Cochlear Implant Atlas
CI Atlas · Auditory Physiology · Module 10

10Coding of intensity & loudness

How does the nervous system represent how loud a sound is? It has two tricks: each fibre fires faster as a sound gets louder, and louder sounds also recruit more fibres into action. Between them they let us hear across a range of more than a hundred decibels — a range that collapses in hearing loss and is rebuilt, very differently and much more narrowly, by a cochlear implant. The loudness physiology in this module is the direct ancestor of the T and C levels every implant is programmed with.

TCTwo codes for intensity

Loudness is carried by two neural codes working together. The first is firing rate: as a sound grows louder, each auditory-nerve fibre fires faster, up to saturation (Module 9). The second is recruitment of fibres — not to be confused with the clinical sign of the same name — meaning that louder sounds excite a wider population: more fibres at the centre of the excitation, and a spreading skirt of fibres tuned to neighbouring places. Total loudness reflects the summed activity across the whole responding population.[2012]

This is why no single fibre's saturation limits our hearing: even after the most sensitive fibres have maxed out, rising level keeps recruiting higher-threshold fibres and widening the active region, so the population code keeps growing.

TCHow loudness grows

Perceived loudness does not grow in proportion to sound pressure or even to decibels; across most of the range it grows roughly as a power functionof intensity (Stevens' law), so that a 10 dB increase corresponds approximately to a doubling of loudness. Loudness also sums across frequency: a sound spread over many frequency bands is louder than the same energy in one band, because it engages more of the cochlea. These facts make loudness a property of the whole pattern of neural activity, not of any single channel.[2013]

Equal-loudness contours — loudness is not flat across frequency

040801201001k10kfrequency (Hz)level (dB SPL)
Reference (1 kHz)40 dB SPL
Same loudness at 100 Hz47 dB
Most sensitive near3–4 kHz

To sound as loud as a 1 kHz tone, a low-frequency tone must be physically much more intense — the contours rise steeply at the bass end. The contours flatten as level rises, which is why turning music up makes the bass seem to bloom. The ear is most sensitive in the speech-critical 3–4 kHz region.

CThe dynamic range

The usable dynamic range of normal hearing — from the faintest audible sound to the loudest tolerable one — exceeds 100 dB. Speech occupies only about a 30 dBwindow within it (from soft high-frequency consonants to loud low-frequency vowels). In sensorineural hearing loss the range shrinks from both ends: the threshold rises while the uncomfortable level changes little, so the whole of speech must be packed into a much smaller window — the core problem a hearing aid's compression, or an implant's loudness mapping, has to solve.[2009]

The dynamic-range squeeze — acoustic vs electric

04080120sound level (dB SPL)Normal acoustic>100 dBSpeech window~30 dBSensorineural loss~45 dB usableelectric (T→C)CTa few to ~20current units
>100 dB
normal acoustic dynamic range
~30 dB
the window speech actually occupies
T → C
electric range: often only a handful of current units

The processor's job is to map the wide acoustic range into the tiny electric T–C window — front-end compression doing artificially what the cochlear amplifier once did automatically. The narrower the window, the more aggressive the compression must be.

FTRecruitment in hearing loss

When outer hair cells are lost, loudness growth becomes abnormal: thresholds rise, but once a sound is audible its loudness climbs unusually fast toward discomfort — clinical recruitment (introduced in Module 7). Compare the three regimes below: the compressive, wide-range normal curve; the steep, squeezed recruiting curve of cochlear loss; and the very narrow electric window.

Loudness growth — acoustic, recruiting, and electric

sound level (0–120 dB SPL)loudnessthrUCL
Loudness69
Usable range98% of axis
Perceptloud

Loudness grows compressively across the full ~120 dB range — a power function with exponent below 1. A huge range of inputs maps onto a comfortable range of loudness.

FTElectric loudness coding

A cochlear implant codes loudness mainly by the amplitude of the current it delivers (and, to a lesser extent, by pulse rate and the number of electrodes active). But the range between a barely-audible current and an uncomfortably-loud one — between threshold (T) and the comfortable maximum (C) — is strikingly small, and loudness grows steeply, even expansively, across it. Electric hearing therefore reverses the cochlea's compression: where the normal ear squeezes a wide input into a comfortable loudness, the implant must do that squeezing in the processor, because the nerve's electrical loudness window is so narrow.[2009]

No cochlea, no recruitment

Crucially, electric loudness growth — though steep — is set by the device, not by damaged recruiting hair cells. Within the T–C window the clinician controls the mapping, so loudness can be made orderly and comfortable in a way a recruiting acoustic ear cannot. The implant trades the cochlea's effortless compression for a narrow but fully controllable range.

TThe physiology behind T and C

Everything in this module reappears in the programming booth. Setting T and C levelsis precisely the act of measuring the electrical dynamic range of this module; the processor's input dynamic range and compression are how the wide acoustic range is mapped into it; and the electrical stapedius reflex is an objective read-out of where comfortable loudness sits. The objective-measures chapter (Module 9 there) is, in this sense, applied loudness physiology.[2009]

Intensity is one of the nerve's two great dimensions. The other is frequency — and how the nerve codes pitch, by place and by timing, is the next module.

Case 10.1 · Small steps, big loudness changes
At a cochlear-implant fitting, the audiologist finds that increasing the current on an electrode by just a few units takes the recipient from 'I can barely hear that' to 'that's too loud'. The whole comfortable range spans only a small number of current units.

How does this electrical loudness behaviour compare with normal acoustic loudness coding, and why?

Self-assessment — Chapter 1, Module 103 questions
Question 1 · Trainee

Besides each fibre firing faster, how else does the auditory nerve signal that a sound is louder?

Question 2 · Foundation

Roughly how large is the usable dynamic range of normal hearing?

Question 3 · Trainee

Why does a cochlear implant have a very narrow electrical dynamic range (small T–C window)?

Tracked locally in your browser — see /progress for the dashboard.