Access to semantic cues does not lead to perceptual restoration of interrupted speech in cochlear-implant users.

Cochlear-implant (CI) users experience less success in understanding speech in noisy, real-world listening environments than normal-hearing (NH) listeners. Perceptual restoration is one method NH listeners use to repair noise-interrupted speech. Whereas previous work has reported that CI users can use perceptual restoration in certain cases, they failed to do so under listening conditions in which NH listeners can successfully restore. Providing increased opportunities to use top-down linguistic knowledge is one possible method to increase perceptual restoration use in CI users. This work tested perceptual restoration abilities in 18 CI users and varied whether a semantic cue (presented visually) was available prior to the target sentence (presented auditorily). Results showed that whereas access to a semantic cue generally improved performance with interrupted speech, CI users failed to perceptually restore speech regardless of the semantic cue availability. The lack of restoration in this population directly contradicts previous work in this field and raises questions of whether restoration is possible in CI users. One reason for speech-in-noise understanding difficulty in CI users could be that they are unable to use tools like restoration to process noise-interrupted speech effectively.