Executive functions and eye fixations in children with Cochlear Implant

Objective Recent literature has shown a growing interest in the relationship between presbycusis and cognitive decline, but significant evidence about the long-term benefit of rehabilitation on cognitive functions has not been reported yet. The aim of the study was to analyze audiological and neuropsychological performances in patients with cochlear implant (CI) or hearing aids (HAs) over time. Materials and Method Forty-four bilaterally deaf patients aged more than 60 years (25 with CI candidacy and 19 with HA candidacy) were enrolled. Patients were subjected to audiological evaluation, to a battery of neuropsychological tests (Mini-Mental State Examination [MMSE], Rey Auditory Verbal Learning Task [RAVLT], Rey–Osterreith Complex Figure Test, Digit/Corsi Span Forward and Backward, Multiple Features Target Cancellation, Trail-Making Test, Stroop Test, and Phonological and Semantic Word Fluency), and to a quality of life assessment (Short Form 36, Glasgow Benefit Inventory, Glasgow Health Status Inventory) at the baseline and after a long-term follow-up (6–12 months). Results Speech recognition scores in quiet and in noise were significantly improved even 6 months after auditory rehabilitation. Significant differences between pre- and post-rehabilitation scores were reported in physical and emotional impacts in life, general global health, vitality, and social activities. MMSE and RAVLT scores were significantly improved in both groups after 6 months of follow-up, suggesting a global involvement of memory domain. Mnesic performances remained unchanged between the first and second follow-up, but a further significant improvement in executive functions (Stroop Test) was detected in patients with CI reevaluated 12 months after implantation. A significant correlation of the RAVLT with signal-to-noise ratio at +10 dB speech-in-noise scores and the MMSE with signal-to-noise ratio at 0 dB speech-in-noise scores suggests the pivotal role of executive functions in recognition in noisy environment. Conclusions Our preliminary data confirm that hearing deprivation in aged patients represents a truly modifiable risk factor for cognitive decline, which can be positively faced by acoustic rehabilitation. The improvement of short- and long-term memory performances and the amelioration of executive and attentive functions suggest that hearing restoration with both HAs and CI may provide a recovery of superior cognitive domains probably through a reallocation of cortical resources altered by hearing deprivation.

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Specific EF-Related Tasks and Reading in Adolescents With Typical Hearing or a Cochlear Implant

Communication Disorders Quarterly ◽

10.1177/1525740120976109 ◽

2020 ◽

pp. 152574012097610

Author(s):

Mario Figueroa ◽

Núria Silvestre ◽

Sònia Darbra

Keyword(s):

Reading Comprehension ◽

Executive Functions ◽

Cochlear Implant ◽

Instructional Practices ◽

Cognitive Processes ◽

Expository Texts ◽

Computerized Tests ◽

Inclusive Settings ◽

Reading Curricula ◽

The Relationship

The acquisition of effective reading comprehension for adolescents with cochlear implant (CI) in inclusive settings is crucial for ensuring the benefit of current traditional reading curricula and instructional practices. Executive functions (EF) are recognized as important cognitive processes during reading by students with typical hearing (TH). This study compared the relationship between EF and reading comprehension in adolescents with TH and CI. Three tests sessions were performed on two groups of adolescents between 12 and 16 years old (36 with CI and 54 with TH). Reading comprehension was assessed by a standardized reading battery and EF by computerized tests. The results indicated that adolescents with CI perform EF tasks with a similar efficiency as the TH group, but the performance of CI group on expository texts was lower than in TH students. Reading comprehension of expository texts was related to inhibition and shifting in adolescents with CI.

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Comparison of the Normal and Noise-Suppression Settings on the Spectra 22 Speech Processor of the Nucleus TM 22-Channel Cochlear Implant System

American Journal of Audiology ◽

10.1044/1059-0889.0403.55 ◽

1995 ◽

Vol 4 (3) ◽

pp. 55-58 ◽

Cited By ~ 3

Author(s):

Laura K. Holden ◽

Margaret W. Skinner ◽

Timothy A. Holden

Keyword(s):

Cochlear Implant ◽

Noise Suppression ◽

Speech Processor ◽

Implant System

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Letter to the Editor Concerning Skuk et al., “Parameter-Specific Morphing Reveals Contributions of Timbre and Fundamental Frequency Cues to the Perception of Voice Gender and Age in Cochlear Implant Users”

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-20-00563 ◽

2020 ◽

Vol 63 (12) ◽

pp. 4325-4326 ◽

Cited By ~ 1

Author(s):

Hartmut Meister ◽

Katrin Fuersen ◽

Barbara Streicher ◽

Ruth Lang-Roth ◽

Martin Walger

Keyword(s):

Cochlear Implant ◽

Fundamental Frequency ◽

Stimulus Type ◽

Voice Perception ◽

Letter To The Editor ◽

Gender And Age ◽

General Influence

Purpose The purpose of this letter is to compare results by Skuk et al. (2020) with Meister et al. (2016) and to point to a potential general influence of stimulus type. Conclusion Our conclusion is that presenting sentences may give cochlear implant recipients the opportunity to use timbre cues for voice perception. This might not be the case when presenting brief and sparse stimuli such as consonant–vowel–consonant or single words, which were applied in the majority of studies.

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Perceptual Learning of Vocoded Speech With and Without Contralateral Hearing: Implications for Cochlear Implant Rehabilitation

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-20-00385 ◽

2020 ◽

pp. 1-10

Author(s):

Martin Chavant ◽

Alexis Hervais-Adelman ◽

Olivier Macherey

Keyword(s):

Cochlear Implant ◽

Perceptual Learning ◽

Speech Signal ◽

Training Phase ◽

Monosyllabic Words ◽

Low Pass ◽

Contralateral Ear ◽

Number Of Individuals ◽

Insight Into ◽

Vocoded Speech

Purpose An increasing number of individuals with residual or even normal contralateral hearing are being considered for cochlear implantation. It remains unknown whether the presence of contralateral hearing is beneficial or detrimental to their perceptual learning of cochlear implant (CI)–processed speech. The aim of this experiment was to provide a first insight into this question using acoustic simulations of CI processing. Method Sixty normal-hearing listeners took part in an auditory perceptual learning experiment. Each subject was randomly assigned to one of three groups of 20 referred to as NORMAL, LOWPASS, and NOTHING. The experiment consisted of two test phases separated by a training phase. In the test phases, all subjects were tested on recognition of monosyllabic words passed through a six-channel “PSHC” vocoder presented to a single ear. In the training phase, which consisted of listening to a 25-min audio book, all subjects were also presented with the same vocoded speech in one ear but the signal they received in their other ear differed across groups. The NORMAL group was presented with the unprocessed speech signal, the LOWPASS group with a low-pass filtered version of the speech signal, and the NOTHING group with no sound at all. Results The improvement in speech scores following training was significantly smaller for the NORMAL than for the LOWPASS and NOTHING groups. Conclusions This study suggests that the presentation of normal speech in the contralateral ear reduces or slows down perceptual learning of vocoded speech but that an unintelligible low-pass filtered contralateral signal does not have this effect. Potential implications for the rehabilitation of CI patients with partial or full contralateral hearing are discussed.

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