scholarly journals Identification of Vowel Length, Word Stress, and Compound Words and Phrases by Postlingually Deafened Cochlear Implant Listeners

2013 ◽  
Vol 24 (09) ◽  
pp. 879-890 ◽  
Author(s):  
David Morris ◽  
Lennart Magnusson ◽  
Andrew Faulkner ◽  
Radoslava Jönsson ◽  
Holger Juul
Keyword(s):  
Cochlear Implant ◽  
Oral Language ◽  
Normal Hearing ◽  
Acoustic Properties ◽  
Control Group ◽  
Compound Words ◽  
Noise Condition ◽  
Vowel Length ◽  
Word Stress ◽  
Prosodic Cues

Background: The accurate perception of prosody assists a listener in deriving meaning from natural speech. Few studies have addressed the ability of cochlear implant (CI) listeners to perceive the brief duration prosodic cues involved in contrastive vowel length, word stress, and compound word and phrase identification. Purpose: To compare performance in the perception of brief duration prosodic contrasts by CI participants and a control group of normal hearing participants. This study investigated the ability to perceive these cues in quiet and noise conditions, and to identify auditory perceptual factors that might predict prosodic perception in the CI group. Prosodic perception was studied both in noise and quiet because noise is a pervasive feature of everyday environments. Research Design: A quasi-experimental correlation design was employed. Study Sample: Twenty-one CI recipients participated along with a control group of 10 normal hearing participants. All CI participants were unilaterally implanted adults who had considerable experience with oral language prior to implantation. Data Collection and Analysis: Speech identification testing measured the participants' ability to identify word stress, vowel length, and compound words or phrases all of which were presented with minimal-pair response choices. Tests were performed in quiet and in speech-spectrum shaped noise at a 10 dB signal-to-noise ratio. Also, discrimination thresholds for four acoustic properties of a synthetic vowel were measured as possible predictors of prosodic perception. Testing was carried out during one session, and participants used their clinically assigned speech processors. Results: The CI group could not identify brief prosodic cues as well as the control group, and their performance decreased significantly in the noise condition. Regression analysis showed that the discrimination of intensity predicted performance on the prosodic tasks. The performance decline measured with the older participants meant that age also emerged as a predictor. Conclusions: This study provides a portrayal of CI recipients' ability to perceive brief prosodic cues. This is of interest in the preparation of rehabilitation materials used in training and in developing realistic expectations for potential CI candidates.

scholarly journals Spatial Speech-in-Noise Performance in Bimodal and Single-Sided Deaf Cochlear Implant Users

2019 ◽  
Vol 23 ◽  
pp. 233121651985831 ◽  
Author(s):  
Ben Williges ◽  
Thomas Wesarg ◽  
Lorenz Jung ◽  
Leontien I. Geven ◽  
Andreas Radeloff ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Normal Hearing ◽  
Head Movements ◽  
Control Group ◽  
Noise Performance ◽  
Speech In Noise ◽  
Speech Reception ◽  
Patient Groups ◽  
Speech Reception Thresholds ◽  
Binaural Listening

This study compared spatial speech-in-noise performance in two cochlear implant (CI) patient groups: bimodal listeners, who use a hearing aid contralaterally to support their impaired acoustic hearing, and listeners with contralateral normal hearing, i.e., who were single-sided deaf before implantation. Using a laboratory setting that controls for head movements and that simulates spatial acoustic scenes, speech reception thresholds were measured for frontal speech-in-stationary noise from the front, the left, or the right side. Spatial release from masking (SRM) was then extracted from speech reception thresholds for monaural and binaural listening. SRM was found to be significantly lower in bimodal CI than in CI single-sided deaf listeners. Within each listener group, the SRM extracted from monaural listening did not differ from the SRM extracted from binaural listening. In contrast, a normal-hearing control group showed a significant improvement in SRM when using two ears in comparison to one. Neither CI group showed a binaural summation effect; that is, their performance was not improved by using two devices instead of the best monaural device in each spatial scenario. The results confirm a “listening with the better ear” strategy in the two CI patient groups, where patients benefited from using two ears/devices instead of one by selectively attending to the better one. Which one is the better ear, however, depends on the spatial scenario and on the individual configuration of hearing loss.

