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PubMed1991

Independent evaluation of the speech perception abilities of children with the Nucleus 22-channel cochlear implant system.

The performance of 28 children with the Nucleus multi-channel cochlear implant, who had used the device an average of 1.7 yr, was examined on a battery of speech perception measures. All children demonstrated better speech perception skills with the implant than they had in the preimplant condition with hearing aids. With the Nucleus implant, 61% of the children demonstrated some open-set speech recognition and another 14% demonstrated closed-set speech recognition. Scores on the tests were corrected for guessing and a hierarchy of test difficulty was developed. The results revealed systematic differences in performance as a function of perception task and test format. The results of regression analyses, which were performed to identify predictors of success, showed that communication mode made a significant unique contribution to the variance in performance among subjects on an open-set word recognition test. When the scores of the children who used oral or total communication were compared on the full battery of tests, however, there were few significant group differences.

Adolescent↗
PubMed1991

Stimulus presentation level and speech perception through a single-channel cochlear implant.

This study evaluated the effects of stimulus presentation level on 12 adult 3M/House single-channel cochlear implant users' speech perception performance. Dynamic ranges and loudness growth functions were measured for meaningful speech, and performance-intensity functions were plotted for VCV and CVC nonsense stimuli to determine the presentation level(s) that produced maximum speech perception performance for each subject. Considerable variability was found in the subjects' dynamic ranges. Generally, loudness growth functions were steep for subjects having restricted dynamic ranges and more gradual for those having wide dynamic ranges. No single optimal presentation level was determined; instead, a range of levels produced maximum performance for each subject. Mean levels producing peak scores in equivalent dB SPL were 80 for VCVs and 72 for CVCs. Presentation levels producing optimal performance varied with type of speech stimulus.

Acoustic Stimulation↗
PubMed1984

Standardization of a test of speech perception in noise.

All 10 forms of the test of Speech Perception in Noise (SPIN) were presented to 128 listeners who had some degree of sensorineural hearing loss. Presentation of the speech track was at 50 dB above the estimated threshold for the babble track. Signal-to-babble ratio was 8 dB. Half of the subjects listened through headphones and half via loudspeaker. Half were tested in a single session and half in two sessions spaced 2-4 weeks apart. Two markers independently scored every test session. Statistical analyses indicate that transducer, number of visits, and order of test form presentation have little or no effect on test scores, and differences between markers, although significant, are quite small. The subtests consisting of items with strong contextual cues generate an average reliability coefficient of .91, whereas the value for the low-context subtests is .85. The 10 forms do not, however, constitute a set of equivalent forms, and there are large differences in mean performance on the low-context portions.

Adult↗
PubMed2002

Development of speech perception and production in children with cochlear implants.

The purpose of the present study was twofold: 1) to compare the hierarchy of perceived and produced significant speech pattern contrasts in children with cochlear implants, and 2) to compare this hierarchy to developmental data of children with normal hearing. The subjects included 35 prelingual hearing-impaired children with multichannel cochlear implants. The test materials were the Hebrew Speech Pattern Contrast (HeSPAC) test and the Hebrew Picture Speech Pattern Contrast (HePiSPAC) test for older and younger children, respectively. The results show that 1) auditory speech perception performance of children with cochlear implants reaches an asymptote at 76% (after correction for guessing) between 4 and 6 years of implant use; 2) all implant users perceived vowel place extremely well immediately after implantation; 3) most implanted children perceived initial voicing at chance level until 2 to 3 years after implantation, after which scores improved by 60% to 70% with implant use; 4) the hierarchy of phonetic-feature production paralleled that of perception: vowels first, voicing last, and manner and place of articulation in between; and 5) the hierarchy in speech pattern contrast perception and production was similar between the implanted and the normal-hearing children, with the exception of the vowels (possibly because of the interaction between the specific information provided by the implant device and the acoustics of the Hebrew language). The data reported here contribute to our current knowledge about the development of phonological contrasts in children who were deprived of sound in the first few years of their lives and then developed phonetic representations via cochlear implants. The data also provide additional insight into the interrelated skills of speech perception and production.

