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Results for “Speech Perception”

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At least 199 records · Page 11Linked to original sources

PubMed2003

Speech perception of Mandarin Chinese speaking young children after cochlear implant use: effect of age at implantation.

OBJECTIVE: The purposes of this study were to examine (1). whether the benefit of cochlear implants in Mandarin-speaking congenitally deaf children persists over a 2-year follow-up period, and (2). whether the age of the child at implantation affects the acquisition of speech perception by young deafened children. METHOD: Sixteen congenitally deaf children received implants of Nucleus CI24M devices. Speech perception tests were conducted using the Mandarin Auditory Perception Test Battery at 6-month intervals after connection of the device. We determined the benefit of cochlear implants by monitoring percent correct scores between 12 and 24 months after implantation. Regression analysis was used to correlate the measures of progress and the age at implantation. RESULTS: In the comparison of performance at 12 and 24 months post-connection, subjects performed significantly better at 24 than at 12 months in spondee, vowel, and consonant tests (P<0.05). In phrase and sentence tests, the mean score improved over time with device use, but the difference was not significant (P=0.066 and 0.067, respectively). However, no obvious improvement in average score was found in tone tests (P=0.386). Progress (improvement in speech perception) at 12 and 24 months had moderate negative correlations with age at implantation in spondee, vowel, phrase and sentence tests (P<0.05), but no correlation with age in consonant (P=0.20) and tone tests (P=0.26). CONCLUSION: The result, in accordance with the reports on Western language-speaking children, showed cochlear implants increasingly benefit Mandarin-speaking congenitally deaf children over a 2-year post-implantation period. Because age at implantation negatively correlates with improved speech perception after implantation, congenitally affected children with profound deafness (if they cannot obtain enough benefit from hearing aids) should receive implants as early as possible.

Age Factors↗

PubMed1993

Psychophysical and speech perception studies: a case report on a binaural cochlear implant subject.

Further improvements in speech perception for cochlear implant patients in quiet and in noise should be possible with speech processing strategies using binaural implants. For this reason, presented here is a series of initial psychophysical and speech perception studies on the authors' first binaural cochlear implant patient. For an approximate matching of the places of stimulation on the two sides, the patient usually reported a single percept when the two sides were simultaneously stimulated. Lateralization was strongly influenced by amplitude differences between the electrical stimuli on the two sides, but only weakly by interaural time delays. Speech testing, comparing monaural with binaural electrical stimulation, showed a binaural advantage particularly in noise.

Adult↗

PubMed1998

Speech perception performance in experienced cochlear-implant patients receiving the SPEAK processing strategy in the Nucleus Spectra-22 cochlear implant.

Sixteen experienced cochlear implant patients with a wide range of speech-perception abilities received the SPEAK processing strategy in the Nucleus Spectra-22 cochlear implant. Speech perception was assessed in quiet and in noise with SPEAK and with the patients' previous strategies (for most, Multipeak) at the study onset, as well as after using SPEAK for 6 months. Comparisons were made within and across the two test sessions to elucidate possible learning effects. Patients were also asked to rate the strategies on seven speech recognition and sound quality scales. After 6 months' experience with SPEAK, patients showed significantly improved mean performance on a range of speech recognition measures in quiet and noise. When mean subjective ratings were compared over time there were no significant differences noted between strategies. However, many individuals rated the SPEAK strategy better for two or more of the seven subjective measures. Ratings for "appreciation of music" and "quality of my own voice" in particular were generally higher for SPEAK. Improvements were realized by patients with a wide range of speech perception abilities, including those with little or no open-set speech recognition.

Adult↗

PubMed1997

Speech perception performance of children with a cochlear implant compared to that of children with conventional hearing aids. I. The "equivalent hearing loss" concept.

A new measure has been developed to quantify the speech perception performance of children with a cochlear implant (CI). The method summarizes the speech perception scores obtained on a battery of tests that ranges from very basal tasks up to open speech recognition. The overall performance of a child with a CI on the test battery at a certain time during follow-up is matched to that of a reference group of severely and profoundly hearing-impaired children with conventional hearing aids. This matching procedure results in the expression of the speech perception scores of a child with a CI as an "equivalent hearing loss" value. The equivalent hearing loss concept deals adequately with floor and ceiling effects which inevitably occur when a battery with such a large range of tests is used. To illustrate this, application of the procedure to three children with a CI showed that before implantation, while they were using conventional hearing aids, the equivalent hearing loss was above 120 dB hearing level (HL). At 3 years' follow-up the equivalent hearing loss improved to 70 dB HL in the two children with an aetiology of meningitis. This means that these children were performing as well as children in the reference group with a hearing loss of 70 dB HL. The child with congenital deafness showed minor improvements over time.

