Biomedical subjects

Hugh J McDermott

Publications and source records attributed to Hugh J McDermott.

10 recordsLinked to original sources

PubMed2006

Perceptual dissimilarities among acoustic stimuli and ipsilateral electric stimuli.

Five users of cochlear implants who had residual acoustic hearing in the implanted ear postoperatively participated in a study comparing the percepts elicited by acoustic and electric stimuli. The stimuli comprised pulse trains delivered to single electrodes and pure tones presented ipsilaterally. In the experiments, 12 equally loud stimuli with differing frequencies, electrode positions, and pulse rates were generated. Subjects listened to all of the possible pairs of stimuli in each set, and provided a relative dissimilarity rating for the members of each stimulus pair. The data were analyzed using non-metric multi-dimensional scaling techniques. Stimulus spaces were plotted in two dimensions to represent the results for each subject with each stimulus set. The results suggested that one dimension was associated with a pitch-like percept, related to the acoustic tone frequency and the active electrode position. The second dimension separated the acoustic stimuli from the electric stimuli. Generally, the electric pulse rate seemed to have a relatively small perceptual effect in this experimental context. Overall, the results show that acoustic pure tones are perceived as very different from electric pulse trains delivered to single electrode positions with constant rate, even when both the acoustic and the electric stimuli are presented to the same ear.

Acoustic Stimulation↗

PubMed2006

Frequency-compression outcomes in listeners with steeply sloping audiograms.

Previous investigation of an experimental, wearable frequency-compression hearing aid revealed improvements in speech perception for a group of listeners with moderately sloping audiograms (Simpson et al, 2005). In the frequency-compression hearing aid, high frequencies (above 1600 Hz) were amplified in addition to being lowered in frequency. Lower frequencies were amplified without frequency shifting. In the present study, an identical frequency-compression scheme was evaluated in a group of seven subjects, all of whom had steeply sloping hearing losses. No significant differences in group mean scores were found between the frequency-compression device and a conventional hearing instrument for understanding speech in quiet. Testing in noise showed improvements for the frequency-compression scheme for only one of the five subjects tested. Subjectively, all but one of the subjects preferred the sound quality of the conventional hearing instruments. In conclusion, the experimental frequency-compression scheme provided only limited benefit to these listeners with steeply sloping hearing losses.

Adult↗

PubMed2005

Benefits of audibility for listeners with severe high-frequency hearing loss.

A consonant identification test was carried out with 10 hearing-impaired listeners under various low-pass filter conditions. Subjects were also tested for cochlear dead regions with the TEN test. All subjects had moderate-to-severe high-frequency hearing losses. Consonant recognition was tested under conditions in which the speech signals were highly audible to subjects for frequencies up to the low-pass filter cut-off. Extensive dead regions were found for one subject with the TEN test. The remaining subjects may have had dead regions above 3 kHz, because of the severity of their hearing losses, but these could not be demonstrated with the TEN test. Average consonant scores for the subject group improved significantly (p<0.05) with increasing audibility of high-frequency components of the speech signal. There were no cases of speech perception being reduced with increasing bandwidth. Nine of the subjects showed improvements in scores with increasing audibility, whereas the remaining subject showed little change in scores. For this subject, speech perception results were consistent with the TEN test findings. In general, the results suggest that listeners with severe high-frequency losses are often able to make some use of high-frequency speech cues if these cues can be made audible.

Acoustic Stimulation↗

PubMed2005

Improvements in speech perception with an experimental nonlinear frequency compression hearing device.

The performance of an experimental frequency compression hearing device was evaluated using tests of speech understanding in quiet. The device compressed frequencies above a programmable cut-off, resulting in those parts of the input signal being shifted to lower frequencies. Below the cut-off, signals were amplified without frequency shifting. Subjects were experienced hearing aid users with moderate-to-severe sensorineural hearing loss and sloping audiograms. Their recognition of monosyllabic words was tested using the experimental device in comparison with conventional hearing aids. Of the 17 subjects, eight showed a significant score improvement (p < 0.05), whereas one subject showed a significant score decrease. Some of the improvements may have resulted from the better audibility provided in the high frequencies by the experimental device in comparison with the conventional aids. However, a subsequent study found that increasing the high-frequency gain in the conventional aids did not produce equivalent perceptual benefits.

