Effects of Stimulus Intensity on Speech Perception by Deaf Children

1977 ◽  
Vol 42 (2) ◽  
pp. 271-278 ◽  
Author(s):  
Norman P. Erber ◽  
Linda H. Witt

Ten monosyllabic, 10 trochaic, and 10 spondaic words were presented monaurally to 10 severely (70–95 dB HTL) and 10 profoundly (x0003E 95 dB HTL) hearing-impaired children at sensation levels (SL) ranging from near detection to near discomfort. Two methods were used to evaluate word perception as a function of stimulus intensity: the percentage of words recognized correctly and the percentage of words categorized correctly as to stress pattern. Both word-recognition and categorization scores reached maxima at 24–36 dB SL for the severe group, supporting previous results. For the profoundly deaf group, word-recognition scores were low regardless of SL, but their perception of the stress patterns of words improved as a function of increasing intensity, reaching maxima at 12–30 dB SL. The procedure and results described in this paper may be used by audiologists to help select optimal hearing aid volume settings for young hearing-impaired children.

1990 ◽  
Vol 21 (3) ◽  
pp. 147-150
Author(s):  
Ronald A. Wilde

A commercial noise dose meter was used to estimate the equivalent noise dose received through high-gain hearing aids worn in a school for deaf children. There were no significant differences among nominal SSPL settings and all SSPL settings produced very high equivalent noise doses, although these are within the parameters of previous projections.


1974 ◽  
Vol 17 (2) ◽  
pp. 194-202 ◽  
Author(s):  
Norman P. Erber

A recorded list of 25 spondaic words was administered monaurally through earphones to 72 hearing-impaired children to evaluate their comprehension of “easy” speech material. The subjects ranged in age from eight to 16 years, and their average pure-tone thresholds (500-1000-2000 Hz) ranged in level from 52 to 127 dB (ANSI, 1969). Most spondee-recognition scores either were high (70 to 100* correct) or low (0 to 30% correct). The degree of overlap in thresholds between the high-scoring and the low-scoring groups differed as a function of the method used to describe the audiogram. The pure-tone average of 500-1000-2000 Hz was a good, but not perfect, predictor of spondee-recognition ability. In general, children with average pure-tone thresholds better than about 85 dB HTL (ANSI, 1969) scored high, and those with thresholds poorer than about 100 dB scored low. Spondee-recognition scores, however, could not be predicted with accuracy for children whose audiograms fell between 85 and 100 dB HTL.


1976 ◽  
Vol 41 (2) ◽  
pp. 256-267 ◽  
Author(s):  
Norman P. Erber ◽  
Christine M. Alencewicz

This paper describes an audiologic test battery for hearing-impaired children which includes otoscopic examination, tympanometry, pure-tone audiometry, speech perception testing, and hearing aid evaluation. Several of the procedures and modifications to apparatus have been developed specifically for use with deaf children. Clinical data are presented from 160 hearing-impaired children (age range three-16 years). Eighteen percent of their ears were found to contain excessive cerumen and to require ear canal irrigation. The incidence of abnormal tympanograms was high for young children but decreased with increasing age. A simple auditory speech perception test designed for use with both severely and profoundly deaf children is described, which provides for evaluation of a child’s ability to recognize words, categorize them into stress patterns, or both. The children’s word recognition and word categorization scores were found to relate to their audiometric averages. The overall test battery is easy to administer and also is efficient, in that considerable audiologic information can be obtained quickly.


1980 ◽  
Vol 4 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Jeff Bailey

It is interesting to speculate on the concept of decision-making and change in education. A particularly appropriate trend in education which is worthy of careful scrutiny is the concept of ‘mainstreaming’ – a topic of current concern to educators and one which will be mentioned many times, no doubt, during this Conference. Of special concern in this paper is the question of the mainstreaming of hearing impaired children and the attitudes of the non-handicapped peers to the inclusion of deaf children in their class. As a brief preamble to the particular study under question, let us consider the multi-faceted nature of mainstreaming, together with some of the decisions which have to be made about this trend. Reynolds (1976) suggests that mainstreaming is ‘an enlargement of the stream of regular education … to accommodate children who present special needs.’ Clearly, mainstreaming is part of the wider trend of ‘normalization’. In his landmark book, The Futures of Children, Hobbs (1975) says that normalization implies that the handicapped person should be kept as close as possible to his natural setting and that the normal socializing agencies, the family, school and neighbourhood, should be used, rather than special agencies.


