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PubMed1998

[Predictive factors for speech perception in patients with cochlear implant].

Cochlear implant therapy is an epoch-making advance in artificial sensory organ transplants, but the positive effects on speech perception vary. Quantification theory type I, a multivariate analysis, was used to determine predictive factors for speech perception in patients with cochlear implants. Fifty-one postlingual deaf adults (18 male and 33 female, mean age, 53.4, mean duration of deafness, 8.6 years) were tested for speech perception three or more months after a Nucleus 22 channels cochlear implant. The cause of deafness in nine patients was labyrinthitis, ototoxicity in five, meningitis in three and unknown in the remaining 34. Speech perception was measured by vowel, consonant and word recognition using a live voice, and monosyllable, word and sentence recognition using a videodisc. All tests were administered in a sound only condition. Results of the univariate analysis indicated that age at implantation was correlated with monosyllable recognition, and duration of deafness was correlated with live voice word recognition. Residual hearing and coding strategy were both correlated with all outcome measures. The multivariate analysis revealed that coding strategy, duration of deafness, residual hearing and the number of electrodes were significant predictors of live voice word recognition in that order.

Adolescent↗

PubMed1992

Speech perception in adult subjects with familial dyslexia.

Speech perception was investigated in a carefully selected group of adult subjects with familial dyslexia. Perception of three synthetic speech continua was studied: /a/-/e/, in which steady-state spectral cues distinguished the vowel stimuli; /ba/-/da/, in which rapidly changing spectral cues were varied; and /sta/-/sa/, in which a temporal cue, silence duration, was systematically varied. These three continua, which differed with respect to the nature of the acoustic cues discriminating between pairs, were used to assess subjects' abilities to use steady state, dynamic, and temporal cues. Dyslexic and normal readers participated in one identification and two discrimination tasks for each continuum. Results suggest that dyslexic readers required greater silence duration than normal readers to shift their perception from /sa/ to /sta/. In addition, although the dyslexic subjects were able to label and discriminate the synthetic speech continua, they did not necessarily use the acoustic cues in the same manner as normal readers, and their overall performance was generally less accurate.

Dyslexia↗

PubMedDate not supplied

Some effects of multiple sclerosis on speech perception in noise: Preliminary findings.

The present investigation examined speech perception in noise of adults with and without multiple sclerosis (MS). Institute of Electrical and Electronic Engineers (IEEE) sentences were presented at a constant level of 65 dBA L(eq) (equivalent continuous noise level [4 dB exchange rate]) from a loudspeaker located at 0-degree horizontal azimuth and 1.2 m from the study participant. Uncorrelated multitalker babble was presented from four loudspeakers positioned at 45-, 135-, 225-, and 315-degree azimuths and 1.7 m from the study participant. The starting presentation level for the babble was 55 dBA L(eq). The level of the babble was increased systematically in 1 dB steps until the subject obtained 0% key words correct on the IEEE sentences. Results revealed a significant difference in speech perception between the two groups at nine signal-to-noise ratios. Some clinical implications of these results are discussed.

Adult↗

PubMed1990

Auditive and cognitive factors in speech perception by elderly listeners. II: Multivariate analyses.

In part I of this study [van Rooij et al., J. Acoust. Soc. Am. 86, 1294-1309 (1989)], the validity and manageability of a test battery comprising auditive (sensitivity, frequency resolution, and temporal resolution), cognitive (memory performance, processing speed, and intellectual abilities), and speech perception tests (at the phoneme, spondee, and sentence level) were investigated. In the present article, the results of a selection of these tests for 72 elderly subjects (aged 60-93 years) are analyzed by multivariate statistical techniques. The results show that the deterioration of speech perception in the elderly consists of two statistically independent components: (a) a large component mainly representing the progressive high-frequency hearing loss with age that accounts for approximately two-thirds of the systematic variance of the tests of speech perception and (b) a smaller component (accounting for one-third of the systematic variance of the speech perception tests) mainly representing a general performance decrement due to reduced mental efficiency, which is indicated by a general slowing of performance and a reduced memory capacity. Although both components are correlated with age, it was found that the balance between auditive and cognitive contributions to speech perception performance did not change with age.

