Residual Hearing and Speech Production in Deaf Children

1975 ◽  
Vol 18 (4) ◽  
pp. 795-811 ◽  
Author(s):  
Clarissa R. Smith
Keyword(s):  
Speech Production ◽  
Speech Intelligibility ◽  
Deaf Children ◽  
Residual Hearing ◽  
Phoneme Recognition ◽  
Place Of Articulation ◽  
Hearing Parents ◽  
Sizable Proportion ◽  
Manner Of Articulation ◽  
Production Errors

Residual hearing, phoneme recognition, speech production errors, and selected background variables were examined in 40 congenitally deaf children of normal intelligence who had no apparent anomalies other than deafness, in an effort to identify factors most closely associated with speech intelligibility. Mean intelligibility of the recorded speech of the children, to inexperienced listeners, was 18.7%, corresponding closely with results of previous studies. Scores on the total and some portions of the phoneme recognition test showed significant correlations with both phoneme production and speech intelligibility. The correlation between phoneme production errors and intelligibility was −0.80. A sizable proportion of the dispersion could be accounted for by certain prosodic errors, such as those resulting from improper phonatory control. Errors of place of articulation and voicing remained in essentially the same proportion for all speakers. Errors of manner and combined place and manner of articulation showed a slight systematic decrease from the poorest to the best speakers. Omissions decreased sharply, but not systematically. Vowel errors showed the most marked and systematic decrease as intelligibility improved. Children of deaf parents were poorer in phoneme recognition and in speech intelligibility than children with comparable residual hearing but with hearing parents.

Outcomes of cochlear implantation in deaf children of deaf parents: comparative study

2012 ◽  
Vol 126 (10) ◽  
pp. 989-994 ◽  
Author(s):  
S Hassanzadeh
Keyword(s):  
Cochlear Implantation ◽  
Speech Intelligibility ◽  
Second Generation ◽  
Rating Scale ◽  
Reference Group ◽  
Speech Development ◽  
Deaf Children ◽  
Hearing Parents ◽  
Deaf Parents ◽  
First And Second Generation

AbstractObjective:This retrospective study compared the cochlear implantation outcomes of first- and second-generation deaf children.Methods:The study group consisted of seven deaf, cochlear-implanted children with deaf parents. An equal number of deaf children with normal-hearing parents were selected by matched sampling as a reference group. Participants were matched based on onset and severity of deafness, duration of deafness, age at cochlear implantation, duration of cochlear implantation, gender, and cochlear implant model. We used the Persian Auditory Perception Test for the Hearing Impaired, the Speech Intelligibility Rating scale, and the Sentence Imitation Test, in order to measure participants' speech perception, speech production and language development, respectively.Results:Both groups of children showed auditory and speech development. However, the second-generation deaf children (i.e. deaf children of deaf parents) exceeded the cochlear implantation performance of the deaf children with hearing parents.Conclusion:This study confirms that second-generation deaf children exceed deaf children of hearing parents in terms of cochlear implantation performance. Encouraging deaf children to communicate in sign language from a very early age, before cochlear implantation, appears to improve their ability to learn spoken language after cochlear implantation.

Effects of Distance on the Visual Reception of Speech

1971 ◽  
Vol 14 (4) ◽  
pp. 848-857 ◽  
Author(s):  
Norman P. Erber
Keyword(s):  
Normal Hearing ◽  
Deaf Children ◽  
Acoustic Cues ◽  
Phoneme Recognition ◽  
Vowel Identification ◽  
Place Of Articulation ◽  
Visual Reception ◽  
Stress Patterns

Two talkers with normal hearing and speech presented with voice 240 common nouns (80 monosyllables, 80 trochees, 80 spondees) to six profoundly deaf children whose task was to lipread without acoustic cues at distances from 5-100 ft. Under bright, shadow-free illumination, lipreading performance diminished from 75% correct at 5 ft to 11% correct at 100 ft. Scores varied with distance similarly for both talkers. The stress patterns of the stimulus words influenced their intelligibility, with scores decreasing from spondees to trochees to monosyllables. In a supplementary study, one talker presented two tests of phoneme recognition to the same six deaf children whose task was to lipread from 5, 20, or 70 ft. Identification of consonants in VCV context depended on their place of articulation (front superior to back) and on the surrounding vowel (/a–a/ superior to /i–i/ or /u–u/). Vowel-identification scores were less dependent on distance than were consonant-identification scores. In general, tense (stressed) vowels were more easily identified in /b/-V-/b/ context than were lax (unstressed) vowels.

