Relationships Among Speech Perception, Production, Language, Hearing Loss, and Age in Children With Impaired Hearing

2001 ◽  
Vol 44 (2) ◽  
pp. 264-285 ◽  
Author(s):  
Peter J. Blamey ◽  
Julia Z. Sarant ◽  
Louise E. Paatsch ◽  
Johanna G. Barry ◽  
Catherine P. Bow ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Speech Production ◽  
Primary School Children ◽  
Impaired Hearing ◽  
Upward Trend ◽  
Open Set ◽  
Language Measures ◽  
Hearing Children ◽  
Over Time

Eighty-seven primary-school children with impaired hearing were evaluated using speech perception, production, and language measures over a 3-year period. Forty-seven children with a mean unaided pure-tone-average hearing loss of 106 dB HL used a 22-electrode cochlear implant, and 40 with a mean unaided puretone-average hearing loss of 78 dB HL were fitted with hearing aids. All children were enrolled in oral/aural habilitation programs, and most attended integrated classes with normally hearing children for part of the time at school. Multiple linear regression was used to describe the relationships among the speech perception, production, and language measures, and the trends over time. Little difference in the level of performance and trends was found for the two groups of children, so the perceptual effect of the implant is equivalent, on average, to an improvement of about 28 dB in hearing thresholds. Scores on the Peabody Picture Vocabulary Test (PPVT) and the Clinical Evaluation of Language Fundamentals showed an upward trend at about 60% of the rate for normally hearing children. Rates of improvement for individual children were not correlated significantly with degree of hearing loss. The children showed a wide scatter about the average speech production score of 40% of words correctly produced in spontaneous conversations, with no significant upward trend with age. Scores on the open-set Consonant-Nucleus-Consonant (CNC) monosyllabic word test and the Bench-Kowal-Bamford (BKB) sentence test were strongly related to language level (as measured by an equivalent age on the PPVT) and speech production scores for both auditory-visual and auditory test conditions. After allowing for differences in language, speech perception scores in the auditory test condition showed a slight downward trend over time, which is consistent with the known biological effects of hearing loss on the auditory periphery and brainstem. Speech perception scores in the auditory condition also decreased significantly by about 5% for every 10 dB of hearing loss in the hearing aid group. The regression analysis model allows separation of the effects of language, speech production, and hearing levels on speech perception scores so that the effects of habilitation and training in these areas can be observed and/or predicted. The model suggests that most of the children in the study will reach a level of over 90% sentence recognition in the auditory-visual condition when their language becomes equivalent to that of a normally hearing 7-year-old, but they will enter secondary school at age 12 with an average language delay of about 4 or 5 years unless they receive concentrated and effective language training.

Separating Contributions of Hearing, Lexical Knowledge, and Speech Production to Speech-Perception Scores in Children With Hearing Impairments

2004 ◽  
Vol 47 (4) ◽  
pp. 738-750 ◽  
Author(s):  
Louise E. Paatsch ◽  
Peter J. Blamey ◽  
Julia Z. Sarant ◽  
Lois F. A. Martin ◽  
Catherine P. Bow
Keyword(s):  
Mathematical Model ◽  
Speech Perception ◽  
Speech Production ◽  
Cochlear Implants ◽  
Hearing Aids ◽  
Test Scores ◽  
Impaired Hearing ◽  
Hearing Impairments ◽  
Lexical Knowledge ◽  
Open Set

Open-set word and sentence speech-perception test scores are commonly used as a measure of hearing abilities in children and adults using cochlear implants and/or hearing aids. These tests are usually presented auditorily with a verbal response. In the case of children, scores are typically lower and more variable than for adults with hearing impairments using similar devices. It is difficult to interpret children’s speech-perception scores without considering the effects of lexical knowledge and speech-production abilities on their responses. This study postulated a simple mathematical model to describe the effects of hearing, lexical knowledge, and speech production on the perception test scores for monosyllabic words by children with impaired hearing. Thirty-three primary-school children with impaired hearing, fitted with hearing aids and/or cochlear implants, were evaluated using speech-perception, reading-aloud, speech-production, and language measures. These various measures were incorporated in the mathematical model, which revealed that performance in an open-set word-perception test in the auditory-alone mode is strongly dependent on residual hearing levels, lexical knowledge, and speech-production abilities. Further applications of the model provided an estimate of the effect of each component on the overall speech-perception score for each child.

