scholarly journals Audiovisual spoken word recognition by children with cochlear implants

2007 ◽  
Vol 5 (4) ◽  
pp. 250-261 ◽  
Author(s):  
Karen Iler Kirk ◽  
Marcia J. Hay-Mccutcheon ◽  
Rachael Frush Holt ◽  
Sujuan Gao ◽  
Rong Qi ◽  
...  
Author(s):  
Christina Blomquist ◽  
Rochelle S. Newman ◽  
Yi Ting Huang ◽  
Jan Edwards

Purpose Children with cochlear implants (CIs) are more likely to struggle with spoken language than their age-matched peers with normal hearing (NH), and new language processing literature suggests that these challenges may be linked to delays in spoken word recognition. The purpose of this study was to investigate whether children with CIs use language knowledge via semantic prediction to facilitate recognition of upcoming words and help compensate for uncertainties in the acoustic signal. Method Five- to 10-year-old children with CIs heard sentences with an informative verb ( draws ) or a neutral verb ( gets ) preceding a target word ( picture ). The target referent was presented on a screen, along with a phonologically similar competitor ( pickle ). Children's eye gaze was recorded to quantify efficiency of access of the target word and suppression of phonological competition. Performance was compared to both an age-matched group and vocabulary-matched group of children with NH. Results Children with CIs, like their peers with NH, demonstrated use of informative verbs to look more quickly to the target word and look less to the phonological competitor. However, children with CIs demonstrated less efficient use of semantic cues relative to their peers with NH, even when matched for vocabulary ability. Conclusions Children with CIs use semantic prediction to facilitate spoken word recognition but do so to a lesser extent than children with NH. Children with CIs experience challenges in predictive spoken language processing above and beyond limitations from delayed vocabulary development. Children with CIs with better vocabulary ability demonstrate more efficient use of lexical-semantic cues. Clinical interventions focusing on building knowledge of words and their associations may support efficiency of spoken language processing for children with CIs. Supplemental Material https://doi.org/10.23641/asha.14417627


2021 ◽  
Author(s):  
Kelsey Klein ◽  
Elizabeth Walker ◽  
Bob McMurray

Objective: The objective of this study was to characterize the dynamics of real-time lexical access, including lexical competition among phonologically similar words, and semantic activation in school-age children with hearing aids (HAs) and children with cochlear implants (CIs). We hypothesized that developing spoken language via degraded auditory input would lead children with HAs or CIs to adapt their approach to spoken word recognition, especially by slowing down lexical access.Design: Participants were children ages 9-12 years old with normal hearing (NH), HAs, or CIs. Participants completed a Visual World Paradigm task in which they heard a spoken word and selected the matching picture from four options. Competitor items were either phonologically similar, semantically similar, or unrelated to the target word. As the target word unfolded, children’s fixations to the target word, cohort competitor, rhyme competitor, semantically related item, and unrelated item were recorded as indices of ongoing lexical and semantic activation.Results: Children with HAs and children with CIs showed slower fixations to the target, reduced fixations to the cohort, and increased fixations to the rhyme, relative to children with NH. This wait-and-see profile was more pronounced in the children with CIs than the children with HAs. Children with HAs and children with CIs also showed delayed fixations to the semantically related item, though this delay was attributable to their delay in activating words in general, not to a distinct semantic source.Conclusions: Children with HAs and children with CIs showed qualitatively similar patterns of real-time spoken word recognition. Findings suggest that developing spoken language via degraded auditory input causes long-term cognitive adaptations to how listeners recognize spoken words, regardless of the type of hearing device used. Delayed lexical activation directly led to delayed semantic activation in children with HAs and CIs. This delay in semantic processing may impact these children’s ability to understand connected speech in everyday life.


2004 ◽  
Vol 47 (3) ◽  
pp. 496-508 ◽  
Author(s):  
Elizabeth A. Collison ◽  
Benjamin Munson ◽  
Arlene Earley Carney

This study examined spoken word recognition in adults with cochlear implants (CIs) to determine the extent to which linguistic and cognitive abilities predict variability in speech-perception performance. Both a traditional consonant-vowel-consonant (CVC)-repetition measure and a gated-word recognition measure (F. Grosjean, 1996) were used. Stimuli in the gated-word-recognition task varied in neighborhood density. Adults with CIs repeated CVC words less accurately than did age-matched adults with normal hearing sensitivity (NH). In addition, adults with CIs required more acoustic information to recognize gated words than did adults with NH. Neighborhood density had a smaller influence on gated-word recognition by adults with CIs than on recognition by adults with NH. With the exception of 1 outlying participant, standardized, norm-referenced measures of cognitive and linguistic abilities were not correlated with word-recognition measures. Taken together, these results do not support the hypothesis that cognitive and linguistic abilities predict variability in speech-perception performance in a heterogeneous group of adults with CIs. Findings are discussed in light of the potential role of auditory perception in mediating relations among cognitive and linguistic skill and spoken word recognition.


2005 ◽  
Vol 26 (Supplement) ◽  
pp. 82S-91S ◽  
Author(s):  
Rachael Frush Holt ◽  
Karen Iler Kirk ◽  
Laurie S. Eisenberg ◽  
Amy S. Martinez ◽  
Wenonah Campbell

2009 ◽  
Vol 52 (6) ◽  
pp. 1390-1400 ◽  
Author(s):  
Tina M. Grieco-Calub ◽  
Jenny R. Saffran ◽  
Ruth Y. Litovsky

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