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Perception of Intonation by Bimodal and Bilateral Cochlear Implant Users

Not Applicable
Conditions
Hearing Loss
Registration Number
NCT02323932
Lead Sponsor
Bnai Zion Medical Center
Brief Summary

The purpose of this study is to evaluate the benefit of bimodal hearing and bilateral cochlear implant hearing in comparison to unilateral cochlear implant hearing in the perception of speech intonation.

Detailed Description

Bilateral hearing which is a fundamental characteristic of normal auditory system provides significant advantages in adverse listening conditions. In cochlear implant users, binaural hearing can be achieved via bilateral cochlear implant (CI/CI) or binaural-bimodal stimulation, i.e. a cochlear implant in one ear and a hearing aid in the other (CI/HA). It is assumed that CI/CI hearing and CI/HA hearing differ with respect to their physiological sources and functional benefit. Although both hearing prosthesis (CI/CI or CI/HA) lack several of the features needed to allow listeners to experience the full binaural advantage conferred by a normal-hearing auditory system it can, however, provide significant advantages over the use of a unilateral hearing prosthesis. Most of the accepted assessment clinical materials are not sensitive enough to evaluate the contribution of binaural hearing rehabilitation via CI/CI or CI/HA hearing for the perception of intonation. In a previous study the perception of intonation was evaluated in 29 adults CI/HA users via a closed-set format design with the same target talker. The results of the study showed small bimodal benefit. The test paradigm was apparently an easy task for the adult listeners and not sensitive enough to show the expected CI/HA bimodal benefit over cochlear implant alone.

The perception of correct intonation identification will be computed for each listener in each of the listening conditions. The amount of change in the fundamental frequency that was required in order to identify a question will be computed for each listener in each of the conditions. ANOVA with repeated measures will be used to assess the differences among the conditions for each group as well as the differences among the groups.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Bilateral cochlear implant users
  • Bilateral-bimodal users who use hearing aids for at least 75% of their waking hours.
Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
The amount of change in the fundamental frequency that was required in order to identify a question12 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Bnzi Zion Medical Center

🇮🇱

Haifa, Israel

Bnzi Zion Medical Center
🇮🇱Haifa, Israel
Talma Shpak, PhD
Sub Investigator
Michal Luntz, MD
Principal Investigator
Noam Yehudai, MD
Sub Investigator

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