Use of acoustic cues by children with cochlear implants

Real-time spoken word recognition in deaf and hard of hearing preschoolers: Effects of phonological competition

This study investigates how phonological competition affects real-time spoken word recognition in deaf and hard of hearing (DHH) preschoolers compared to peers with hearing in the normal range (NH). Three-to-six-year olds (27 with NH, 18 DHH, including uni- and bilateral hearing losses) were instructed to look at pictures that corresponded to words alongside a phonological competitor (e.g., /bin-pin/) vs. an unrelated distractor (e.g., /toy-bed/). Phonological competitors contrasted in either voicing or place of articulation (PoA), in the onset or coda of the word. Relative to peers with NH, DHH preschoolers showed reduced looks to target in reaction to the spoken words specifically when competition was present. DHH preschoolers may thus, as a group, experience increased phonological competition during word recognition. There was no evidence that phonological properties (voicing vs. PoA, or onset vs. coda) differentially impacted word recognition.

Temporal cue based categorization and speech perception in noise among pediatric cochlear implant users

OBJECTIVES

Voice onset time (VOT) has been identified as a potential temporal cue for predicting children's performance in speech-in-noise tasks, yet the relationship between these two factors has never been explored among children using CI. Hence, the present study aimed to explore the performance of children using CI on temporal cue-based syllable categorization test and speech perception in noise and examine the relationship between the two.

METHODS

Temporal cue-based syllable categorization test was developed with the manipulation of /ba/ sound in 10 steps continuum with VOT varied between -74 ms to 26 ms. The developed test and revised speech in noise for Marathi-speaking children (0 and 5 dB SNR) were administered to thirty children with unilateral cochlear implant and thirty children with normal hearing, aged between 5 to 7 years.

RESULTS

The Mann-Whitney U test showed significant differences between groups in temporal cue-based categorization and speech in noise tests at 0 dB and 5 dB SNR. Kendall Tau B revealed a moderate correlation between implant age and scores on the temporal cue-based categorization and speech in noise tests at 0 dB SNR, with a strong correlation at 5 dB SNR. Additionally, there was a significant moderate relationship between temporal cue-based categorization and speech in noise test scores at both 0 dB and 5 dB SNR.

CONCLUSION

The present study highlights the importance of temporal cues in speech perception and the need for temporal processing for children using cochlear implants. It reinforces the evidence that speech perception skills improve with implant age.

Prelingually Deaf Children With Cochlear Implants Show Better Perception of Voice Cues and Speech in Competing Speech Than Postlingually Deaf Adults With Cochlear Implants

OBJECTIVES

Postlingually deaf adults with cochlear implants (CIs) have difficulties with perceiving differences in speakers' voice characteristics and benefit little from voice differences for the perception of speech in competing speech. However, not much is known yet about the perception and use of voice characteristics in prelingually deaf implanted children with CIs. Unlike CI adults, most CI children became deaf during the acquisition of language. Extensive neuroplastic changes during childhood could make CI children better at using the available acoustic cues than CI adults, or the lack of exposure to a normal acoustic speech signal could make it more difficult for them to learn which acoustic cues they should attend to. This study aimed to examine to what degree CI children can perceive voice cues and benefit from voice differences for perceiving speech in competing speech, comparing their abilities to those of normal-hearing (NH) children and CI adults.

DESIGN

CI children's voice cue discrimination (experiment 1), voice gender categorization (experiment 2), and benefit from target-masker voice differences for perceiving speech in competing speech (experiment 3) were examined in three experiments. The main focus was on the perception of mean fundamental frequency (F0) and vocal-tract length (VTL), the primary acoustic cues related to speakers' anatomy and perceived voice characteristics, such as voice gender.

RESULTS

CI children's F0 and VTL discrimination thresholds indicated lower sensitivity to differences compared with their NH-age-equivalent peers, but their mean discrimination thresholds of 5.92 semitones (st) for F0 and 4.10 st for VTL indicated higher sensitivity than postlingually deaf CI adults with mean thresholds of 9.19 st for F0 and 7.19 st for VTL. Furthermore, CI children's perceptual weighting of F0 and VTL cues for voice gender categorization closely resembled that of their NH-age-equivalent peers, in contrast with CI adults. Finally, CI children had more difficulties in perceiving speech in competing speech than their NH-age-equivalent peers, but they performed better than CI adults. Unlike CI adults, CI children showed a benefit from target-masker voice differences in F0 and VTL, similar to NH children.

