Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition

• Published in: International journal of audiology Vol. 55; no. 11; pp. 674 - 687
• Main Authors: Theelen-van den Hoek, Femke L., Boymans, Monique, van Dijk, Bas, Dreschler, Wouter A.
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 01.11.2016
• Subjects: Acoustic Stimulation; Aged; Amplitude mapping function; Auditory Threshold; cochlear implant; Cochlear Implantation - instrumentation; Cochlear Implants; Deafness - diagnosis; Deafness - psychology; Deafness - rehabilitation; Feasibility Studies; Female; Humans; Loudness Perception; Male; Middle Aged; Noise - adverse effects; Patient Preference; Perceptual Masking; Persons With Hearing Impairments - psychology; Persons With Hearing Impairments - rehabilitation; Prosthesis Design; Recognition (Psychology); Signal Processing, Computer-Assisted; Speech Intelligibility; Speech Perception; Speech Reception Threshold Test; Amplitude mapping function; cochlear implant; loudness perception
• ISSN: 1499-2027; 1708-8186
• DOI: 10.1080/14992027.2016.1202454

Objective: In sound processors of cochlear implant (CI) users, input sound signals are analysed in multiple frequency channels. The amplitude mapping function (AMF) is the output compression function dictating the conversion from (acoustical) channel output levels to (electrical) current levels used for electrode stimulation. This study focused on the detectability of AMF adjustments by CI users and the effects of detectable AMF adjustments on subjective preference and performance. Design: Just noticeable differences (JNDs) for AMF settings were measured for pre-processed sentences at 60 dB SPL in quiet and noise. Three AMF settings, ranging twice the JND, were used during a take-home trial period of 12 days. Subjective ratings were collected and speech recognition in quiet and noise was measured. Study sample: JND measurements: 17 CI users. Field experiment: 15 CI users. Results: JNDs for AMF settings varied among subjects and were similar in quiet and noise. A steeper AMF in the lower part was advantageous for speech recognition in quiet at soft levels. Subjective ratings showed limited agreement with speech recognition, both in quiet and noise. Conclusions: CI users may benefit from different AMF settings in different listening situations regarding subjective preference and speech perception, especially for speech in quiet.