Evaluation of adaptive dynamic range optimization in adverse listening conditions for cochlear implants.

The aim of this study is to investigate the effect of Adaptive Dynamic Range Optimization (ADRO) on speech identification for cochlear implant (CI) users in adverse listening conditions. In this study, anechoic quiet, noisy, reverberant, noisy reverberant, and reverberant noisy conditions are evaluated. Two scenarios are considered when modeling the combined effects of reverberation and noise: (a) noise is added to the reverberant speech, and (b) noisy speech is reverberated. CI users were tested in different listening environments using IEEE sentences presented at 65 dB sound pressure level. No significant effect of ADRO processing on speech intelligibility was observed.