Adolescent↗

PubMed1997

[Aspects of auditory speech perception in cochlear implant and hearing aid managed children].

Speech perception is a valuable tool for the assessment of auditory (re-)habilitation of children with hearing impairments. We tested 3 groups of prelingually deaf children. For the evaluation of speech recognition abilities the test of auditory perception of speech in children (TAPS) was used. Hearing aid fitted children of a school for hard of hearing and school of the deaf (n = 12 and n = 10, respectively) and cochlear implant users (n = 12) of the same age group were tested. A positive correlation of the speech perception abilities with the aided thresholds was found. Hearing aid fitted children of the school of hard of hearing with aided thresholds between 20 and 40 dB HL including 4000 Hz showed best results. Students of the same school with aided thresholds in the range of 45 to 70 dB HL performed comparable to the lesser cochlear implant users fitted with a single channel analogue system. Hearing aid fitted students of a school for the deaf with the same degree of hearing loss and amplification showed significantly poorer results.

Auditory Threshold↗

PubMed2006

Speech perception in preschoolers at family risk for dyslexia: relations with low-level auditory processing and phonological ability.

We tested categorical perception and speech-in-noise perception in a group of five-year-old preschool children genetically at risk for dyslexia, compared to a group of well-matched control children and a group of adults. Both groups of children differed significantly from the adults on all speech measures. Comparing both child groups, the risk group presented a slight but significant deficit in speech-in-noise perception, particularly in the most difficult listening condition. For categorical perception a marginally significant deficit was observed on the discrimination task but not on the identification task. Speech parameters were significantly related to phonological awareness and low-level auditory measures. Results are discussed within the framework of a causal model where low-level auditory problems are hypothesized to result in subtle speech perception problems that might interfere with the development of phonology and reading and spelling ability.

Adult↗

PubMed1994

Automaticity in speech perception: some speech/nonspeech comparisons.

Three experiments used sine-wave replicas of speech sounds to explore some differences between speech perception and general auditory perception. The experiments compared patterns of behavior in categorization and discrimination tasks for listeners reporting either speech or nonspeech percepts of sine-wave replicas of speech. We hypothesized that the perception of speech sounds is automatized, while the perception of less familiar sounds is not. The first experiment was designed to investigate the perception of relatively long initial consonant transitions using a synthetic /wa/-/ya/ sine-wave analog continuum. Speech listeners perceived the continuum categorically, but nonspeech listeners could not consistently categorize the items in the continuum. In the second experiment, both speech and nonspeech listeners could consistently categorize stimuli having final glides (an/ay/-/aw/ sine-wave replica continuum), but differences between speech and nonspeech listeners were found in the slopes of the identification functions, in reaction times, and in the effect of context. These differences are consistent with the hypothesis that speech perception is automatized. In the third experiment, nonspeech listeners' discrimination sensitivity was greater than speech listeners'. The observed pattern of results suggests that speech perception is accomplished by a fast, obligatory, and thus automatic perceptual mechanism.

Automatism↗

PubMed2006

The neural correlates of cross-modal interaction in speech perception during a semantic decision task on sentences: a PET study.

Speech perception in face-to-face conversation involves processing of speech sounds (auditory) and speech-associated mouth/lip movements (visual) from a speaker. Using PET where no scanner noise was present, brain regions involved in speech cue processing were investigated with the normal hearing subjects with no previous lip-reading training (N = 17) carrying out a semantic plausibility decision on spoken sentences delivered in a movie file. Multimodality was ensured at the sensory level in all four conditions. Sensory-specific speech cue of one sensory modality, i.e., auditory speech (A condition) or mouth movement (V condition), was delivered with a control stimulus of the other modality whereas speech cues of both sensory modalities (AV condition) were delivered during bimodal condition. In comparison to the control condition, extensive activations in the superior temporal regions were observed bilaterally during the A condition but these activations were reduced in extent and left lateralized during the AV condition. Polymodal region such as left posterior superior temporal sulcus (pSTS) involved in cross-modal interaction/integration of audiovisual speech was found to be activated during the A and more so during the AV conditions but not during the V condition. Activations were observed in Broca's (BA 44), medial frontal (BA 8), and anterior ventrolateral prefrontal (BA 47) regions in the left during the V condition, where lip-reading performance was less successful. Results indicated that the speech-associated lip movements (visual speech cue) rendered suppression on the activity in the right auditory temporal regions. Overadditivity (AV > A + V) observed in the right postcentral region during the bimodal condition relative to the sum of unimodal speech conditions was also associated with reduced activity during the V condition. These findings suggested that visual speech cue could exert an inhibitory modulatory effect on the brain activities in the right hemisphere during the cross-modal interaction of audiovisual speech perception.

