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PubMed2006

Piecewise parametric interpolation for temporal compression of multijoint movement trajectories.

Computer animation of sign language used by deaf individuals has been produced from 51 time-varying trajectories of the fingertips, the centers of rotation of the joints of the hands and arms, and facial landmarks. These trajectories are sampled at 1/5th the National Television Systems Committee (NTSC) video frame rate and interpolated using piecewise sequences of cubic Bezier splines. The resulting trajectories are used to control sparse, stick figure animations of sign language resulting in considerable spatiotemporal compression with intelligibility in the range of 90%. This method introduces an additional 5:1 compression in the temporal domain that has not been previously exploited, and is potentially useful in sign language telecommunication, multimedia presentations, and gesture recognition.

Arm↗

PubMed1998

Chronic auditory agnosia following Landau-Kleffner syndrome: a 23 year outcome study.

We report a 27-year-old woman with chronic auditory agnosia following Landau-Kleffner Syndrome (LKS) diagnosed at age 4 1/2. She grew up in the hearing/speaking community with some exposure to manually coded English and American Sign Language (ASL). Manually coded (signed) English is her preferred mode of communication. Comprehension and production of spoken language remain severely compromised. Disruptions in auditory processing can be observed in tests of pitch and duration, suggesting that her disorder is not specific to language. Linguistic analysis of signed, spoken, and written English indicates her language system is intact but compromised because of impoverished input during the critical period for acquisition of spoken phonology. Specifically, although her sign language phonology is intact, spoken language phonology is markedly impaired. We argue that deprivation of auditory input during a period critical for the development of a phonological grammar and auditory-verbal short-term memory has limited her lexical and syntactic development in specific ways.

Adult↗

PubMedDate not supplied

Criterion validity of the Language Background Questionnaire: a self-assessment instrument.

The present investigation examined relationships between the Language Background Questionnaire (LBQ) self-assessed sign language skills. LBQ self-assessed spoken communication skills, and formal independent sign and spoken communication skills assessments of young adults who are deaf or hard of hearing. Results indicated a high degree of congruence between self-assessed communication skills and formal independent assessments of communication skills. The findings establish reasonable criterion validity for the LBQ regarding self-assessed sign language and spoken communication skills.

Adolescent↗

PubMed2006

Health care system accessibility. Experiences and perceptions of deaf people.

BACKGROUND: People who are deaf use health care services differently than the general population; little research has been carried out to understand the reasons. OBJECTIVE: To better understand the health care experiences of deaf people who communicate in American Sign Language. DESIGN: Qualitative analyses of focus group discussions in 3 U.S. cities. PARTICIPANTS: Ninety-one deaf adults who communicate primarily in American Sign Language. MEASUREMENTS: We collected information about health care communication and perceptions of clinicians' attitudes. We elicited stories of both positive and negative encounters, as well as recommendations for improving health care. RESULTS: Communication difficulties were ubiquitous. Fear, mistrust, and frustration were prominent in participants' descriptions of health care encounters. Positive experiences were characterized by the presence of medically experienced certified interpreters, health care practitioners with sign language skills, and practitioners who made an effort to improve communication. Many participants acknowledged limited knowledge of their legal rights and did not advocate for themselves. Some participants believed that health care practitioners should learn more about sociocultural aspects of deafness. CONCLUSIONS: Deaf people report difficulties using health care services. Physicians can facilitate change to improve this. Future research should explore the perspective of clinicians when working with deaf people, ways to improve communication, and the impact of programs that teach deaf people self-advocacy skills and about their legal rights.

Communication↗

PubMed1999

Functional roles of Broca's area and SMG: evidence from cortical stimulation mapping in a deaf signer.

The importance of the left hemisphere in language function has been firmly established and current work strives to understand regional specializations within the perisylvian language areas. This paper reports a case study of a deaf user of American Sign Language undergoing an awake cortical stimulation mapping procedure. Patterns of sign errors accompanying electrical stimulation of Broca's area and the supramarginal gyrus (SMG) are reported. Our findings show Broca's area to be involved in the motor execution of sign language. These data demonstrate that the linguistic specificity of Broca's area is not limited to speech behavior. In addition, unusual semantic-phonological errors were observed with stimulation to the SMG; these data may implicate the SMG in the binding of linguistic features in the service of language production. Taken together, these findings provide important insight into the linguistic specificity of Broca's area and the functional role of the supramarginal gyrus in language processing.