CONCLUSION

Although CI children's F0 and VTL voice discrimination scores were overall lower than those of NH children, their weighting of F0 and VTL cues for voice gender categorization and their benefit from target-masker differences in F0 and VTL resembled that of NH children. Together, these results suggest that prelingually deaf implanted CI children can effectively utilize spectrotemporally degraded F0 and VTL cues for voice and speech perception, generally outperforming postlingually deaf CI adults in comparable tasks. These findings underscore the presence of F0 and VTL cues in the CI signal to a certain degree and suggest other factors contributing to the perception challenges faced by CI adults.

Impact of ASL Exposure on Spoken Phonemic Discrimination in Adult CI Users: A Functional Near-Infrared Spectroscopy Study

We examined the impact of exposure to a signed language (American Sign Language, or ASL) at different ages on the neural systems that support spoken language phonemic discrimination in deaf individuals with cochlear implants (CIs). Deaf CI users (N = 18, age = 18-24 yrs) who were exposed to a signed language at different ages and hearing individuals (N = 18, age = 18-21 yrs) completed a phonemic discrimination task in a spoken native (English) and non-native (Hindi) language while undergoing functional near-infrared spectroscopy neuroimaging. Behaviorally, deaf CI users who received a CI early versus later in life showed better English phonemic discrimination, albeit phonemic discrimination was poor relative to hearing individuals. Importantly, the age of exposure to ASL was not related to phonemic discrimination. Neurally, early-life language exposure, irrespective of modality, was associated with greater neural activation of left-hemisphere language areas critically involved in phonological processing during the phonemic discrimination task in deaf CI users. In particular, early exposure to ASL was associated with increased activation in the left hemisphere's classic language regions for native versus non-native language phonemic contrasts for deaf CI users who received a CI later in life. For deaf CI users who received a CI early in life, the age of exposure to ASL was not related to neural activation during phonemic discrimination. Together, the findings suggest that early signed language exposure does not negatively impact spoken language processing in deaf CI users, but may instead potentially offset the negative effects of language deprivation that deaf children without any signed language exposure experience prior to implantation. This empirical evidence aligns with and lends support to recent perspectives regarding the impact of ASL exposure in the context of CI usage.

Processing of Plural Marking in Nouns by German-Speaking Children With Normal Hearing and Children With Cochlear Implants: An Eye-Tracking Study

PURPOSE

Our goal is to understand how the different types of plural marking are understood and processed by children with cochlear implants (CIs): (a) how does salience affect the processing of plural marking, (b) how is this processing affected by the incomplete signal provided by the CIs, and (c) is it linked to individual factors such as chronological age, vocabulary development, and phonological working memory?

METHOD

Sixteen children with CIs and 30 age-matched children with normal hearing (NH) participated in an eye-tracking study. Their task was to choose the corresponding picture to an auditorily presented singular or plural noun. Accuracy, reaction time, and gaze fixation were measured and analyzed with mixed-effect models.

RESULTS

Group differences were found in accuracy but not in reaction time or gaze fixation. Plural processing is qualitatively similar in children with CIs and children with NH, with more difficulties in processing plurals involving stem-vowel changes and less with those involving suffixes. Age effects indicate that processing abilities still evolve between 5 and 11 years, and processing is further linked to lexical development.

CONCLUSIONS

Our results indicate that early implantation seems to be beneficial for the acquisition of plural as indicated by very small between-group differences in processing and comprehension. Processing is furthermore affected by the type of material (i.e., phonetic, phonological, or morphological) used to mark plural and less so by their segmental salience. Our study emphasizes the need to take into account the form of the linguistic material in future investigations at higher levels of processing.

Word Learning in Deaf Adults Who Use Cochlear Implants: The Role of Talker Variability and Attention to the Mouth

OBJECTIVES

Although cochlear implants (CIs) facilitate spoken language acquisition, many CI listeners experience difficulty learning new words. Studies have shown that highly variable stimulus input and audiovisual cues improve speech perception in CI listeners. However, less is known whether these two factors improve perception in a word learning context. Furthermore, few studies have examined how CI listeners direct their gaze to efficiently capture visual information available on a talker's face. The purpose of this study was two-fold: (1) to examine whether talker variability could improve word learning in CI listeners and (2) to examine how CI listeners direct their gaze while viewing a talker speak.