The Basis for Language Acquisition: Congenitally Deaf Infants Discriminate Vowel Length in the First Months after Cochlear Implantation

2015 ◽  
Vol 27 (12) ◽  
pp. 2427-2441 ◽  
Author(s):  
Niki Katerina Vavatzanidis ◽  
Dirk Mürbe ◽  
Angela Friederici ◽  
Anja Hahne
Keyword(s):  
Language Acquisition ◽  
Oral Language ◽  
Acoustic Stimulation ◽  
Oddball Paradigm ◽  
Control Group ◽  
Short Vowel ◽  
Auditory Input ◽  
Linguistic Features ◽  
Vowel Length ◽  
Discriminative Ability

One main incentive for supplying hearing impaired children with a cochlear implant is the prospect of oral language acquisition. Only scarce knowledge exists, however, of what congenitally deaf children actually perceive when receiving their first auditory input, and specifically what speech-relevant features they are able to extract from the new modality. We therefore presented congenitally deaf infants and young children implanted before the age of 4 years with an oddball paradigm of long and short vowel variants of the syllable /ba/. We measured the EEG in regular intervals to study their discriminative ability starting with the first activation of the implant up to 8 months later. We were thus able to time-track the emerging ability to differentiate one of the most basic linguistic features that bears semantic differentiation and helps in word segmentation, namely, vowel length. Results show that already 2 months after the first auditory input, but not directly after implant activation, these early implanted children differentiate between long and short syllables. Surprisingly, after only 4 months of hearing experience, the ERPs have reached the same properties as those of the normal hearing control group, demonstrating the plasticity of the brain with respect to the new modality. We thus show that a simple but linguistically highly relevant feature such as vowel length reaches age-appropriate electrophysiological levels as fast as 4 months after the first acoustic stimulation, providing an important basis for further language acquisition.

scholarly journals O Impacto do Implante Coclear na Linguagem Oral das Crianças com Surdez Congénita

2015 ◽  
Vol 28 (4) ◽  
pp. 442 ◽  
Author(s):  
Daniela Ramos ◽  
João Xavier Jorge ◽  
António Teixeira ◽  
Carlos Ribeiro ◽  
António Paiva
Keyword(s):  
Cochlear Implant ◽  
Oral Language ◽  
Syntactic Structure ◽  
Sensorineural Deafness ◽  
Normal Hearing ◽  
School Level ◽  
Evaluation Instrument ◽  
Verbal Language ◽  
Significant Difference ◽  
Hearing Children

<strong>Introduction:</strong> Children with severe to profound sensorineural deafness can acquire vocabulary and syntactic structures to communicate by oral language, after cochlear implant.<br /><strong>Aim:</strong> Identify the linguistic skills of children with cochlear implant.<br /><strong>Material and Methods:</strong> Eighteen children of both gender, between 9 and 10 years, with congenital bilateral deafness, using cochlear implant, were studied. The evaluation instrument used was Observation Chart of Language-School Level. The results were compared with standard of normal-hearing children with the same hearing age.<br /><strong>Results:</strong> The scores registered in the linguistics structures studied, comparing implanted children and standard, was: phonology, 29.44 ± 8.4 vs. 29.68 ± 5.90, p = 0.91; semantics, 18.55 ± 8.89 vs. 19.20 ± 4.85, p = 0.76; morpho-syntax 21.89 ± 12.85 vs. 26.35 ± 10.36, p = 0.159. Regarding the tests of semantics, there was no significant difference. Concerning the tests of morpho-syntactic structure, the<br />difference was significant in the derivation of words, 2.83 ± 2.81 vs. 4.65 ± 1.64, p = 0.014. In the phonology, a significant difference was found comparing implanted children and standard, in the discrimination of pseudo words, 6.6 ± 2.8 vs. 8.37 ± 2.32, p = 0.023. However, in syllabic segmentation, implanted children had a mean score 8.56 ± 1.6 significantly higher than standard, 5.9 ± 1.58, p &lt; 0.001.<br /><strong>Discussion:</strong> The similarity of the scores obtained by children with cochlear implants with the standard, in the language components studied confirms that cochlear implant promotes the development of oral verbal language in children with congenital deafness.<br /><strong>Conclusions:</strong> Implanted children had acquired language skills similar to normal-hearing children with the same hearing age.

scholarly journals Long-Term Lateral Semicircular Canal Function in Children with Cochlear Implants: Results of Video Head Impulse Test

