Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements Article Swipe
Aurélie Coudert
,
Valérie Gaveau
,
Julie Gatel
,
Grègoire Verdelet
,
Roméo Salemme
,
Alessandro Farné
,
Francesco Pavani
,
Éric Truy
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/aud.0000000000001090
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/aud.0000000000001090
Objectives: The aim of this study was to assess three-dimensional (3D) spatial hearing abilities in reaching space of children and adolescents fitted with bilateral cochlear implants (BCI). The study also investigated the impact of spontaneous head movements on sound localization abilities. Design: BCI children (N = 18, aged between 8 and 17) and age-matched normal-hearing (NH) controls (N = 18) took part in the study. Tests were performed using immersive virtual reality equipment that allowed control over visual information and initial eye position, as well as real-time 3D motion tracking of head and hand position with subcentimeter accuracy. The experiment exploited these technical features to achieve trial-by-trial exact positioning in head-centered coordinates of a single loudspeaker used for real, near-field sound delivery, which was reproducible across trials and participants. Using this novel approach, broadband sounds were delivered at different azimuths within the participants’ arm length, in front and back space, at two different distances from their heads. Continuous head-monitoring allowed us to compare two listening conditions: “head immobile” (no head movements allowed) and “head moving” (spontaneous head movements allowed). Sound localization performance was assessed by computing the mean 3D error (i.e. the difference in space between the X-Y-Z position of the loudspeaker and the participant’s final hand position used to indicate the localization of the sound’s source), as well as the percentage of front–back and left–right confusions in azimuth, and the discriminability between two nearby distances. Several clinical factors (i.e. age at test, interimplant interval, and duration of binaural experience) were also correlated with the mean 3D error. Finally, the Speech Spatial and Qualities of Hearing Scale was administered to BCI participants and their parents. Results: Although BCI participants distinguished well between left and right sound sources, near-field spatial hearing remained challenging, particularly under the “ head immobile” condition. Without visual priors of the sound position, response accuracy was lower than that of their NH peers, as evidenced by the mean 3D error (BCI: 55 cm, NH: 24 cm, p = 0.008). The BCI group mainly pointed along the interaural axis, corresponding to the position of their CI microphones. This led to important front–back confusions (44.6%). Distance discrimination also remained challenging for BCI users, mostly due to sound compression applied by their processor. Notably, BCI users benefitted from head movements under the “head moving” condition, with a significant decrease of the 3D error when pointing to front targets ( p < 0.001). Interimplant interval was correlated with 3D error ( p < 0.001), whereas no correlation with self-assessment of spatial hearing difficulties emerged ( p = 0.9). Conclusions: In reaching space, BCI children and adolescents are able to extract enough auditory cues to discriminate sound side. However, without any visual cues or spontaneous head movements during sound emission, their localization abilities are substantially impaired for front–back and distance discrimination. Exploring the environment with head movements was a valuable strategy for improving sound localization within individuals with different clinical backgrounds. These novel findings could prompt new perspectives to better understand sound localization maturation in BCI children, and more broadly in patients with hearing loss.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/aud.0000000000001090
- OA Status
- hybrid
- Cited By
- 27
- References
- 75
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3178165294
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3178165294Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/aud.0000000000001090Digital Object Identifier
- Title
-
Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head MovementsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-07-01Full publication date if available
- Authors
-
Aurélie Coudert, Valérie Gaveau, Julie Gatel, Grègoire Verdelet, Roméo Salemme, Alessandro Farné, Francesco Pavani, Éric TruyList of authors in order
- Landing page
-
https://doi.org/10.1097/aud.0000000000001090Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/aud.0000000000001090Direct OA link when available
- Concepts
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Loudspeaker, Head (geology), Audiology, Sound localization, Cochlear implant, Active listening, Azimuth, Position (finance), Computer science, Acoustics, Psychology, Communication, Medicine, Mathematics, Physics, Economics, Geometry, Geomorphology, Finance, GeologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
27Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 10, 2023: 8, 2022: 6Per-year citation counts (last 5 years)
- References (count)
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75Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| primary_location.source.host_organization_name | Lippincott Williams & Wilkins |
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| primary_location.raw_source_name | Ear & Hearing |
| primary_location.landing_page_url | https://doi.org/10.1097/aud.0000000000001090 |
| publication_date | 2021-07-01 |
| publication_year | 2021 |
| referenced_works | https://openalex.org/W2921579428, https://openalex.org/W2070099923, https://openalex.org/W2087202199, https://openalex.org/W1965088807, https://openalex.org/W2045261700, https://openalex.org/W1980376504, https://openalex.org/W2006520753, https://openalex.org/W2577845473, https://openalex.org/W6600117060, https://openalex.org/W3004117705, https://openalex.org/W4313372052, https://openalex.org/W2314804781, https://openalex.org/W3044845472, https://openalex.org/W614742028, https://openalex.org/W6602894394, https://openalex.org/W2073566741, https://openalex.org/W2403283398, https://openalex.org/W6830668276, https://openalex.org/W2065934119, https://openalex.org/W2015505938, https://openalex.org/W6635523241, https://openalex.org/W6654277340, https://openalex.org/W2024821555, https://openalex.org/W2767155398, https://openalex.org/W2120611014, https://openalex.org/W2074993741, https://openalex.org/W2027339347, https://openalex.org/W1987048676, https://openalex.org/W2806092208, https://openalex.org/W2896890690, https://openalex.org/W6631861520, https://openalex.org/W2140850178, https://openalex.org/W6600392996, https://openalex.org/W2173474324, https://openalex.org/W1999155624, https://openalex.org/W6639164004, https://openalex.org/W2911330999, https://openalex.org/W2041545003, https://openalex.org/W2985698910, https://openalex.org/W2103442233, https://openalex.org/W2102608565, https://openalex.org/W2410982197, https://openalex.org/W2105974999, https://openalex.org/W2139190150, https://openalex.org/W6630602610, https://openalex.org/W2749196801, https://openalex.org/W2020746175, https://openalex.org/W2047238853, https://openalex.org/W2802413293, https://openalex.org/W6761217939, https://openalex.org/W2548687273, https://openalex.org/W2165507463, https://openalex.org/W2012048807, https://openalex.org/W2060364934, https://openalex.org/W1995390017, https://openalex.org/W2015701667, https://openalex.org/W2088399049, https://openalex.org/W2953299959, https://openalex.org/W2060201159, https://openalex.org/W2161176547, https://openalex.org/W6826082199, https://openalex.org/W3096537891, https://openalex.org/W3102910231, https://openalex.org/W2058973038, https://openalex.org/W2095815680, https://openalex.org/W2059957537, https://openalex.org/W6772833307, https://openalex.org/W2028184103, https://openalex.org/W1997110426, https://openalex.org/W3004044568, https://openalex.org/W2076212917, https://openalex.org/W1864692815, https://openalex.org/W2014716739, https://openalex.org/W1533721006, https://openalex.org/W1858987962 |
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