Bimodal Benefits Revealed by Categorical Perception of Lexical Tones in Mandarin-Speaking Kindergarteners With a Cochlear Implant and a Contralateral Hearing Aid

2020 ◽  
Vol 63 (12) ◽  
pp. 4238-4251
Author(s):  
Hao Zhang ◽  
Jing Zhang ◽  
Gang Peng ◽  
Hongwei Ding ◽  
Yang Zhang

Purpose Pitch reception poses challenges for individuals with cochlear implants (CIs), and adding a hearing aid (HA) in the nonimplanted ear is potentially beneficial. The current study used fine-scale synthetic speech stimuli to investigate the bimodal benefit for lexical tone categorization in Mandarin-speaking kindergarteners using a CI and an HA in opposite ears. Method The data were collected from 16 participants who were required to complete two classical tasks for speech categorical perception (CP) with CI + HA device condition and CI alone condition. Linear mixed-effects models were constructed to evaluate the identification and discrimination scores across different device conditions. Results The bimodal kindergarteners showed CP for the continuum varying from Mandarin Tone 1 and Tone 2. Moreover, the additional acoustic information from the contralateral HA contributes to improved lexical tone categorization, with a steeper slope, a higher discrimination score of between-category stimuli pair, and an improved peakedness score (i.e., an increased benefit magnitude for discriminations of between-category over within-category pairs) for the CI + HA condition than the CI alone condition. The bimodal kindergarteners with better residual hearing thresholds at 250 Hz level in the nonimplanted ear could perceive lexical tones more categorically. Conclusion The enhanced CP results with bimodal listening provide clear evidence for the clinical practice to fit a contralateral HA in the nonimplanted ear in kindergarteners with unilateral CIs with direct benefits from the low-frequency acoustic hearing.


2020 ◽  
Vol 10 (4) ◽  
pp. 238 ◽  
Author(s):  
Hao Zhang ◽  
Jing Zhang ◽  
Hongwei Ding ◽  
Yang Zhang

Pitch perception is known to be difficult for individuals with cochlear implant (CI), and adding a hearing aid (HA) in the non-implanted ear is potentially beneficial. The current study aimed to investigate the bimodal benefit for lexical tone recognition in Mandarin-speaking preschoolers using a CI and an HA in opposite ears. The child participants were required to complete tone identification in quiet and in noise with CI + HA in comparison with CI alone. While the bimodal listeners showed confusion between Tone 2 and Tone 3 in recognition, the additional acoustic information from the contralateral HA alleviated confusion between these two tones in quiet. Moreover, significant improvement was demonstrated in the CI + HA condition over the CI alone condition in noise. The bimodal benefit for individual subjects could be predicted by the low-frequency hearing threshold of the non-implanted ear and the duration of bimodal use. The findings support the clinical practice to fit a contralateral HA in the non-implanted ear for the potential benefit in Mandarin tone recognition in CI children. The limitations call for further studies on auditory plasticity on an individual basis to gain insights on the contributing factors to the bimodal benefit or its absence.



Author(s):  
Yuxia Wang ◽  
Xiaohu Yang ◽  
Hongwei Ding ◽  
Can Xu ◽  
Chang Liu

Purpose The purpose of this study was to examine the aging effects on the categorical perception (CP) of Mandarin lexical Tones 1–4 and Tones 1–2 in noise. It also investigated whether listeners' categorical tone perception in noise correlated with their general tone identification of 20 natural vowel-plus-tone signals in noise. Method Twelve younger and 12 older listeners with normal hearing were recruited in both tone identification and discrimination tasks in a CP paradigm where fundamental frequency contours of target stimuli varied systematically from the flat tone (Tone 1) to the rising/falling tones (Tones 2/4). Both tasks were conducted in quiet and noise with signal-to-noise ratios set at −5 and −10 dB, respectively, and general tone identification of natural speech signals was also tested in noise conditions. Results Compared with younger listeners, older listeners had shallower identification slopes and smaller discrimination peakedness in Tones 1–2/4 perception in all listening conditions, except for Tones 1–4 perception in quiet where no group differences were found. Meanwhile, noise affected Tones 1–2/4 perception: The signal-to-noise ratio condition at −10 dB brought shallower slope in Tones 1–2/4 identification and less peakedness in Tones 1–4 discrimination for both listener groups. Older listeners' CP in noise, the identification slopes in particular, positively correlated with their general tone identification in noise, but such correlations were partially missing for younger listeners. Conclusions Both aging and the presence of speech-shaped noise significantly reduced the CP of Mandarin Tones 1–2/4. Listeners' Mandarin tone recognition may be related to their CP of Mandarin tones.