Child↗

PubMed2006

Multiple stages of auditory speech perception reflected in event-related FMRI.

Speech processing in auditory cortex and beyond is a remarkable yet poorly understood faculty of the listening brain. Here we show that stop consonants, as the most transient constituents of speech, are sufficient to involve speech perception circuits in the human superior temporal cortex. Left anterolateral superior temporal cortex showed a stronger response in blood oxygenation level-dependent functional magnetic resonance imaging (fMRI) to intelligible consonantal bursts compared with incomprehensible control sounds matched for spectrotemporal complexity. Simultaneously, the left posterior superior temporal plane (including planum temporale [PT]) exhibited a noncategorical responsivity to complex stimulus acoustics across all trials, showing no preference for intelligible speech sounds. Multistage hierarchical processing of speech sounds is thus revealed with fMRI, providing evidence for a role of the PT in the fundamental stages of the acoustic analysis of complex sounds, including speech.

Acoustic Stimulation↗

PubMedDate not supplied

The role of early language experience in the development of speech perception and phonological processing abilities: evidence from 5-year-olds with histories of otitis media with effusion and low socioeconomic status.

UNLABELLED: This study tested the hypothesis that early language experience facilitates the development of language-specific perceptual weighting strategies believed to be critical for accessing phonetic structure. In turn, that structure allows for efficient storage and retrieval of words in verbal working memory, which is necessary for sentence comprehension. Participants were forty-nine 5-year-olds, evenly distributed among four groups: those with chronic otitis media with effusion (OME), low socio-economic status (low-SES), both conditions (both), or neither condition (control). All children participated in tasks of speech perception and phonological awareness. Children in the control and OME groups participated in additional tasks examining verbal working memory, sentence comprehension, and temporal processing. The temporal-processing task tested the hypothesis that any deficits observed on the language-related tasks could be explained by temporal-processing deficits. Children in the three experimental groups demonstrated similar results to each other, but different from the control group for speech perception and phonological awareness. Children in the OME group differed from those in the control group on tasks involving verbal working memory and sentence comprehension, but not temporal processing. Overall these results supported the major hypothesis explored, but failed to support the hypothesis that language problems are explained to any extent by temporal-processing problems. LEARNING OUTCOMES: As a result of this activity, the participant will be able to (1) Explain the relation between language experience and the development of mature speech perception strategies, phonological awareness, verbal working memory, and syntactic comprehension. (2) Name at least three populations of individuals who exhibit delays in the development of mature speech perception strategies, phonological awareness, verbal working memory, and syntactic comprehension, and explain why these delays exist for each group. (3) Point out why perceptual strategies for speech are different for different languages. (4) Describe Baddeley's model [A.D. Baddeley, The development of the concept of working memory: implications and contributions of neuropsychology, in: G. Vallar, T. Shallice (Eds.), Neuropsychological Impairments of Short-term Memory, Cambridge University Press, New York, 1990, p. 54] of verbal working memory.

Acoustic Impedance Tests↗

PubMed1997

Long-term speech perception in children with cochlear implants compared with children with conventional hearing aids.

OBJECTIVE: To determine the speech perception of children with cochlear implants. SUBJECTS AND METHODS: Speech perception results of seven children with cochlear implants (excellent performers), who showed stable speech recognition scores in the long term, were compared with those of severely hearing-impaired children with conventional hearing aids (reference group). The groups of children were matched according to their mean free-field aided thresholds. RESULTS: The results of the open-set word recognition test were comparable in the two groups. CONCLUSION: If we consider the results of the hearing aid users as the gold standard, the results suggest that speech recognition in selected children with a cochlear implant is close to optimal.

Audiometry, Pure-Tone↗

PubMed2002

Patients utilizing a hearing aid and a cochlear implant: speech perception and localization.