DESIGN

Eighteen adults with CIs and 10 adults with normal hearing (NH) learned eight novel word-object pairs spoken by a single talker or six different talkers (multiple talkers). The word learning task comprised of nonsense words following the phonotactic rules of English. Learning was probed using a novel talker in a two-alternative forced-choice eye gaze task. Learners' eye movements to the mouth and the target object (accuracy) were tracked over time.

RESULTS

Both groups performed near ceiling during the test phase, regardless of whether they learned from the same talker or different talkers. However, compared to listeners with NH, CI listeners directed their gaze significantly more to the talker's mouth while learning the words.

CONCLUSIONS

Unlike NH listeners who can successfully learn words without focusing on the talker's mouth, CI listeners tended to direct their gaze to the talker's mouth, which may facilitate learning. This finding is consistent with the hypothesis that CI listeners use a visual processing strategy that efficiently captures redundant audiovisual speech cues available at the mouth. Due to ceiling effects, however, it is unclear whether talker variability facilitated word learning for adult CI listeners, an issue that should be addressed in future work using more difficult listening conditions.

Voice Onset Time of Greek Stops Productions by Greek Children with Cochlear Implants and Normal Hearing

INTRODUCTION

Research on voice onset time (VOT) production of stops in children with CI versus NH has reported conflicting results. Effects of age and place of articulation on VOT have not been examined for children with CI. The purpose of this study was to examine VOT production by Greek-speaking children with CI in comparison to NH controls, with a focus on the effects of age, type of stimuli, and place of articulation.

METHODS

Participants were 24 children with CI aged from 2;8 to 13;3 years and 24 age- and gender-matched children with NH. Words were elicited via a picture-naming task, and nonwords were elicited via a fast mapping procedure.

RESULTS

For voiced stops, children with CI showed longer VOT than children with NH, whereas VOT for voiceless stops was similar to that of NH peers. Also, in both voiced and voiceless stops, the VOT differed as a function of age and place of articulation across groups. Differences as a function of stimulus type were only noted for voiced stops across groups.

CONCLUSIONS

For the voiced stop consonants, which demand more articulatory effort, VOT production in children with CI was longer than in children with NH. For the voiceless stop consonants, VOT production in children with CI is acquired at a young age.

Single-Channel Focused Thresholds Relate to Vowel Identification in Pediatric and Adult Cochlear Implant Listeners

Speech recognition outcomes are highly variable among pediatric and adult cochlear implant (CI) listeners. Although there is some evidence that the quality of the electrode-neuron interface (ENI) contributes to this large variability in auditory perception, its relationship with speech outcomes is not well understood. Single-channel auditory detection thresholds measured in response to focused electrical fields (i.e., focused thresholds) are sensitive to properties of ENI quality, including electrode-neuron distance, intracochlear resistance, and neural health. In the present study, focused thresholds and speech perception abilities were assessed in 15 children and 21 adult CI listeners. Focused thresholds were measured for all active electrodes using a fast sweep procedure. Speech perception performance was evaluated by assessing listeners’ ability to identify vowels presented in /h-vowel-d/ context. Consistent with prior literature, focused thresholds were lower for children than for adults, but vowel identification did not differ significantly across age groups. Higher across-array average focused thresholds, which may indicate a relatively poor ENI quality, were associated with poorer vowel identification scores in both children and adults. Adult CI listeners with longer durations of deafness had higher focused thresholds. Findings from this study demonstrate that poor-quality ENIs may contribute to reduced speech outcomes for pediatric and adult CI listeners. Estimates of ENI quality (e.g., focused thresholds) may assist in developing customized programming interventions that serve to improve the transmission of spectral cues that are important in vowel identification.

Effects of Age and Cochlear Implantation on Spectrally Cued Speech Categorization

