Speech Perception in Children With Auditory Neuropathy/Dyssynchrony Managed With Either Hearing Aids or Cochlear Implants

2008 ◽  
Vol 29 (2) ◽  
pp. 179-182 ◽  
Author(s):  
Gary Rance ◽  
Elizabeth Janet Barker
2004 ◽  
Vol 5 (sup1) ◽  
pp. 128-130
Author(s):  
Min-Jung Heo ◽  
Lee-Suk Kim ◽  
Woo-Yong Bae ◽  
Young-Deok Park

1991 ◽  
Vol 104 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Richard T. Miyamoto ◽  
Mary Joe Osberger ◽  
Amy M. Robbins ◽  
Wendy A. Myres ◽  
Kathy Kessler ◽  
...  

2015 ◽  
Vol 26 (10) ◽  
pp. 815-823 ◽  
Author(s):  
Jijo Pottackal Mathai ◽  
Sabarish Appu

Background: Auditory neuropathy spectrum disorder (ANSD) is a form of sensorineural hearing loss, causing severe deficits in speech perception. The perceptual problems of individuals with ANSD were attributed to their temporal processing impairment rather than to reduced audibility. This rendered their rehabilitation difficult using hearing aids. Although hearing aids can restore audibility, compression circuits in a hearing aid might distort the temporal modulations of speech, causing poor aided performance. Therefore, hearing aid settings that preserve the temporal modulations of speech might be an effective way to improve speech perception in ANSD. Purpose: The purpose of the study was to investigate the perception of hearing aid–processed speech in individuals with late-onset ANSD. Research Design: A repeated measures design was used to study the effect of various compression time settings on speech perception and perceived quality. Study Sample: Seventeen individuals with late-onset ANSD within the age range of 20–35 yr participated in the study. Data Collection and Analysis: The word recognition scores (WRSs) and quality judgment of phonemically balanced words, processed using four different compression settings of a hearing aid (slow, medium, fast, and linear), were evaluated. The modulation spectra of hearing aid–processed stimuli were estimated to probe the effect of amplification on the temporal envelope of speech. Repeated measures analysis of variance and post hoc Bonferroni’s pairwise comparisons were used to analyze the word recognition performance and quality judgment. Results: The comparison between unprocessed and all four hearing aid–processed stimuli showed significantly higher perception using the former stimuli. Even though perception of words processed using slow compression time settings of the hearing aids were significantly higher than the fast one, their difference was only 4%. In addition, there were no significant differences in perception between any other hearing aid–processed stimuli. Analysis of the temporal envelope of hearing aid–processed stimuli revealed minimal changes in the temporal envelope across the four hearing aid settings. In terms of quality, the highest number of individuals preferred stimuli processed using slow compression time settings. Individuals who preferred medium ones followed this. However, none of the individuals preferred fast compression time settings. Analysis of quality judgment showed that slow, medium, and linear settings presented significantly higher preference scores than the fast compression setting. Conclusions: Individuals with ANSD showed no marked difference in perception of speech that was processed using the four different hearing aid settings. However, significantly higher preference, in terms of quality, was found for stimuli processed using slow, medium, and linear settings over the fast one. Therefore, whenever hearing aids are recommended for ANSD, those having slow compression time settings or linear amplification may be chosen over the fast (syllabic compression) one. In addition, WRSs obtained using hearing aid–processed stimuli were remarkably poorer than unprocessed stimuli. This shows that processing of speech through hearing aids might have caused a large reduction of performance in individuals with ANSD. However, further evaluation is needed using individually programmed hearing aids rather than hearing aid–processed stimuli.


2004 ◽  
Vol 5 (S1) ◽  
pp. 128-130
Author(s):  
Min-Jung Heo ◽  
Lee-Suk Kim ◽  
Woo-Yong Bae ◽  
Young-Deok Park

2017 ◽  
Vol 57 (sup2) ◽  
pp. S70-S80 ◽  
Author(s):  
Teresa YC Ching ◽  
Vicky W Zhang ◽  
Christopher Flynn ◽  
Lauren Burns ◽  
Laura Button ◽  
...  

2010 ◽  
Vol 21 (09) ◽  
pp. 601-611 ◽  
Author(s):  
Arthur Boothroyd

Changed hearing occurs when sensorineural loss is acquired or increases, when hearing aids or cochlear implants are first acquired, when hearing aids are reprogrammed, and when cochlear implants are remapped. The changes affect speech perception—a process in which decisions about a talker's language output are made on the basis of sensory and contextual evidence, using knowledge and skill. The importance of spoken communication dictates speedy and optimal adaptation to changed hearing. Adaptation is a process in which the individual acquires new knowledge and modifies skill. Formal training provides the listener with the opportunity to enhance both knowledge and skill by spending time on speech perception tasks without the demands, constraints, uncertainties, and risks associated with everyday communication. Benefits of such training have been demonstrated in terms of improvement on trained tasks and talkers, generalization to untrained tasks and talkers, improvements in self-perceived competence, and reduction of self-perceived handicap. So far, however, we lack information on which aspects of training are responsible for benefit, which aspects of perception are changed, how individual differences interact with the foregoing, and whether these benefits translate into significantly increased participation and quality of life.


Sign in / Sign up

Export Citation Format

Share Document