Age Factors↗
PubMed1976

Speech perception in the human infant and rhesus monkey.

In summary, a complete understanding of the development of infant speech perception requires not only research guided by efforts to construct an ontogenetic timetable of the infant's speech discriminative abilities, but investigations of the phylogenetic bases of these ontogenetic abilities, and much more concern for how the microgenetic development of speech perception affects our assessment of ontogenetic and phylogenetic development. The data presented in this paper on the categorical discrimination of place of articulation in rhesus monkeys and human infants illustrates the importance of considering phylogenetic and microgenetic aspects of development in explaining the origin of some of the infant's phonetic capabilities. In addition to continuing to explore the upper bounds of the infant's "phonetic" perceptual abilities, the adaptation of feature detectors, and short-term memory processes in the assessment of infant and non-human primate speech discrimination. Only then we will be able to appreciate fully the significance of a study demonstrating categorical discrimination in human infants .

Animals↗
PubMed1999

A comparison of the growth of open-set speech perception between the nucleus 22 and nucleus 24 cochlear implant systems.

OBJECTIVE: To compare the short-term development of open-set speech perception between implementations of the spectral peak (SPEAK) strategy in adults using the Nucleus 22 (N22) Spectra processor and the Nucleus 24 (N24) system with the SPrint processor. STUDY DESIGN: Two sets of patients with a follow-up period of 3 months were compared. SETTING: This study was conducted at the New York University (NYU) Medical Center. PATIENTS: Thirty-six profoundly hearing-impaired adults were included in this study. INTERVENTION: Sixteen adults received the N22 cochlear implant with the Spectra speech processor and twenty adults received the N24 cochlear implant with the SPrint speech processor. MAIN OUTCOME MEASURES: Open-set speech perception for the patients with N22 implants was evaluated preoperatively and postoperatively using the following measures: NU-6 monosyllabic words, Iowa sentences, and CID sentences. CNC words, CUNY sentences, and HINT sentences were used to assess the patients with N24 implants. RESULTS: Results revealed that the N22 and N24 cochlear implant recipients had significant open-set speech recognition 3 and 6 months after implantation. The apparent favorable absolute scores for the patients with N24 implants were equalized when a multivariate analysis was performed to account for their younger age at time of implantation and shorter length of deafness. CONCLUSIONS: The growth of open-set word and sentence recognition in similar between the N22 and N24 cochlear implants. Longitudinal studies are needed to determine if higher ceiling scores are present in the N24. Further exploration of monopolar versus bipolar stimulation is warranted.

Adult↗
PubMed1993

Auditory processing in children's speech perception: results of selective adaptation and discrimination tasks.

Five- to six-year-old children and adults participated in discrimination and selective adaptation speech perception tasks using a synthetic consonant-vowel continuum ranging from [ba] to [da]. In one condition of selective adaptation, attention was focused on the adapting stimulus, the continuum-endpoint [ba], with a whispering task. In another condition, attention was focused away from the continuum-endpoint [da] adaptor to contralaterally presented syllables "SHE" and "SEE." Results, compared with two more typical adaptation conditions, indicated that focused attention did not augment selective adaptation effects, particularly for children who showed smaller effects with focused attention on the adaptor. In contrast to adults, children did not significantly change labeling responses after exposure to endpoint-[ba] adaptors, results matching those of Sussman and Carney (1989). However, children did significantly change labeling following exposure to endpoint-[da] adaptors. Discrimination findings with five-formant consonant-vowel and single-formant stimuli supported the importance of acoustic processing for the selective adaptation tasks performed. Together, results support hypotheses of sensory processing differences in younger, normally developing children compared with adults and show that such abilities appear to be related to speech perception skills.

Acoustic Stimulation↗
PubMedDate not supplied

The interplay of speech perception and phonology: experimental evidence from Turkish.

This study supports claims of a relationship between speech perception and phonology with evidence from a crosslinguistic perception experiment involving /h/ deletion in Turkish. Turkish /h/ is often deleted in fast speech, but only in a specific set of segmental contexts which defy traditional explanation. It is shown that /h/ deletes in environments where lower perceptibility is predicted. The results of the perception experiment verify these predictions and further show that language background has a significant impact on speech perception. Finally, this perceptual account of Turkish /h/ deletion points to an empirical means of testing the conflicting hypotheses that perception is active in the synchronic grammar or that its influence is limited to diachrony.