Purpose Weighting of acoustic cues for perceiving place-of-articulation speech contrasts was measured to determine the separate and interactive effects of age and use of cochlear implants (CIs). It has been found that adults with normal hearing (NH) show reliance on fine-grained spectral information (e.g., formants), whereas adults with CIs show reliance on broad spectral shape (e.g., spectral tilt). In question was whether children with NH and CIs would demonstrate the same patterns as adults, or show differences based on ongoing maturation of hearing and phonetic skills. Method Children and adults with NH and with CIs categorized a /b/-/d/ speech contrast based on two orthogonal spectral cues. Among CI users, phonetic cue weights were compared to vowel identification scores and Spectral-Temporally Modulated Ripple Test thresholds. Results NH children and adults both relied relatively more on the fine-grained formant cue and less on the broad spectral tilt cue compared to participants with CIs. However, early-implanted children with CIs better utilized the formant cue compared to adult CI users. Formant cue weights correlated with CI participants' vowel recognition and in children, also related to Spectral-Temporally Modulated Ripple Test thresholds. Adults and child CI users with very poor phonetic perception showed additive use of the two cues, whereas those with better and/or more mature cue usage showed a prioritized trading relationship, akin to NH listeners. Conclusions Age group and hearing modality can influence phonetic cue-weighting patterns. Results suggest that simple nonlexical categorization tests correlate with more general speech recognition skills of children and adults with CIs.

Development of fricative production in French-speaking school-aged children using cochlear implants and children with normal hearing

In the course of productive phonological development, fricatives are among the last speech sounds to emerge and to be mastered by children, probably because of the high degree of articulatory precision they require or because of difficulties with their perception. Children with cochlear implants (CI) face additional difficulties with fricative perception, since high spectral frequency components are shown to be especially difficult to perceive with a cochlear implant. Studying fricative production in children with CIs allows to study how the partial transmission of speech sounds by cochlear implants influences children's speech production, and therefore to explore how perceptual abilities influence the late stages of phonological development. This acoustic study focuses on fricative production at three places of articulation (i.e., /f/, /s/ and /ʃ/), comparing productions by two groups of children (20 children with normal hearing (NH) vs. 13 children with CIs, all aged 5;7 to 10;7 years), and taking into account their consistency in coarticulation and the stability of their production across two different tasks (word-repetition and picture-naming). Statistical analyses were carried out by means of linear mixed-effect models. The results show that while both groups produce /ʃ/ with similar acoustic characteristics, between-group differences are found for /f/ and /s/. Furthermore, effects of consonant-vowel coarticulation are found for children with NH, and are absent for children with CIs. Effects of chronological age are only found for children with CIs (production in older children with CIs nearing that of children with NH). Our study shows that the development of fricative production of five- to 11-year-old children with CIs is affected by the children's hearing abilities and late access to auditory information. These limitations however do not prevent the children from eventually reaching a consistency similar to that of children with NH, as suggested by the fact that their production is still evolving during that age span. The results also show that the acquisition of coarticulation strategies can be impeded by degraded or delayed access to audio.

Assessing Fine-Grained Speech Discrimination in Young Children With Bilateral Cochlear Implants

HYPOTHESIS

Children of 2 to 3 years old with cochlear implants can perform consonant discriminations using fine-grained acoustic cues.

BACKGROUND

Children born with severe-to-profound deafness are provided with early cochlear implantation (<2 yr) to maximize oral communication outcomes. Little is known regarding their abilities to discriminate consonant contrasts for accurately identifying speech sounds.

METHODS

Using a Reaching for Sound paradigm to collect behavioral responses, consonant contrast discrimination was measured in 13 children with bilateral cochlear implants (BiCIs; aged 28-37 mo), and 13 age-matched normal-hearing (NH) children. Four contrast pairs were tested: 1) place + voicing, 2) place, 3) voicing, and 4) reduced voice-onset-time cue. Using standard processing strategies, electrodograms showing pulsatile stimulation patterns were created retrospectively to assess the spectral-temporal cues delivered through the clinical speech processors.

RESULTS

As a group, children with BiCIs were able to discriminate all consonant contrasts at a level that was above chance, but their performance was poorer than NH children. Larger individual variability in discrimination performance was found in children with BiCIs. Stepwise regression revealed that, in the place contrast, chronological age was correlated with improved discrimination performance among children with BiCIs.

CONCLUSION

Children with BiCIs were able to discriminate consonant contrasts using fine-grained spectral-temporal cues above chance level but more poorly than their NH peers. Electrodogram analysis confirmed the access to spectral-temporal cues in the consonant contrasts through clinical speech processors. However, the cue saliency might not have be enough for children with BiCIs to achieve the same discrimination accuracy as NH children.

