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Biomedical subjects

David B Pisoni

Publications and source records attributed to David B Pisoni.

At least 19 recordsLinked to original sources

Divergence of fine and gross motor skills in prelingually deaf children: implications for cochlear implantation.

OBJECTIVE: The objective of this study was to assess relations between fine and gross motor development and spoken language processing skills in pediatric cochlear implant users. STUDY DESIGN: The authors conducted a retrospective analysis of longitudinal data. METHODS: Prelingually deaf children who received a cochlear implant before age 5 and had no known developmental delay or cognitive impairment were included in the study. Fine and gross motor development were assessed before implantation using the Vineland Adaptive Behavioral Scales, a standardized parental report of adaptive behavior. Fine and gross motor scores reflected a given child's motor functioning with respect to a normative sample of typically developing, normal-hearing children. Relations between these preimplant scores and postimplant spoken language outcomes were assessed. RESULTS: In general, gross motor scores were found to be positively related to chronologic age, whereas the opposite trend was observed for fine motor scores. Fine motor scores were more strongly correlated with postimplant expressive and receptive language scores than gross motor scores. CONCLUSIONS: Our findings suggest a disassociation between fine and gross motor development in prelingually deaf children: fine motor skills, in contrast to gross motor skills, tend to be delayed as the prelingually deaf children get older. These findings provide new knowledge about the links between motor and spoken language development and suggest that auditory deprivation may lead to atypical development of certain motor and language skills that share common cortical processing resources.

Age Factors↗

Perceptual similarity of regional dialects of American English.

Previous research on the perception of dialect variation has measured the perceptual similarity of talkers based on regional dialect using only indirect methods. In the present study, a paired comparison similarity ratings task was used to obtain direct measures of perceptual similarity. Naive listeners were asked to make explicit judgments about the similarity of a set of talkers based on regional dialect. The talkers represented four regional varieties of American English and both genders. Results revealed an additive effect of gender and dialect on mean similarity ratings and two primary dimensions of perceptual dialect similarity: geography (northern versus southern varieties) and dialect markedness (many versus few characteristic properties). The present findings are consistent with earlier research on the perception of dialect variation, as well as recent speech perception studies which demonstrate the integral role of talker gender in speech perception.

Acoustic Stimulation↗

Auditory-visual speech perception and synchrony detection for speech and nonspeech signals.

Previous research has identified a "synchrony window" of several hundred milliseconds over which auditory-visual (AV) asynchronies are not reliably perceived. Individual variability in the size of this AV synchrony window has been linked with variability in AV speech perception measures, but it was not clear whether AV speech perception measures are related to synchrony detection for speech only or for both speech and nonspeech signals. An experiment was conducted to investigate the relationship between measures of AV speech perception and AV synchrony detection for speech and nonspeech signals. Variability in AV synchrony detection for both speech and nonspeech signals was found to be related to variability in measures of auditory-only (A-only) and AV speech perception, suggesting that temporal processing for both speech and nonspeech signals must be taken into account in explaining variability in A-only and multisensory speech perception.

Acoustic Stimulation↗

Effects of open-set and closed-set task demands on spoken word recognition.

Closed-set tests of spoken word recognition are frequently used in clinical settings to assess the speech discrimination skills of hearing-impaired listeners, particularly children. Speech scientists have reported robust effects of lexical competition and talker variability in open-set tasks but not closed-set tasks, suggesting that closed-set tests of spoken word recognition may not be valid assessments of speech recognition skills. The goal of the current study was to explore some of the task demands that might account for this fundamental difference between open-set and closed-set tasks. In a series of four experiments, we manipulated the number and nature of the response alternatives. Results revealed that as more highly confusable foils were added to the response alternatives, lexical competition and talker variability effects emerged in closed-set tests of spoken word recognition. These results demonstrate a close coupling between task demands and lexical competition effects in lexical access and spoken word recognition processes.