OBJECTIVE: The purpose of this pilot study was to document speech perception and localization abilities in patients who use a cochlear implant in one ear and a hearing aid in the other ear. DESIGN: We surveyed a group of 111 cochlear implant patients and asked them whether they used a hearing aid on their unimplanted ear. The first three patients who were available were tested on word and sentence recognition and localization tasks. Speech stimuli were presented from the front in quiet and in noise. In the latter conditions, noise was either from the front, the right, or the left. Localization was tested with noise bursts presented at 45 degrees from the right or left. In addition we asked the patients about their abilities to integrate the information from both devices. RESULTS: Speech perception tests in quiet showed a binaural advantage for only one of the three patients for words and none for sentences. With speech and noise both in front of the patient, two patients performed better with both devices than with either device alone. With speech in front and noise on the hearing aid side, no binaural advantage was seen, but with noise on the cochlear implant side, one patient showed a binaural advantage. Localization ability improved with both devices for two patients. The third patient had above-chance localization ability with his implant alone. CONCLUSIONS: A cochlear implant in one ear and a hearing aid in the other ear can provide binaural advantages. The patient who did not show a clear binaural advantage had the poorest hearing aid alone performance. The absolute and relative levels of performance at each ear are likely to influence the potential for binaural integration.

Cochlear Implants↗

PubMed1998

The effects of processor strategy on the speech perception performance of pediatric nucleus multichannel cochlear implant users.

OBJECTIVE: The present investigation examined the speech perception skills of pediatric cochlear implant users who changed from their original speech processors and strategies to the Spectral Peak (SPEAK) strategy. DESIGN: A within-subjects design was used to compare individual subject's performance using the SPEAK strategy with that obtained with their previous speech strategy (FOF1F2 or Multipeak) in this retrospective study. The subjects demonstrated a wide range of perceptual abilities and had used a cochlear implant for varying lengths of time before converting to the SPEAK strategy. RESULTS: Nine of the 11 subjects showed significant improvement on at least one of the open-set word recognition measures, whereas two subjects showed no change on any of the open-set measures when using the SPEAK strategy. CONCLUSIONS: The present results suggest that the majority of pediatric cochlear implant users are likely to show improved speech perception performance when converting to the new SPEAK processing strategy.

Audiometry, Pure-Tone↗

PubMed2005

Blink reflex and auditory speech perception in prelingually cochlear-implanted children.

CONCLUSION: The results of this study show that R- prelingually cochlear-implanted children are not optimal candidates for cochlear implantation. However, if this group are implanted, other rehabilitation methods should be incorporated into their rehabilitation program in order to achieve better results and maximize the efficacy of their prosthesis. OBJECTIVE: To demonstrate that the blink reflex or auropalpebral reflex evaluation can be used as a prognostic factor for the assessment of auditory and speech perception levels in prelingually cochlear-implanted children. MATERIAL AND METHODS: In an observational, analytical, prospective study conducted at a single cochlear implant rehabilitation center in 85 prelingually cochlear-implanted children, the presence or absence of the blink reflex (BR) was evaluated and the results of auditory and speech perception tests were compared between reflex-positive (R+) and reflex-negative (R-) patients. To obtain the BR, four electrodes were applied in both the Nucleus and MED-EL systems and then stimulated by means of current levels higher than the previously detected most comfortable level of the patient until the reflex appeared. Auditory and speech perception levels were measured using the vowels-confusion test and the categorization of auditory perception scale. RESULTS: The mean results of auditory and speech perception tests were significantly higher in R+ compared to R- patients.

Auditory Threshold↗

PubMed2004

Functioning of olivocochlear bundle and speech perception in noise.

OBJECTIVES: To evaluate the effect of contralateral acoustic stimuli on speech identification scores and to correlate this effect to contralateral suppression of evoked otoacoustic emission. DESIGN: Ten normal-hearing children with good academic performance participated in the study. Speech identification scores were measured in quiet and with different ipsilateral signal to noise ratios in two conditions, with and without contralateral acoustic stimuli. Transient evoked otoacoustic emissions were recorded for 70 dB SPL clicks with and without contralateral acoustic stimuli. RESULTS: Findings revealed that contralateral acoustic stimuli enhanced speech perception when ipsilateral signal to noise ratios was +10 dB and +15 dB. This enhancement had significant positive correlation with contralateral suppression of OAE. CONCLUSIONS: The results of the present study support the hypothesis that medial olivocochlear bundle might aid in speech perception in noise, thereby suggesting a possible role of cochlear efferent fibers in hearing. The psychoacoustic measures can be used to evaluate the efferent auditory pathways, where it is not possible to record otoacoustic emissions.