Infants use phonetic detail in speech perception and word learning when detail is easy to perceive

Infants successfully discriminate speech sound contrasts that belong to their native language's phonemic inventory in auditory-only paradigms, but they encounter difficulties in distinguishing the same contrasts in the context of word learning. These difficulties are usually attributed to the fact that infants' attention to the phonetic detail in novel words is attenuated when they must allocate additional cognitive resources demanded by word-learning tasks. The current study investigated 15-month-old infants' ability to distinguish novel words that differ by a single vowel in an auditory discrimination paradigm (Experiment 1) and a word-learning paradigm (Experiment 2). These experiments aimed to tease apart whether infants' performance is dependent solely on the specific acoustic properties of the target vowels or on the context of the task. Experiment 1 showed that infants were able to discriminate only a contrast marked by a large difference along a static dimension (the vowels' second formant), whereas they were not able to discriminate a contrast with a small phonetic distance between its vowels, due to the dynamic nature of the vowels. In Experiment 2, infants did not succeed at learning words containing the same contrast they were able to discriminate in Experiment 1. The current findings demonstrate that both the specific acoustic properties of vowels in infants' native language and the task presented continue to play a significant role in early speech perception well into the second year of life.

Children's Recognition of Emotional Prosody in Spectrally Degraded Speech Is Predicted by Their Age and Cognitive Status

OBJECTIVES

It is known that school-aged children with cochlear implants show deficits in voice emotion recognition relative to normal-hearing peers. Little, however, is known about normal-hearing children's processing of emotional cues in cochlear implant-simulated, spectrally degraded speech. The objective of this study was to investigate school-aged, normal-hearing children's recognition of voice emotion, and the degree to which their performance could be predicted by their age, vocabulary, and cognitive factors such as nonverbal intelligence and executive function.

DESIGN

Normal-hearing children (6-19 years old) and young adults were tested on a voice emotion recognition task under three different conditions of spectral degradation using cochlear implant simulations (full-spectrum, 16-channel, and 8-channel noise-vocoded speech). Measures of vocabulary, nonverbal intelligence, and executive function were obtained as well.

RESULTS

Adults outperformed children on all tasks, and a strong developmental effect was observed. The children's age, the degree of spectral resolution, and nonverbal intelligence were predictors of performance, but vocabulary and executive functions were not, and no interactions were observed between age and spectral resolution.

CONCLUSIONS

These results indicate that cognitive function and age play important roles in children's ability to process emotional prosody in spectrally degraded speech. The lack of an interaction between the degree of spectral resolution and children's age further suggests that younger and older children may benefit similarly from improvements in spectral resolution. The findings imply that younger and older children with cochlear implants may benefit similarly from technical advances that improve spectral resolution.

Recognition of Spanish consonants in 8-talker babble by children with cochlear implants, and by children and adults with normal hearing

This paper presents the results of closed-set recognition task for 80 Spanish consonant-vowel sounds in 8-talker babble. Three groups of subjects participated in the study: a group of children using cochlear implants (CIs; age range: 7-13), an age-matched group of children with normal hearing (NH), and a group of adults with NH. The speech-to-noise ratios at which the participants recognized 33% of the target consonants were +7.8 dB, -3 dB, and -6 dB, respectively. In order to clarify the qualitative differences between the groups, groups were matched for the percentage of recognized syllables. As compared with the two groups with NH, the children with CIs: (1) produced few "I do not know" responses; (2) frequently selected the voiced stops (i.e., /b, d, ɡ/) and the most energetic consonants (i.e., /l, r, ʝ, s, ʧ/); (3) showed no vowel context effects; and (4) had a robust voicing bias. As compared with the adults with NH, both groups of children showed a fronting bias in place of articulation errors. The factors underlying these error patterns are discussed.

Cultural Identity of Young Deaf Adults with Cochlear Implants in Comparison to Deaf without Cochlear Implants and Hard-of-Hearing Young Adults

This study examined the relationships between cultural identity, severity of hearing loss (HL), and the use of a cochlear implant (CI). One hundred and forty-one adolescents and young adults divided into three groups (deaf with CI, deaf without CI, and hard-of-hearing (HH)) and 134 parents participated. Adolescents and young adults completed questionnaires on cultural identity (hearing, Deaf, marginal, bicultural-hearing, and bicultural-deaf) and communication proficiencies (hearing, spoken language, and sign language). Parents completed a speech quality questionnaire. Deaf participants without CI and those with CI differed in all identities except marginal identity. CI users and HH participants had similar identities except for a stronger bicultural-deaf identity among CI users. Three clusters of participants evolved: participants with a dominant bicultural-deaf identity, participants with a dominant bicultural-hearing identity and participants without a formed cultural identity. Adolescents and young adults who were proficient in one of the modes of communication developed well-established bicultural identities. Adolescents and young adults who were not proficient in one of the modes of communication did not develop a distinguished cultural identity. These results suggest that communication proficiencies are crucial for developing defined identities.

