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Tang E, Gong J, Zhang J, Zhang J, Fang R, Guan J, Ding H. Chinese Emotional Speech Audiometry Project (CESAP): Establishment and Validation of a New Material Set With Emotionally Neutral Disyllabic Words. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2024; 67:1945-1963. [PMID: 38749011 DOI: 10.1044/2024_jslhr-23-00625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2024]
Abstract
PURPOSE The Chinese Emotional Speech Audiometry Project (CESAP) aims to establish a new material set for Chinese speech audiometry tests, which can be used in both neutral and emotional prosody settings. As the first endeavor of CESAP, this study demonstrates the development of the material foundation and reports its validation in neutral prosody. METHOD In the development step, 40 phonetically balanced word lists consisting of 30 Chinese disyllabic words with neutral valence were first generated. In a following affective rating experiment, 35 word lists were qualified for validation based on the familiarity and valence ratings from 30 normal-hearing (NH) participants. For validation, performance-intensity functions of each word list were fitted with responses from 60 NH subjects under six presentation levels (-1, 3, 5, 7, 11, and 20 dB HL). The final material set was determined by the intelligibility scores at each decibel level and the mean slopes. RESULTS First, 35 lists satisfied the criteria of phonetic balance, limited repetitions, high familiarity, and neutral valence and were selected for validation. Second, 15 lists were compiled in the final material set based on the pairwise differences in intelligibility scores and the fitted 20%-80% slopes. The established material set had high reliability and validity and was sensitive to detect intelligibility changes (50% slope: 6.20%/dB; 20%-80% slope: 5.45%/dB), with small covariance of variation for thresholds (15%), 50% slope (12%), and 20%-80% slope (12%). CONCLUSION Our final material set of 15 word lists takes the initiative to control the emotional aspect of audiometry tests, which enriches available Mandarin speech recognition materials and warrants future assessments in emotional prosody among populations with hearing impairments. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.25742814.
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Affiliation(s)
- Enze Tang
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, China
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
| | - Jie Gong
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, China
- National Research Centre for Language and Well-being, Shanghai, China
| | - Jing Zhang
- SONOVA Innovation Center, Shanghai, China
| | - Jiaqi Zhang
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, China
- National Research Centre for Language and Well-being, Shanghai, China
| | - Ruomei Fang
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, China
- National Research Centre for Language and Well-being, Shanghai, China
| | | | - Hongwei Ding
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, China
- National Research Centre for Language and Well-being, Shanghai, China
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Yang Y, Gao J, Du H, Geng L, Li A, Zhao N, Xu Y, Liu X, Qian X, Gao X. Influence of cochlear implants on hearing-related quality of life: results from Chinese children with cochlear implants entering mainstream education. Int J Pediatr Otorhinolaryngol 2022; 160:111228. [PMID: 35932564 DOI: 10.1016/j.ijporl.2022.111228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/09/2022] [Accepted: 06/29/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES This study aimed to 1) assess the hearing-related Quality of Life (QoL) of children with cochlear implants (CIs) in China and 2) investigate the impact of CI in children and of the socio-demographic backgrounds of their guardians on the hearing-related QoL of children with CIs in the Chinese mainstream education system. METHODS This study used the Mandarin Children with Cochlear Implants: Parental Perspectives questionnaire (MPP), which assessed the communication capability, auditory perception, self-independence, level of happiness with family, social interaction, academic performance, outcome assessment for CI, and level of family support in children with CIs. Both univariate and multiple linear regression analyses were performed to identify the relationship of CI in children and the socio-demographic backgrounds of their guardians with hearing-related QoL in children with CI. RESULT A total of 124 responses were collected, and they indicated satisfaction and improvement across all aspects of the MPP Questionnaire. Statistical analysis revealed that an earlier age of cochlear implantation (≤3 years old) could improve the communication capabilities, self-independence, social interaction performance, and academic performance of children with CIs. In addition, children with CI from the urban regions demonstrated better social interaction performance than that by those from the rural regions of China. CONCLUSION CIs can improve hearing-related QoL in children with pre-lingual or congenital hearing loss entering the mainstream education system in China. This study showed that early age of cochlear implantation was critical for successful long-term auditory development and academic achievement in children with CIs in China. Therefore, healthcare professionals and educators in China should advocate for CI for children with severe congenital or pre-lingual hearing loss.