scholarly journals Results for Chinese and English in a Multichannel Cochlear Implant Patient

1987 ◽  
Vol 96 (1_suppl) ◽  
pp. 126-127 ◽  
Author(s):  
S. A. Xu ◽  
R. C. Dowell ◽  
G. M. Clark
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Chinese Patient ◽  
Cochlear Prosthesis ◽  
Word Test ◽  
Open Set ◽  
Chinese And English ◽  
Speech Tracking

A multichannel cochlear prosthesis was implanted in a Chinese patient who suffered from profound sensory hearing loss. The preoperative Minimal Auditory Capabilities (MAC) battery tests in English, as well as an open set bisyllable word test, an open set sentence test, and speech tracking in Chinese indicated significant improvement of speech perception for both English and Chinese after the operation. Substantial understanding of running speech was possible in both languages without the help of lipreading.

scholarly journals Literacy Outcomes for Primary School Children Who Are Deaf and Hard of Hearing: A Cohort Comparison Study

2017 ◽  
Vol 60 (3) ◽  
pp. 701-711 ◽  
Author(s):  
Margaret Harris ◽  
Emmanouela Terlektsi ◽  
Fiona E. Kyle
Keyword(s):  
Hearing Loss ◽  
Phonological Awareness ◽  
Reading Ability ◽  
Word Reading ◽  
Vocabulary Knowledge ◽  
Primary School Children ◽  
Language And Literacy ◽  
Profound Hearing Loss ◽  
Phonological Skills ◽  
Over Time

Purpose In this study, we compared the language and literacy of two cohorts of children with severe–profound hearing loss, recruited 10 years apart, to determine if outcomes had improved in line with the introduction of newborn hearing screening and access to improved hearing aid technology. Method Forty-two children with deafness, aged 5–7 years with a mean unaided loss of 102 DB, were assessed on language, reading, and phonological skills. Their performance was compared with that of a similar group of 32 children with deafness assessed 10 years earlier and also a group of 40 children with normal hearing of similar single word reading ability. Results English vocabulary was significantly higher in the new cohort although it was still below chronological age. Phonological awareness and reading ability had not significantly changed over time. In both cohorts, English vocabulary predicted reading, but phonological awareness was only a significant predictor for the new cohort. Conclusions The current results show that vocabulary knowledge of children with severe–profound hearing loss has improved over time, but there has not been a commensurate improvement in phonological skills or reading. They suggest that children with severe–profound hearing loss will require continued support to develop robust phonological coding skills to underpin reading.

scholarly journals A Case Study Assessing the Auditory and Speech Development of Four Children Implanted with Cochlear Implants by the Chronological Age of 12 Months

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Birgit May-Mederake ◽  
Wafaa Shehata-Dieler
Keyword(s):  
Hearing Loss ◽  
Speech Production ◽  
Free Field ◽  
Sensory Stimulation ◽  
Speech Development ◽  
Speech Discrimination ◽  
Monosyllabic Word ◽  
Open Set ◽  
Word Discrimination ◽  
Grammar Development

Children with severe hearing loss most likely receive the greatest benefit from a cochlear implant (CI) when implanted at less than 2 years of age. Children with a hearing loss may also benefit greater from binaural sensory stimulation. Four children who received their first CI under 12 months of age were included in this study. Effects on auditory development were determined using the German LittlEARS Auditory Questionnaire, closed- and open-set monosyllabic word tests, aided free-field, the Mainzer and Göttinger speech discrimination tests, Monosyllabic-Trochee-Polysyllabic (MTP), and Listening Progress Profile (LiP). Speech production and grammar development were evaluated using a German language speech development test (SETK), reception of grammar test (TROG-D) and active vocabulary test (AWST-R). The data showed that children implanted under 12 months of age reached open-set monosyllabic word discrimination at an age of 24 months. LiP results improved over time, and children recognized 100% of words in the MTP test after 12 months. All children performed as well as or better than their hearing peers in speech production and grammar development. SETK showed that the speech development of these children was in general age appropriate. The data suggests that early hearing loss intervention benefits speech and language development and supports the trend towards early cochlear implantation. Furthermore, the data emphasizes the potential benefits associated with bilateral implantation.

