Hearing in Noise: The Importance of Coding Strategies? Normal-Hearing Subjects and Cochlear Implant Users

Two schemes are mainly used for coding sounds in cochlear implants: Fixed-Channel and Channel-Picking. This study aims to determine the speech audiometry scores in noise of people using either type of sound coding scheme. Twenty normal-hearing and 45 cochlear implant subjects participated in this experiment. Both populations were tested by using dissyllabic words mixed with cocktail-party noise. A cochlear implant simulator was used to test the normal-hearing subjects. This simulator separated the sound into 20 spectral channels and the eight most energetic were selected to simulate the Channel-Picking strategy. For normal-hearing subjects, we noticed higher scores with the Fixed-Channel strategy than with the Channel-Picking strategy in the mid-range signal-to-noise ratios (0 to +6 dB). For cochlear implant users, no differences were found between the two coding schemes but we could see a slight advantage for the Fixed-Channel strategies over the Channel-Picking strategies. For both populations, a difference was observed for the signal-to-noise ratios at 50% of the maximum recognition plateau in favour of the Fixed-Channel strategy. To conclude, in the most common signal-to-noise ratio conditions, a Fixed-Channel coding strategy may lead to better recognition percentages than a Channel-Picking strategy. Further studies are indicated to confirm this