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Affiliation(s)
- Ye Yang
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Junyan Gao
- Department of Technical Counseling, Jiangsu Children's Rehabilitation Research Center, Nanjing, 210008, China
| | - Haoliang Du
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Liguo Geng
- Department of Medical Information, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210008, China
| | - Ao Li
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Ning Zhao
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Yuqin Xu
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xueyao Liu
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xiaoyun Qian
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xia Gao
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China.
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Lu HP, Lin CS, Wu CM, Peng SC, Feng IJ, Lin YS. The effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children. Medicine (Baltimore) 2022; 101:e29567. [PMID: 35839064 PMCID: PMC11132337 DOI: 10.1097/md.0000000000029567] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 04/26/2022] [Indexed: 11/25/2022] Open
Abstract
To examine the effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children during second language acquisition in Taiwan. A retrospective cohort study. A tertiary referred center. Fourteen children with cochlear implant (CI) in the experimental group, and 9 normal hearing children in the control group were enrolled in this study. Cochlear implantation and hearing rehabilitation. Two speech recognition accuracies were examined: (1) Lexical tone recognition (4-alternative forced choice, AFC), (2) English Sentence Intonation (2AFC). The overall accuracies for tone perception are 61.13% (standard deviation, SD = 10.84%) for CI group and 93.82% (SD = 1.80%) for normal hearing group. Tone 4 and Tone 1 were more easily to be recognized than tone 2 and tone 3 in the pediatric CI recipients (cCI) group. In English intonation perception, the overall accuracies are 61.82% (SD = 16.85%) for CI group, and 97.59% (SD = 4.73%) for normal hearing group. Significant high correlation (R = .919, P ≦ .000) between lexical tone perception and English intonation perception is noted. There is no significant difference for English intonation perception accuracies between Mandarin-speaking cCI (61.82%) and English-speaking cCI (70.13%, P = .11). Mandarin-speaking cochlear-implanted children showed significant deficits in perception of lexical tone and English intonation relative to normal hearing children. There was no tonal language benefit in Mandarin-speaking cochlear-implanted children's English intonation perception, compared to the English-speaking cochlear-implanted peers. For cochlear-implanted children, better lexical tone perception comes with better English intonation perception. Enhancing Mandarin prosodic perception for cochlear-implanted children may benefit their command of intonation in English.
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Affiliation(s)
- Hui-Ping Lu
- Center of Speech and Hearing, Department of Otolaryngology, Chi Mei Medical Center, Tainan, Taiwan
| | - Chih-Shin Lin
- Center of Speech and Hearing, Department of Otolaryngology, Chi Mei Medical Center, Tainan, Taiwan
- Department of Speech and Language Therapy, Chung Hwa University of Medical Technology, Tainan, Taiwan
| | - Che-Ming Wu
- Department of Otorhinolaryngology, New Taipei municipal TuCheng Hospital (built and operated by Chang Gung Medical Foundation), TuCheng, New Taipei City, Taiwan
- Department of Otorhinolaryngology, Chang Gung Memorial Hospital, Linkou, School of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Shu-Chen Peng
- Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, MD
| | - I. Jung Feng
- Institute of Precision Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan
| | - Yung-Song Lin
- Center of Speech and Hearing, Department of Otolaryngology, Chi Mei Medical Center, Tainan, Taiwan
- Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Gao Q, Wong LLN, Chen F. A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation. Front Neurosci 2022; 15:773694. [PMID: 34970113 PMCID: PMC8712552 DOI: 10.3389/fnins.2021.773694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/15/2021] [Indexed: 11/23/2022] Open
Abstract
Objective: This paper reviewed the literature on the development of and factors affecting speech perception of Mandarin-speaking children with cochlear implantation (CI). We also summarized speech outcome measures in standard Mandarin for evaluating auditory and speech perception of children with CI. Method: A comprehensive search of Google Scholar and PubMed was conducted from March to June 2021. Search terms used were speech perception/lexical tone recognition/auditory perception AND cochlear implant AND Mandarin/Chinese. Conclusion: Unilateral CI recipients demonstrated continuous improvements in auditory and speech perception for several years post-activation. Younger age at implantation and longer duration of CI use contribute to better speech perception. Having undergone a hearing aid trial before implantation and having caregivers whose educational level is higher may lead to better performance. While the findings that support the use of CI to improve speech perception continue to grow, much research is needed to validate the use of unilateral and bilateral implantation. Evidence to date, however, revealed bimodal benefits over CI-only conditions in lexical tone recognition and sentence perception in noise. Due to scarcity of research, conclusions on the benefits of bilateral CIs compared to unilateral CI or bimodal CI use cannot be drawn. Therefore, future research on bimodal and bilateral CIs is needed to guide evidence-based clinical practice.
