Categorical loudness scaling in cochlear implant recipients

Int J Audiol. 2017 Nov;56(11):862-869. doi: 10.1080/14992027.2017.1339129. Epub 2017 Jun 22.

Abstract

Objective: This study investigated categorical loudness scaling in a large group of cochlear implant (CI) recipients.

Design: Categorical loudness was measured for individually determined sets of current amplitudes on apical, mid and basal electrodes of the Nucleus array.

Study sample: Thirty adult subjects implanted with the Nucleus CI.

Results: Subjects were generally reliable in categorical loudness scaling. As expected, current levels eliciting the same loudness categories differed across subjects and electrodes in many cases. After scaling the electric levels to remove differences in dynamic ranges across subjects and electrodes, the across-subject loudness functions for the three electrodes were very similar.

Conclusions: Scaled electric current to remove differences in dynamic range, as implemented in the Nucleus processor, ensures uniform loudness across the array and CI recipients. The results also showed that categorical loudness scaling for electric stimulation was similar to that for acoustic stimulation in normal hearing subjects. These findings could be used as a guide for aligning electric and acoustic loudness in CI recipients with contralateral hearing.

Keywords: Cochlear implant; assistive technology; behavioural measures; psychoacoustics/hearing science.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Cochlear Implantation / instrumentation*
  • Cochlear Implants*
  • Electric Stimulation
  • Humans
  • Loudness Perception*
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation*
  • Prosthesis Design
  • Psychoacoustics
  • Signal Processing, Computer-Assisted