Adolescent↗

Influence of voice similarity on talker discrimination in children with normal hearing and children with cochlear implants.

The perception of voice similarity was examined in 5-year-old children with normal hearing sensitivity and in pediatric cochlear implant users, 5-12 years of age. Recorded sentences were manipulated to form a continuum of similar-sounding voices. An adaptive procedure was then used to determine how acoustically different, in terms of average fundamental and formant frequencies, 2 sentences needed to be for a child to categorize the sentences as spoken by 2 different talkers. The average spectral characteristics of 2 utterances (including their fundamental frequencies) needed to differ by at least 11%-16% (2-2.5 semitones) for normal-hearing children to perceive the voices as belonging to different talkers. Introducing differences in the linguistic content of the 2 sentences to be compared did not change performance. Although several children with cochlear implants performed similarly to normal-hearing children, most found the task very difficult. Pediatric cochlear implant users who scored above the group mean of 64% of words correct on a monosyllabic open-set word identification task categorized the voices more like children with normal hearing sensitivity.

Child↗

Effects of a cochlear implant simulation on immediate memory in normal-hearing adults.

This study assessed the effects of stimulus misidentification and memory processing errors on immediate memory span in 25 normal-hearing adults exposed to degraded auditory input simulating signals provided by a cochlear implant. The identification accuracy of degraded digits in isolation was measured before digit span testing. Forward and backward digit spans were shorter when digits were degraded than when they were normal. Participants' normal digit spans and their accuracy in identifying isolated digits were used to predict digit spans in the degraded speech condition. The observed digit spans in degraded conditions did not differ significantly from predicted digit spans. This suggests that the decrease in memory span is related primarily to misidentification of digits rather than memory processing errors related to cognitive load. These findings provide complementary information to earlier research on auditory memory span of listeners exposed to degraded speech either experimentally or as a consequence of a hearing-impairment.

Acoustic Stimulation↗

Development of audiovisual comprehension skills in prelingually deaf children with cochlear implants.

OBJECTIVE: The present study investigated the development of audiovisual comprehension skills in prelingually deaf children who received cochlear implants. DESIGN: We analyzed results obtained with the Common Phrases (Robbins et al., 1995) test of sentence comprehension from 80 prelingually deaf children with cochlear implants who were enrolled in a longitudinal study, from pre-implantation to 5 years after implantation. RESULTS: The results revealed that prelingually deaf children with cochlear implants performed better under audiovisual (AV) presentation compared with auditory-alone (A-alone) or visual-alone (V-alone) conditions. AV sentence comprehension skills were found to be strongly correlated with several clinical outcome measures of speech perception, speech intelligibility, and language. Finally, pre-implantation V-alone performance on the Common Phrases test was strongly correlated with 3-year postimplantation performance on clinical outcome measures of speech perception, speech intelligibility, and language skills. CONCLUSIONS: The results suggest that lipreading skills and AV speech perception reflect a common source of variance associated with the development of phonological processing skills that is shared among a wide range of speech and language outcome measures.

Auditory Perception↗

Behavioral assessment of prelingually deaf children before cochlear implantation.

OBJECTIVES/HYPOTHESIS: To determine whether scores from a behavioral assessment of prelingually deafened children who present for cochlear implant surgery are predictive of audiological outcomes. STUDY DESIGN: Retrospective review of longitudinal data collected from 42 children with prelingual hearing loss who presented for a cochlear implant before age 5 years. METHODS: The Vineland Adaptive Behavioral Scales (VABS) was administered during the preimplant workup. Standardized scores reflect daily living skills, socialization, and motor development compared with a normative sample. Regression analyses were conducted to determine whether any subject variables were related to VABS scores. Mixed-model analyses were computed to determine whether preimplant VABS scores were predictive of longitudinal spoken-language data obtained after cochlear implant surgery. RESULTS: Motor scores tended to be higher than nonmotor scores. Nonmotor scores were significantly lower than the normative mean and decreased with testing age. Children with acquired deafness demonstrated lower motor scores than children with congenital causes. Children with higher motor scores demonstrated significantly higher performance on language, vocabulary, and word recognition tests than children with lower motor scores. Nonmotor domains were not as robustly related to spoken-language measures, although similar trends were observed. CONCLUSION: Profound deafness and language delay may confound the assessment of daily living skills and socialization in the population studied. Motor development appears to proceed normally in prelingually deafened children and is a preimplant predictor of spoken-language outcome in young infants and children with cochlear implants, a finding consistent with the large body of work establishing links between perceptual-motor and language development.

