Tradeoff Between Spatial and Temporal Resolution

NCT ID: NCT03867058

Last Updated: 2023-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-10-01

Study Completion Date

2023-04-04

Brief Summary

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In this study, investigators will examine how temporal rate processing might be affected when the width of neural excitation narrows. The manipulation of neural excitation width will be achieved for example by changing electrode configurations or stimulating single versus multiple electrodes simultaneously. Investigators will then measure if the extent to which rate processing is affected by spatially restricted stimulation can predict a subject's overall speech recognition and predict also whether the subject is likely to benefit from a focused electrode configuration. Lastly, investigators will introduce and test a novel current focusing strategy where current focusing is applied in a channel specific manner and quantify if this intervention improves speech recognition. The primary endpoint of the study is speech recognition, and the secondary endpoint is psychophysical sensitivity to stimulation rate change.

Detailed Description

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Conditions

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Deafness

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cochlear implant users with Nucleus and AB devices

Temporal processing acuity will be compared using electrodes or electrode configurations that create broad versus sharp spatial excitation.

Speech recognition will be compared in the same group of subjects using electrode-dependent focused versus monopolar stimulation.

Electrode selection/electrode configuration

Intervention Type BEHAVIORAL

Electrodes will be chosen based on their spatial tuning curves. Focused stimulation will be applied to electrodes with good temporal processing acuity.

Interventions

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Electrode selection/electrode configuration

Electrodes will be chosen based on their spatial tuning curves. Focused stimulation will be applied to electrodes with good temporal processing acuity.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Native speakers of English
* Cochlear Nucleus cochlear implant users or Advanced Bionics users
* Postlingually deafened
* Has had device experience for at least one year
* Can be child or adult at the time of enrollment

Exclusion Criteria

* None
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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East Carolina University

OTHER

Sponsor Role lead

Responsible Party

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Heather Wright

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Communication Sciences and Disorders, ECU

Greenville, North Carolina, United States

Site Status

Countries

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United States

References

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Bierer JA, Litvak L. Reducing Channel Interaction Through Cochlear Implant Programming May Improve Speech Perception: Current Focusing and Channel Deactivation. Trends Hear. 2016 Jun 17;20:2331216516653389. doi: 10.1177/2331216516653389.

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Other Identifiers

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Zhou_R01_study1

Identifier Type: -

Identifier Source: org_study_id

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