Limitations on Temporal Processing by Cochlear Implant Users: A Compilation of Viewpoints

Trends Hear. 2025 Jan-Dec:29:23312165251317006. doi: 10.1177/23312165251317006. Epub 2025 Mar 17.

Abstract

Cochlear implant (CI) users are usually poor at using timing information to detect changes in either pitch or sound location. This deficit occurs even for listeners with good speech perception and even when the speech processor is bypassed to present simple, idealized stimuli to one or more electrodes. The present article presents seven expert opinion pieces on the likely neural bases for these limitations, the extent to which they are modifiable by sensory experience and training, and the most promising ways to overcome them in future. The article combines insights from physiology and psychophysics in cochlear-implanted humans and animals, highlights areas of agreement and controversy, and proposes new experiments that could resolve areas of disagreement.

Keywords: cochlear implant; inter-aural time difference; pitch perception/ localization; plasticity.

Publication types

  • Review

MeSH terms

  • Acoustic Stimulation
  • Animals
  • Cochlear Implantation* / instrumentation
  • Cochlear Implants*
  • Correction of Hearing Impairment / instrumentation
  • Deafness / diagnosis
  • Deafness / physiopathology
  • Deafness / rehabilitation
  • Humans
  • Persons with Hearing Disabilities / psychology
  • Persons with Hearing Disabilities / rehabilitation
  • Pitch Perception
  • Sound Localization
  • Speech Perception* / physiology
  • Time Factors
  • Time Perception