Acoustic Stimulation↗

PubMed2005

Pitch ranking ability of cochlear implant recipients: a comparison of sound-processing strategies.

Pitch ranking of sung vowel stimuli, separated in fundamental frequency (F0) by half an octave, was measured with a group of eleven Nucleus 24 cochlear implant recipients using different sound coding strategies. In three consecutive studies, either two or three different sound coding strategies were compared to the Advanced Combinational Encoder (ACE) strategy. These strategies included Continuous Interleaved Sampling (CIS), Peak Derived Timing (PDT), Modulation Depth Enhancement (MDE), F0 Synchronized ACE (FOSync), and Multi-channel Envelope Modulation (MEM), the last four being experimental strategies. While pitch ranking results on average were poor compared to those expected for most normal hearing listeners, significantly higher scores were obtained using the MEM, MDE, and FOSync strategies compared to ACE. These strategies enhanced coding of temporal F0 cues by providing deeper modulation cues to F0 coincidentally in time across all activated electrodes. In the final study, speech recognition tests were also conducted using ACE, CIS, MDE, and MEM. Similar results among all strategies were obtained for word tests in quiet and between ACE and MEM for sentence tests in noise. These findings demonstrate that strategies such as MEM may aid perception of pitch and still adequately code segmental speech features as per existing coding strategies.

Acoustic Stimulation↗

PubMed2004

Music perception with cochlear implants: a review.

The acceptance of cochlear implantation as an effective and safe treatment for deafness has increased steadily over the past quarter century. The earliest devices were the first implanted prostheses found to be successful in compensating partially for lost sensory function by direct electrical stimulation of nerves. Initially, the main intention was to provide limited auditory sensations to people with profound or total sensorineural hearing impairment in both ears. Although the first cochlear implants aimed to provide patients with little more than awareness of environmental sounds and some cues to assist visual speech-reading, the technology has advanced rapidly. Currently, most people with modern cochlear implant systems can understand speech using the device alone, at least in favorable listening conditions. In recent years, an increasing research effort has been directed towards implant users' perception of nonspeech sounds, especially music. This paper reviews that research, discusses the published experimental results in terms of both psychophysical observations and device function, and concludes with some practical suggestions about how perception of music might be enhanced for implant recipients in the future. The most significant findings of past research are: (1) On average, implant users perceive rhythm about as well as listeners with normal hearing; (2) Even with technically sophisticated multiple-channel sound processors, recognition of melodies, especially without rhythmic or verbal cues, is poor, with performance at little better than chance levels for many implant users; (3) Perception of timbre, which is usually evaluated by experimental procedures that require subjects to identify musical instrument sounds, is generally unsatisfactory; (4) Implant users tend to rate the quality of musical sounds as less pleasant than listeners with normal hearing; (5) Auditory training programs that have been devised specifically to provide implant users with structured musical listening experience may improve the subjective acceptability of music that is heard through a prosthesis; (6) Pitch perception might be improved by designing innovative sound processors that use both temporal and spatial patterns of electric stimulation more effectively and precisely to overcome the inherent limitations of signal coding in existing implant systems; (7) For the growing population of implant recipients who have usable acoustic hearing, at least for low-frequency sounds, perception of music is likely to be much better with combined acoustic and electric stimulation than is typical for deaf people who rely solely on the hearing provided by their prostheses.

Audiometry↗

PubMed2003

A practical method of predicting the loudness of complex electrical stimuli.

