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Updated: Mar 23, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Categorization of common sounds by cochlear implanted and normal hearing adults
E Collett1, M Marx2, P Gaillard3
1Université de Toulouse, CerCo UMR 5549 CNRS, Université Paul Sabatier, Toulouse, France; Université de Toulouse, CerCo UMR 5549 CNRS, Faculté de Médecine de Purpan, Toulouse, France; Advanced Bionics SARL, France.
Cochlear implant (CI) users can categorize environmental, musical, and vocal sounds similarly to normal hearing listeners (NHL). However, CI users show more varied results and challenges with individual sound perception.
Area of Science:
- Auditory Perception
- Psychoacoustics
- Human-Computer Interaction
Background:
- Auditory categorization groups acoustic events by shared perceptual dimensions.
- Cochlear implant (CI) use impacts both high-level cognitive categorization and low-level acoustic processing.
- Understanding CI user auditory perception is crucial for improving device efficacy.
Purpose of the Study:
- To compare auditory categorization strategies between CI users and normal hearing listeners (NHL).
- To explore acoustic signal characteristics influencing sound categorization in CI users.
- To assess the extent of auditory discrimination difficulties in CI users.
Main Methods:
- A Free-Sorting Task was administered to 16 experienced CI users and 20 NHL.
- Participants sorted 16 common sounds across environmental, musical, and vocal categories.
- Multiple Correspondence Analysis (MCA) and Hierarchical Clustering based on Principal Components (HCPC) were employed for analysis.
Main Results:
- CI users demonstrated categorization strategies comparable to NHL, successfully discriminating between sound types.
- CI users exhibited greater variability and less inter-participant agreement in their categorization.
- Acoustic features like average pitch salience and autocorrelation peak significantly influenced sound perception and categorization.
Conclusions:
- CI users can broadly categorize sounds, suggesting fewer difficulties than previously assumed.
- Individual sound perception and fine-grained discrimination remain challenging for CI users.
- Acoustic signal properties play a key role in auditory categorization for both CI users and NHL.
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