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Affiliation(s)
- Qi Gao
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China.,Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Lena L N Wong
- Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Fei Chen
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China
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Baser B, Patidar M, Surana P. A Study to Determine Various Factors Influencing Auditory Outcomes in Paediatric Cochlear Implantation. Indian J Otolaryngol Head Neck Surg 2020; 72:453-456. [PMID: 33088774 DOI: 10.1007/s12070-020-01900-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Accepted: 06/08/2020] [Indexed: 11/25/2022] Open
Abstract
To evaluate various factors that affects the auditory outcomes in pediatric patients with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation. 50 prelingually deaf pediatric patients aged between 1 and 6 years with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation between January 2016 and June 2018 at our tertiary centre were included in this study. Auditory performance was measured using revised categories of auditory performance score at 1 year post cochlear implantation. A Statistical analysis of several factors was performed to reveal any significant relation with outcomes of cochlear implantation. The results of the study showed that patients with younger age at implantation, patient who used hearing aid prior to surgery and patients with normal cochlear morphology had better auditory outcomes post cochlear implantation than their counter group and are the factors which have positive effect on the cochlear implantation outcomes, whereas factors which did not showed any significant relation with the auditory outcomes of cochlear implantation are gender, consanguinity and birth hypoxia. Age at implantation, use of hearing aid prior to surgery and cochlear morphology are the factors with direct impact on the outcomes of cochlear implant.
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Affiliation(s)
- Brajendra Baser
- Department of ENT and HNS, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh India
| | - Murli Patidar
- Department of ENT and HNS, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh India
| | - Praveen Surana
- Department of ENT and HNS, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh India
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Hong T, Wang J, Zhang L, Zhang Y, Shu H, Li P. Age-sensitive associations of segmental and suprasegmental perception with sentence-level language skills in Mandarin-speaking children with cochlear implants. RESEARCH IN DEVELOPMENTAL DISABILITIES 2019; 93:103453. [PMID: 31421305 DOI: 10.1016/j.ridd.2019.103453] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2018] [Revised: 07/22/2019] [Accepted: 07/28/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND AND AIM It remains unclear how recognition of segmental and suprasegmental phonemes contributes to sentence-level language processing skills in Mandarin-speaking children with cochlear implants (CIs). Our study examined the influence of implantation age on the recognition of consonants, lexical tones and sentences respectively, and more importantly, the contribution of phonological skills to sentence repetition accuracy in Mandarin-speaking children with CIs. METHODS The participants were three groups of prelingually deaf children who received cochlear implants at various ages and their age-matched controls with normal hearing. Three tasks were administered to assess their consonant perception, lexical tone recognition and language skills in open-set sentence repetition. RESULTS Children with CIs lagged behind NH peers in all the three tests, and performances on segmental, suprasegmental and sentence-level processing were differentially modulated by implantation age. Furthermore, performances on recognition of consonants and lexical tones were significant predictors of sentence repetition accuracy in the children with CIs. CONCLUSION Overall, segmental and suprasegmental perception as well as sentence-level processing is impaired in Mandarin-speaking children with CIs compared with age-matched children with NH. In children with CIs recognition of segmental and suprasegmental phonemes at the lower level predicts sentence repetition accuracy at the higher level. More importantly, implantation age plays an important role in the development of phonological skills and higher-order language skills, suggesting that age-appropriate aural rehabilitation and speech intervention programs need to be developed in order to better help CI users who receive CIs at different ages.