Alveolar and Postalveolar Voiceless Fricative and Affricate Productions of Spanish-English Bilingual Children With Cochlear Implants

PURPOSE

This study investigates the production of voiceless alveolar and postalveolar fricatives and affricates by bilingual and monolingual children with hearing loss who use cochlear implants (CIs) and their peers with normal hearing (NH).

METHOD

Fifty-four children participated in our study, including 12 Spanish-English bilingual CI users (M = 6;0 [years;months]), 12 monolingual English-speaking children with CIs (M = 6;1), 20 bilingual children with NH (M = 6;5), and 10 monolingual English-speaking children with NH (M = 5;10). Picture elicitation targeting /s/, /tʃ/, and /ʃ/ was administered. Repeated-measures analyses of variance comparing group means for frication duration, rise time, and centroid frequency were conducted for the effects of CI use and bilingualism.

RESULTS

All groups distinguished the target sounds in the 3 acoustic parameters examined. Regarding frication duration and rise time, the Spanish productions of bilingual children with CIs differed from their bilingual peers with NH. English frication duration patterns for bilingual versus monolingual CI users also differed. Centroid frequency was a stronger place cue for children with NH than for children with CIs.

CONCLUSION

Patterns of fricative and affricate production display effects of bilingualism and diminished signal, yielding unique patterns for bilingual and monolingual CI users.

Production of word-initial fricatives of Mandarin Chinese in prelingually deafened children with cochlear implants

PURPOSE

This study examined the production of fricatives by prelingually deafened Mandarin-speaking children with cochlear implants (CIs).

METHOD

Fourteen cochlear implant (CI) children (2.9-8.3 years old) and 60 age-matched normal-hearing (NH) children were recorded producing a list of 13 Mandarin words with four fricatives, /f, s, ɕ, ʂ/, occurring at the syllable-initial position evoked with a picture-naming task. Two phonetically-trained native Mandarin speakers transcribed the fricative productions. Acoustic analysis was conducted to examine acoustic measures including duration, normalised amplitude, spectral peak location and four spectral moments.

RESULT

The CI children showed much lower accuracy rates and more diverse error patterns on all four fricatives than their NH peers. Among these four fricatives, both CI and NH children showed the highest rate of mispronunciation of /s/. The acoustic results showed that the speech of the CI children differed from the NH children in spectral peak location, normalised amplitude, spectral mean and spectral skewness. In addition, the fricatives produced by the CI children showed less distinctive patterns of acoustic measures relative to the NH children.

CONCLUSION

In general, these results indicate that the CI children have not established distinct categories for the Mandarin fricatives in terms of the place of articulation.

Initial Stop Voicing in Bilingual Children With Cochlear Implants and Their Typically Developing Peers With Normal Hearing

PURPOSE

This study focuses on stop voicing differentiation in bilingual children with normal hearing (NH) and their bilingual peers with hearing loss who use cochlear implants (CIs).

METHOD

Twenty-two bilingual children participated in our study (11 with NH, M age = 5;1 [years;months], and 11 with CIs, M hearing age = 5;1). The groups were matched on hearing age and a range of demographic variables. Single-word picture elicitation was used with word-initial singleton stop consonants. Repeated measures analyses of variance with three within-subject factors (language, stop voicing, and stop place of articulation) and one between-subjects factor (NH vs. CI user) were conducted with voice onset time and percentage of prevoiced stops as dependent variables.

RESULTS

Main effects were statistically significant for language, stop voicing, and stop place of articulation on both voice onset time and prevoicing. There were no significant main effects for NH versus CI groups. Both children with NH and with CIs differentiated stop voicing in their languages and by stop place of articulation. Stop voicing differentiation was commensurate across the groups of children with NH versus CIs.

CONCLUSIONS

Stop voicing differentiation is accomplished in a similar fashion by bilingual children with NH and CIs, and both groups differentiate stop voicing in a language-specific fashion.

