Effects of speaking condition and hearing status on vowel production in postlingually deaf adults with cochlear implant

2005 ◽  
Vol 118 (3) ◽  
pp. 1964-1964
Author(s):  
Lucie Menard ◽  
Margaret Denny ◽  
Harlan Lane ◽  
Melanie L. Matthies ◽  
Joseph S. Perkell ◽  
...  
2021 ◽  
pp. 1-10
Author(s):  
Christiane Völter ◽  
Lisa Götze ◽  
Imme Haubitz ◽  
Janine Müther ◽  
Stefan Dazert ◽  
...  

<b><i>Introduction:</i></b> Age-related hearing loss affects about one-third of the population worldwide. Studies suggest that hearing loss may be linked to cognitive decline and auditory rehabilitation may improve cognitive functions. So far, the data are limited, and the underlying mechanisms are not fully understood. The study aimed to analyze the impact of cochlear implantation on cognition in a large homogeneous population of hearing-impaired adults using a comprehensive non-auditory cognitive assessment with regard to normal-hearing (NH) subjects. <b><i>Material and Methods:</i></b> Seventy-one cochlear implant (CI) candidates with a postlingual, bilateral severe or profound hearing loss aged 66.3 years (standard deviation [SD] 9.2) and 105 NH subjects aged 65.96 years (SD 9.4) were enrolled. The computer-based neurocognitive tool applied included 11 subtests covering attention (M3), short- and long-term memory (recall and delayed recall), working memory (0- and 2-back, Operation Span [OSPAN] task), processing speed (Trail Making Test [TMT] A), mental flexibility (TMT B), inhibition (cFlanker and iFlanker), and verbal fluency. CI patients underwent a neurocognitive testing preoperatively as well as 12 months postoperatively. Impact of hearing status, age, gender, and education on cognitive subdomains was studied. Additionally, after controlling for education and age, cognitive performance of CI subjects (<i>n</i> = 41) was compared to that of NH (<i>n</i> = 34). <b><i>Results:</i></b> CI users achieved significantly better neurocognitive scores 12 months after cochlear implantation than before in most subtests (M3, [delayed] recall, 2-back, OSPAN, iFlanker, and verbal fluency; all <i>p</i> &#x3c; 0.05) except for the TMT A and B. A significant correlation could be found between the postoperative improvement in speech perception and in the attentional task M3 (<i>p</i> = 0.01). Hearing status (<i>p</i> = 0.0006) had the strongest effect on attention, whereas education had a high impact on recall (<i>p</i> = 0.002), OSPAN (<i>p</i> = 0.0004), and TMT A (<i>p</i> = 0.005) and B (<i>p</i> = 0.003). Inhibition was mainly age-dependent with better results in younger subjects (<i>p</i> = 0.016). Verbal fluency was predicted by gender as females outperformed men (<i>p</i> = 0.009). Even after controlling for age and education NH subjects showed a significantly better performance than CI candidates in the recall (<i>p</i> = 0.03) and delayed recall (<i>p</i> = 0.01) tasks. Postoperatively, there was no significant difference between the 2 groups anymore. <b><i>Conclusion:</i></b> Impact of cochlear implantation on neurocognitive functions differs according to the cognitive subdomains. Postoperatively, CI recipients performed as good as age- and education-matched NH subjects.


2005 ◽  
Vol 118 (3) ◽  
pp. 1636-1646 ◽  
Author(s):  
Harlan Lane ◽  
Margaret Denny ◽  
Frank H. Guenther ◽  
Melanie L. Matthies ◽  
Lucie Menard ◽  
...  

1997 ◽  
Vol 111 (11) ◽  
pp. 1008-1017 ◽  
Author(s):  
Mohammad Jamal A. Makhdoum ◽  
Ad F. M. Snik ◽  
Paul van den Broek

AbstractThe field of cochlear implantation is developing rapidly. In subjects with bilateral profound deafness who gain no benefit from conventional hearing aids the aim of cochlear implantation is to provide a means for them to receive auditory sensations. Throughout the world, most cochlear implant centres are still continuing their research efforts to improve the results with this technique. Although it is still difficult to predict how an individual will perform with a cochlear implant, the success of cochlear implantation can no longer be denied. In this paper, we review some recent papers and reports, and the results of the various Nijmegen cochlear implant studies. Data about subject selection, examinations, surgery and the outcome are discussed. Our results were in good agreement with those of other authors. It can be concluded once again that cochlear implantation is an effective treatment for postlingually deaf adults and children, and for prelingually (congenital or acquired) deaf children with profound bilateral sensorineural deafness.


