ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Montreal cognitive assessment scores predict long-term speech recognition in noise and can be used to guide rehabilitation of cochlear implant users.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeFollow-up of an earlier study investigating the link between cognitive impairment and long-term speech recognition in noise.
methodSentence recognition in noise (MBAA2 test, SNR50); cognition (Montreal Cognitive Assessment MoCA, Victoria Stroop, and ECLA 16 + phonological awareness subtests 3 and 4); subjective benefit (Glasgow Benefit Inventory, GBI); and approaches to speech therapy were assessed three years post implantation in 26 adult subjects.
resultsAverage MoCA scores were below population norms, with seven subjects scoring below 22: the normal threshold set for the study. Average Stroop and ECLA scores were within the normal range. Poor MoCA performance and poor verbal fluency were linked to poorer sentence-in-noise scores. Subjects with MoCA scores < 22 or verbal fluency scores < 6 were fifteen times more likely to have long-term SNR50 > 5 dB. GBI scores were significantly correlated with SNR50s. Cognitive scores remained stable over time, except for completion times for ECLA 3 and 4, which improved significantly. Speech therapy with cognitive goals showed better outcomes in a small subgroup. The speed of completing the reading tests was improved after prolonged implant use which may indicate improved processing speed, better lexical mapping, and improved working memory. An improved decision tree is proposed to guide rehabilitation in underperformers.
conclusionsThe results confirmed that after three years of implant use, top-down cognitive deficits still had an impact on sentence recognition in noise, with poorer scores related to lower patient reported benefit. There may be some speech recognition benefits to targeting speech therapy towards objectives in both perceptual and cognitive domains, but more data is required.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.