Discrimination of Stochastic Frequency Modulation by Cochlear Implant Users.

Background: Past work has shown that low-rate frequency modulation (FM) may help preserve signal coherence, aid segmentation at word and syllable boundaries, and benefit speech intelligibility in the presence of a masker. Purpose: This study evaluated whether difficulties in speech perception by cochlear implant (CI) users relate to a deficit in the ability to discriminate among stochastic low-rate patterns of FM. Research Design: This is a correlational study assessing the association between the ability to discriminate stochastic patterns of low-rate FM and the intelligibility of speech in noise. Study Sample: Thirteen postlingually deafened adult CI users participated in this study. Data Collection and Analysis: Using modulators derived from 5-Hz lowpass noise applied to a 1-kHz carrier, thresholds were measured in terms of frequency excursion both in quiet and with a Speech-babble masker present, stimulus duration, and signal-to-noise ratio in the presence of a speech-babble masker. Speech perception ability was assessed in the presence of the same speech-babble masker. Relationships were evaluated with Pearson product moment correlation analysis with correction for family-wise error, and commonality analysis to determine the unique and common contributions across psycho-acoustic variables to the association with speech ability. Results: Significant correlations were obtained between masked speech intelligibility and three metrics of FM discrimination involving either signal-to-noise ratio or stimulus duration, with shared variance among the three measures accounting for much of the effect. Compared to past results from young normal-hearing adults and older adults with either normal hearing or a mild-to-moderate hearing loss, mean FM discrimination thresholds obtained from CI users were higher in all conditions. Conclusions: The ability to process the pattern of frequency excursions of stochastic FM may, in part, have a common basis with speech perception in noise. Discrimination of differences in the temporally distributed place coding of the stimulus could serve as this common basis for CI users.