2020 ◽  
Vol 25 (3) ◽  
pp. 270-282
Author(s):  
Maryam Salehomoum

Abstract Research examining the outcome of pediatric cochlear implantation consists of certain limitations, including the use of assessments that are often restricted to auditory-spoken skills, biased recruitment practices, and lack of consideration for identity development. To better understand the long-term outcome of implantation, it is vital to seek out individuals who decide to stop using their device and elicit feedback related to their decision. Thus, 11 adults, who were past cochlear implant (CI) users, were interviewed to gain insight into factors that had led to their decision regarding cochlear implant nonuse. Results indicated several variables to have played a role, but the most prominent factors were limitations in postimplant auditory perceptual development and development of a d/Deaf identity. Although cochlear implant practices and technology have improved over the past few decades, we need to recognize the continued variability in outcome to ensure the provision of the most accurate information and appropriate services.


2019 ◽  
Vol 58 (12) ◽  
pp. 816-823 ◽  
Author(s):  
Laure Jacquemin ◽  
Griet Mertens ◽  
Winfried Schlee ◽  
Paul Van de Heyning ◽  
Annick Gilles

Author(s):  
Liesbeth Vanormelingen ◽  
Sven De Maeyer ◽  
Steven Gillis

The present study examines the amount of input and output in congenitally hearing-impaired children with a cochlear implant (CI) and normally-hearing children (NH) and their normally-hearing mothers. The aim of the study was threefold: (a) to investigate the input provided by the two groups of mothers, (b) to investigate the output of the two groups of children, and (c) to investigate the influence of the mothers’ input on child output and expressive vocabulary size. Mothers are less influenced by their children’s hearing status than the children are: CI children are more talkative and slower speakers. Mothers influenced their children on most parameters, but strikingly, it was not maternal talkativeness as such, but the number of maternal turns that is the best predictor of a child’s expressive vocabulary size.


Author(s):  
S.H. Lee ◽  
C.S. Kim ◽  
H.N. Kim ◽  
L.S. Kim ◽  
M.J. Huh ◽  
...  
Keyword(s):  

2001 ◽  
Vol 44 (3) ◽  
pp. 552-563 ◽  
Author(s):  
Harlan Lane ◽  
Melanie Matthies ◽  
Joseph Perkell ◽  
Jennell Vick ◽  
Majid Zandipour

In order to examine the role of hearing status in controlling coarticulation, eight English vowels in /bVt/ and /dVt/ syllables, embedded in a carrier phrase, were elicited from 7 postlingually deafened adults and 2 speakers with normal hearing. The deaf adults served in repeated recording sessions both before and up to a year after they received cochlear implants and their speech processors were turned on. Each of the two hearing control speakers served in two recording sessions, separated by about 3 months. Measures were made of second formant frequency at obstruent release and at 25 ms intervals until the final obstruent. An index of coarticulation, based on the ratio of F2 at vowel onset to F2 at midvowel target, was computed. Changes in the amount of coarticulation after the change in hearing status were small and nonsystematic for the /bVt/ syllables; those for the /dVt/ syllables averaged a 3% increase—within the range of reliability measures for the 2 hearing control speakers. Locus equations (F2 at vowel onset vs. F2 at vowel midpoint) and ratios of F2 onsets in point vowels were also calculated. Like the index of coarticulation, these measures tended to confirm that hearing status had little if any effect on coarticulation in the deaf speakers, consistent with the hypothesis that hearing does not play a direct role in regulating anticipatory coarticulation in adulthood. With the restoration of some hearing, 2 implant users significantly increased the average spacing between vowels in the formant plane, whereas the remaining 5 decreased that measure. All speakers but one also reduced vowel duration significantly. Four of the speakers reduced dispersion of vowel formant values around vowel midpoint means, but the other 3 did not show this effect.


2005 ◽  
Vol 133 (2) ◽  
pp. P135-P135
Author(s):  
K NIEMCZYK ◽  
A BRUZGIELEWICZ ◽  
K MORAWSKI ◽  
M KACZOROWSKA ◽  
L MIKOLAJEWSKA ◽  
...  

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