Phoneme Recognition and Confusions With Multichannel Cochlear Implants

2002 ◽  
Vol 45 (5) ◽  
pp. 1055-1069 ◽  
Author(s):  
Taina T. Välimaa ◽  
Taisto K. Määttä ◽  
Heikki J. Löppönen ◽  
Martti J. Sorri
Keyword(s):  
Cochlear Implants ◽  
Repeated Measure ◽  
Repeated Measure Design ◽  
Phoneme Recognition ◽  
Place Of Articulation ◽  
Open Set ◽  
Consonant Recognition ◽  
Measure Design ◽  
The Mean ◽  
Manner Of Articulation

The aim of this study was to investigate how postlingually severely or profoundly hearing-impaired adults relearn to recognize consonants after receiving multichannel cochlear implants. Consonant recognition of 19 Finnish-speaking subjects was studied for a minimum of 6 months and a maximum of 24 months using an open-set nonsense-syllable test in a prospective repeated-measure design. Responses were coded for phoneme errors, and proportions of correct responses and 95% confidence intervals were calculated for recognition and confusions. Two years after the switch-on, the mean recognition of consonants was 71% (95% confidence interval = 68–73%). The manner of articulation was easier to classify than the place of articulation, and the consonants [s], [r], [k], [t], [p], [n], and [j] were easier to recognize than [h], [m], [l], and [υ]. Adaptation to electrical hearing with a multichannel cochlear implant was successful, but consonants with alveolar, palatal, or velar transitions (high F2) were better recognized than consonants with labial transitions (low F2). The locus of the F2 transitions of the consonants with better recognition was at the frequencies 1.5–2 kHz, whereas the locus of the F2 transitions of the consonants with poorer recognition was at 1.2–1.4 kHz. A tendency to confuse consonants with the closest consonant with higher F2 transition was also noted.

Prevalence of GJB2-associated deafness and outcomes of cochlear implantation in Iran

2011 ◽  
Vol 125 (5) ◽  
pp. 455-459 ◽  
Author(s):  
A Daneshi ◽  
S Hassanzadeh ◽  
H Emamdjomeh ◽  
S H Mohammadi ◽  
S Arzhangi ◽  
...  
Keyword(s):  
Speech Perception ◽  
Speech Production ◽  
Cochlear Implantation ◽  
Speech Intelligibility ◽  
Rating Scales ◽  
Direct Sequencing ◽  
Gene Mutations ◽  
Deaf Children ◽  
Nested Polymerase Chain Reaction ◽  
Iranian Children

AbstractObjectives:To investigate the prevalence of mutations in the coding exon of the GJB2 gene in Iranian children with cochlear implants, and to compare the outcomes of auditory perception and speech production in cochlear-implanted children with and without GJB2 mutation.Materials and methods:One hundred and sixty-six prelingually deaf children who had undergone cochlear implantation at the Iranian Cochlear Implant Center, Tehran, were selected from a pool of 428 implanted children. The prevalence of GJB2 gene mutations was assessed using nested polymerase chain reaction and direct sequencing. To enable comparisons, we also identified 36 implanted children with non-GJB2 deafness. Patients' speech perception and speech production were assessed using the Categorization of Auditory Performance and Speech Intelligibility Rating scales.Results:Thirty-three of 166 probands (19.9 per cent) were found to have GJB2 deafness-causing allele variants and were diagnosed with DFNB1 deafness. Results also indicated a significant improvement in speech perception and production scores in both GJB2 and non-GJB2 patients over time.Conclusion:Children with GJB2-related deafness benefit from cochlear implantation to the same extent as those with non-GJB2-related deafness.

Articulation of the Deaf

1967 ◽  
Vol 33 (9) ◽  
pp. 611-621 ◽  
Author(s):  
E. Harris Nober
Keyword(s):  
Rank Order ◽  
Deaf Children ◽  
Hearing Level ◽  
Critical Factors ◽  
Place Of Articulation ◽  
Manner Of Articulation

Forty-six deaf children ranging in age from 3 to 15 years were given both the Templin-Darley 50 item and 116 item Diagnostic Articulation Tests. Consonants were studied relative to sound position, place of articulation, manner of articulation, voicing, and blend combinations. The data showed trends parallel to those manifested in defective articulation patterns due to organic and functional anomalies. Some of the critical factors were: initial sound position, visibility, phonetic power, neurogenic complexity in producing the phoneme, voicing, hearing level, and age. Vowels were studied relative to age, tongue placement, and tongue height. Trends were similar to those found with consonants. A rank order of articulating errors was suggestive of a maturational programing of most difficult to least difficult sound regardless of etiology.

