000 02293nam a22001817a 4500
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040 _cNational Acoustic Laboratories
100 _a Schafer, Erin C.
245 _aSpeech Recognition in Noise in Children With Cochlear Implants While Listening in Bilateral, Bimodal, and FM-System Arrangements
520 3 _aPurpose: Speech recognition performance in noise was examined in children with cochlear implants (CIs) when using (a) a second CI (bilateral group), (b) a hearing aid (HA) on the nonimplant ear (bimodal group), and (c) a frequency modulation (FM) system on 1 or both sides. Method: While always maintaining use of the first CI, 2 groups participated in 6 conditions each using various listening arrangements with the second CI, HA, or FM system. Speech-in-noise thresholds were determined using simple phrases, classroom noise, and a method-of-limits approach. Results: No group differences were detected across any conditions. In the no-FM-system conditions, no significant benefit of bilateral or bimodal input was found relative to a single CI. In the FM-system conditions, thresholds were significantly lower (up to 20 dB) relative to all other conditions when FM-system input was provided to the first-implanted side or to both sides simultaneously. Conclusions: Children’s speech-in-noise thresholds did not improve when providing input to the second side with a CI or an HA relative to a single CI. However, children with CIs had better speech recognition in noise with the use of an FM system on one or both sides relative to the conditions with noFMsystem. Binaural conditions with a single FM receiver on the second CI or HA yielded significantly poorer performance than any other FM condition.
650 _acochlear implant, frequency modulation, bimodal, bilateral
700 _aLinda M. Thibodeau
773 0 _gVol. 15 • 114–126 • December 2006
_tAmerican Journal of Audiology •
856 _uhttp://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/247/Speech_Recognition_in_Noise_in_Children_With_Cochlear_Implants_While_Listening_in_Bilateral_Bimodal_and_FM-System_Arrangements.pdf?sequence=1&isAllowed=y
942 _2udc
_cARTICLE
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_d2489