Point vowel duration in children with hearing aids and cochlear implants at 4 and 5 years of age

Vowel Production in Prelingually Deafened Mandarin-Speaking Children With Cochlear Implants

Purpose The purpose of this study was to characterize the acoustic profile and to evaluate the intelligibility of vowel productions in prelingually deafened, Mandarin-speaking children with cochlear implants (CIs). Method Twenty-five children with CIs and 20 age-matched children with normal hearing (NH) were recorded producing a list of Mandarin disyllabic and trisyllabic words containing 20 Mandarin vowels [a, i, u, y, ɤ, ɿ, ʅ, ai, ei, ia, ie, ye, ua, uo, au, ou, iau, iou, uai, uei] located in the first consonant-vowel syllable. The children with CIs were all prelingually deafened and received unilateral implantation before 7 years of age with an average length of CI use of 4.54 years. In the acoustic analysis, the first two formants (F1 and F2) were extracted at seven equidistant time locations for the tested vowels. The durational and spectral features were compared between the CI and NH groups. In the vowel intelligibility task, the extracted vowel portions in both NH and CI children were presented to six Mandarin-speaking, NH adult listeners for identification. Results The acoustic analysis revealed that the children with CIs deviated from the NH controls in the acoustic features for both single vowels and compound vowels. The acoustic deviations were reflected in longer duration, more scattered vowel categories, smaller vowel space area, and distinct formant trajectories in the children with CIs in comparison to NH controls. The vowel intelligibility results showed that the recognition accuracy of the vowels produced by the children with CIs was significantly lower than that of the NH children. The confusion pattern of vowel recognition in the children with CIs generally followed that in the NH children. Conclusion Our data suggested that the prelingually deafened children with CIs, with a relatively long duration of CI experience, still showed measurable acoustic deviations and lower intelligibility in vowel productions in comparison to the NH children.

Vowel duration measurement in school-age children with cochlear implant

OBJECTIVES

Normal hearing system is an essential factor for accurate production of speech segments. It seems that cochlear implant prosthesis helps children with hearing impairment to speak more accurately than before receiving prosthesis. The current research aimed to compare the vowel duration in school-aged children with cochlear implants and that in children with normal hearing. Additionally, the performance of girls and boys in two groups were investigated.

METHODS

A cross-sectional and descriptive-analytical study was carried out to compare the vowel duration in 9- to 12-year-old children with cochlear implant and those with normal hearing. Participants were 52 children who were matched by age and sex. We asked the children to read the target words with each word including one vowel and then participants' voice samples were recorded. Then, vowel duration was measured using Praat software. Finally, the vowel duration was compared between the two groups running independent sample t-test. The level of significance was (P < 0.05).

RESULTS

There was no statistically significant difference observed between the two groups in the mean values of the vowel duration for the six Persian vowels (P > 0.05). Also, no significant difference was found between boys and girls in the mean value of the vowel duration between the two groups (P > 0.05).

CONCLUSION

Persian vowels in school-aged children with cochlear implant and with typical hearing are produced with similar durations. This finding is probably related to the increased duration of using prosthesis in this age range and speech mode used to measure vowel duration in the present study.

An acoustic and auditory analysis of vocants in infants with cochlear implants

INTRODUCTION

The duration of the nuclei is a crucial factor for the shift of prelexical to mature speech, since control of duration is closely related with improved speech intelligibility.

OBJECTIVES

This work records the suprasegmental feature of duration in infants with normal hearing (NH) compared to those with cochlear implants (CI) based on vocant productions (quasivowels and full vowels).

MATERINALS AND METHODS

In this longitudinal study, 102 vocant productions were analyzed from cases of congenitally hearing-impaired infants (implantation ages 1:4 and 1:11 years; post-implant ages 0:6 months and 1:3 years) who were matched with three NH infants of similar hearing experience (ages 0:8-0:11 months). Current methodology analyzes vocants using a combination of acoustical and auditory analyses. Vegetative data or reflexive sounds were excluded. Participants had had unknown deafness etiology and no other disabilities. Duration was measured using wideband spectrographic analysis, from voice onset to the loss of audible signal and the decrease of higher formant's energy.

RESULTS

The results showed that the mean vocant duration of young CI users was longer, compared to hearing matched peers during the first six months after cochlear implantation.

CONCLUSIONS

This recorded weakness for CI users' speech production is a challenge for future work in speech processing strategies. This is the first study measuring production of vocants during the pre-linguistic stage in CI recipients.

Language development in the pediatric cochlear implant patient

Objective

To access the long-term outcomes of children implanted during most sensitive period for language development.

Study design

Literature review.

Method

An initial PubMed search was carried out using the search terms language development and cochlear implant resulted in 1149 citations. A second search was carried out on the initial citations using the criterion of implantation in the period of birth to 24 months, which identified 386 articles. These were analyzed to determine those studies in which linguistic outcome was measured at least three or more years following implantation.

