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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Development and First Evaluation of a Spatial Auditory Training Program for SSD Cochlear Implant Users.

Benjamin Lentz1, Rainer Martin1, Lorena Weber2

  • 1Institute of Communication Acoustics, Ruhr-Universität Bochum.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|June 4, 2025
PubMed
Summary
This summary is machine-generated.

Spatial auditory training significantly improved sound localization and subjective hearing in adult single-sided deafness (SSD) cochlear implant (CI) users. This 4-week program enhanced spatial hearing abilities, offering a promising addition to CI rehabilitation.

Keywords:
Cochlear implantLocalizationSingle-sided deafnessSpatial hearingTraining

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Area of Science:

  • Audiology
  • Neuroscience
  • Rehabilitation Medicine

Background:

  • Single-sided deafness (SSD) presents challenges in spatial hearing perception despite cochlear implant (CI) use.
  • Current CI rehabilitation often prioritizes speech perception over spatial hearing skills.
  • A gap exists in restoring comprehensive auditory function, including sound localization, for SSD CI users.

Purpose of the Study:

  • To develop and evaluate a novel spatial auditory training method for SSD CI users.
  • To assess the impact of targeted training on objective and subjective measures of spatial hearing.
  • To determine if spatial hearing abilities can be improved beyond baseline CI performance.

Main Methods:

  • A 4-week spatial auditory training program was administered to 12 adult SSD CI patients.
  • Training involved 30-minute sessions twice weekly with auditory stimuli presented from multiple loudspeakers.
  • Spatial hearing was assessed pre- and post-training using localization error metrics (RMSE, MAE, bias) and the SSQ questionnaire.

Main Results:

  • Localization accuracy, measured by MAE and RMSE, improved significantly with CI use and further enhanced after training (p < 0.05).
  • Subjective spatial hearing abilities, assessed by the SSQ, showed significant improvement post-training (p < 0.01).
  • Individuals with greater pre-training localization bias experienced more substantial bias reduction after training.

Conclusions:

  • A 4-week spatial auditory training program effectively improved both objective and subjective spatial hearing in adult SSD CI users.
  • The findings suggest that incorporating spatial auditory training into CI rehabilitation is beneficial for SSD patients.
  • Further investigation in larger studies is warranted to validate these results and optimize training protocols.