Performance Over Time of Congenitally Deaf and Postlingually Deafened Children Using a Multichannel Cochlear Implant

1992 ◽  
Vol 35 (4) ◽  
pp. 913-920 ◽  
Author(s):  
Holly Fryauf-Bertschy ◽  
Richard S. Tyler ◽  
Danielle M. Kelsay ◽  
Bruce J. Gantz
Keyword(s):  
Speech Perception ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Deaf Children ◽  
Closed Set ◽  
Open Set ◽  
Northwestern University ◽  
Identification Test ◽  
Improved Performance ◽  
Over Time

The speech perception performance of 10 congenitally deaf and 3 postlingually deafened children who received the Cochlear Corporation multichannel cochlear implant was examined and compared. The children were tested preimplant and at 6-month intervals up to 2 years using the Monosyllable-Trochee-Spondee test (MTS), the Word Intelligibility by Picture Identification test (WIPI), and Phonetically Balanced Kindergarten (PB-K) or Northwestern University List 6 (NU-6) word lists. The postlingually deafened children exhibited significantly improved performance on open- and closed-set tests of word recognition after 6 months of implant use, a pattern similar to that of postlingually deafened adult implant users. In contrast, the congenitally deaf children did not exhibit measurably improved performance on speech perception tests until after 12 months or more of implant use. With as much as 18–24 months of use, however, some congenitally deaf children demonstrated limited open-set word recognition.

Your Deaf Child

PEDIATRICS ◽  
1951 ◽  
Vol 8 (1) ◽  
pp. 159-159
Keyword(s):  
Hearing Loss ◽  
Hard Of Hearing ◽  
Parental Attitudes ◽  
Deaf Child ◽  
Good Deal ◽  
Clinical Psychologist ◽  
Impaired Hearing ◽  
Entire Career ◽  
Speech Training ◽  
Hearing Children

This is a book written for parents of deaf or hard-of-hearing children. The author is a clinical psychologist whose entire career has been in the field of the education and the psychologic testing of children with impaired hearing. He discusses many of the special problems arising in the rearing of a child with a hearing loss, and gives a good deal of sound advice on a variety of subjects: importance of parental attitudes in child training, discipline, speech training, vocational selection, etc.

Critical Factors for Binaural Hearing in Children with Bilateral Sequential Cochlear Implantation: First Implant Performance and Inter-Implant Interval

2019 ◽  
Vol 24 (4) ◽  
pp. 174-182 ◽  
Author(s):  
Jeong Hun Jang ◽  
Ji-Min Roh ◽  
Oak Sung Choo ◽  
You-Jeong Kim ◽  
Hantai Kim ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implantation ◽  
Daily Life ◽  
Binaural Hearing ◽  
Impaired Hearing ◽  
Group Iii ◽  
Interval Group ◽  
Open Set ◽  
Group I ◽  
Device Use

Objectives: This study evaluated the influence of the performance of the first cochlear implant (CI-1) on the second implant (CI-2) and the significance of inter-implant intervals in children with sequential cochlear implantation. Method: Thirty-four patients were included for speech perception outcome and 38 patients were included for subjective hearing satisfaction in daily life in this study. The patients were classified into 3 groups according to inter-implant interval: group I, <4 years; group II, 4–7 years; group III, >7 years. Open-set speech perception scores before and at 3, 6, 12, and 24 months after the second implantation was compared among the CI-1, CI-2, and bilateral CI conditions. Subjective hearing benefits in daily life were measured using a questionnaire of Speech, Spatial, and Qualities of Hearing Scale (SSQ) for parents of children with impaired hearing, and device use and preference were evaluated (by phone interview.) Results: The speech perception of children using the CI-2 only improved quickly within 3 months postoperatively and were similar to those using the CI-1 only. The results of monosyllabic and disyllabic word tests using CI-2 at 3 months after second implantation were not significantly different from those in patients using the CI-1 only. In the sentence test, the scores using the CI-2 only were not significantly different from those using the first implant only at 6 months after second implantation. SSQ scores were similar among groups and the worst score in each section was shown from the questions about performance under noisy conditions in each section. Device usage habits showed that 17 (44.7%) and 16 (42.1%) patients preferred bilateral and the CI-1, respectively. Only 5 (13.2%) patients wanted the CI-2 rather than the CI-1. While group I and II showed a prominent positive attitude to bilateral use, group III, for which the inter-implant interval was 7 years or more, showed a definite preference for the CI-1 (p < 0.01). Conclusions: Functional binaural benefits were achieved in patients who were good performers with the CI-1 after the second implantation irrespective of the inter-implant interval. Sequential CI should be strongly recommended for patients with unilateral CI showing a good performance.