1979 ◽  
Vol 44 (3) ◽  
pp. 255-270 ◽  
Author(s):  
Norman P. Erber

This article reviews the limitations of defining profound hearing impairment solely by reference to pure-tone audiograms. Instead, profoundly hearing-impaired children may be described as those whose ability to distinguish spectral features in speech is extremely poor, and for whom the gross intensity variations in the waveform envelope are the principal acoustic cues. Examples of pattern cues that are available to profoundly hearing-impaired children are presented through an optical analog, and the usefulness of these cues is shown with regard to vowel and consonant identification, word stress-pattern perception, and distinction among sentences that differ in number of syllables, pattern, intensity, or rate. Perception of speech material through vision (lipreading) and also through combined auditory and visual modes are described, with a discussion of articulatory and language factors that influence intelligibility. Instructional strategies are briefly reviewed as they relate to educational improvement of speech-perception abilities of profoundly hearing-impaired children and to the development of special sensory aids.


Author(s):  
Lavanithum Joseph ◽  
Erna Alant

Many hearing impaired children rely on signing as a method of communication and are educated through this medium at school. While there is a paucity of information on the use of signing in the home, the impression in the literature is that these children are often unable to communicate through this medium in their homes. This has serious implications for family relationships as well as the personal well-being, educational success and social integration of the child. The present study explored the signing experience of 45 mothers of children in the junior primary phase at schools for the deaf in the Durban region of KwaZulu-Natal as a reflection of the use of signing within the home. A descriptive survey design, using two researcher administered questionnaires, was used to obtain information on the signing practice of mothers, exploring aspects related to the extent to which signing is used, the type of signing used and signing proficiency. The findings revealed mothers' signing skill to be inadequate in terms of their own assessment on rating scales and descriptions of their signing. They signed less frequently than their children did, using speech more often, and with the vast majority using simultaneous communication when they did sign. Signing ability was judged to be below that of their children, with sign vocabularies of between 0-50 words for 85% of the participants. It appears that sign learning by hearing parents of deaf children in this region needs to be actively promoted. The implications of these findings are discussed to address the communication needs of signing deaf children and their families within the South African context.


1985 ◽  
Vol 16 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Betty U. Watson ◽  
David E. Goldgar

This study examined the deaf norms of the Hiskey-Nebraska Test of Learning Aptitude (H-NTLA) (Hiskey, 1966) by comparing the distribution of scores obtained on the H-NTLA with those from the Wechsler Performance Scales (Wechsler, 1955, 1967, 1974) for the same hearing-impaired children. A correlation of .85 was found between the H-NTLA and the Wechsler Performance Scales; however, the H-NTLA yielded a greater number of subjects with extreme scores (i.e., scores <70 and > 119) than the Wechsler scales. These findings indicate the need for caution and convergent evidence in the interpretation of extreme H-NTLA scores in hearing-impaired children.


1986 ◽  
Vol 17 (1) ◽  
pp. 28-37 ◽  
Author(s):  
Dianne J. Van Tasell ◽  
Christi Ann Mallinger ◽  
Elizabeth S. Crump

Functional gain and word recognition were assessed for nine hearing-impaired school children under two conditions of FM amplification: (a) FM auditory trainer with insert earphone, and (b) personal FM system with miniloop. On the average, the insert-earphone auditory trainer system provided slightly greater functional gain than did the miniloop system; differences were most consistent at frequencies below 1,000 Hz. For eight of the nine subjects, word recognition scores did not differ across the two amplification conditions. When they are adjusted properly, personal miniloop systems apparently may provide sufficient gain for speech recognition to some hearing-impaired children, with the exception of those children whose residual hearing is limited to low frequencies.


2011 ◽  
Vol 68 (4) ◽  
pp. 349-352 ◽  
Author(s):  
Sanja Ostojic ◽  
Sanja Djokovic ◽  
Nadezda Dimic ◽  
Branka Mikic

Bacground/Aim. Almost 200 cochlear implantations were done in the four centers (two in Belgrade, per one in Novi Sad and Nis) in Serbia from 2002 to 2009. Less than 10% of implantees were postlingually deaf adults. The vast majority, i.e. 90% were pre- and perilingually profoundly deaf children. The aim of this study was to assess the influence of improved auditory perception due to cochlear implantation on comprehension of abstract words in children as compared with hearing impaired children with conventional hearing aids and normal hearing children. Methods. Thirty children were enrolled in this study: 20 hearing impaired and 10 normal hearing. The vocabulary test was used. Results. The overall results for the whole test (100 words) showed a significant difference in favor of the normal hearing as compared with hearing impaired children. The normal hearing children successfully described or defined 77.93% of a total of 100 words. Success rate for the cochlear implanted children was 26.87% and for the hearing impaired children with conventional hearing aids 20.32%. Conclusion. Testing for abstract words showed a statistically significant difference between the cochlear implanted and the hearing impaired children with hearing aids (Mann- Whitney U-test, p = 0.019) implying considerable advantage of cochlear implants over hearing aids regarding successful speech development in prelingually deaf children.


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