Top-down restoration of speech in cochlear-implant users

Pranesh Bhargava*, Etienne Gaudrain, Deniz Başkent

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

41 Citations (Scopus)

Abstract

In noisy listening conditions, intelligibility of degraded speech can be enhanced by top-down restoration. Cochlear implant (CI) users have difficulty understanding speech in noisy environments. This could partially be due to reduced top-down restoration of speech, which may be related to the changes that the electrical stimulation imposes on the bottom-up cues. We tested this hypothesis using the phonemic restoration (PhR) paradigm in which speech interrupted with periodic silent intervals is perceived illusorily continuous (continuity illusion or Col) and becomes more intelligible (PhR benefit) when the interruptions are filled with noise bursts. Using meaningful sentences, both Col and PhR benefit were measured in CI users, and compared with those of normal-hearing (NH) listeners presented with normal speech and 8-channel noise-band vocoded speech, acoustically simulating CIs. CI users showed different patterns in both PhR benefit and Col, compared to NH results with or without the noise-band vocoding. However, they were able to use top-down restoration under certain test conditions. This observation supports the idea that changes in bottom-up cues can impose changes to the top down processes needed to enhance intelligibility of degraded speech. The knowledge that CI users seem to be able to do restoration under the right circumstances could be exploited in patient rehabilitation and product development. (C) 2013 Elsevier B.V. All rights reserved.

Original languageEnglish
Pages (from-to)113-123
Number of pages11
JournalHearing Research
Volume309
DOIs
Publication statusPublished - Mar-2014

Keywords

  • NORMAL-HEARING LISTENERS
  • CALCULATING CORRELATION-COEFFICIENTS
  • PHONEMIC RESTORATION
  • PERCEPTUAL RESTORATION
  • AUDITORY INDUCTION
  • TEMPORAL CUES
  • CONTINUITY ILLUSION
  • GAP DISCRIMINATION
  • INTERVENING NOISE
  • ELECTRIC HEARING

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