Speech Perception by Students With Cochlear Implants Using Sound-Field Systems in Classrooms

2004 ◽  
Vol 13 (1) ◽  
pp. 62-72 ◽  
Author(s):  
Frank Iglehart
Keyword(s):  
Speech Perception ◽  
Cochlear Implants ◽  
Sound Field ◽  
The Other ◽  
School Age ◽  
Classroom Environments ◽  
Deaf Students ◽  
Phoneme Recognition ◽  
Auditory Speech ◽  
Field Systems

Cochlear implants support deaf students' language development through the improved use of audition in the classroom. Unfortunately, the acoustics of typical classrooms greatly reduce auditory speech perception by these students. Sound-field systems can increase speech-to-noise ratios in classrooms and thus improve use of audition. These systems are used by 80% of students with cochlear implants who use an FM system in the classroom. The present study compares speech perception by 14 school-age cochlear implant recipients via 2 classroom sound-field systems, 1 wall-mounted and the other a personal, or desktop, system. Testing was conducted in 2 classroom environments, 1 noisy and reverberant (typical of many classrooms) and the other ideally quiet with reverberation of short duration. In the quiet room with low reverberation, both sound-field systems produced improved phoneme recognition, but there was no difference between the 2. In the noisy room with high reverberation, the sound-field benefits were greater, and the desktop systems provided more benefit than the wall-mounted systems.

scholarly journals Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

2016 ◽  
Vol 21 (03) ◽  
pp. 206-212 ◽  
Author(s):  
Grace Ciscare ◽  
Erika Mantello ◽  
Carla Fortunato-Queiroz ◽  
Miguel Hyppolito ◽  
Ana Reis
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Statistical Difference ◽  
Hearing Aid ◽  
Age Groups ◽  
Auditory Thresholds ◽  
Caregiver Education ◽  
Auditory Speech ◽  
Hearing Aid Use

Introduction A cochlear implant in adolescent patients with pre-lingual deafness is still a debatable issue. Objective The objective of this study is to analyze and compare the development of auditory speech perception in children with pre-lingual auditory impairment submitted to cochlear implant, in different age groups in the first year after implantation. Method This is a retrospective study, documentary research, in which we analyzed 78 reports of children with severe bilateral sensorineural hearing loss, unilateral cochlear implant users of both sexes. They were divided into three groups: G1, 22 infants aged less than 42 months; G2, 28 infants aged between 43 to 83 months; and G3, 28 older than 84 months. We collected medical record data to characterize the patients, auditory thresholds with cochlear implants, assessment of speech perception, and auditory skills. Results There was no statistical difference in the association of the results among groups G1, G2, and G3 with sex, caregiver education level, city of residence, and speech perception level. There was a moderate correlation between age and hearing aid use time, age and cochlear implants use time. There was a strong correlation between age and the age cochlear implants was performed, hearing aid use time and age CI was performed. Conclusion There was no statistical difference in the speech perception in relation to the patient's age when cochlear implant was performed. There were statistically significant differences for the variables of auditory deprivation time between G3 - G1 and G2 - G1 and hearing aid use time between G3 - G2 and G3 - G1.

scholarly journals Frequency Modulation System and speech perception in the classroom: a systematic literature review

CoDAS ◽  
2015 ◽  
Vol 27 (3) ◽  
pp. 292-300 ◽  
Author(s):  
Ana Lívia Libardi Bertachini ◽  
Altair Cadrobbi Pupo ◽  
Marina Morettin ◽  
Maria Angelina Nardi Martinez ◽  
Maria Cecília Bevilacqua ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implants ◽  
Frequency Modulation ◽  
Sound Field ◽  
Research Strategy ◽  
Speech Perception In Noise ◽  
Manual Search ◽  
School Research ◽  
Study Participants ◽  
The Impact

PURPOSE: This review aimed at presenting the benefits regarding the speech perception in noise shown by children who wear hearing aid devices and/or cochlear implants with the Frequency Modulation (FM) System at school. RESEARCH STRATEGY: A bibliographic survey was conducted in an electronic database with standardized search until the year 2012, and a manual search was performed by using specific keywords. SELECTION CRITERIA: For the selection and evaluation of the scientific studies chosen in the search, criteria were established covering the following aspects: type of study, participants, adopted intervention, and evaluation of results. DATA ANALYSIS: The FM system was verified to improve speech perception and speech threshold in noise in all studies. RESULTS: Regarding the performance as to type, the best results were obtained when children used the personal FM system, followed by the table and the sound field systems. CONCLUSION: After extensive review of national and international literature, it was concluded that the studies indicate the need for further research concerning mainly the impact of the FM system on the school performance of children who have sensory devices coupled to the FM system. Findings in the literature with relation to the publications focused on speech perception in noise did not relate educational and auditory aspects.