2021 ◽  
Vol 11 (1) ◽  
pp. 12-19
Author(s):  
Nader Nassif ◽  
Cristiano Balzanelli ◽  
Luca Oscar Redaelli de Zinis
Keyword(s):  
Cochlear Implant ◽  
Semicircular Canal ◽  
Normal Hearing ◽  
Head Impulse Test ◽  
Control Group ◽  
Lateral Semicircular Canal ◽  
Cross Sectional ◽  
Head Impulse ◽  
Hearing Children

In children with profound deafness, bilateral cochlear implant (CI) is an effective, established procedure. However, its safety on vestibular function has recently been debated. The goal of this study is to evaluate the long-term lateral semicircular canal high-frequency vestibulo-oculomotor reflex (LSC HF VOR) in children with CI by video head impulse testing (vHIT). This is a cross-sectional study assessing a cohort of children who received either a unilateral (12) or a bilateral (12) cochlear implant (CI), compared with a control group of 12 normal-hearing children. No significant LSC HF VOR gain difference was found between CI users and controls. In the unilaterally implanted group, the LSC HF VOR gain measured in the “CI-ON” condition was significantly higher than in the “CI-OFF” condition, both in the implanted and in the non-implanted ear. In the bilaterally implanted group, the difference between the two conditions was not significant. Our results do not show any impairment of LSC HF VOR function in children with CI compared to normal-hearing children in the long-term period. This suggests that both unilateral and simultaneous/sequential bilateral CI are procedures that do not impair HF LSC long-term function when analyzed by vHIT.

scholarly journals Loudness Functions and Binaural Loudness Summation in Bilateral Cochlear Implant Users

2017 ◽  
Vol 42 (3) ◽  
pp. 351-364
Author(s):  
Monika Kordus ◽  
Jan Żera
Keyword(s):  
Individual Differences ◽  
Cochlear Implant ◽  
Stimulus Presentation ◽  
Normal Hearing ◽  
Control Group ◽  
Large Individual ◽  
Experimental Conditions ◽  
Large Variability ◽  
Bilateral Cochlear Implant ◽  
Loudness Summation

AbstractLoudness functions and binaural loudness summation was investigated in acoustically stimulated bilaterally implanted cochlear implant users. The study was aimed at evaluating growth of loudness functions and binaural loudness summation in cochlear implant subjects as a function of stimulus presentation level at different frequencies. Loudness was assessed using a rating procedure on a scale of 0 to 100. Three experimental conditions were tested: monaural right, monaural left and binaural, each with bands of noise with center frequencies of 0.25, 1, and 4 kHz. Fifteen implanted and five normal-hearing subjects (control group) participated in the experiments. Results demonstrated large variability in the slopes of the loudness functions and the presence of loudness summation in bilateral cochlear implant users, with large individual differences among subjects.

scholarly journals Mismatch negativity in children with cochlear implant

2019 ◽  
Vol 5 (5) ◽  
pp. 1149 ◽  
Author(s):  
Mai Hamid ◽  
Mona Ahmed Kotait ◽  
Enaas Ahmad Kolkaila
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Mismatch Negativity ◽  
Standard Stimulus ◽  
Normal Hearing ◽  
Control Group ◽  
Speech Discrimination ◽  
Great Opportunity ◽  
Speech Stimuli ◽  
Hearing Children

<p class="abstract"><strong>Background:</strong> Cochlear implant provides a great opportunity for children with severe to profound sensorineural hearing loss to restore normal hearing. Identifying mismatch negativity (MMN) in cochlear implant recipients helps to assess the role of central auditory structures in processing speech stimuli in those patients. The objective of the present study is to evaluate tone and speech discrimination in cochlear implanted children using mismatch negativity test.</p><p class="abstract"><strong>Methods:</strong> MMN was recorded in 35 children. They were divided into two groups. Control group consisted of 15 normal hearing children, their age ranged from 3-11 years. Study group consisted of 20 children fitted with unilateral CI, and their age matched the control group. Two oddball paradigms were used; the first was tone bursts (1000 Hz as standard stimulus and 1050 Hz as deviant stimulus). The second was synthesized speech stimuli (/da/ as standard stimulus and /ga/ as deviant one). Both paradigms were presented at 75dB SPL.</p><p class="abstract"><strong>Results:</strong> All cochlear implanted children included showed MMN on using both oddball paradigms. Comparing results of both groups revealed statistically significant differences in MMN latency and amplitude. There was a significant positive correlation between MMN latencies and the implantation age as well as the duration of hearing loss before implantation.</p><p><strong>Conclusions:</strong> MMN provides an objective tool to assess the auditory discrimination abilities in cochlear implanted children which may help in their rehabilitation and also in the optimum setting of their devices.</p>

scholarly journals Logatome Discrimination in Cochlear Implant Users: Subjective Tests Compared to the Mismatch Negativity

