Perception of Environmental Sounds in Cochlear Implant Users: A Systematic Review.
Perception of Environmental Sounds in Cochlear Implant Users: A Systematic Review.
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DOI：
10.3389/fnins.2021.788899
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发表时间：
2021
影响因子：
4.3
通讯作者：
Harris MS
中科院分区：
文献类型：
--
作者：
Shafiro V;Luzum N;Moberly AC;Harris MS
目的：改善对环境声音的感知（PES）是人工耳蜗植入（CI）的主要益处之一。然而，过去的研究包含混合的结果PES能力在当代CI用户，有时与轶事的临床报告。本综述检查了现存的PES研究，为临床咨询提供证据基础，识别知识差距，并为CI结局评估这一领域的未来工作提出方向。研究方法：使用医学主题词（MeSH）和广泛识别的关键词检索了6个电子数据库，以参考CI和环境声音。2000年至2021年期间发表的记录由两名独立评审员根据系统性综述和荟萃分析首选报告项目（PRISMA）声明进行筛选，以确定符合纳入标准的研究。随后提取数据，并根据合成无荟萃分析（SWiM）指南进行评价。结果：19项研究符合纳入标准。大多数检查PES后舌植入成人，一项研究集中在前/舌周围成人。环境声音识别（ESI）在安静的使用开放或封闭集的响应格式是最常用的PES评估，包括在所有选定的研究。CI儿童（3项研究）和成人（16项研究）的ESI准确性差异很大，但通常中等（平均范围：31-87%）。只有两项研究前瞻性地评估了CI前后的ESI性能，而大多数研究是横断面的。总体而言，CI性能始终低于听力正常的同龄人。CI候选人和CI用户之间的识别准确性没有显着差异。CI用户的环境声音识别与语音感知、音乐和谱时处理的测量相关。结论：这项系统性综述的结果表明，当代CI使用者目前对PES的了解存在相当大的局限性，特别是在舌前/舌周晚期植入的成人和儿童中。尽管没有发现植入后PES的总体改善，但PES评估中的较大个体变异性和现有方法学局限性可能会掩盖PES的潜在CI受益。需要在这一与生态相关的评估领域开展进一步研究，以建立更强有力的证据基础，确定有重大缺陷的CI用户，并通过有针对性的PES康复提高CI用户的安全性和满意度。
Objectives: Improved perception of environmental sounds (PES) is one of the primary benefits of cochlear implantation (CI). However, past research contains mixed findings on PES ability in contemporary CI users, which at times contrast with anecdotal clinical reports. The present review examined extant PES research to provide an evidence basis for clinical counseling, identify knowledge gaps, and suggest directions for future work in this area of CI outcome assessment. Methods: Six electronic databases were searched using medical subject headings (MeSH) and keywords broadly identified to reference CI and environmental sounds. Records published between 2000 and 2021 were screened by two independent reviewers in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement to identify studies that met the inclusion criteria. Data were subsequently extracted and evaluated according to synthesis without-meta-analysis (SWiM) guidelines. Results: Nineteen studies met the inclusion criteria. Most examined PES in post-lingually implanted adults, with one study focused on pre/perilingual adults. Environmental sound identification (ESI) in quiet using open- or closed-set response format was most commonly used in PES assessment, included in all selected studies. ESI accuracy in CI children (3 studies) and adults (16 studies), was highly variable but generally mediocre (means range: 31–87%). Only two studies evaluated ESI performance prospectively before and after CI, while most studies were cross-sectional. Overall, CI performance was consistently lower than that of normal-hearing peers. No significant differences in identification accuracy were reported between CI candidates and CI users. Environmental sound identification correlated in CI users with measures of speech perception, music and spectro-temporal processing. Conclusion: The findings of this systematic review indicate considerable limitations in the current knowledge of PES in contemporary CI users, especially in pre/perilingual late-implanted adults and children. Although no overall improvement in PES following implantation was found, large individual variability and existing methodological limitations in PES assessment may potentially obscure potential CI benefits for PES. Further research in this ecologically relevant area of assessment is needed to establish a stronger evidence basis, identify CI users with significant deficits, and improve CI users' safety and satisfaction through targeted PES rehabilitation.
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DOI：
10.7874/kja.2013.17.2.65
发表时间：
2013-09
期刊：
Korean journal of audiology
影响因子：
--
作者：
Heo JH;Lee JH;Lee WS
通讯作者：
Lee WS
影响因子：
2.6
作者：
Capretta, Natalie R.;Moberly, Aaron C.
通讯作者：
Moberly, Aaron C.
影响因子：
8.2
作者：
Carello, C;Anderson, KL;Kunkler-Peck, AJ
通讯作者：
Kunkler-Peck, AJ
影响因子：
1.6
作者：
Debruyne, Joke;Janssen, Miranda;Brokx, Jan
通讯作者：
Brokx, Jan
影响因子：
--
作者：
Looi, Valerie;Arnephy, Janna
通讯作者：
Arnephy, Janna