Anomia↗

PubMed2005

Neural correlates for numerical processing in the manual mode.

This paper reports a study designed to examine the neuronal correlates for comprehending the signs of American Sign Language representing numerals in deaf signers who acquired Japanese Sign Language as their first language. The participants were scanned by functional magnetic resonance imaging (fMRI) twice on the day of the experiment. The results of the measurements revealed that upon learning that the signs actually have numeric meaning, a network of brain areas is activated immediately. Many of these areas have been previously implicated in numerical processing. The similar neural network of brain regions responsible for numerical processing exists on a nonlinguistical basis and works to retrieve arithmetic facts from presented linguistic material regardless of the mode of the language.

Adult↗

PubMed1990

Developing intelligible signs with learning-disabled students: a review of the literature and an assessment procedure.

The use of sign language as an augmentative medium of communication is a well-established approach in working with client groups who are handicapped in their effective use of verbal language. However, students with physical and learning disabilities may continue to experience problems in making themselves understood, because of inaccuracies in sign production which may be considered as analogous to phonological errors in speech. It is suggested in this paper that the evaluation and remediation of sign production errors is most usefully approached through an understanding of the phonological structure of sign language. The paper presents a review of the literature concerning the development of (1) motor patterns involved in sign production, and (2) the four major parameters of handshape, location, movement and orientation, in hearing-impaired and hearing children whose first language is sign, and in students with mental handicaps. A framework for assessing and monitoring sign production is suggested, and possible approaches to the development of intelligible signing are discussed. It is argued that the analysis and remediation of sign errors should always be related to the communication needs of the individual, rather than developed in isolation.

Child Development↗

PubMed1998

Using hypnosis to help deaf children help themselves: report of two cases.

This is a report of deaf children who demonstrated the ability to quickly learn hypnotic skills and apply them effectively to the management of their problems. The children were taught hypnosis through American Sign Language, their preferred mode of communication. As with hypnosis with hearing children, we focused upon induction with fantasy and imaginative involvement, creation in imagination of a metaphor for, or imagery of, the desired outcome, and associated sense of pride (ego-strengthening), positive expectation, and teaching self-hypnosis to emphasize the importance of repeated, daily practice. Case examples presented are an 11-year-old deaf girl who used hypnosis to eliminate multiple warts, and a 9-year-old deaf boy with mild developmental disability whose self-hypnosis skills were applied to the management of myoclonus. In the former, the clinician is also the sign language communicator and in the latter, a professional sign language interpreter and parent are both intimately involved in the communication and hypnosis process.

Biofeedback, Psychology↗

PubMed1980

Tantrums: remediation through communication.

There is a high correlation between behaviour problems, and lack of receptive and expressive language communication. Multiply handicapped children, with varying degrees of physical, mental, emotional, and sensory handicaps, in addition to a communication deficit, can learn a sign language system. Progress in communication through the sign language also results in substantial emotional and behavioural improvements. This paper presents two case studies of such children, and describes in detail the 7 year programme used to develop language through the Paget-Gorman sign system, with a profoundly deaf, subnormal, athetoid, disturbed boy.

Adolescent↗

PubMed1997

Modality of language shapes working memory: evidence from digit span and spatial span in ASL signers.

Deaf children who are native users of American Sign Language (ASL) and hearing children who are native English speakers performed three working memory tasks. Results indicate that language modality shapes the architecture of working memory. Digit span with forward and backward report, performed by each group in their native language, suggests that the language rehearsal mechanisms for spoken language and for sign language differ in their processing constraints. Unlike hearing children, deaf children who are native signers of ASL were as good at backward recall of digits as at forward recall, suggesting that serial order information for ASL is stored in a form that does not have a preferred directionality. Data from a group of deaf children who were not native signers of ASL rule out explanations in terms of a floor effect or a nonlinguistic visual strategy. Further, deaf children who were native signers outperformed hearing children on a nonlinguistic spatial memory task, suggesting that language expertise in a particular modality exerts an influence on nonlinguistic working memory within that modality. Thus, language modality has consequences for the structure of working memory, both within and outside the linguistic domain.

