The effect of changes in hearing status on speech sound level and speech breathing: A study conducted with cochlear implant users and NF-2 patients

1998 ◽  
Vol 104 (5) ◽  
pp. 3059-3069 ◽  
Author(s):  
Harlan Lane ◽  
Joseph Perkell ◽  
Jane Wozniak ◽  
Joyce Manzella ◽  
Peter Guiod ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Speech Sound ◽  
Sound Level ◽  
Hearing Status ◽  
Speech Breathing

Impact of Cochlear Implantation on Neurocognitive Subdomains in Adult Cochlear Implant Recipients

2021 ◽  
pp. 1-10
Author(s):  
Christiane Völter ◽  
Lisa Götze ◽  
Imme Haubitz ◽  
Janine Müther ◽  
Stefan Dazert ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Verbal Fluency ◽  
Homogeneous Population ◽  
Delayed Recall ◽  
Hearing Status ◽  
Age Related ◽  
Significant Difference ◽  
The Impact

<b><i>Introduction:</i></b> Age-related hearing loss affects about one-third of the population worldwide. Studies suggest that hearing loss may be linked to cognitive decline and auditory rehabilitation may improve cognitive functions. So far, the data are limited, and the underlying mechanisms are not fully understood. The study aimed to analyze the impact of cochlear implantation on cognition in a large homogeneous population of hearing-impaired adults using a comprehensive non-auditory cognitive assessment with regard to normal-hearing (NH) subjects. <b><i>Material and Methods:</i></b> Seventy-one cochlear implant (CI) candidates with a postlingual, bilateral severe or profound hearing loss aged 66.3 years (standard deviation [SD] 9.2) and 105 NH subjects aged 65.96 years (SD 9.4) were enrolled. The computer-based neurocognitive tool applied included 11 subtests covering attention (M3), short- and long-term memory (recall and delayed recall), working memory (0- and 2-back, Operation Span [OSPAN] task), processing speed (Trail Making Test [TMT] A), mental flexibility (TMT B), inhibition (cFlanker and iFlanker), and verbal fluency. CI patients underwent a neurocognitive testing preoperatively as well as 12 months postoperatively. Impact of hearing status, age, gender, and education on cognitive subdomains was studied. Additionally, after controlling for education and age, cognitive performance of CI subjects (<i>n</i> = 41) was compared to that of NH (<i>n</i> = 34). <b><i>Results:</i></b> CI users achieved significantly better neurocognitive scores 12 months after cochlear implantation than before in most subtests (M3, [delayed] recall, 2-back, OSPAN, iFlanker, and verbal fluency; all <i>p</i> &#x3c; 0.05) except for the TMT A and B. A significant correlation could be found between the postoperative improvement in speech perception and in the attentional task M3 (<i>p</i> = 0.01). Hearing status (<i>p</i> = 0.0006) had the strongest effect on attention, whereas education had a high impact on recall (<i>p</i> = 0.002), OSPAN (<i>p</i> = 0.0004), and TMT A (<i>p</i> = 0.005) and B (<i>p</i> = 0.003). Inhibition was mainly age-dependent with better results in younger subjects (<i>p</i> = 0.016). Verbal fluency was predicted by gender as females outperformed men (<i>p</i> = 0.009). Even after controlling for age and education NH subjects showed a significantly better performance than CI candidates in the recall (<i>p</i> = 0.03) and delayed recall (<i>p</i> = 0.01) tasks. Postoperatively, there was no significant difference between the 2 groups anymore. <b><i>Conclusion:</i></b> Impact of cochlear implantation on neurocognitive functions differs according to the cognitive subdomains. Postoperatively, CI recipients performed as good as age- and education-matched NH subjects.

scholarly journals The Spatial Selective Auditory Attention of Cochlear Implant Users in Different Conversational Sound Levels

2021 ◽  
Vol 10 (14) ◽  
pp. 3078
Author(s):  
Sara Akbarzadeh ◽  
Sungmin Lee ◽  
Chin-Tuan Tan
Keyword(s):  
Cochlear Implant ◽  
Sound Level ◽  
Auditory Attention ◽  
Impaired Hearing ◽  
Speech Stimuli ◽  
Electric Hearing ◽  
Sound Levels ◽  
Acoustic Hearing ◽  
Speech Envelope ◽  
Different Levels