Auditory Pathways↗

PubMed2006

Sequential audiovisual interactions during speech perception: a whole-head MEG study.

Using whole-head magnetoencephalography (MEG), audiovisual (AV) interactions during speech perception (/ta/- and /pa/-syllables) were investigated in 20 subjects. Congruent AV events served as the 'standards' of an oddball design. The deviants encompassed incongruent /ta/-/pa/ configurations differing from the standards either in the acoustic or the visual domain. As an auditory non-speech control condition, the same video signals were synchronized with either one of two complex tones. As in natural speech, visual movement onset preceded acoustic signals by about 150 ms. First, the impact of visual information on auditorily evoked fields to non-speech sounds was determined. Larger facial movements (/pa/ versus /ta/) yielded enhanced early responses such as the M100 component, indicating, most presumably, anticipatory pre-activation of auditory cortex by visual motion cues. As a second step of analysis, mismatch fields (MMF) were calculated. Acoustic deviants elicited a typical MMF, peaking ca. 180 ms after stimulus onset, whereas visual deviants gave rise to later responses (220 ms) of a more posterior-medial source location. Finally, a late (275 ms), left-lateralized visually-induced MMF component, resembling the acoustic mismatch response, emerged during the speech condition, presumably reflecting phonetic/linguistic operations. There is mounting functional imaging evidence for an early impact of visual information on auditory cortical regions during speech perception. The present study suggests at least two successive AV interactions in association with syllable recognition tasks: early activation of auditory areas depending upon visual motion cues and a later speech-specific left-lateralized response mediated, conceivably, by backward-projections from multisensory areas.

Adult↗

PubMed2000

Speech perception as a function of electrical stimulation rate: using the Nucleus 24 cochlear implant system.

OBJECTIVE: To investigate the effect of varying electrical stimulation rate on speech comprehension by cochlear implant users, while keeping the number of stimulated channels constant. DESIGN: Three average rates of electrical stimulation, 250, 807, and 1615 pulses per second per channel (pps/ch), were compared using a speech processing strategy that employed an electrode selection technique similar to that used in the Spectral Maxima Sound Processor strategy (McDermott, McKay, & Vandali, 1992; McDermott & Vandali, Reference Note 1; McKay, McDermott, Vandali, & Clark, 1991) and the Spectral Peak strategy (Skinner et al., 1994; Whitford et al., 1995). Speech perception tests with five users of the Nucleus 24 cochlear implant system were conducted over a 21-wk period. Subjects were given take-home experience with each rate condition. A repeated ABC evaluation protocol with alternating order was employed so as to account for learning effects and to minimize order effects. Perception of open-set monosyllabic words in quiet and open-set sentences at signal to noise ratios ranging from +20 to 0 dB, depending on the subject's ability, were tested. A comparative performance questionnaire was also administered. RESULTS: No statistical differences in group performance between the 250 and 807 pps/ch rates were observed in any of the speech perception tests. However, significantly poorer group performance was observed for the 1615 pps/ch rate for some tests due predominantly to the results of one subject. Analysis of individual scores showed considerable variation across subjects. For some subjects, one or more of the three rate conditions evaluated provided benefits on some speech perception tasks. The results of the comparative performance questionnaire indicated a preference for the 250 and 807 pps/ch rates over the 1615 pps/ch rate for most listening situations. CONCLUSIONS: For the speech processing strategy, implant system, and subjects evaluated in this study, the group results indicated that the use of electrical stimulation rates higher than 250 pps/ch (up to 1615 pps/ch) generally provided no significant improvement to speech comprehension. However, individual results indicated that perceptual benefits could be obtained by adjusting rate of stimulation optimally to suit each subject. Results from one subject, together with tinnitus problems arising from high-rate stimulation for another subject, indicated that high rates of stimulation may in fact be undesirable for some subjects.

Adult↗

PubMed1998

Intra- and interindividual correlations between auditory evoked potentials and speech perception in cochlear implant users.

