What is it about?
Cochlear implant users have the worst challenge of all hearing-impaired people when trying to understand speech in noisy social settings, such as a restaurant. My work in John Culling's lab has focused on two main strands: how listeners can best exploit the acoustics of a real social setting by optimally orienting their head slightly away from, but still lip-read a target talker (the "Turn an Ear to Hear" strategy) and how sound in a cochlear implant processor can be manipulated to enhance the speech-in-noise experience of an implanted individual. We, at Culling Labs, in Cardiff University, Wales, specialize in binaural hearing (that is with two ears or two cochlear implants). Binaural hearing is essential to localization of sounds, and therefore, awareness of the space around you (at least that you can't see, important for road safety of pedestrians, for instance), but also to speech understanding in what researchers call the Cocktail Party problem, how a normally-hearing individual can pick a voice in space out of many and follow that voice or jump to another, an ability seriously impaired by any loss of hearing.
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Why is it important?
This research is important for the well being of the individuals concerned because hearing impairment can be extremely socially isolating. People faced with a serious challenge soon retire from social settings and are deprived from a 'normal' social life. It was scientifically proved over the past 6-7 years that hearing impairment is a key factor in the early onset of dementia. With an ageing population, most of the world, or at least the privileged part of it, will see hearing impairment severely impact, directly or indirectly, the already stressed national health organizations.
Perspectives
We started publishing our findings on the benefits of head orientation in 2013 (ISAAR proceedings), but the peer-reviewed papers have mostly been published in the Journal of the Acoustical Society of America, the top journal in the field, in our view. A further paper, a short version of which is published in the 2017 ISAAR proceedings, is to be submitted very shortly in Trends in Hearing. This last paper confirms that the benefit showed in the lab transfers to real social settings, not only for cochlear implant users, but also for other hearing-impaired people. A paper series on sound coding strategies aimed at improving speech understanding in noise for cochlear implant users, started late 2017 with a JASA express letter and the release of the SPIRAL vocoder. Another two papers are in the making, one focused on the bilateral channel-interleaving strategy, another focused on speech-statistics inspired coding strategies (poster to be presented at ARO mid-winter meeting in San Diego in February 2018). Another, innovative coding strategy is being devised and will be the object of a new project we will soon seek funding for.
Dr Jacques A Grange
Cardiff University
Read the Original
This page is a summary of: Cochlear implant simulator with independent representation of the full spiral ganglion, The Journal of the Acoustical Society of America, November 2017, Acoustical Society of America (ASA),
DOI: 10.1121/1.5009602.
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