Evidence map›Paper›PMID 31006700›Full record

ArticleRestorative neurology and neuroscience2019

Immediate improvement of speech-in-noise perception through multisensory stimulation via an auditory to tactile sensory substitution.

Katarzyna Cieśla, Tomasz Wolak, Artur Lorens, Benedetta Heimler, Henryk Skarżyński, Amir Amedi

Open access · bronzeAbstract read
In one paragraph

Article in Restorative neurology and neuroscience, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 43 citations in OpenAlex.

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  3. Top-Down Attention Modulates Phase Effects on Audio-Tactile Processing.Annals of the New York Academy of Sciences · 2026
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  15. Enhancement of speech-in-noise comprehension through vibrotactile stimulation at the syllabic rate.Proceedings of the National Academy of Sciences of the United States of America · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Katarzyna CieślaInstitute of Physiology and Pathology of Hearing, World Hearing Center, Warsaw, Poland.
Tomasz WolakInstitute of Physiology and Pathology of Hearing, World Hearing Center, Warsaw, Poland.
Artur LorensInstitute of Physiology and Pathology of Hearing, World Hearing Center, Warsaw, Poland.
Benedetta HeimlerDepartment of Medical Neurobiology, Institute for Medical Research Israel-Canada, Faculty of Medicine, Hebrew University of Jerusalem, Hadassah Ein-Kerem, Jerusalem, Israel.
Henryk SkarżyńskiInstitute of Physiology and Pathology of Hearing, World Hearing Center, Warsaw, Poland.
Amir AmediDepartment of Medical Neurobiology, Institute for Medical Research Israel-Canada, Faculty of Medicine, Hebrew University of Jerusalem, Hadassah Ein-Kerem, Jerusalem, Israel.
Hebrew University of Jerusalem · ILInstitute of Physiology and Pathology of Hearing · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHearing loss is becoming a real social and health problem. Its prevalence in the elderly is an epidemic. The risk of developing hearing loss is also growing among younger people. If left untreated, hearing loss can perpetuate development of neurodegenerative diseases, including dementia. Despite recent advancements in hearing aid (HA) and cochlear implant (CI) technologies, hearing impaired users still encounter significant practical and social challenges, with or without aids. In particular, they all struggle with understanding speech in challenging acoustic environments, especially in presence of a competing speaker.

objectivesIn the current proof-of-concept study we tested whether multisensory stimulation, pairing audition and a minimal-size touch device would improve intelligibility of speech in noise.

methodsTo this aim we developed an audio-to-tactile sensory substitution device (SSD) transforming low-frequency speech signals into tactile vibrations delivered on two finger tips. Based on the inverse effectiveness law, i.e., multisensory enhancement is strongest when signal-to-noise ratio is lowest between senses, we embedded non-native language stimuli in speech-like noise and paired it with a low-frequency input conveyed through touch.

resultsWe found immediate and robust improvement in speech recognition (i.e. in the Signal-To-Noise-ratio) in the multisensory condition without any training, at a group level as well as in every participant. The reported improvement at the group-level of 6 dB was indeed major considering that an increase of 10 dB represents a doubling of the perceived loudness.

conclusionsThese results are especially relevant when compared to previous SSD studies showing effects in behavior only after a demanding cognitive training. We discuss the implications of our results for development of SSDs and of specific rehabilitation programs for the hearing impaired either using or not using HAs or CIs. We also discuss the potential application of such a set-up for sense augmentation, such as when learning a new language.

Indexed as

Self-Help DevicesSpeech PerceptionTouch PerceptionAdultFemaleFingersHearing LossHumansMalePattern Recognition, PhysiologicalPhysical StimulationProof of Concept StudyRecognition, PsychologyVibrationcochlear implantshearing impairmentmultisensory rehabilitationmultisensory trainingsensory substitution deviceSpeech understanding in noisevibrotactile stimulation

Identifiers

PMID31006700
PMCPMC6598101
OpenAlexW2937478999

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.