Comparison of Sensory Aids in Deaf Children

1989 ◽  
Vol 98 (8_suppl) ◽  
pp. 2-7 ◽  
Author(s):  
Richard T. Miyamoto ◽  
Mary Joe Osberger ◽  
Wendy A. Myres ◽  
Amy J. Robbins ◽  
Kathy Kessler ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Channel Coding ◽  
Single Channel ◽  
Deaf Children ◽  
Implant Design ◽  
Detection Level ◽  
Coding Scheme ◽  
Auditory Speech

A speech perception hierarchy has been developed and applied to assess the influence of cochlear implants and tactile aids on the acquisition of auditory, speech, and language skills in deaf children. Encouraging improvements were noted with both types of sensory aids at the detection level. The House 3M and Nucleus cochlear implant designs appear to offer advantages over the Tactaid II in providing ancillary speech perception cues to deaf children. Preliminary observations suggest that the multichannel cochlear implant design may be superior to the single-channel coding scheme.

Speech Perception Benefits of FM and Infrared Devices to Children With Hearing Aids in a Typical Classroom

2004 ◽  
Vol 35 (2) ◽  
pp. 169-184 ◽  
Author(s):  
Karen L. Anderson ◽  
Howard Goldstein
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Background Noise ◽  
Sound Field ◽  
Single Subject ◽  
Alternating Treatments Design ◽  
Hearing In Noise ◽  
Field Systems

Children typically learn in classroom environments that have background noise and reverberation that interfere with accurate speech perception. Amplification technology can enhance the speech perception of students who are hard of hearing.Purpose:This study used a single-subject alternating treatments design to compare the speech recognition abilities of children who are hard of hearing when they were using hearing aids with each of three frequency modulated (FM) or infrared devices.Method:Eight 9–12-year-olds with mild to severe hearing loss repeated Hearing in Noise Test (HINT) sentence lists under controlled conditions in a typical kindergarten classroom with a background noise level of +10 dB signal-to-noise (S/N) ratio and 1.1 s reverberation time. Participants listened to HINT lists using hearing aids alone and hearing aids in combination with three types of S/N-enhancing devices that are currently used in mainstream classrooms: (a) FM systems linked to personal hearing aids, (b) infrared sound field systems with speakers placed throughout the classroom, and (c) desktop personal sound field FM systems.Results:The infrared ceiling sound field system did not provide benefit beyond that provided by hearing aids alone. Desktop and personal FM systems in combination with personal hearing aids provided substantial improvements in speech recognition.Clinical Implications:This information can assist in making S/N-enhancing device decisions for students using hearing aids. In a reverberant and noisy classroom setting, classroom sound field devices are not beneficial to speech perception for students with hearing aids, whereas either personal FM or desktop sound field systems provide listening benefits.

Use of Visual Feedback to Treat Negative Intraoral Air Pressures of Preschoolers With Cochlear Implants

2000 ◽  
Vol 9 (1) ◽  
pp. 21-35 ◽  
Author(s):  
Maureen B. Higgins ◽  
Elizabeth A. McCleary ◽  
Laura Schulte
Keyword(s):  
Speech Perception ◽  
Speech Production ◽  
Cochlear Implants ◽  
Fundamental Frequency ◽  
Visual Feedback ◽  
The Other ◽  
Deaf Children ◽  
Frequent Use ◽  
Before And After

The primary purpose of this study was to determine if negative intraoral air pressures (−P o ) produced by young deaf children can be treated effectively with visual feedback. We used two forms of visual feedback. One was a display of the P o signal on an oscilloscope, and the other was movement of cellophane streamers placed in front of the children’s mouths. Participants were two 5-year-old boys who had been using cochlear implants (CIs) for less than 6 months. Both children were congenitally deafened and had very limited speech production and perception skills. In addition to frequent usage of −P o , both children exhibited deviant phonatory behaviors, so phonatory goals were incorporated into treatment. The magnitude and direction of P o was monitored, as well as fundamental frequency and electroglottograph cycle width. Data were collected at baseline, before and after treatment sessions, and 7 weeks after termination of treatment. One child responded well to treatment of −P o with both forms of visual feedback, and progress was maintained at follow-up. For the other child, +P o occurred more frequently as the study progressed, and he rarely produced −P o by the end of the investigation. However, because changes were evident in baseline as well as during treatment, it is difficult to attribute his more frequent use of +P o specifically to treatment. The phonation of the two children changed in ways that were consistent with their phonatory goals, although the degree of change was not always significant. Change was more evident for phonatory behaviors that could be shaped with visual feedback. Although both children exhibited some undesirable speech/voice behaviors in response to visual feedback, there was no evidence of long-lasting mislearning. Although our data are limited, it appears that treatment of −P o can be efficacious for some young children with CIs, even those with very poor speech perception and speech production skills. Further, treatment of −P o can be incorporated effectively with other speech production goals.