2010 ◽  
Vol 10 ◽  
pp. 329-339 ◽  
Author(s):  
Torsten Rahne ◽  
Michael Ziese ◽  
Dorothea Rostalski ◽  
Roland Mühler
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Mismatch Negativity ◽  
Speech Intelligibility ◽  
Event Related Potentials ◽  
Normal Hearing ◽  
Discrimination Test ◽  
Speech Database ◽  
Automated Speech Recognition ◽  
Related Potentials

This paper describes a logatome discrimination test for the assessment of speech perception in cochlear implant users (CI users), based on a multilingual speech database, the Oldenburg Logatome Corpus, which was originally recorded for the comparison of human and automated speech recognition. The logatome discrimination task is based on the presentation of 100 logatome pairs (i.e., nonsense syllables) with balanced representations of alternating “vowel-replacement” and “consonant-replacement” paradigms in order to assess phoneme confusions. Thirteen adult normal hearing listeners and eight adult CI users, including both good and poor performers, were included in the study and completed the test after their speech intelligibility abilities were evaluated with an established sentence test in noise. Furthermore, the discrimination abilities were measured electrophysiologically by recording the mismatch negativity (MMN) as a component of auditory event-related potentials. The results show a clear MMN response only for normal hearing listeners and CI users with good performance, correlating with their logatome discrimination abilities. Higher discrimination scores for vowel-replacement paradigms than for the consonant-replacement paradigms were found. We conclude that the logatome discrimination test is well suited to monitor the speech perception skills of CI users. Due to the large number of available spoken logatome items, the Oldenburg Logatome Corpus appears to provide a useful and powerful basis for further development of speech perception tests for CI users.

Long-Term Follow-Up of Early Cochlear Implant Device Activation

2021 ◽  
pp. 1-11
Author(s):  
Stefanie Bruschke ◽  
Uwe Baumann ◽  
Timo Stöver
Keyword(s):  
Speech Recognition ◽  
Side Effects ◽  
Cochlear Implant ◽  
Surgical Techniques ◽  
Control Group ◽  
First Year ◽  
Safe Procedure ◽  
Sound Processor

Background: The cochlear implant (CI) is a standard procedure for the treatment of patients with severe to profound hearing loss. In the past, a standard healing period of 3–6 weeks occurred after CI surgery before the sound processor was initially activated. Advancements of surgical techniques and instruments allow an earlier initial activation of the processor within 14 days after surgery. Objective: Evaluation of the early CI device activation after CI surgery within 14 days, comparison to the first activation after 4–6 weeks, and assessment of the feasibility and safety of the early fitting over a 12 month observation period were the objectives of this study. Method: In a prospective study, 127 patients scheduled for CI surgery were divided into early fitting group (EF, n = 67) and control group (CG, n = 60). Individual questionnaires were used to evaluate medical and technical outcomes of the EF. Medical side effects, speech recognition, and follow-up effort were compared with the CG within the first year after CI surgery. Results: The early fitting was feasible in 97% of the EF patients. In the EF, the processor was activated 25 days earlier than in the CG. No major complications were observed in either group. At the follow-up appointments, side effects such as pain and balance problems occurred with comparable frequency in both groups. At initial fitting, the EF showed a significantly higher incidence of medical minor complications (p < 0.05). When developing speech recognition within the first year of CI use, no difference was observed. Furthermore, the follow-up effort within the first year after CI surgery was comparable in both groups. Conclusions: Early fitting of the sound processor is a feasible and safe procedure with comparable follow-up effort. Although more early minor complications were observed in the EF, there were no long-term wound healing problems caused by the early fitting. Regular inspection of the magnet strength is recommended as part of the CI follow-up since postoperative wound swelling must be expected. The early fitting procedure enabled a clear reduction in the waiting time between CI surgery and initial sound processor activation.

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