Adult↗

PubMed2000

Language deficits in dyslexic children: speech perception, phonology, and morphology.

We investigated the relationship between dyslexia and three aspects of language: speech perception, phonology, and morphology. Reading and language tasks were administered to dyslexics aged 8-9 years and to two normal reader groups (age-matched and reading-level matched). Three dyslexic groups were identified: phonological dyslexics (PD), developmentally language impaired (LI), and globally delayed (delay-type dyslexics). The LI and PD groups exhibited similar patterns of reading impairment, attributed to low phonological skills. However, only the LI group showed clear speech perception deficits, suggesting that such deficits affect only a subset of dyslexics. Results also indicated phonological impairments in children whose speech perception was normal. Both the LI and the PD groups showed inflectional morphology difficulties, with the impairment being more severe in the LI group. The delay group's reading and language skills closely matched those of younger normal readers, suggesting these children had a general delay in reading and language skills, rather than a specific phonological impairment. The results are discussed in terms of models of word recognition and dyslexia.

Awareness↗

PubMed1978

Levels of processing in speech perception.

Four experiments are reported investigating previous findings that speech perception interferes with concurrent verbal memory but difficult nonverbal perceptual tasks do not, to any great degree. The forgetting produced by processing noisy speech could not be attributed to task difficulty, since equally difficult nonspeech tasks did not produce forgetting, and the extent of forgetting produced by speech could be manipulated independently of task difficulty. The forgetting could not be attributed to similarity between memory material and speech stimuli, since clear speech, analyzed in a simple and probably acoustically mediated discrimination task, produced little forgetting. The forgetting could not be attributed to a combination of similarity and difficutly since a very easy speech task involving clear speech produced as much forgetting as noisy speech tasks, as long as overt reproduction of the stimuli was required. By assuming that noisy speech and overtly reproduced speech are processed at a phonetic level but that clear, repetitive speech can be processed at a purely acoustic level, the forgetting produced by speech perception could be entirely attributed to the level at which the speech was processed. In a final experiment, results were obtained which suggest that if prior set induces processing of noisy and clear speech at comparable levels, the difference between the effects of noisy speech processing and clear speech processing on concurrent memory is completely eliminated.

Acoustics↗

PubMedDate not supplied

Speech perception and language criteria for paediatric cochlear implant candidature.

Existing criteria for cochlear implantation of children with impaired hearing aim to select children who will eventually achieve better speech perception scores with an implant than with a hearing aid. It is difficult to predict the eventual outcomes with hearing aid and implant because speech perception scores typically increase with age, and because the distribution of scores for implant and hearing aid users overlap considerably at all ages. This paper shows how speech perception scores can be combined with spoken language measures to arrive at an objective criterion for implant selection. The method also allows estimation of the likely increase in speech perception score within a few months of implantation and estimation of the probability that the child will perform better with the implant than the hearing aid. The criteria were based on data from 135 evaluations of 50 children using cochlear implants with monosyllabic words, open-set sentences, the Clinical Evaluation of Language Fundamentals, and the Peabody Picture Vocabulary Test. Data from 114 evaluations of 43 children using hearing aids were used to illustrate the sensitivity of the criteria.

Audiometry, Pure-Tone↗

PubMed2004

Comparison of speech perception between monaural and binaural hearing in cochlear implant patients.