Journal Article↗

PubMedDate not supplied

Voice onset time in speech produced by inexperienced signers during simultaneous communication.

This study investigated sentence duration and voice onset time (VOT) of plosive consonants in words produced during simultaneous communication (SC) by inexperienced signers. Stimulus words embedded in a sentence were produced with speech only and produced with SC by 12 inexperienced sign language users during the first and last weeks of an introductory sign language course. Results indicated significant differences between the speech and SC conditions in sentence duration and VOT of initial plosives at both the beginning and the end of the class. Voiced/voiceless VOT contrasts were enhanced in SC but followed English voicing rules and varied appropriately with place of articulation. These results are consistent with previous findings regarding the influence of rate changes on the temporal fine structure of speech (Miller, 1987) and were similar to the voicing contrast results reported for clear speech by Picheny, Durlach, and Braida (1986) and for experienced signers using SC by Schiavetti, Whitehead, Metz, Whitehead, and Mignerey (1996).

Adult↗

PubMed1980

Autonomy and linguistic status of nonspeech language forms.

Nonspeech language forms, above all sign language and writing, are discussed with respect to phylogenesis, ontogenesis, and acquisition as well as with respect toneurophysiological and psycholinguistic processes. Speech has not been demonstrated to be phylogenetically or ontogenetically prior to gestural expression. Especially the evidence of the linguistic ability of deaf and deaf-blind people demonstrates that the various expression forms (delological forms) of language are neurophysiologically and psycholinguistically parallel. A terminology is proposed for the linguistic description of these forms.

Animals↗

PubMed1997

Signed and spoken language perception studied by positron emission tomography.

Sign and spoken language seem to be localized in the same brain areas. They elicit similar regional cerebral blood flow (rCBF) patterns, even though sign language is dependent on spatial information. We investigated sign and spoken language perception in a group of healthy bilingual subjects. Four videotaped activation conditions were used during PET imaging: (1) sign language, (2) spoken language, (3) spoken language with mouth covered, and (4) spoken language on a sound track while showing a motionless face. Spoken language (condition 4) activated significantly the perisylvian cortex (Brodmann areas 22 and 43) bilaterally. Sign language activated the visual association areas (Brodmann areas 37 and 19) but did not selectively activate parietal regions. A reciprocal relationship was observed between the level of activation in visual language perception areas and that in auditory perception areas. We conclude that when healthy bilingual subjects use the visual route for sign language perception, the functional anatomy overlaps that of language processing containing both auditory and visual components.

Adult↗

PubMed1992

Innovative approach to genetic counseling services for the deaf population.

Genetic service providers have stressed the importance of genetic counseling that is nondirective and specific to the personal needs of consultants. Successful genetic counseling for deaf persons often requires special provisions for complex family histories, syndromic conditions, and diversity in communication methods and cultural orientation. The Gallaudet University Genetic Services Center (GSC) was established in 1984 to provide genetic education and counseling services to the deaf community. The GSC staff developed and implemented a standardized system of data collection (family and medical history), clinical evaluation by consultant clinical geneticists, and counseling in sign language. In addition to clinical services, an in-depth educational program for professionals and consumers was developed and carried out. During a 6-year period, over 220 educational presentations were made and 659 deaf persons were seen for genetic evaluation and counseling. Most of these persons were self-referred. Sign language was the preferred means of communication of more than 90% of these individuals. A genetic cause of deafness was diagnosed in over 50% of the deaf consultants and was confirmed by segregation analysis, which had results similar to those reported for other studies of students in schools for the deaf. Special materials and strategies were developed in order to provide genetic services that were sensitive to the cultural and linguistic differences of the deaf population. These included written and visual materials that contained culturally neutral terminology and training of all staff members in sign language and the culture of the deaf.

Adolescent↗

PubMed1999

Bilingual-bicultural models of literacy education for deaf students: considering the claims.