In multi-speaker environments, cochlear implant (CI) users may attend to a target sound source in a different manner from normal hearing (NH) individuals during a conversation. This study attempted to investigate the effect of conversational sound levels on the mechanisms adopted by CI and NH listeners in selective auditory attention and how it affects their daily conversation. Nine CI users (five bilateral, three unilateral, and one bimodal) and eight NH listeners participated in this study. The behavioral speech recognition scores were collected using a matrix sentences test, and neural tracking to speech envelope was recorded using electroencephalography (EEG). Speech stimuli were presented at three different levels (75, 65, and 55 dB SPL) in the presence of two maskers from three spatially separated speakers. Different combinations of assisted/impaired hearing modes were evaluated for CI users, and the outcomes were analyzed in three categories: electric hearing only, acoustic hearing only, and electric + acoustic hearing. Our results showed that increasing the conversational sound level degraded the selective auditory attention in electrical hearing. On the other hand, increasing the sound level improved the selective auditory attention for the acoustic hearing group. In the NH listeners, however, increasing the sound level did not cause a significant change in the auditory attention. Our result implies that the effect of the sound level on selective auditory attention varies depending on the hearing modes, and the loudness control is necessary for the ease of attending to the conversation by CI users.

Modeling Speech Level as a Function of Background Noise Level and Talker-to-Listener Distance for Talkers Wearing Hearing Protection Devices

2017 ◽  
Vol 60 (12) ◽  
pp. 3393-3403 ◽  
Author(s):  
Rachel E. Bouserhal ◽  
Annelies Bockstael ◽  
Ewen MacDonald ◽  
Tiago H. Falk ◽  
Jérémie Voix
Keyword(s):  
Noise Level ◽  
Background Noise ◽  
Speech Sound ◽  
Sound Level ◽  
Hearing Protection ◽  
Background Noise Level ◽  
Vocal Effort ◽  
Protection Devices ◽  
The Difference ◽  
The Relationship

Purpose Studying the variations in speech levels with changing background noise level and talker-to-listener distance for talkers wearing hearing protection devices (HPDs) can aid in understanding communication in background noise. Method Speech was recorded using an intra-aural HPD from 12 different talkers at 5 different distances in 3 different noise conditions and 2 quiet conditions. Results This article proposes models that can predict the difference in speech level as a function of background noise level and talker-to-listener distance for occluded talkers. The proposed model complements the existing model presented by Pelegrín-García, Smits, Brunskog, and Jeong (2011) and expands on it by taking into account the effects of occlusion and background noise level on changes in speech sound level. Conclusions Three models of the relationship between vocal effort, background noise level, and talker-to-listener distance for talkers wearing HPDs are presented. The model with the best prediction intervals is a talker-dependent model that requires the users' unoccluded speech level at 10 m as a reference. A model describing the relationship between speech level, talker-to-listener distance, and background noise level for occluded talkers could eventually be incorporated with radio protocols to transmit verbal communication only to an intended set of listeners within a given spatial range—this range being dependent on the changes in speech level and background noise level.

scholarly journals A comparison of maternal and child language in normally-hearing and hearing-impaired children with cochlear implants

2016 ◽  
Vol 7 (2) ◽  
pp. 145-179 ◽  
Author(s):  
Liesbeth Vanormelingen ◽  
Sven De Maeyer ◽  
Steven Gillis
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Hearing Impaired ◽  
Expressive Vocabulary ◽  
Vocabulary Size ◽  
Input And Output ◽  
Hearing Status ◽  
Hearing Children ◽  
Impaired Children ◽  
Hearing Impaired Children

The present study examines the amount of input and output in congenitally hearing-impaired children with a cochlear implant (CI) and normally-hearing children (NH) and their normally-hearing mothers. The aim of the study was threefold: (a) to investigate the input provided by the two groups of mothers, (b) to investigate the output of the two groups of children, and (c) to investigate the influence of the mothers’ input on child output and expressive vocabulary size. Mothers are less influenced by their children’s hearing status than the children are: CI children are more talkative and slower speakers. Mothers influenced their children on most parameters, but strikingly, it was not maternal talkativeness as such, but the number of maternal turns that is the best predictor of a child’s expressive vocabulary size.

scholarly journals Long-Term Trajectories of the Development of Speech Sound Production in Pediatric Cochlear Implant Recipients

2008 ◽  
Vol 51 (5) ◽  
pp. 1353-1368 ◽  
Author(s):  
J. Bruce Tomblin ◽  
Shu-Chen Peng ◽  
Linda J. Spencer ◽  
Nelson Lu
Keyword(s):  
Cochlear Implant ◽  
Sound Production ◽  
Speech Sound

Residual Hearing Status after Implantation of Various Types of Cochlear Implant Electrodes

2005 ◽  
Vol 133 (2) ◽  
pp. P135-P135
Author(s):  
K NIEMCZYK ◽  
A BRUZGIELEWICZ ◽  
K MORAWSKI ◽  
M KACZOROWSKA ◽  
L MIKOLAJEWSKA ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Residual Hearing ◽  
Hearing Status
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