scholarly journals The Relationship between Vocabulary Knowledge and Speech Perception in School-Age Children using Cochlear Implants

2016 ◽  
Vol 21 (3) ◽  
pp. 488-501 ◽  
Author(s):  
Hye-Jin Park ◽  
Sung-Ah Han ◽  
Jae-Hee Choi ◽  
Sang-Yong Sim ◽  
Young-Ran Seo ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implants ◽  
Vocabulary Knowledge ◽  
School Age Children ◽  
School Age ◽  
The Relationship

Effect of Increased IIDR in the Nucleus Freedom Cochlear Implant System

2007 ◽  
Vol 18 (09) ◽  
pp. 777-793 ◽  
Author(s):  
Laura K. Holden ◽  
Margaret W. Skinner ◽  
Marios S. Fourakis ◽  
Timothy A. Holden
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Dynamic Range ◽  
Sound Field ◽  
The Other ◽  
Threshold Levels ◽  
Speech In Noise ◽  
El Sistema ◽  
Initial Activation ◽  
Implant System

The objective of this study was to evaluate the effect of the increased instantaneous input dynamic range (IIDR) in the Nucleus Freedom cochlear implant (CI) system on recipients' ability to perceive soft speech and speech in noise. Ten adult Freedom CI recipients participated. Two maps differing in IIDR were placed on each subject's processor at initial activation. The IIDR was set to 30 dB for one map and 40 dB for the other. Subjects used both maps for at least one month prior to speech perception testing. Results revealed significantly higher scores for words (50 dB SPL), for sentences in background babble (65 dB SPL), and significantly lower sound field threshold levels with the 40 compared to the 30 dB IIDR map. Ceiling effects may have contributed to non-significant findings for sentences in quiet (50 dB SPL). The Freedom's increased IIDR allows better perception of soft speech and speech in noise. El objetivo de este estudio fue evaluar el efecto del rango dinámico aumentado instantáneo de ingreso (IIDR) en el sistema de implante coclear (IC) Nucleus Freedom, sobre la capacidad de sujetos implantados para percibir lenguaje a bajo volumen y lenguaje en ruido. Diez sujetos implantados con el IC Freedom participaron. En la activación inicial, dos mapas con una diferencia en cuanto al IIDR se colocaron en el procesador de cada sujeto. El IIDR fue ajustado a 30 dB para un mapa y a 40 dB para el otro. Los sujetos utilizaron ambos mapas por al menos un mes, antes de una evaluación de percepción del lenguaje. Los resultados revelaron puntajes significativamente más altos para palabras (50 dB SPL), para frases en balbuceo de fondo (65 dB SPL), y niveles umbrales en campo libre significativamente más bajos con el mapa de IIDR de 40 comparado con el de 30. Efectos tope pueden haber contribuido a los hallazgos no significativos para frases en silencio (50 dB SPL). El IIDR aumentado para Freedom permite mejor percepción para el lenguaje a bajo volumen y el lenguaje en medio de ruido.

Verbal Cognition in Deaf Children Using Cochlear Implants: Effect of Unilateral and Bilateral Stimulation

2015 ◽  
Vol 20 (4) ◽  
pp. 261-266 ◽  
Author(s):  
Leo De Raeve ◽  
Anneke Vermeulen ◽  
Ad Snik
Keyword(s):  
Speech Perception ◽  
Cochlear Implants ◽  
Deaf Children ◽  
Bilateral Stimulation ◽  
Learning Potential ◽  
Auditory Speech ◽  
Device Use ◽  
Verbal Cognition

The aim of this study is to assess the role of bilateral/bimodal device use in auditory speech perception in complex listening situations and long-term verbal cognition in deaf children using cochlear implants (CIs). Two groups of children are compared (unilateral and bilateral device users) concerning vocabulary, speech perception at conversational level and in complex listening situations, and verbal cognition. In this retrospective study, we collected data of 37 deaf children with normal learning potential of whom 16 were unilateral CI users and 21 were bilateral device users (9 with a bimodal fitting and 12 with bilateral CIs). We came to the conclusion that deaf children who use bilateral devices have the opportunity to develop good speech perception skills in complex listening conditions. These abilities enable at least some of the children to develop age-equivalent verbal cognition skills.

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