Results

Twenty-one reports published from 2004 to 2017 that met the criteria. The range of follow-up was from 3 years to an excess of 10 years. Four => 10-year follow-up reports were consistent in showing that the earlier the subject is implanted the better the outcome. Many, but not all, of these children did obtain age-appropriate language. There were 17 reports with follow-up from 3 to less than 10 years. In 7 of the 11 studies, the children's expressive language was reported to have reached an age level of less than 80%. The results for receptive language showed that 4 of the 11 studies found that the children achieved a receptive language age level of less than 80%. There were 8 studies which documented the effect of implantation before 12 months of age and between 12 and 24 months of age and they all found that the earlier the implantation, the better the outcome for language.

Conclusion

The cochlear implant is efficacious in the amelioration of receptive and expressive language deficits in most congenitally deafened children implanted before the age of one. The language outcomes for those implanted after the age of one decline as the age of implantation increases.

Level of Evidence

N/A.

Objective Voice Analysis of Pediatric Cochlear Implant Recipients and Comparison With Hearing Aids Users and Hearing Controls

OBJECTIVES

Phonation is influenced by hearing as a feedback mechanism. The purpose of the present study was to compare selected acoustic parameters in children using cochlear implants (CIs), those using hearing aids (HA), and their normal-hearing (NH) peers.

METHODS

The participants were 15 children using CI (mean age: 72 months), 15 children using HA (mean age: 74 months), and 15 NH children (mean age: 77 months). The vowel /a/ was produced to measure perturbation and mean fundamental frequency. The six Persian vowels in /C_bVC_d/ were obtained to extract vowel duration. Data were analyzed by one-way analysis of variance.

RESULTS

Results revealed a statistically significant difference between the NH group and the HA group regarding fundamental frequency (F_2,51 = 3.443, P < 0.05), jitter local (F_2,51 = 1.629, P < 0.05), jitter local absolute (F_2,51 = 6.519, P < 0.001), jitter rap (F_2,51 = 7.151, P < 0.001), jitter ppq5 (F_2,51 = 5.894, P < 0.001), shimmer local (%) (F_2,51 = 8.070, P < 0.001), shimmer local (dB) (F_2,51 = 3.884, P < 0.05), shimmer apq3 (F_2,51 = 4.926, P < 0.05), shimmer apq5 (F_2,51 = 8.442, P < 0.001), and harmonic-to-noise ratio (F_2,51 = 4.117, P < 0.001). The mean values of the duration of all six vowels were significantly greater in children with CI and HA than in NH children (P < 0.001).

CONCLUSION

It seems that after 8 months of using CI, auditory control of voice production would be enabled. Furthermore, children with hearing impairment potentially regard vowel sound duration as a distinguishing feature, whereas in NH speakers, the duration has the least effect in vowel identification.

Acoustic characteristics of vowels produced by Greek intelligible speakers with profound hearing impairment II: The influence of stress and context

PURPOSE

The present paper examines the influence of stress and context on selected acoustic characteristics of vowels produced by six adult Greek intelligible speakers with profound hearing impairment and six speakers with normal hearing (three males and three females in each group).

METHOD

F1, F2 and F3 formant frequencies and the duration of vowels are measured in words of the form /(')pVCV/ with V = /i, ɛ, ɐ, ɔ, u/ and C = /p, t, k, s/. Variation in these parameters due to context and stress is reported for the two genders. A co-articulatory measure and three measures that examine the area of the vowel space and differences along the F1 and F2 axes are calculated.

RESULT

The results show a reduction of the vowel space in the unstressed condition for both groups, while vowel duration was found to be significantly longer in this condition for the speakers with hearing impairment. In addition, smaller C-to-V carryover co-articulatory effects were found for the speakers with hearing impairment.

CONCLUSION

Findings are discussed within the framework of perceptual and production constraints in hearing impairment and with reference to current models of co-articulation.

Automated Vocal Analysis of Children With Hearing Loss and Their Typical and Atypical Peers

OBJECTIVES

This study investigated automatic assessment of vocal development in children with hearing loss compared with children who are typically developing, have language delays, and have autism spectrum disorder. Statistical models are examined for performance in a classification model and to predict age within the four groups of children.

DESIGN

The vocal analysis system analyzed 1913 whole-day, naturalistic acoustic recordings from 273 toddlers and preschoolers comprising children who were typically developing, hard of hearing, language delayed, or autistic.

RESULTS

Samples from children who were hard of hearing patterned more similarly to those of typically developing children than to the language delayed or autistic samples. The statistical models were able to classify children from the four groups examined and estimate developmental age based on automated vocal analysis.

CONCLUSIONS

This work shows a broad similarity between children with hearing loss and typically developing children, although children with hearing loss show some delay in their production of speech. Automatic acoustic analysis can now be used to quantitatively compare vocal development in children with and without speech-related disorders. The work may serve to better distinguish among various developmental disorders and ultimately contribute to improved intervention.