minimal in CI users after filtering, and that data maintain EEG physiological characteristics. Full article
(This article belongs to the Special Issue IoT Technology in Bioengineering Applications)
Show Figures

Graphical abstract

Back to TopTop