在客观确定的耳植入物地图中,语音噪音表现,包括认知状态的影响
Jessica M Yiannos1, Christofer W Bester1,2, Christopher Zhao2
1Ear Science Institute Australia, Subiaco, Western Australia, Australia.
PloS one
|June 14, 2023
概括
与主观方法相比,客观的电气唤起的脊柱反射值 (eSRT) 耳植入物 (CI) 编程并没有改善语音在噪音中的结果. 认知功能影响了语音噪音,但没有改变CI地图类型之间的差异.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 生物医学工程 生物医学工程
背景情况:
- 耳植入物 (CI) 编程通常依赖于主观的心理物理调整,这对于认知障碍的人来说可能是具有挑战性的.
- 电气唤起的形反射值 (eSRT) 为CI编程提供了一个客观的措施,可能有利于难以调节的人群.
研究的目的:
- 为了比较主观和客观 (eSRT确定) CI地图之间的语音接收结果,在成年MED-EL接收者中.
- 评估认知功能对CI编程结果的影响.
主要方法:
- 招募了27名MED-EL CI使用者,包括轻度认知障碍 (MCI) 患者.
- 创建了两个编程地图:主观和客观 (使用M级的eSRT). 参与者试用了两个地图.
- 使用HISQUI,CNC和BKB-SIN测试,以及认知评估 (MoCA-HI) 来评估语音接收.
主要成果:
- 在基于eSRT和基于心理物理的M级别之间发现了强烈的相关性.
- 在地图类型之间没有观察到声音质量或静音语音的显著差异.
- 主观地图产生了比基于eSRT的地图显著更好的语音噪音接收.
- 认知得分与两种地图类型的语音噪音表现相关.
结论:
- 基于eSRT的CI编程导致与心理物理方法相比,语音与噪音的结果较差.
- 虽然认知功能影响了语音噪音,但它并没有影响地图类型之间的差异.
- 基于eSRT的方法在简单的听力条件下在特定的CI人群中设置M级别的实用性可能有限.
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