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Affiliation(s)
- Tian Hong
- National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Jiuju Wang
- Peking University Sixth Hospital, Beijing, China
| | - Linjun Zhang
- Beijing Advanced Innovation Center for Language Resources and College of Advanced Chinese Training, Beijing Language and Culture University, No.15 Xueyuan Road, Beijing 100083, China.
| | - Yang Zhang
- Department of Speech-Language-Hearing Sciences and Center for Neurobehavioral Development, University of Minnesota, Minneapolis, MN, USA
| | - Hua Shu
- National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China.
| | - Ping Li
- Department of Psychology & Center for Brain, Behavior and Cognition, Pennsylvania State University, PA, USA
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Deroche MLD, Lu HP, Lin YS, Chatterjee M, Peng SC. Processing of Acoustic Information in Lexical Tone Production and Perception by Pediatric Cochlear Implant Recipients. Front Neurosci 2019; 13:639. [PMID: 31281237 PMCID: PMC6596315 DOI: 10.3389/fnins.2019.00639] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 06/03/2019] [Indexed: 11/13/2022] Open
Abstract
Purpose: This study examined the utilization of multiple types of acoustic information in lexical tone production and perception by pediatric cochlear implant (CI) recipients who are native speakers of Mandarin Chinese. Methods: Lexical tones were recorded from CI recipients and their peers with normal hearing (NH). Each participant was asked to produce a disyllabic word, yan jing, with which the first syllable was pronounced as Tone 3 (a low dipping tone) while the second syllable was pronounced as Tone 1 (a high level tone, meaning "eyes") or as Tone 4 (a high falling tone, meaning "eyeglasses"). In addition, a parametric manipulation in fundamental frequency (F0) and duration of Tones 1 and 4 used in a lexical tone recognition task in Peng et al. (2017) was adopted to evaluate the perceptual reliance on each dimension. Results: Mixed-effect analyses of duration, intensity, and F0 cues revealed that NH children focused exclusively on marking distinct F0 contours, while CI participants shortened Tone 4 or prolonged Tone 1 to enhance their contrast. In line with these production strategies, NH children relied primarily on F0 cues to identify the two tones, whereas CI children showed greater reliance on duration cues. Moreover, CI participants who placed greater perceptual weight on duration cues also tended to exhibit smaller changes in their F0 production. Conclusion: Pediatric CI recipients appear to contrast the secondary acoustic dimension (duration) in addition to F0 contours for both lexical tone production and perception. These findings suggest that perception and production strategies of lexical tones are well coupled in this pediatric CI population.
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Affiliation(s)
| | | | - Yung-Song Lin
- Chi-Mei Medical Center, Tainan, Taiwan.,Taipei Medical University, Taipei, Taiwan
| | | | - Shu-Chen Peng
- United States Food and Drug Administration, Silver Spring, MD, United States
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Cheng X, Wang B, Liu Y, Yuan Y, Shu Y, Chen B. Comparable Electrode Impedance and Speech Perception at 12 Months after Cochlear Implantation Using Round Window versus Cochleostomy: An Analysis of 40 Patients. ORL J Otorhinolaryngol Relat Spec 2018; 80:248-258. [PMID: 30121670 PMCID: PMC6381868 DOI: 10.1159/000490764] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 06/10/2018] [Accepted: 06/10/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVE The objective of this study was to examine whether cochlear implantation using the round window (RW) route versus cochleostomy achieves comparable electrode impedance and hearing results. METHODS This retrospective analysis included 40 patients receiving a cochlear implant (REZ-1): 20 using the RW approach and the remaining 20 using cochleostomy. Electrode impedance and tone, vowel, consonant, disyllable and sentence perception were measured during and after the implantation. RESULTS Electrode impedance did not differ significantly between the 2 groups at any time points [F(1, 38) = 1.84; p = 0.184]: 1.87, 5.16, 6.47 and 6.70 kΩ in the RW group versus 2.86, 5.33, 6.92 and 8.16 kΩ in the cochleostomy group at 0, 1, 3 and 12 months, respectively. There was no significant difference between the RW and cochleostomy groups for tone (77.50 vs. 80.50%; p = 0.472), vowel (77.70 vs. 78.65%; p = 0.760), consonant (75.50 vs. 78.25%; p = 0.443), disyllable (78.60 vs. 81.50%; p = 0.317) and sentence (50.90 vs. 52.50%; p = 0.684) perception at 12 months. CONCLUSION The RW approach is comparable to cochleostomy in electrode placement as reflected by impedance and function as reflected by tone, vowel, consonant, disyllable and sentence perception.