Activities of Daily Living↗

Audiovisual speech perception in elderly cochlear implant recipients.

OBJECTIVES/HYPOTHESIS: This study examined the speech perception skills of a younger and older group of cochlear implant recipients to determine the benefit that auditory and visual information provides for speech understanding. STUDY DESIGN: Retrospective review. METHODS: Pre- and postimplantation speech perception scores from the Consonant-Nucleus-Consonant (CNC), the Hearing In Noise sentence Test (HINT), and the City University of New York (CUNY) tests were analyzed for 34 postlingually deafened adult cochlear implant recipients. Half were elderly (i.e., >65 y old) and other half were middle aged (i.e., 39-53 y old). The CNC and HINT tests were administered using auditory-only presentation; the CUNY test was administered using auditory-only, vision-only, and audiovisual presentation conditions RESULTS: No differences were observed between the two age groups on the CNC and HINT tests. For a subset of individuals tested with the CUNY sentences, we found that the preimplantation speechreading scores of the younger group correlated negatively with auditory-only postimplant performance. Additionally, older individuals demonstrated a greater reliance on the integration of auditory and visual information to understand sentences than did the younger group CONCLUSIONS: On average, the auditory-only speech perception performance of older cochlear implant recipients was similar to the performance of younger adults. However, variability in speech perception abilities was observed within and between both age groups. Differences in speechreading skills between the younger and older individuals suggest that visual speech information is processed in a different manner for elderly individuals than it is for younger adult cochlear implant recipients.

Adult↗

Acoustic characteristics of the vowel systems of six regional varieties of American English.

Previous research by speech scientists on the acoustic characteristics of American English vowel systems has typically focused on a single regional variety, despite decades of sociolinguistic research demonstrating the extent of regional phonological variation in the United States. In the present study, acoustic measures of duration and first and second formant frequencies were obtained from five repetitions of 11 different vowels produced by 48 talkers representing both genders and six regional varieties of American English. Results revealed consistent variation due to region of origin, particularly with respect to the production of low vowels and high back vowels. The Northern talkers produced shifted low vowels consistent with the Northern Cities Chain Shift, the Southern talkers produced fronted back vowels consistent with the Southern Vowel Shift, and the New England, Midland, and Western talkers produced the low back vowel merger. These findings indicate that the vowel systems of American English are better characterized in terms of the region of origin of the talkers than in terms of a single set of idealized acoustic-phonetic baselines of "General" American English and provide benchmark data for six regional varieties.

Adolescent↗

Nonword imitation by children with cochlear implants: consonant analyses.

OBJECTIVES: To complete detailed linguistic analyses of archived recordings of pediatric cochlear implant users' imitations of nonwords; to gain insight into the children's developing phonological systems and the wide range of variability in nonword responses. DESIGN: Nonword repetition: repetition of 20 auditory-only English-sounding nonwords. SETTING: Central Institute for the Deaf "Education of the Deaf Child" research program, St Louis, Mo. PARTICIPANTS: Eighty-eight 8- to 10-year-old experienced pediatric cochlear implant users. MAIN OUTCOME MEASURES: Several different consonant accuracy scores based on the linguistic structure (voicing, place, and manner of articulation) of the consonants being imitated; analysis of the errors produced for all consonants imitated incorrectly. RESULTS: Seventy-six children provided a response to at least 75% of the nonword stimuli. In these children's responses, 33% of the target consonants were imitated correctly, 25% of the target consonants were deleted, and substitutions were provided for 42% of the target consonants. The children tended to correctly reproduce target consonants with coronal place (which involve a mid-vocal tract constriction) more often than other consonants. Poorer performers tended to produce more deletions than the better performers, but their production errors tended to follow the same patterns as the better performers. CONCLUSIONS: Poorer performance on labial consonants suggests that scores were affected by the lack of visual cues such as lip closure. Oral communication users tended to perform better than total communication users, indicating that oral communication methods are beneficial to the development of pediatric cochlear implant users' phonological processing skills.