OBJECTIVE: To assess the advantages of binaural hearing for cochlear implant (CI) users using a hearing aid (HA) for the contralateral ear. MATERIAL AND METHODS: The subjects comprised 3 males and 3 females (age range 48-84 years). All of them had been using a CI and HA for > 6 months. Their speech perception was examined in quiet using monosyllables and Japanese Hearing in Noise Test (J-HINT) sentences. Speech perception in noise was examined using J-HINT sentences. Late cortical waves were measured while subjects listened to 1 kHz frequent and 2 kHz target tone stimuli. The latency of the event-related potential (P300) wave was compared for monaural and binaural hearing conditions. RESULTS: Three subjects showed significantly better results for binaural than monaural (CI alone) hearing for monosyllables and HINT sentences (p < 0.05; paired t-test). Subjects with better speech perception had been using an HA for longer than those with poor performance (18.3 vs 4.0 years). The overall average score was better for binaural than monaural hearing in the speech perception test under quiet and noisy conditions. Comparison of the latency of the P300 wave under monaural and binaural hearing conditions showed a significantly shorter latency for the latter (p = 0.02; paired t-test). CONCLUSIONS: Although the use of an HA alone showed marginal benefit for CI users, binaural hearing (CI+HA) resulted in a significant improvement in speech perception under various circumstances.

Aged↗

PubMed1996

Speech-perception performance in prelingually deafened French children using the nucleus multichannel cochlear implant.

PURPOSE: The speech-perception abilities of 36 French children, whose onset of deafness occurred before 2 years of age, was longitudinally examined after they received a Nucleus multichannel cochlear implant. METHODS: Speech perception was assessed in four areas: phoneme detection, closed-set word and sentence recognition; and modified open-set recognition. RESULTS: All children achieved phoneme detection by 3 months after implantation. Closed-set word and sentence recognition appeared initially less accurate in children with congenital deafness than in the prelingually deafened children; however, these differences disappeared by 18 months after implantation. Some modified open-set recognition was evident by 12 months after implantation and continued to improve 3 years after implantation. CONCLUSIONS: Data demonstrate significant improvements in speech perception with implant experience: 15 (60%) of 25 of the children identified sentences in closed sets, 22 (88%) of 25 identified words in closed sets after 12 months' experience, and 13 (81%) of 16 demonstrated open-set recognition after 24 months of implant use.

Child↗

PubMed1986

[Auditory localization and speech perception in noise. Preliminary study concerning 5 cases of perceptual deafness].

The experiments reported here examine the psychoacoustical bases for poor speech perception in noise by persons with sensorineural impairment. Two major hypotheses are tested. First, because persons with cochlear impairment are less able than normal-hearing persons to separate out incoming signals on the basis of spectral differences (a deficit referred to as reduced frequency selectivity), they are less able to localize one sound in the presence of other sounds. Second, this reduced localization ability makes it difficult for the hearing-impaired person to take advantage of the spatial separation of a target speech source and other interfering sources. Such separation is common in real environments and facilitates speech perception by normal-hearing persons. Tests of these hypotheses are conducted by means of detailed psychoacoustical measures of frequency selectivity, of localization and speech perception under masking.

Adolescent↗

PubMed2001

Coherence in children's speech perception.

Studies with adults have demonstrated that acoustic cues cohere in speech perception such that two stimuli cannot be discriminated if separate cues bias responses equally, but oppositely, in each. This study examined whether this kind of coherence exists for children's perception of speech signals, a test that first required that a contrast be found for which adults and children show similar cue weightings. Accordingly, experiment 1 demonstrated that adults, 7-, and 5-year-olds weight F2-onset frequency and gap duration similarly in "spa" versus "sa" decisions. In experiment 2, listeners of these same ages made "same" or "not-the-same" judgments for pairs of stimuli in an AX paradigm when only one cue differed, when the two cues were set within a stimulus to bias the phonetic percept towards the same category (relative to the other stimulus in the pair), and when the two cues were set within a stimulus to bias the phonetic percept towards different categories. Unexpectedly, adults' results contradicted earlier studies: They were able to discriminate stimuli when the two cues conflicted in how they biased phonetic percepts. Results for 7-year-olds replicated those of adults, but were not as strong. Only the results of 5-year-olds revealed the kind of perceptual coherence reported by earlier studies for adults. Thus, it is concluded that perceptual coherence for speech signals is present from an early age, and in fact listeners learn to overcome it under certain conditions.