Performance of Cochlear Implant Patients as a Function of Time

1990 ◽  
Vol 33 (3) ◽  
pp. 511-519 ◽  
Author(s):  
Lynn G. Spivak ◽  
Susan B. Waltzman
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Prognostic Indicator ◽  
Processing Scheme ◽  
Open Set ◽  
Time Period ◽  
Recognition Ability ◽  
Over Time

The speech perception abilities of 15 patients were measured preoperatively using hearing aids and postoperatively using the Nucleus 22-channel cochlear implant over a period of 1, 2, or 3 years. Analysis of mean data revealed that, although the greatest amount of improvement in speech perception scores occurred between the preoperative and 3-month poststimulation evaluation, there was also significant improvement in perception of segmental features and open-set speech recognition over the 3-year time period. When individual patient data were examined, however, it was clear that these improvements were due, in large part, to the performance of a subset of patients who had measurable open-set speech recognition abilities at the time of their 3-month, poststimulation evaluation. Subjects who used the processing scheme that included coding of F1 showed significantly more improvement over time than subjects who used the original FOF2 processing scheme exclusively. It was concluded that open-set speech recognition ability at 3 months is an important prognostic indicator of continued improvement in speech perception abilities over time.

scholarly journals Speech Perception Outcomes in Older Children Who Use Multichannel Cochlear Implants: Older is Not Always Poorer

2002 ◽  
Vol 111 (5_suppl) ◽  
pp. 97-101 ◽  
Author(s):  
Richard C. Dowell ◽  
Elizabeth Winton ◽  
Shani J. Dettman ◽  
Elizabeth J. Barker ◽  
Katie Hill ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Linear Regression Analysis ◽  
Informed Choice ◽  
Multiple Linear Regression Analysis ◽  
Older Children ◽  
Profound Hearing Loss ◽  
Open Set ◽  
The Mean

Speech perception outcomes for early-deafened children who undergo implantation as teenagers or young adults are generally reported to be poorer than results for young children. It is important to provide appropriate expectations when counseling adolescents and their families to help them make an informed choice regarding cochlear implant surgery. The considerable variation of results in this group makes this process more difficult. This study considered a number of factors in a group of 25 children who underwent implantation in Melbourne between the ages of 8 and 18 years. Each subject completed open-set speech perception testing with Bamford-Kowal-Bench sentences before and after implantation and preoperative language testing with the Peabody Picture Vocabulary Test. Data were collected regarding the type of hearing loss, age at implantation, age at hearing aid fitting, audiometric details, and preoperative and postoperative communication mode. Results were submitted to a stepwise multiple linear regression analysis with postoperative open-set sentence scores as the dependent variables. The analysis suggested that 3 factors have a significant predictive value for speech perception after implantation: preoperative open-set sentence score, duration of profound hearing loss, and equivalent language age. These 3 factors accounted for 66% of the variance in this group. The results of this study suggest that children who have useful speech perception before implantation, and higher age-equivalent scores on language measures, would be expected to do well with a cochlear implant. Consistent with other studies, a shorter duration of profound hearing loss is also advantageous. The mean sentence score for this group, 47%, was not significantly different from the mean result across all children in the Melbourne program.

Sign in / Sign up

Export Citation Format

Share Document