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Affiliation(s)
- Xiaoting Cheng
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
| | - Bing Wang
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
| | - Yangwenyi Liu
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
| | - Yasheng Yuan
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
| | - Yilai Shu
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
| | - Bing Chen
- Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai, China
- NHC Key Laboratory of Hearing Medicine, Fudan University, Shanghai, China
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Zhang L, Wang J, Hong T, Li Y, Zhang Y, Shu H. Mandarin-Speaking, Kindergarten-Aged Children With Cochlear Implants Benefit From Natural F 0 Patterns in the Use of Semantic Context During Speech Recognition. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:2146-2152. [PMID: 30073305 DOI: 10.1044/2018_jslhr-h-17-0327] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Accepted: 05/02/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE The purpose of this study was to investigate the extent to which semantic context and F0 contours affect speech recognition by Mandarin-speaking, kindergarten-aged children with cochlear implants (CIs). METHOD The experimental design manipulated two factors, that is, semantic context, by comparing the intelligibility of normal sentence versus word list, and F0 contours, by comparing the intelligibility of utterances with natural versus flat F0 patterns. Twenty-two children with CIs completed a speech recognition test. RESULTS Children with CIs could use both semantic context and F0 contours to assist speech recognition. Furthermore, natural F0 patterns provided extra benefit when semantic context was present than when it was absent. CONCLUSION Dynamic F0 contours play an important role in speech recognition by Mandarin-speaking children with CIs despite the well-known limitation of CI devices in extracting F0 information.
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Affiliation(s)
- Linjun Zhang
- College of Allied Health Sciences, Beijing Language and Culture University, China
| | - Jiuju Wang
- Peking University Sixth Hospital, Beijing, China
- National Clinical Research Center for Mental Disorder & Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China
| | - Tian Hong
- National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, China
| | - Yu Li
- National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, China
| | - Yang Zhang
- Department of Speech-Language-Hearing Sciences and Center for Neurobehavioral Development, University of Minnesota, Minneapolis
| | - Hua Shu
- National Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, China
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Peng SC, Lu HP, Lu N, Lin YS, Deroche MLD, Chatterjee M. Processing of Acoustic Cues in Lexical-Tone Identification by Pediatric Cochlear-Implant Recipients. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2017; 60:1223-1235. [PMID: 28388709 PMCID: PMC5755546 DOI: 10.1044/2016_jslhr-s-16-0048] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 07/19/2016] [Accepted: 10/27/2016] [Indexed: 05/23/2023]
Abstract
PURPOSE The objective was to investigate acoustic cue processing in lexical-tone recognition by pediatric cochlear-implant (CI) recipients who are native Mandarin speakers. METHOD Lexical-tone recognition was assessed in pediatric CI recipients and listeners with normal hearing (NH) in 2 tasks. In Task 1, participants identified naturally uttered words that were contrastive in lexical tones. For Task 2, a disyllabic word (yanjing) was manipulated orthogonally, varying in fundamental-frequency (F0) contours and duration patterns. Participants identified each token with the second syllable jing pronounced with Tone 1 (a high level tone) as eyes or with Tone 4 (a high falling tone) as eyeglasses. RESULTS CI participants' recognition accuracy was significantly lower than NH listeners' in Task 1. In Task 2, CI participants' reliance on F0 contours was significantly less than that of NH listeners; their reliance on duration patterns, however, was significantly higher than that of NH listeners. Both CI and NH listeners' performance in Task 1 was significantly correlated with their reliance on F0 contours in Task 2. CONCLUSION For pediatric CI recipients, lexical-tone recognition using naturally uttered words is primarily related to their reliance on F0 contours, although duration patterns may be used as an additional cue.
