scholarly journals Improved perception of speech in noise and Mandarin tones with acoustic simulations of harmonic coding for cochlear implants

2012 ◽  
Vol 132 (5) ◽  
pp. 3387-3398 ◽  
Author(s):  
Xing Li ◽  
Kaibao Nie ◽  
Nikita S. Imennov ◽  
Jong Ho Won ◽  
Ward R. Drennan ◽  
...  
2018 ◽  
Vol 36 (2) ◽  
pp. 156-174 ◽  
Author(s):  
Ritva Torppa ◽  
Andrew Faulkner ◽  
Teija Kujala ◽  
Minna Huotilainen ◽  
Jari Lipsanen

The perception of speech in noise is challenging for children with cochlear implants (CIs). Singing and musical instrument playing have been associated with improved auditory skills in normal-hearing (NH) children. Therefore, we assessed how children with CIs who sing informally develop in the perception of speech in noise compared to those who do not. We also sought evidence of links of speech perception in noise with MMN and P3a brain responses to musical sounds and studied effects of age and changes over a 14–17 month time period in the speech-in-noise performance of children with CIs. Compared to the NH group, the entire CI group was less tolerant of noise in speech perception, but both groups improved similarly. The CI singing group showed better speech-in-noise perception than the CI non-singing group. The perception of speech in noise in children with CIs was associated with the amplitude of MMN to a change of sound from piano to cymbal, and in the CI singing group only, with earlier P3a for changes in timbre. While our results cannot address causality, they suggest that singing and musical instrument playing may have a potential to enhance the perception of speech in noise in children with CIs.


2021 ◽  
Vol 150 (4) ◽  
pp. A339-A339
Author(s):  
Jae Hee Lee ◽  
Mallory Orr ◽  
Hwan Shim ◽  
Inyong Choi

2017 ◽  
Vol 60 (11) ◽  
pp. 3342-3364 ◽  
Author(s):  
Susan Nittrouer ◽  
Amanda Caldwell-Tarr ◽  
Keri E. Low ◽  
Joanna H. Lowenstein

Purpose Verbal working memory in children with cochlear implants and children with normal hearing was examined. Participants Ninety-three fourth graders (47 with normal hearing, 46 with cochlear implants) participated, all of whom were in a longitudinal study and had working memory assessed 2 years earlier. Method A dual-component model of working memory was adopted, and a serial recall task measured storage and processing. Potential predictor variables were phonological awareness, vocabulary knowledge, nonverbal IQ, and several treatment variables. Potential dependent functions were literacy, expressive language, and speech-in-noise recognition. Results Children with cochlear implants showed deficits in storage and processing, similar in size to those at second grade. Predictors of verbal working memory differed across groups: Phonological awareness explained the most variance in children with normal hearing; vocabulary explained the most variance in children with cochlear implants. Treatment variables explained little of the variance. Where potentially dependent functions were concerned, verbal working memory accounted for little variance once the variance explained by other predictors was removed. Conclusions The verbal working memory deficits of children with cochlear implants arise due to signal degradation, which limits their abilities to acquire phonological awareness. That hinders their abilities to store items using a phonological code.


Author(s):  
Javad Fakhri ◽  
Nematollah Rouhbakhsh ◽  
Reza Hoseinabadi ◽  
Farzaneh Fatahi ◽  
Mahsa Sepehernejad ◽  
...  

Introduction: The use of cochlear implants, due to technological limitations, causes problems in speech comprehension in the presence of noise. This study aimed to evaluate the speech-in- noise (SIN) comprehension with emphasis on high-frequency components between users of different bimodal adult. Materials and Methods: This study was conducted on 33 adult participants with a mean age of 36 years using bimodal (cochlear implant in one ear and hearing aid in another ear: CI/HA) style of different companies. Quick SIN with emphasis on high-frequency components was performed on the participants using an audiometer, an amplifier, and one speaker. Results: Comparing the average percentage of correct answers from the word recognition test in the presence of noise in bimodal users showed that the Cochlear brand provides a better signal-to-noise (SNR) compare to other brands. Our result shows that bimodal users of Advance bionic and Med-El groups have better performance in speech recognition than other brands. Conclusion: Bimodal users of Advance bionic and Med-El have better SNR loss than other brands. Besides, further studies on different ages can be helpful to make the right decision in this regard.