As Carolyn Ewoldt (1996) points out '[M]uch has been written of late about the viability of a bilingual focus in deaf education.' While these writings are necessary to the ongoing pedagogical dialogue in the field, much of the rhetoric suffers because, rather than truly adopting a 'holistic perspective', arguments and positions focus only on selected aspects of the relevant theoretical and research information. If proponents of bilingual education for deaf children truly rely on 'research on the benefits of native sign language and from theoretical and research support coming from other disciplines' (Ewoldt, 1996, p. 5) to support their claims, then these research and theoretical supports must be examined as comprehensively, and holistically, as possible. Weaving together only a few threads of theory and research does not create the fabric for a pedagogical position that can withstand close scrutiny and analysis.In this article, we will touch on some of the major claims made in explications of bilingual models of literacy education for deaf students (Baker, 1997; Livingston, 1997; Mashie, 1995; Mason & Ewoldt, 1996). Our goal is to broaden the scope of the discussion on some of the major arguments and to encourage an expanded dialogue in this ongoing debate. It is not our aim to argue against the concept of bilingual education for deaf students nor to advocate the exclusion of native sign languages from the classroom. Rather, we support the concept of a bilingual education for deaf students with native sign languages playing a key role; however, we contend that the model as it is currently conceived requires further scrutiny and analysis.

Journal Article↗

PubMed2004

Age-dependent plasticity in the superior temporal sulcus in deaf humans: a functional MRI study.

BACKGROUND: Sign-language comprehension activates the auditory cortex in deaf subjects. It is not known whether this functional plasticity in the temporal cortex is age dependent. We conducted functional magnetic-resonance imaging in six deaf signers who lost their hearing before the age of 2 years, five deaf signers who were >5 years of age at the time of hearing loss and six signers with normal hearing. The task was sentence comprehension in Japanese sign language. RESULTS: The sign-comprehension tasks activated the planum temporale of both early- and late-deaf subjects, but not that of hearing signers. In early-deaf subjects, the middle superior temporal sulcus was more prominently activated than in late-deaf subjects. CONCLUSIONS: As the middle superior temporal sulcus is known to respond selectively to human voices, our findings suggest that this subregion of the auditory-association cortex, when deprived of its proper input, might make a functional shift from human voice processing to visual processing in an age-dependent manner.

Adult↗

PubMedDate not supplied

Is speech and language therapy meeting the needs of language minorities? The case of deaf people with neurological impairments.

The cultural diversity of the UK poses a challenge for speech and language therapists. Work with children from language minorities has been documented, but less so with adults. This raises the question of whether adults from minority communities are gaining access to services. Deaf people who use British Sign Language (BSL) are one language minority. It is known that sign language is vulnerable to neurological damage. Of interest is whether Deaf people with such damage are referred to speech and language therapy (SLT). The aim was to find out how many deaf people were referred to SLT services in the UK over the last 5 years, and reasons for the referrals. We also explored the service offered to Deaf referrals, and whether SLT teams had access to BSL skills, either internally or via interpreters. A brief questionnaire was sent to the managers of all SLT services in the UK (n=264). There was as 60% response rate. Only 34 services received referrals of Deaf patients, with a total of 39 Deaf people seen. This is substantially below the predicted rates. Most referrals were for dysphagia, or dysphagia with communication impairments. In line with this, dysphagia management was the dominant service, although most referrals also received language assessment. Most teams did not have signing staff members and access to interpreters was variable. The results suggest that many Deaf people are not gaining access to SLT after neurological impairment. Those who are referred are unlikely to receive language therapy. The instigation of a national team specializing in BSL impairments is recommended.

Adult↗

PubMed1990

Iconicity and sign vocabulary acquisition.

This study was designed to investigate learning and retention of isolated sign vocabulary as a function of sign classification (iconic, opaque, or abstract). The subjects were 28 hearing college students naive to sign vocabulary. They were drilled with 30 signs from American Sign Language that had been classified as iconic, opaque, or abstract. Training was conducted using two different media: computer-assisted instruction and videotaped presentation. Performance scores for the three types of signs were significantly different. Scores were consistently higher for iconic signs, regardless of the training mode. The videotaped presentation mode produced the greatest consistency in scores. The results of this study support the notion that it is easier for beginning students of sign language to learn and retain iconic signs.

Adult↗