Adult↗

PubMed1994

Speech perception training can facilitate sound production learning.

This study examined the role of speech perception training in the correction of phonological errors. Twenty-seven preschoolers with phonological impairment who misarticulated /integral of/ were randomly assigned to one of three groups: Group 1 children listened to a variety of correctly and incorrectly produced versions of the word "shoe"; Group 2 children listened to the words "shoe" and "moo"; Group 3 children listened to the words "cat" and "Pete." A computer game was used to provide reinforcement for correct identification of the words. All children received the same traditional sound production training program for correction of their /integral of/ error, concurrently with speech perception training, during six weekly treatment sessions. On post-testing, Group 1 and 2 children demonstrated a superior ability to articulate the target sound in comparison to Group 3 children. The results are interpreted in relation to previous research on this topic.

Articulation Disorders↗

PubMed2005

Speech perception results in children implanted with Clarion devices: Hi-Resolution and Standard Resolution modes.

CONCLUSIONS: Formal testing showed that HiRes users seem to make significant use of acoustic information. Furthermore, from observations reported by experienced care-givers, for example, family, teachers and speech therapists, these children learn a lot from their surrounding environment. Incidental learning, which takes place when acquiring skills or knowledge through naturally occurring events, is a key become available to these deaf paediatric cochlear implant recipients. OBJECTIVE: To compare speech perception skills in children with a Clarion cochlear implant using different speech coding strategies, such as continuous interleaved sampling (CIS), simultaneous analogue stimulation (SAS) and Hi-Resolution (HiRes). MATERIAL AND METHODS: The study population comprised 40 children, 17 implanted with a Clarion Hi-Focus 1.2 and 23 with a Clarion CII. All children were pre-lingually deaf and differed in terms of age and cause of deafness. All children had undergone a trial (minimum 6 months) with hearing aids before implantation. Children implanted with a Clarion 1.2 were either CIS or SAS users [Standard Resolution mode (SRM) group]; children implanted with a Clarion CII were Hi-Resolution users [Hi-Resolution mode (HRM) group]. Findings were assessed according to-Erber's hierarchical model (detection, discrimination, identification, recognition and comprehension), making use of a battery of speech perception tests calibrated to the age of the child. Further information concerning use of the implant in everyday situations was obtained by means of the Meaningful Auditory Integration Scale (MAIS) questionnaire, which was administered to the parents. Tests were carried out prior to each fitting session, at switch-on and then at 3, 6, 9 and 12 months. Findings at pre-implantation and at 12 months follow-up were collected for both the SRM and HRM groups. Speech perception results were analysed for the SRM and HRM groups, independent of age at implantation, for five subgroups of children according to the paediatric test battery in use and for two subgroups of children, one < and one > 5 years of age. RESULTS: Clarion-implanted children using the Hi-Resolution strategy can develop better speech perception skills at 12 months post-implantation compared to children fitted with the SAS or CIS strategy. SAS or CIS users implanted before the age of 5 years tend to achieve better results at 1 year follow-up than children implanted later. In contrast, in Hi-Resolution users, a trend towards better results for recognition and comprehension tasks was observed in children implanted after 5 years of age.

Audiometry, Speech↗

PubMed1996

Role of articulation in speech perception: clues from production.

The relative roles played by signal properties and nonsignal information in speech perception are first examined. The evidence strongly suggests that phonetic percepts are never knowledge-innocent records of the raw signal. That conclusion is drawn not only about "higher" levels of language processing, but is seen to apply also to the perception of elementary phonetic stimuli. A review of a broad range of facts about production highlights the fact that speech production is adaptively organized. That circumstance suggests that the signal does not encode articulatory or acoustic/auditory invariants, but plays the role of supplementing the multimodal information already in place in the listener's speech processing system. It is accordingly proposed that phonetic signals are not invariants wrapped in "noise," but are products of listener-dependent adaptations that transform speech patterns in principled and, therefore, interpretable ways. Do listeners form speech percepts by way of intermediate articulatory representations? There seem to be strong both theoretical and methodological reasons to doubt that they do.

Humans↗