2019 ◽  
Vol 62 (5) ◽  
pp. 1309-1325 ◽  
Author(s):  
Ping Tang ◽  
Ivan Yuen ◽  
Nan Xu Rattanasone ◽  
Liqun Gao ◽  
Katherine Demuth

Purpose Children with cochlear implants (CIs) face challenges in acquiring tonal languages, as CIs do not efficiently code pitch information. Mandarin is a tonal language with lexical tones and tonal processes such as neutral tone and tone sandhi, exhibiting contextually conditioned tonal realizations. Previous studies suggest that early implantation and long CI experience facilitate the acquisition of lexical tones by children with CIs. However, there is lack of acoustic evidence on children's tonal productions demonstrating that this is the case, and it is unclear whether and how children with CIs are able to acquire contextual tones. This study therefore examined the acoustic realization of both lexical tones and contextual tones as produced by children fitted with CIs, exploring the potential effects of age at implantation and length of CI experience on their acquisition of the Mandarin tonal system. Method Seventy-two Mandarin-learning preschoolers with CIs, varying in age at implantation (13–42 months) and length of CI experience (2–49 months), and 44 normal hearing 3-year-old controls were recruited. Tonal productions were elicited from both groups using picture-naming tasks and acoustically compared. Results Only the early implanted group (i.e., implanted before the age of 2 years) produced normal-like lexical tones and generally had contextual tones approximating those of the normal-hearing children. The other children, including those with longer CI experience, did not have typical tonal productions; their pitch patterns for lexical tones tended to be flatter, and contextual tone productions were unchanged across tonal contexts. Conclusion Children with CIs face challenges in acquiring Mandarin tones, but early implantation may help them to develop normal-like lexical tone categories, which further facilitates their implementation of contextual tones. Supplemental Material https://doi.org/10.23641/asha.8038889


2012 ◽  
Vol 55 (3) ◽  
pp. 865-878 ◽  
Author(s):  
Rosemary Elizabeth Susan Lovett ◽  
Pádraig Thomas Kitterick ◽  
Shan Huang ◽  
Arthur Quentin Summerfield

Purpose To establish the age at which children can complete tests of spatial listening and to measure the normative relationship between age and performance. Method Fifty-six normal-hearing children, ages 1.5–7.9 years, attempted tests of the ability to discriminate a sound source on the left from one on the right, to localize a source, to track moving sources, and to perceive speech in noise. Results Tests of left–right discrimination, movement tracking, and speech perception were completed by ≥75% of children older than 3 years. Children showed adult levels of performance from age 1.5 years (movement tracking), 3 years (left–right discrimination), and 6 years (localization and speech in noise). Spatial release from masking—calculated as the difference in speech reception thresholds between conditions with spatially coincident and spatially separate speech and noise—remained constant at 5 dB from age 3 years. Data from a separate study demonstrate the age at which children with cochlear implants can complete the same tests. Assessments of left–right discrimination, movement tracking, and speech perception were completed by ≥75% of children who are older than 5 years and who wear cochlear implants. Conclusion These data can guide the selection of tests for future studies and inform the interpretation of results from clinical populations.


2013 ◽  
Vol 56 (4) ◽  
pp. 1085-1096 ◽  
Author(s):  
Rajka Smiljanic ◽  
Douglas Sladen

Purpose In this study, the authors examined how signal clarity interacts with the use of sentence context information in determining speech-in-noise recognition for children with cochlear implants and children with normal hearing. Method One hundred and twenty sentences in which the final word varied in predictability (high vs. low semantic context) were produced in conversational and clear speech. Nine children with cochlear implants and 9 children with normal hearing completed the sentence-in-noise listening tests and a standardized language measure. Results Word recognition in noise improved significantly for both groups of children for high-predictability sentences in clear speech. Children with normal hearing benefited more from each source of information compared with children with cochlear implants. There was a significant correlation between more developed language skills and the ability to use contextual enhancements. The smaller context gain in clear speech for children with cochlear implants is in accord with the effortfulness hypothesis (McCoy et al., 2005) and points to the cumulative effects of noise throughout the processing system. Conclusion Modifications of the speech signal and the context of the utterances through changes in the talker output hold substantial promise as a communication enhancement technique for both children with cochlear implants and children with normal hearing.


2016 ◽  
Vol 25 (2) ◽  
pp. 100-109 ◽  
Author(s):  
Frank Iglehart

Purpose This study measured speech perception ability in children with cochlear implants and children with typical hearing when listening across ranges of reverberation times (RTs) and speech-to-noise ratios. Method Participants listened in classroom RTs of 0.3, 0.6, and 0.9 s combined with a 21-dB range of speech-to-noise ratios. Subsets also listened in a low-reverberant audiological sound booth. Performance measures using the Bamford-Kowal-Bench Speech-in-Noise Test (Etymotic Research, Inc., 2005) were 50% correct word recognition across these acoustic conditions, with supplementary analyses of percent correct. Results Reduction in RT from 0.9 to 0.6 s benefited both groups of children. A further reduction in RT to 0.3 s provided additional benefit to the children with cochlear implants, with no further benefit or harm to those with typical hearing. Scores in the sound booth were significantly higher for the participants with implants than in the classroom. Conclusions These results support the acoustic standards of 0.6 s RT for children with typical hearing and 0.3 s RT for children with auditory issues in learning spaces (≤283 m 3 ) as specified in standards S12.60-2010/Part 1 of the American National Standards Institute /Acoustical Society of America (2010). In addition, speech perception testing in a low-reverberant booth overestimated classroom listening ability in children with cochlear implants.


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