The Effects of Paired versus Sequential Stimulation on Speech Recognition Outcomes of Adult Cochlear Implant Recipients

Meredith A. Holcomb, James R. Dornhoffer, Theodore R. McRackan

Research output: Contribution to journalArticlepeer-review


Purpose: Cochlear implant (CI) sound-processing strategies are important to the overall success of a CI recipient. This study aimed to determine the effects of 2 Advanced Bionics (AB) CI-processing strategies, Optima-S and Optima-P, on speech recognition outcomes in adult CI users. Methods: A retrospective chart review was completed at a tertiary academic medical center. Seventeen post-lingually deafened adult CI users (median age = 58.6 years; age range: 23.5-78.9 years) with long-term use of a paired sound-processing strategy (Optima-P) were reprogrammed with a sequential strategy (Optima-S). Demographic data and speech recognition scores with pre-and post-intervention analyses were collected and compared with respect to the 95% confidence interval for common CI word and sentence recognition tests. Results: Using Optima-S sound-processing strategy, all patients (100%) performed equivalent or better on word and sentence testing than with Optima-P. More specifically, 17.6, 41.2, and 58.8% of the patients performed above the 95% confidence interval for speech recognition conditions of monosyllabic words, sentences in quiet, and sentences in noise, respectively. All patients (100%) selected Optima-S as their preferred strategy for future CI use. Conclusion: Speech recognition performance with Optima-S processing strategy was stable or improved compared to results with Optima-P in all tested conditions, and subjective preference of Optima-S was selected by all patients. Given these results, CI clinicians should consider programming AB CI users with Optima-S sound-processing strategy to optimize overall speech recognition performance.

Original languageEnglish (US)
Pages (from-to)188-194
Number of pages7
JournalAudiology and Neurotology
Issue number3
StatePublished - Apr 2021

ASJC Scopus subject areas

  • Physiology
  • Otorhinolaryngology
  • Sensory Systems
  • Speech and Hearing


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