The output of speech processors for multiple-electrode cochlear implants consists of current waveforms with complex temporal and spatial patterns. The majority of existing processors output sequential biphasic current pulses. This paper describes a practical method of calculating loudness estimates for such stimuli, in addition to the relative loudness contributions from different cochlear regions. The method can be used either to manipulate the loudness or levels in existing processing strategies, or to control intensity cues in novel sound processing strategies. The method is based on a loudness model described by McKay et al [J. Acoust. Soc. Am. 110, 1514-1524 (2001)] with the addition of the simplifying approximation that current pulses falling within a temporal integration window of several milliseconds' duration contribute independently to the overall loudness of the stimulus. Three experiments were carried out with six implantees who use the CI24M device manufactured by Cochlear Ltd. The first experiment validated the simplifying assumption, and allowed loudness growth functions to be calculated for use in the loudness prediction method. The following experiments confirmed the accuracy of the method using multiple-electrode stimuli with various patterns of electrode locations and current levels.

Adult↗

PubMed2003

Application of loudness models to sound processing for cochlear implants.

A new paradigm for processing sound signals for multiple-electrode cochlear implants is introduced, and results are presented from an initial psychophysical evaluation of its effect on the perceived loudness of complex sounds. A real-time processing scheme based on this paradigm, called SpeL, has been developed primarily to improve control of loudness for implant users. SpeL differs from previous schemes in several ways. Most importantly, it incorporates a published numerical model which predicts the loudness perceived by implant users for complex patterns of pulsatile electric stimulation as a function of the pulses' physical parameters. This model is controlled by the output of a corresponding model that estimates the loudness perceived by normally hearing listeners for complex sounds. The latter model produces an estimate of the specific loudness arising from an acoustic signal. In SpeL, the specific loudness function, which describes the contribution to total loudness of each of a number of frequency bands (or cochlear positions), is converted to a pattern of electric stimulation on an appropriate set of electrodes. By application of the loudness model for electric stimulation, this pattern is designed to produce a specific loudness function for the implant user which approximates that produced by the normal-hearing model for the same input signal. The results of loudness magnitude estimation experiments with five users of the SpeL scheme confirmed that the psychophysical functions relating overall loudness perceived to input sound level for five complex acoustic signals were, on average, very similar to those for normal hearing.

Aged↗

PubMed2002

Benefits of syllabic input compression for users of cochlear implants.

Ten users of multielectrode cochlear implants participated in an evaluation of the perceptual effects of input-signal compression. A syllabic compressor was introduced into the microphone circuit of Spectra-22 or SPrint sound processors. The post-compression gain was adjusted to provide similar loudness for speech at an average level of 65 dBA with compression either enabled or disabled. Sentence recognition was measured at three levels. Averaged across all listeners, statistically significant score increases were obtained at each level with compression enabled (45 dBA: 19.6 percentage points, p < .0001; 55 dBA: 16.6 percentage points, p < .0001; 70 dBA: 3.1 percentage points, p = .031). A test of speech intelligibility in noise showed no significant effect of compression. Generally, participants in the trial reported improved perception of low-level sounds with compression, although a few disliked the increased loudness of some background noises. Some participants suggested that the ability to enable or disable compression with a manual switch would be helpful. Overall, the results show that input compression can improve the performance of these sound processors for users of cochlear implants, especially when listening to speech at low levels.

Adult↗

PubMedDate not supplied

The effect of intensity on pitch in electric hearing and its relationship to the speech perception performance of cochlear implantees.

This study investigated the effect of intensity on pitch in electric hearing and its relationship to the speech perception ability of cochlear implantees. Subjects were 13 adult users of the Nucleus 22 cochlear implant system, using either the Spectra22 or ESPrit22 speech processor and the SPEAK speech processing strategy. A multidimensional scaling technique was employed. Speech perception was measured using sentences and vowels. All measurements were performed in a soundfield condition, and subjects wore their own speech processors with their normally used settings. Results showed a significant correlation between the degree of deviation of the subjects' stimulus spaces from the "ideal" space and subjects' performance with the sentences, but not with the vowels. A significant correlation was found between subjects' response variability in performing the multidimensional scaling task and their speech perception measures, suggesting that spectral smearing or underlying cognitive abilities might affect implantees' speech perception performance.

Acoustic Stimulation↗