Adolescent↗
PubMed2003

Developmental dyslexia and discrimination in speech perception: a dynamic model study.

At the behavioral level one of the primary disturbances involved in congenital dyslexia concerns phonological processing. At the neuroarchitectural level autopsies have revealed ectopies, e.g., a reduced number of neurons in the upper layers of the cortex and an increased number in the lower ones. In dynamic models of interacting neuronal populations the behavioral level can be related to the neurophysiological level. In this study an attempt is made to do so at the cortical level. The first focus of this model study are the results of a Finnish experiment assessing geminate stop perception in quasi speech stimuli by 6 month old infants using a head turning paradigm and evoked potentials. The second focus of this study are the results of a Dutch experiment assessing discrimination of transients in speech stimuli, by adult dyslexics and controls and 2 month old infants. There appears to be a difference in the phonemic perceptual boundaries of children at genetic risk for dyslexia and control children as revealed in the Finnish study. Assuming a lowered neuronal density in the 'dyslexic' model, reflecting ectopies, it may be postulated that less neuronal surface is available for synaptic connections resulting in a lowered synaptic density and thus a lowered amount of available neurotransmitter. A lowered synaptic density also implies a reduced amount of membrane surface available for neurotransmitter metabolism. By assuming both, a reduced upper bound of neurotransmitter and a reduced metabolic transmitter rate in the dynamic model, the Finnish experimental results can be approximated closely. This applies both to data from behavioral head turning and that of the evoked potential study. In the Dutch study adult dyslexics show poor performance in discriminating transients in the speech signal compared to the controls. The same stimuli were used in a a study comparing infants from dyslexic families and controls. Using the same transmitter parameters as in modeling the results of the Finnish study, also in this case the experimental results for adults and infants can be approximated closely. Simulation of behavioral and pharmaceutical interventions with the model provide predictions which can be put to the test in experiments.

Dyslexia↗
PubMed2003

The effects of frequency response on speech perception for cochlear implant users.

The aim of this study was to investigate the effects on speech perception of manipulating filter gains in a cochlear implant speech processor. Five implantees, who use the CI22 implant and Spectra processor manufactured by Cochlear Ltd, participated. Four experimental maps were created that were identical to their clinical map except for the profile of gains across the filters. Experimental gain profiles had rising or falling gains across the frequency range, or emphasized or de-emphasized the middle frequencies, relative to the clinical map. Perception of CNC (consonant-vowel-consonant) words at 70 dB SPL was significantly better with the clinical map than with all experimental maps, whereas at the lower level (60 dB SPL) there was minimal difference between the maps, with the low-frequency emphasis map giving significantly better scores than the high-frequency emphasis map. Perception of sentences at 70 dB SPL with a signal-to-noise ratio of +10 dB was better with the high-frequency emphasis map than with the low-frequency emphasis map. None of these best-conditions, however, were statistically better than the clinical map. The results highlighted the importance of signal audibility for speech perception with cochlear implants.

Adult↗
PubMed2004

Speech perception by students with cochlear implants using sound-field systems in classrooms.

Cochlear implants support deaf students' language development through the improved use of audition in the classroom. Unfortunately, the acoustics of typical classrooms greatly reduce auditory speech perception by these students. Sound-field systems can increase speech-to-noise ratios in classrooms and thus improve use of audition. These systems are used by 80% of students with cochlear implants who use an FM system in the classroom. The present study compares speech perception by 14 school-age cochlear implant recipients via 2 classroom sound-field systems, 1 wall-mounted and the other a personal, or desktop, system. Testing was conducted in 2 classroom environments, 1 noisy and reverberant (typical of many classrooms) and the other ideally quiet with reverberation of short duration. In the quiet room with low reverberation, both sound-field systems produced improved phoneme recognition, but there was no difference between the 2. In the noisy room with high reverberation, the sound-field benefits were greater, and the desktop systems provided more benefit than the wall-mounted systems.