Child↗

Cross-modal source information and spoken word recognition.

In a cross-modal matching task, participants were asked to match visual and auditory displays of speech based on the identity of the speaker. The present investigation used this task with acoustically transformed speech to examine the properties of sound that can convey cross-modal information. Word recognition performance was also measured under the same transformations. The authors found that cross-modal matching was only possible under transformations that preserved the relative spectral and temporal patterns of formant frequencies. In addition, cross-modal matching was only possible under the same conditions that yielded robust word recognition performance. The results are consistent with the hypothesis that acoustic and optical displays of speech simultaneously carry articulatory information about both the underlying linguistic message and indexical properties of the talker.

Adult↗

Nonword repetition by children with cochlear implants: accuracy ratings from normal-hearing listeners.

Seventy-six children with cochlear implants completed a nonword repetition task. The children were presented with 20 nonword auditory patterns over a loud-speaker and were asked to repeat them aloud to the experimenter. The children's responses were recorded on digital audiotape and then played back to normal-hearing adult listeners to obtain accuracy ratings on a 7-point scale. The children's nonword repetition performance, as measured by these perceptual accuracy ratings, could be predicted in large part by their performance on independently collected measures of speech perception, verbal rehearsal speed, and speech production. The strongest contributing variable was speaking rate, which is widely argued to reflect verbal rehearsal speed in phonological working memory. Children who had become deaf at older ages received higher perceptual ratings. Children whose early linguistic experience and educational environments emphasized oral communication methods received higher perceptual ratings than children enrolled in total communication programs. The present findings suggest that individual differences in performance on nonword repetition are strongly related to variability observed in the component processes involved in language imitation tasks, including measures of speech perception, speech production, and especially verbal rehearsal speed in phonological working memory. In addition, onset of deafness at a later age and an educational environment emphasizing oral communication may be beneficial to the children's ability to develop the robust phonological processing skills necessary to accurately repeat novel, nonword sound patterns.

Child↗

Illusory recollection of voices.

We investigated source misattributions in the DRM false memory paradigm (Deese, 1959, Roediger & McDermott, 1995). Subjects studied words in one of two voices, manipulated between-lists (pure-voice lists) or within-list (mixed-voice lists), and were subsequently given a recognition test with voice-attribution judgements. Experiments 1 and 2 used visual tests. With pure-voice lists (Experiment 1), subjects frequently attributed related lures to the corresponding study voice, despite having the option to not respond. Further, these erroneous attributions remained high with mixed-voice lists (Experiment 2). Thus, even when their related lists were not associated with a particular voice, subjects misattributed the lures to one of the voices. Attributions for studied items were fairly accurate in both cases. Experiments 3 and 4 used auditory tests. With pure-voice lists (Experiment 3), subjects frequently attributed related lures and studied items to the corresponding study voice, regardless of the test voice. In contrast, with mixed-voice lists (Experiment 4), subjects frequently attributed related lures and studied items to the corresponding test voice, regardless of the study voice. These findings indicate that source attributions can be sensitive to voice information provided either at study or at test, even though this information is irrelevant for related lures.

Analysis of Variance↗

Cochlear implantation in adults with prelingual deafness. Part I. Clinical results.