A Family With Autosomal-Dominant Progressive Sensorineural Hearing Loss

1996 ◽  
Vol 5 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Chris Halpin ◽  
Barbara Herrmann ◽  
Margaret Whearty
Keyword(s):  
Speech Production ◽  
Hearing Aids ◽  
Role Models ◽  
Speech Intelligibility ◽  
Large Scale ◽  
Speech Language Pathology ◽  
The Family ◽  
Patient Will ◽  
Language Pathology

The family described in this article provides an unusual opportunity to relate findings from genetic, histological, electrophysiological, psychophysical, and rehabilitative investigation. Although the total number evaluated is large (49), the known, living affected population is smaller (14), and these are spread from age 20 to age 59. As a result, the findings described above are those of a large-scale case study. Clearly, more data will be available through longitudinal study of the individuals documented in the course of this investigation but, given the slow nature of the progression in this disease, such studies will be undertaken after an interval of several years. The general picture presented to the audiologist who must rehabilitate these cases is that of a progressive cochlear degeneration that affects only thresholds at first, and then rapidly diminishes speech intelligibility. The expected result is that, after normal language development, the patient may accept hearing aids well, encouraged by the support of the family. Performance and satisfaction with the hearing aids is good, until the onset of the speech intelligibility loss, at which time the patient will encounter serious difficulties and may reject hearing aids as unhelpful. As the histological and electrophysiological results indicate, however, the eighth nerve remains viable, especially in the younger affected members, and success with cochlear implantation may be expected. Audiologic counseling efforts are aided by the presence of role models and support from the other affected members of the family. Speech-language pathology services were not considered important by the members of this family since their speech production developed normally and has remained very good. Self-correction of speech was supported by hearing aids and cochlear implants (Case 5’s speech production was documented in Perkell, Lane, Svirsky, & Webster, 1992). These patients received genetic counseling and, due to the high penetrance of the disease, exhibited serious concerns regarding future generations and the hope of a cure.

The Use of Real-Time Visual Displays of Speech in the Training of a Profoundly Deaf, Nonspeaking Child: A Case Report

1971 ◽  
Vol 36 (3) ◽  
pp. 397-409 ◽  
Author(s):  
Rachel E. Stark
Keyword(s):  
Case Report ◽  
Real Time ◽  
Speech Production ◽  
Behavior Problem ◽  
Deaf Children ◽  
Developmental Sequence ◽  
Visual Displays ◽  
Individual Instruction ◽  
Academic Record ◽  
Extract Information

Real-time amplitude contour and spectral displays were used in teaching speech production skills to a profoundly deaf, nonspeaking boy. This child had a visual attention problem, a behavior problem, and a poor academic record. In individual instruction, he was first taught to produce features of speech, for example, friction, nasal, and stop, which are present in vocalizations of 6- to 9-month-old infants, and then to combine these features in syllables and words. He made progress in speech, although sign language and finger spelling were taught at the same time. Speech production skills were retained after instruction was terminated. The results suggest that deaf children are able to extract information about the features of speech from visual displays, and that a developmental sequence should be followed as far as possible in teaching speech production skills to them.

scholarly journals Preoperative transcranial magnetic stimulation for picture naming is reliable in mapping segments of the arcuate fasciculus

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Davide Giampiccolo ◽  
Henrietta Howells ◽  
Ina Bährend ◽  
Heike Schneider ◽  
Giovanni Raffa ◽  
...  
Keyword(s):  
Transcranial Magnetic Stimulation ◽  
Speech Production ◽  
Picture Naming ◽  
Magnetic Stimulation ◽  
Parietal Lobe ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Diffusion Imaging ◽  
Arcuate Fasciculus ◽  
Preoperative Mapping ◽  
Production Errors

Abstract In preoperative planning for neurosurgery, both anatomical (diffusion imaging tractography) and functional tools (MR-navigated transcranial magnetic stimulation) are increasingly used to identify and preserve eloquent language structures specific to individuals. Using these tools in healthy adults shows that speech production errors occur mainly in perisylvian cortical sites that correspond to subject-specific terminations of the major language pathway, the arcuate fasciculus. It is not clear whether this correspondence remains in oncological patients with altered tissue. We studied a heterogeneous cohort of 30 patients (fourteen male, mean age 44), undergoing a first or second surgery for a left hemisphere brain tumour in a language-eloquent region, to test whether speech production errors induced by preoperative transcranial magnetic stimulation had consistent anatomical correspondence to the arcuate fasciculus. We used navigated repetitive transcranial magnetic stimulation during picture naming and recorded different perisylvian sites where transient interference to speech production occurred. Spherical deconvolution diffusion imaging tractography was performed to map the direct fronto-temporal and indirect (fronto-parietal and parieto-temporal) segments of the arcuate fasciculus in each patient. Speech production errors were reported in all patients when stimulating the frontal lobe, and in over 90% of patients in the parietal lobe. Errors were less frequent in the temporal lobe (54%). In all patients, at least one error site corresponded to a termination of the arcuate fasciculus, particularly in the frontal and parietal lobes, despite distorted anatomy due to a lesion and/or previous resection. Our results indicate that there is strong correspondence between terminations of the arcuate fasciculus and speech errors. This indicates that white matter anatomy may be a robust marker for identifying functionally eloquent cortex, particularly in the frontal and parietal lobe. This knowledge may improve targets for preoperative mapping of language in the neurosurgical setting.

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