Acoustics↗
PubMed2001

Audio-visual speech perception in schizophrenia: an fMRI study.

Abnormalities in the integration of auditory and visual language inputs could underlie many core psychotic features. Perceptual confusion may arise because of the normal propensity of visual speech perception to evoke auditory percepts. Recent functional neuroimaging studies of normal subjects have demonstrated activation in auditory-linguistic brain areas in response to silent lip-reading. Three functional magnetic resonance imaging experiments were carried out on seven normal volunteers, and 14 schizophrenia patients, half of whom were actively psychotic. The tasks involved listening to auditory speech, silent lip-reading (visual speech), and perception of meaningless lip movements (visual non-speech). Subjects also undertook a behavioural study of audio-visual word identification designed to evoke perceptual fusions. Patients and controls both showed susceptibility to audio-visual fusions on the behavioural task. The patient group as a whole showed less activation relative to controls in superior and inferior posterior temporal areas while performing the silent lip-reading task. Attending to visual non-speech, the patients activated less posterior (occipito-temporal) and more anterior (frontal, insular and striatal) brain areas than controls. This difference was accounted for largely by the psychotic subgroup. Insular and striatal areas were also activated in both subject groups in the auditory speech perception condition, thus demonstrating the bimodal sensitivity of these regions. The results suggest that schizophrenia patients with psychotic symptoms respond to visually ambiguous stimuli (non-speech) by activation of polysensory structures. This could reflect particular processing strategies and may increase susceptibility to certain paranoid and hallucinatory symptoms.

Adult↗
PubMed2003

Speech perception skills of deaf infants following cochlear implantation: a first report.

OBJECTIVE: We adapted a behavioral procedure that has been used extensively with normal-hearing (NH) infants, the visual habituation (VH) procedure, to assess deaf infants' discrimination and attention to speech. METHODS: Twenty-four NH 6-month-olds, 24 NH 9-month-olds, and 16 deaf infants at various ages before and following cochlear implantation (CI) were tested in a sound booth on their caregiver's lap in front of a TV monitor. During the habituation phase, each infant was presented with a repeating speech sound (e.g. 'hop hop hop') paired with a visual display of a checkerboard pattern on half of the trials ('sound trials') and only the visual display on the other half ('silent trials'). When the infant's looking time decreased and reached a habituation criterion, a test phase began. This consisted of two trials: an 'old trial' that was identical to the 'sound trials' and a 'novel trial' that consisted of a different repeating speech sound (e.g. 'ahhh') paired with the same checkerboard pattern. RESULTS: During the habituation phase, NH infants looked significantly longer during the sound trials than during the silent trials. However, deaf infants who had received cochlear implants (CIs) displayed a much weaker preference for the sound trials. On the other hand, both NH infants and deaf infants with CIs attended significantly longer to the visual display during the novel trial than during the old trial, suggesting that they were able to discriminate the speech patterns. Before receiving CIs, deaf infants did not show any preferences. CONCLUSIONS: Taken together, the findings suggest that deaf infants who receive CIs are able to detect and discriminate some speech patterns. However, their overall attention to speech sounds may be less than NH infants'. Attention to speech may impact other aspects of speech perception and spoken language development, such as segmenting words from fluent speech and learning novel words. Implications of the effects of early auditory deprivation and age at CI on speech perception and language development are discussed.

Attention↗
PubMed1994

The mechanism of speech perception in patients with a multichannel cochlear implant.

The mechanism of speech perception in patients with a multichannel cochlear implant was investigated by administering vowel, consonant, and speech recognition tests, and comparing sound spectrograms with the activities recorded from the cochlear implant electrodes. Vowel recognition was found to be adequate, but consonant recognition was poor. Although the cochlear hair cells of such patients are known to be functionally damaged, the cochlear nerve was found to have the capacity to characterize frequency. The signals from the implanted device were very simple compared with those from the normal cochlea; however, the patients could nevertheless understand speech well after cochlear implantation.

Adult↗
PubMed1990

Performance of 3M/house cochlear implant users on tests of speech perception.

