Comparison of Procedures for Obtaining Thresholds and Maximum Acceptable Loudness Levels With the Nucleus Cochlear Implant System

Author:

Skinner Margaret W.1,Holden Laura K.1,Holden Timothy A.1,Demorest Marilyn E.2

Affiliation:

1. Washington University School of Medicine St. Louis, MO

2. University of Maryland Baltimore County

Abstract

Two stimulus paradigms and two presentation methods were combined to form three procedures (keyboard, knob, and ascending loudness judgments with knob [ALJK]) to obtain detection thresholds and maximum acceptable loudness tevels (MALs) from 11 adults with the Nucleus cochlear implant. Thresholds at which subjects correctly counted the number of stimulus bursts also were obtained. Keyboard detection thresholds were higher (Scheffé, p = .01) than knob and ALJK detection thresholds. Counted thresholds were obtained most efficiently by using keyboard detection thresholds as the initial level for testing. Keyboard MALs were highest, knob MALs intermediate, and AUK MALs lowest (Scheffé, p = .001). MALs were obtained most efficiently with the ALJK procedure. Implications of these results for clinical practice are discussed.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing,Linguistics and Language,Language and Linguistics

Reference12 articles.

1. Critical bandwidth in Ménière’s Disease;Bonding P.;Audiology,1979

2. Preferred Method For Clinical Determination Of Pure-Tone Thresholds

3. The University of Melbourne - Nucleus Multielectrode Cochlear Implant;Clark G. M.;Advances in Otorhinolaryngology,1987

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