Several electrophysiological techniques have been used to supplement behavioural measurements in the evaluation of the benefit of cochlear implantation, namely the electrically evoked auditory brainstem response (EABR), electrically evoked middle latency response (EMLR) and electrically evoked late latency response (EALR). To study the interdependence of these responses, the present paper deals with a combination of EABR, EMLR and EALR measurements obtained from 15 postlingually deaf subjects implanted with the Nucleus multichannel device at the University Hospital Nijmegen. In particular, we investigated whether there were intercorrelations between amplitude and latencies of the evoked potential peaks and/or correlations with long-term speech perception scores. Significant correlations were found between the peak V amplitude of the EABR and the NaPa and NbPb amplitudes of the EMLR. No significant correlation was found between the EABR and EMLR amplitudes on the one hand and EALR peak amplitudes on the other. In addition, no significant correlations were found between any of the EABR or EMLR peak amplitudes and speech perception test results. A moderate but significant relation was found between the EALR peak amplitude and speech perception test results. Unlike latencies of earlier peaks, the latency of the EALR peak P2 was significantly related to the speech perception scores.

Adolescent↗

PubMed1992

Lipreading and audio-visual speech perception.

This paper reviews progress in understanding the psychology of lipreading and audio-visual speech perception. It considers four questions. What distinguishes better from poorer lipreaders? What are the effects of introducing a delay between the acoustical and optical speech signals? What have attempts to produce computer animations of talking faces contributed to our understanding of the visual cues that distinguish consonants and vowels? Finally, how should the process of audio-visual integration in speech perception be described; that is, how are the sights and sounds of talking faces represented at their conflux?

Auditory Perception↗

PubMed1989

Auditive and cognitive factors in speech perception by elderly listeners. I: Development of test battery.

This study compares performance of 24 young normal-hearing (aged 18-28 years) and 24 elderly (aged 61-85 years) listeners on auditive (sensitivity, frequency selectivity, and temporal resolution), cognitive (memory performance, processing speed, and divided attention ability), and speech perception tests (at the phoneme, spondee, and sentence level). Its principal aim is to assess whether the tests selected yield meaningful results. The results obtained will be used to reduce the test battery in order to be manageable in a second study on a much larger number of elderly listeners. The relationships between the tests are explored by multivariate statistical methods. The results show that: (a) in young listeners, individual differences in speech perception performance are remarkably small resulting in low correlations between the tests, while in the elderly tests of phoneme, spondee, and sentence perception overlap considerably; (b) speech perception in the elderly seems to be largely determined by hearing loss at the higher frequencies, whereas the effects of other auditive and cognitive factors seem to be relatively small or absent; and (c) performance in the elderly is only partly correlated with age.

Acoustic Stimulation↗

PubMed2004

Degree of modiolar coiling, electrical thresholds, and speech perception after cochlear implantation.

OBJECTIVE: Perimodiolar electrode arrays were developed to improve stimulation of specific neural populations and to decrease power consumption. Postoperative radiographs suggest that some arrays are more tightly coiled than others. The purpose of this study was to evaluate whether the degree of modiolar coil correlates with electrical threshold and/or performance measures postimplantation with the Nucleus CI24RCS (Contour) device. STUDY DESIGN: Retrospective review. SETTING: Cochlear implant center and a tertiary care hospital. PATIENTS: Twenty-eight adult cochlear implant recipients with normal cochlear anatomy who underwent implantation with the Nucleus C124RCS perimodiolar electrode and are at least 1 year postimplantation. INTERVENTIONS: Therapeutic. MAIN OUTCOME MEASURES: Radiologic degree of perimodiolar electrode placement (determined by a computer algorithmic analysis) compared with electrical thresholds and standard speech perception outcome measures at 1 year postcochlear implantation. RESULTS: No significant correlations were found between the degree of modiolar coiling of the electrode array and electrical thresholds and speech perception outcome measures at 1 year postcochlear implantation. CONCLUSIONS: The degree of coiling of a modiolar hugging electrode array was not directly correlated with the level of electrical thresholds or postoperative speech perception outcome measures. Appearance of coil tightness on postoperative radiographs could reflect either differences in array placement or intrinsic variations in cochlear anatomy, and variations in speech perception performance can be influenced by other factors, including length of deafness.

Adult↗

PubMed1980

Interaction of auditory and visual information in speech perception.

Two experiments investigated the role of stored auditory and visual information for unimodal speech perception tasks. The first experiment showed that hearing subjects performed better than deaf subjects on a lip-reading task, possibly because they could supplement lip-read stimuli with stored information derived from the auditory modality. The second experiment demonstrated that sighted subjects did not use stored visual information to supplement an auditory input when deleting mispronunciations, since their performance did not differ from that of congenitally blind subjects. The processing of visual (lip-read) information in speech perception is discussed.

Adolescent↗