This report documents both closed- and open-set speech recognition performance for 18 adult experienced users of the 3M/House single-channel cochlear implant. The stimuli included tape-recorded, standard word and sentence recognition tests, an environmental-sound test, nonsense syllables, and sentences presented in auditory (implant-only), visual, and auditory-visual modes. All subjects were tested individually in a single session using their own cochlear implants, set to typical comfort use settings for running speech. Subjects' oral responses to the stimuli were transcribed by the experimenters and scored for percent correct. The results revealed considerable individual differences among the subjects and their performance on different tests. All subjects scored better than chance on the closed-set tests. Although they performed considerably poorer on the open-set tests, approximately half of these subjects demonstrated at least some open-set word recognition, a finding not previously reported in the literature for this device. All subjects performed better on the auditory-visual sentences than on either the auditory or visual conditions alone. These results contribute to the database on speech perception by cochlear implant users and show that open-set word recognition performance was somewhat better for these subjects using this implant than would have been predicted from the literature.

Acoustic Stimulation↗
PubMed1993

The effect of handedness in tactile speech perception.

This study examined differential performance of normally hearing subjects using a tactile device on the dominant versus non-dominant hand. The study evaluated whether tactual sensitivity for non-speech stimuli was greater for the dominant hand as compared with the non-dominant hand, and secondly, whether there was an advantage for speech presented tactually to the dominant hand, resulting from a preferential pathway to the language processing area in the left cerebral hemisphere. Evaluations of threshold pulse width, dynamic ranges, paired electrode identification, and a closed-set tactual pattern discrimination test battery showed no difference in tactual sensitivity measures between the two hands. Speech perception was assessed with closed sets of vowels and consonants and with open-set Harvey Gardner (HG) words and Arthur Boothroyd (AB) words. Group mean scores were higher in each of the tactually aided conditions as compared with the unaided conditions for speech tests, with the exception of AB words in the tactile plus lip-reading plus audition/lip-reading plus audition condition on the right hand. Overall mean scores on the closed-set vowel test and on open-set HG and AB words were significantly higher for the tactually aided condition as compared with the unaided condition. Comparison of performance between the dominant and non-dominant hand showed a significant advantage for the dominant hand on the closed-set vowel test only. No significant differences between hands in either tactually aided or unaided conditions were evident for any of the other speech perception tests. Factors influencing this result could have been variations in degree of difficulty of the tests, the amount of training subjects received, or the training strategy employed. Although an advantage to presenting speech through the dominant hand may exist, it is unlikely to be great enough to outweigh possible restrictions on everyday use.

Communication Devices for People with Disabilities↗
PubMed2002

Frequency-to-electrode allocation and speech perception with cochlear implants.

The hypothesis was investigated that selectively increasing the discrimination of low-frequency information (below 2600 Hz) by altering the frequency-to-electrode allocation would improve speech perception by cochlear implantees. Two experimental conditions were compared, both utilizing ten electrode positions selected based on maximal discrimination. A fixed frequency range (200-10513 Hz) was allocated either relatively evenly across the ten electrodes, or so that nine of the ten positions were allocated to the frequencies up to 2600 Hz. Two additional conditions utilizing all available electrode positions (15-18 electrodes) were assessed: one with each subject's usual frequency-to-electrode allocation; and the other using the same analysis filters as the other experimental conditions. Seven users of the Nucleus CI22 implant wore processors mapped with each experimental condition for 2-week periods away from the laboratory, followed by assessment of perception of words in quiet and sentences in noise. Performance with both ten-electrode maps was significantly poorer than with both full-electrode maps on at least one measure. Performance with the map allocating nine out of ten electrodes to low frequencies was equivalent to that with the full-electrode maps for vowel perception and sentences in noise, but was worse for consonant perception. Performance with the evenly allocated ten-electrode map was equivalent to that with the full-electrode maps for consonant perception, but worse for vowel perception and sentences in noise. Comparison of the two full-electrode maps showed that subjects could fully adapt to frequency shifts up to ratio changes of 1.3, given 2 weeks' experience. Future research is needed to investigate whether speech perception may be improved by the manipulation of frequency-to-electrode allocation in maps which have a full complement of electrodes in Nucleus implants.

Adult↗