OBJECTIVES/HYPOTHESIS: To examine the hypothesis that the newer generations of cochlear implants could provide considerable speech understanding to late-implanted, prelingually deaf adult patients. STUDY DESIGN: Retrospective review. METHODS: Speech perception scores of 103 patients with long-term prelingual deafness obtained from the recent clinical trials were compared with other previously published results. RESULTS: Unlike patients receiving implants in early childhood, the audiologic performance of most patients with long-term prelingual deafness rapidly approached asymptotic levels within 1 year after implantation. Beginning at 3 months postimplantation, statistically significant improvement was noted in their speech perception scores compared with their preimplant levels. However, the average performance plateau achieved by this group of patients was significantly below the levels published for postlingual patients. No statistically significant differences were observed between the test scores at any testing interval among patients with different devices. CONCLUSIONS: Most patients with long-term prelingual deafness achieve their performance plateau within 1 year after implantation. The results suggest that patient characteristics, rather than device properties, are likely to be the major contributing factor responsible for the observed audiologic outcomes.

Adolescent↗

Cochlear implantation in adults with prelingual deafness. Part II. Underlying constraints that affect audiological outcomes.

OBJECTIVES/HYPOTHESIS: To discuss the underlying physiological and anatomical constraints on audiological performance of late-implanted prelingually deafened adult cochlear implant patients. STUDY DESIGN: Retrospective review. METHODS: Published literature on the topic of auditory pathway responses to prolonged congenital deafness was reviewed. In particular, the authors sought to identify the anatomical and physiological changes that take place in both the peripheral and central auditory pathways in response to prolonged deafness, as well as how they are altered by chronic electrical stimulation. RESULTS: The currently available evidence suggests that the colonization of the auditory cortex by other sensory modalities is the main limiting factor in postimplantation performance, not the pathological degenerative changes of the auditory nerve, cochlear nucleus, or auditory midbrain. CONCLUSION: The reviewed evidence, although circumstantial, suggests that emphasizing aurally based educational programs before (with hearing aids) and after cochlear implantation could reduce the cortical colonization phenomenon and potentially improve postimplantation audiological performance of patients with long-term prelingual deafness.

Adult↗

Specification of cross-modal source information in isolated kinematic displays of speech.

Information about the acoustic properties of a talker's voice is available in optical displays of speech, and vice versa, as evidenced by perceivers' ability to match faces and voices based on vocal identity. The present investigation used point-light displays (PLDs) of visual speech and sinewave replicas of auditory speech in a cross-modal matching task to assess perceivers' ability to match faces and voices under conditions when only isolated kinematic information about vocal tract articulation was available. These stimuli were also used in a word recognition experiment under auditory-alone and audiovisual conditions. The results showed that isolated kinematic displays provide enough information to match the source of an utterance across sensory modalities. Furthermore, isolated kinematic displays can be integrated to yield better word recognition performance under audiovisual conditions than under auditory-alone conditions. The results are discussed in terms of their implications for describing the nature of speech information and current theories of speech perception and spoken word recognition.

Acoustic Stimulation↗

Effects of talker variability on perceptual learning of dialects.

Two groups of listeners learned to categorize a set of unfamiliar talkers by dialect region using sentences selected from the TIMIT speech corpus. One group learned to categorize a single talker from each of six American English dialect regions. A second group learned to categorize three talkers from each dialect region. Following training, both groups were asked to categorize new talkers using the same categorization task. While the single-talker group was more accurate during initial training and test phases when familiar talkers produced the sentences, the three-talker group performed better on the generalization task with unfamiliar talkers. This cross-over effect in dialect categorization suggests that while talker variation during initial perceptual learning leads to more difficult learning of specific exemplars, exposure to intertalker variability facilitates robust perceptual learning and promotes better categorization performance of unfamiliar talkers. The results suggest that listeners encode and use acoustic-phonetic variability in speech to reliably perceive the dialect of unfamiliar talkers.

Adult↗