Rapid learning of minimally different words in five- to six-year-old children: effects of acoustic salience and hearing impairment

This study investigates the role of acoustic salience and hearing impairment in learning phonologically minimal pairs. Picture-matching and object-matching tasks were used to investigate the learning of consonant and vowel minimal pairs in five- to six-year-old deaf children with a cochlear implant (CI), and children of the same age with normal hearing (NH). In both tasks, the CI children showed clear difficulties with learning minimal pairs. The NH children also showed some difficulties, however, particularly in the picture-matching task. Vowel minimal pairs were learned more successfully than consonant minimal pairs, particularly in the object-matching task. These results suggest that the ability to encode phonetic detail in novel words is not fully developed at age six and is affected by task demands and acoustic salience. CI children experience persistent difficulties with accurately mapping sound contrasts to novel meanings, but seem to benefit from the relative acoustic salience of vowel sounds.

Weighting of Acoustic Cues to a Manner Distinction by Children With and Without Hearing Loss

PURPOSE

Children must develop optimal perceptual weighting strategies for processing speech in their first language. Hearing loss can interfere with that development, especially if cochlear implants are required. The three goals of this study were to measure, for children with and without hearing loss: (a) cue weighting for a manner distinction, (b) sensitivity to those cues, and (c) real-world communication functions.

METHOD

One hundred and seven children (43 with normal hearing [NH], 17 with hearing aids [HAs], and 47 with cochlear implants [CIs]) performed several tasks: labeling of stimuli from /bɑ/-to-/wɑ/ continua varying in formant and amplitude rise time (FRT and ART), discrimination of ART, word recognition, and phonemic awareness.

RESULTS

Children with hearing loss were less attentive overall to acoustic structure than children with NH. Children with CIs, but not those with HAs, weighted FRT less and ART more than children with NH. Sensitivity could not explain cue weighting. FRT cue weighting explained significant amounts of variability in word recognition and phonemic awareness; ART cue weighting did not.

CONCLUSION

Signal degradation inhibits access to spectral structure for children with CIs, but cannot explain their delayed development of optimal weighting strategies. Auditory training could strengthen the weighting of spectral cues for children with CIs, thus aiding spoken language acquisition.

All cues are not created equal: the case for facilitating the acquisition of typical weighting strategies in children with hearing loss

PURPOSE

One task of childhood involves learning to optimally weight acoustic cues in the speech signal in order to recover phonemic categories. This study examined the extent to which spectral degradation, as associated with cochlear implants, might interfere. The 3 goals were to measure, for adults and children, (a) cue weighting with spectrally degraded signals, (b) sensitivity to degraded cues, and (c) word recognition for degraded signals.

METHOD

Twenty-three adults and 36 children (10 and 8 years old) labeled spectrally degraded stimuli from /bɑ/-to-/wɑ/ continua varying in formant and amplitude rise time (FRT and ART). They also discriminated degraded stimuli from FRT and ART continua, and recognized words.

RESULTS

A developmental increase in the weight assigned to FRT in labeling was clearly observed, with a slight decrease in weight assigned to ART. Sensitivity to these degraded cues measured by the discrimination task could not explain variability in cue weighting. FRT cue weighting explained significant variability in word recognition; ART cue weighting did not.

CONCLUSION

Spectral degradation affects children more than adults, but that degradation cannot explain the greater diminishment in children's weighting of FRT. It is suggested that auditory training could strengthen the weighting of spectral cues for implant recipients.

Perceptual weighting strategies of children with cochlear implants and normal hearing

PURPOSE

This study compared perceptual weighting strategies of children with cochlear implants (CIs) and children with normal hearing (NH), and asked if strategies are explained solely by degraded spectral representations, or if diminished language experience accounts for some of the effect. Relationships between weighting strategies and other language skills were examined.

METHOD

One hundred 8-year-olds (49 with NH and 51 with CIs) were tested on four measures: (1) labeling of cop-cob and sa-sha stimuli; (2) discrimination of the acoustic cues to the cop-cob decision; (3) phonemic awareness; and (4) word recognition.

RESULTS

No differences in weighting of cues to the cop-cob decision were observed between children with CIs and NH, suggesting that language experience was sufficient for the children with CIs. Differences in weighting of cues to the sa-sha decision were found, but were not entirely explained by auditory sensitivity. Weighting strategies were related to phonemic awareness and word recognition.

CONCLUSIONS

More salient cues facilitate stronger weighting of those cues. Nonetheless, individuals differ in how salient cues need to be to capture perceptual attention. Familiarity with stimuli also affects how reliably children attend to acoustic cues. Training should help children with CIs learn to categorize speech sounds with less-salient cues.

