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Speech recognition thresholds in-quiet and in-noise and its relationship with aided thresholds in post-lingual adult cochlear implant users in Malaysia

Salahuddin, Nur Baizura and Jamaluddin, Saiful Adli and Lamri, Marina L. Alisaputri @ Marina and Ali Hanafiah, Nurlin and Sidek, Dinsuhaimi (2023) Speech recognition thresholds in-quiet and in-noise and its relationship with aided thresholds in post-lingual adult cochlear implant users in Malaysia. In: 2nd Malaysia Cochlear Implant Symposium 2023 (MYCIS 2023), 13-14 Oct 2023, Johor Bahru, Malaysia. (Unpublished)

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Abstract

Introduction: Testing speech perception is a crucial part of tracking performances of cochlear implant (CI) users however it is not routinely performed in Malaysia because of limited access to speech tests. This study examines the speech recognition thresholds (SRT) of CI users using one in-quiet and two in-noise speech tests: 1) Bisyllabic Malay Speech Audiometry (BMSA), 2) Malay Matrix Sentence Test (MMST), and 3) Malay Digit Triplet Tests (MDTT). Their relationship with pure-tone audiometry aided thresholds (PTAAT) were also investigated. Methods: In this cross-sectional study, SRT measurements for all three speech tests were collected from 22 experienced (average device age of 4.7 ± 3.7 years) post-lingual adult CI users. Participants had a median age of 39 years old (IQR = 33 to 34) and PTAAT of 34 dB HL (IQR = 34 to 36). Results: Median SRT of BMSA, MMST and MDTT were 45 dB SPL (IQR = 43.2 to 53.5), -3.2 dB SNR (IQR = -5.5 to -0.2), and -1.8 dB SNR (IQR = -3.9 to -1.6), respectively. Spearmen’s rank-order correlation revealed no statistically significant correlations between average PTAAT and the SRT of BMSA (rs(22) = .312, p = .18), MMST (rs(22) = .081, p = .74) and MDTT (rs(22) = .125, p = .6). Conclusion: SRT performance are predictably good in quiet but poor in background noise. PTAAT is a poor estimator of speech perception abilities. Speech tests should be routinely performed pre- and post- CI use as PTAAT is not a reliable measure of speech-sounds accessibility.

Item Type: Proceeding Paper (Poster)
Additional Information: 4466/107412
Uncontrolled Keywords: Cochlear Implant (CI), Speech Recognition Threshold (SRT), Bisyllabic Malay Speech Audiometry (BMSA), Malay Matrix Sentence Test (MMST). Malay Digit Triplet Text (MDTT)
Subjects: R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Allied Health Sciences
Kulliyyah of Medicine
Depositing User: DR. SAIFUL ADLI JAMALUDDIN
Date Deposited: 08 Dec 2023 16:20
Last Modified: 11 Dec 2023 10:21
URI: http://irep.iium.edu.my/id/eprint/107412

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