2016 ◽  
Vol 20 (3) ◽  
pp. 549-560 ◽  
Author(s):  
XINXIN LI ◽  
CAROL KIT SUM TO ◽  
MANWA LAWRENCE NG

In the present study, the Perceptual Assimilation Model (PAM) was tested on its applicability in child L2 lexical tone acquisition. The possible effect of L1 (Cantonese) lexical tones on L2 (Mandarin) lexical tone learning was explored. Accuracy rate and error patterns were examined with an AX discrimination task and a forced-choice identification task. Forty-nine native Cantonese-speaking students aged 8 years participated in the study. Results revealed that these children exhibited nearly perfect performance in the discrimination of Mandarin tones. However, significant tone differences were detected in the identification task. Tone 4 (T4) was identified with the lowest accuracy, and T1 with the highest. Error analysis revealed that Mandarin T2-T3 was the most confusing pair, followed by the T1-T4 pair. The inherent phonetic similarity between lexical tones in a language and the tone similarities across languages may also have contributed to perception difficulties, which could help to refine and supplement the PAM in the tonal/suprasegmental domain.





2017 ◽  
Vol 26 (1) ◽  
pp. 80-87 ◽  
Author(s):  
K. Jonas Brännström ◽  
Steen Østergaard Olsen

PurposeThe vast majority of previous studies suggest that there is no relationship between the acceptable noise level (ANL) and pure-tone hearing thresholds reported as the average pure-tone hearing thresholds (pure-tone average). This study aims to explore (a) the relationship between hearing thresholds at individual frequencies and the ANL and (b) a measure of the slope of the audiogram and ANL.MethodSixty-three Danish adult hearing aid users participated. Assessments were pure-tone audiogram and 3 different versions of the ANL test made monaurally at 2 different sessions.ResultsThe findings show that low-frequency hearing thresholds and the slope of the audiogram are significantly related to all versions of the ANL.ConclusionIt is possible that previous studies have failed to discover a relationship between ANL and hearing thresholds due to the use of the broad 4-frequency pure-tone average. This has implications for our understanding of the ANL test.



Author(s):  
Hao Zhang ◽  
Hongwei Ding ◽  
Yang Zhang

Purpose Lexical tone perception is known to be persistently difficult for individuals with cochlear implants (CIs). The purpose of this study was to evaluate the efficacy of high-variability phonetic training (HVPT) in improving Mandarin tone perception for native-speaking children with CIs. Method A total of 28 Mandarin-speaking pediatric CI recipients participated in the study. Half of the children with CIs received a five-session HVPT within a period of 3 weeks. Identification and discrimination of lexical tones produced by familiar talkers (used during training) and novel talkers (not used during training) were measured before, immediately after, and 10 weeks after training termination. The other half untrained children served as control for the identical pre- and posttests. Results Lexical tone perception significantly improved in both trained identification task and untrained discrimination task for the trainees. There was also a significant effect in transfer of learning to perceiving tones produced by novel talkers. Moreover, training-induced gains were retained for up to 10 weeks after training. By comparison, no significant pre–post changes were observed in the control group. Conclusion The results provide the first systematical assessment for the efficacy of the HVPT protocol for Mandarin-speaking pediatric CI users with congenital hearing loss, which supports the clinical utility of intensive short-term HVPT in these children's rehabilitative regimens.



2020 ◽  
Vol 63 (2) ◽  
pp. 487-498
Author(s):  
Puisan Wong ◽  
Man Wai Cheng

Purpose Theoretical models and substantial research have proposed that general auditory sensitivity is a developmental foundation for speech perception and language acquisition. Nonetheless, controversies exist about the effectiveness of general auditory training in improving speech and language skills. This research investigated the relationships among general auditory sensitivity, phonemic speech perception, and word-level speech perception via the examination of pitch and lexical tone perception in children. Method Forty-eight typically developing 4- to 6-year-old Cantonese-speaking children were tested on the discrimination of the pitch patterns of lexical tones in synthetic stimuli, discrimination of naturally produced lexical tones, and identification of lexical tone in familiar words. Results The findings revealed that accurate lexical tone discrimination and identification did not necessarily entail the accurate discrimination of nonlinguistic stimuli that followed the pitch levels and pitch shapes of lexical tones. Although pitch discrimination and tone discrimination abilities were strongly correlated, accuracy in pitch discrimination was lower than that in tone discrimination, and nonspeech pitch discrimination ability did not precede linguistic tone discrimination in the developmental trajectory. Conclusions Contradicting the theoretical models, the findings of this study suggest that general auditory sensitivity and speech perception may not be causally or hierarchically related. The finding that accuracy in pitch discrimination is lower than that in tone discrimination suggests that comparable nonlinguistic auditory perceptual ability may not be necessary for accurate speech perception and language learning. The results cast doubt on the use of nonlinguistic auditory perceptual training to improve children's speech, language, and literacy abilities.



1971 ◽  
Vol 36 (4) ◽  
pp. 527-537 ◽  
Author(s):  
Norman P. Erber

Two types of special hearing aid have been developed recently to improve the reception of speech by profoundly deaf children. In a different way, each special system provides greater low-frequency acoustic stimulation to deaf ears than does a conventional hearing aid. One of the devices extends the low-frequency limit of amplification; the other shifts high-frequency energy to a lower frequency range. In general, previous evaluations of these special hearing aids have obtained inconsistent or inconclusive results. This paper reviews most of the published research on the use of special hearing aids by deaf children, summarizes several unpublished studies, and suggests a set of guidelines for future evaluations of special and conventional amplification systems.



2014 ◽  
Vol 46 (9) ◽  
pp. 1223 ◽  
Author(s):  
Qiuchen ZHENG


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