LEARNING OUTCOMES

After reading this article, the learner should be able to: (1) recognize methods and motivations for studying perceptual weighting strategies in speech perception; (2) explain how signal quality and language experience affect the development of weighting strategies for children with cochlear implants and children with normal hearing; and (3) summarize the importance of perceptual weighting strategies for other aspects of language functioning.

The emergence of productive speech and language in Spanish-learning paediatric cochlear implant users

It has been proposed that cochlear implant users may develop robust categorical perception skills, but that they show limited precision in perception. This article explores if a parallel contrast is observable in production, and if, despite acquiring typical linguistic representations, their early words are inconsistent. The participants were eight Spanish-learning deaf children implanted before their second birthday. Two studies examined the transition from babbling to words, and the one-word period. Study 1 found that the participants used the same sound types in babbling and in words, indicating that production is guided by stored motor patterns. No clear evidence of inconsistent production was observed. Study 2 found that in the one-word period CI users develop typical prosodic representations, but that their productions are highly unstable. Results are discussed in terms of the role of auditory feedback for the development of productive language skills.

Do adults with cochlear implants rely on different acoustic cues for phoneme perception than adults with normal hearing?

PURPOSE Several acoustic cues specify any single phonemic contrast. Nonetheless, adult, native speakers of a language share weighting strategies, showing preferential attention to some properties over others. Cochlear implant (CI) signal processing disrupts the salience of some cues: In general, amplitude structure remains readily available, but spectral structure less so. This study asked how well speech recognition is supported if CI users shift attention to salient cues not weighted strongly by native speakers. METHOD Twenty adults with CIs participated. The /bɑ/-/wɑ/ contrast was used because spectral and amplitude structure varies in correlated fashion for this contrast. Adults with normal hearing weight the spectral cue strongly but the amplitude cue negligibly. Three measurements were made: labeling decisions, spectral and amplitude discrimination, and word recognition. RESULTS Outcomes varied across listeners: Some weighted the spectral cue strongly, some weighted the amplitude cue, and some weighted neither. Spectral discrimination predicted spectral weighting. Spectral weighting explained the most variance in word recognition. Age of onset of hearing loss predicted spectral weighting but not unique variance in word recognition. CONCLUSION The weighting strategies of listeners with normal hearing likely support speech recognition best, so efforts in implant design, fitting, and training should focus on developing those strategies.

Speech perception in noise by children with cochlear implants

PURPOSE

Common wisdom suggests that listening in noise poses disproportionately greater difficulty for listeners with cochlear implants (CIs) than for peers with normal hearing (NH). The purpose of this study was to examine phonological, language, and cognitive skills that might help explain speech-in-noise abilities for children with CIs.

METHOD

Three groups of kindergartners (NH, hearing aid wearers, and CI users) were tested on speech recognition in quiet and noise and on tasks thought to underlie the abilities that fit into the domains of phonological awareness, general language, and cognitive skills. These last measures were used as predictor variables in regression analyses with speech-in-noise scores as dependent variables.

RESULTS

Compared to children with NH, children with CIs did not perform as well on speech recognition in noise or on most other measures, including recognition in quiet. Two surprising results were that (a) noise effects were consistent across groups and (b) scores on other measures did not explain any group differences in speech recognition.

CONCLUSIONS

Limitations of implant processing take their primary toll on recognition in quiet and account for poor speech recognition and language/phonological deficits in children with CIs. Implications are that teachers/clinicians need to teach language/phonology directly and maximize signal-to-noise levels in the classroom.

Production of contrast between sibilant fricatives by children with cochlear implants

Speech production by children with cochlear implants (CIs) is generally less intelligible and less accurate on a phonemic level than that of normally hearing children. Research has reported that children with CIs produce less acoustic contrast between phonemes than normally hearing children, but these studies have included correct and incorrect productions. The present study compared the extent of contrast between correct productions of /s/ and /∫/ by children with CIs and two comparison groups: (1) normally hearing children of the same chronological age as the children with CIs and (2) normally hearing children with the same duration of auditory experience. Spectral peaks and means were calculated from the frication noise of productions of /s/ and /∫/. Results showed that the children with CIs produced less contrast between /s/ and /∫/ than normally hearing children of the same chronological age and normally hearing children with the same duration of auditory experience due to production of /s/ with spectral peaks and means at lower frequencies. The results indicate that there may be differences between the speech sounds produced by children with CIs and their normally hearing peers even for sounds that adults judge as correct.