Intensity operating range measures as predictors of word-recognition ability in cochlear implant subjects

The purposes of the experiment were to examine the appropriateness of pre- and post-implant intensity measures (thresholds, most comfortable listening level, and loudness discomfort level) as predictors of post-implant phoneme-recognition ability and to study the relationship between pre- and post-implant intensity measures. Pre-implant intensity measures were obtained on 16 subjects who were eventually implanted with either a Nucleus device (n = 8) or a Symbion device (n = 8). Phoneme scores on a NU-6 word list were obtained on these 16 subjects at 1 month post-implant. Post-implant intensity measures were also made on the 8 Symbion subjects at 1 month post-implant. The results showed that none of the pre-implant intensity measures correlated significantly with post-implant phoneme scores. In addition, pre-implant intensity measures did not correlate with the same post-implant intensity measures. However, post-implant MCLs and LDLs correlated significantly with phoneme scores as reflected by correlation coefficients that were larger than 0.8. These preliminary results suggest that although intensity measures may relate to phoneme-recognition ability, their use as predictive measures (as in pre-implant measures) for post-implant ability is questionable.