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Affiliation(s)
- Shu-Chen Peng
- Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, MD
| | | | - Nelson Lu
- Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, MD
| | - Yung-Song Lin
- Chi-Mei Medical Center, Tainan, Taiwan
- Taipei Medical University, Taiwan
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Li Y, Wang S, Su Q, Galvin JJ, Fu QJ. Validation of list equivalency for Mandarin speech materials to use with cochlear implant listeners. Int J Audiol 2016; 56:S31-S40. [PMID: 27414242 DOI: 10.1080/14992027.2016.1204564] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES Speech materials validated with normal-hearing listeners may not be appropriate for clinical assessment of cochlear implant (CI) users. The aim of this study was to validate list equivalency of the Mandarin Speech Perception (MSP) sentences, disyllables, and monosyllables in Mandarin-speaking CI patients. DESIGN Recognition of MSP sentences, disyllables, and monosyllables each were measured for all 10 lists. STUDY SAMPLE 67 adult and 32 pediatric Mandarin-speaking CI users. RESULTS There was no significant difference between adult and pediatric subject groups for all test materials. Significant differences were observed among lists within each test. After removing one or two lists within each test, no significant differences were observed among the remaining lists. While there was equal variance among lists within a given test, the variance was larger for children than for adults, and increased from monosyllables to disyllables to sentences. CONCLUSIONS Some adjustment to test lists previously validated with CI simulations was needed to create perceptually equivalent lists for real CI users, suggesting that test materials should be validated in the targeted population. Differences in mean scores and variance across test materials suggest that CI users may differ in their ability to make use of contextual cues available in sentences and disyllables.
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Affiliation(s)
- Yongxin Li
- a Department of Otolaryngology, Head and Neck Surgery , Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China , Beijing , P. R. China and
| | - Shuncheng Wang
- a Department of Otolaryngology, Head and Neck Surgery , Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China , Beijing , P. R. China and
| | - Qiaodang Su
- a Department of Otolaryngology, Head and Neck Surgery , Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China , Beijing , P. R. China and
| | - John J Galvin
- b Department of Head and Neck Surgery, David Geffen School of Medicine , UCLA , Los Angeles , CA , USA
| | - Qian-Jie Fu
- b Department of Head and Neck Surgery, David Geffen School of Medicine , UCLA , Los Angeles , CA , USA
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Su Q, Galvin JJ, Zhang G, Li Y, Fu QJ. Effects of Within-Talker Variability on Speech Intelligibility in Mandarin-Speaking Adult and Pediatric Cochlear Implant Patients. Trends Hear 2016; 20:20/0/2331216516654022. [PMID: 27363714 PMCID: PMC4959306 DOI: 10.1177/2331216516654022] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Cochlear implant (CI) speech performance is typically evaluated using well-enunciated speech produced at a normal rate by a single talker. CI users often have greater difficulty with variations in speech production encountered in everyday listening. Within a single talker, speaking rate, amplitude, duration, and voice pitch information may be quite variable, depending on the production context. The coarse spectral resolution afforded by the CI limits perception of voice pitch, which is an important cue for speech prosody and for tonal languages such as Mandarin Chinese. In this study, sentence recognition from the Mandarin speech perception database was measured in adult and pediatric Mandarin-speaking CI listeners for a variety of speaking styles: voiced speech produced at slow, normal, and fast speaking rates; whispered speech; voiced emotional speech; and voiced shouted speech. Recognition of Mandarin Hearing in Noise Test sentences was also measured. Results showed that performance was significantly poorer with whispered speech relative to the other speaking styles and that performance was significantly better with slow speech than with fast or emotional speech. Results also showed that adult and pediatric performance was significantly poorer with Mandarin Hearing in Noise Test than with Mandarin speech perception sentences at the normal rate. The results suggest that adult and pediatric Mandarin-speaking CI patients are highly susceptible to whispered speech, due to the lack of lexically important voice pitch cues and perhaps other qualities associated with whispered speech. The results also suggest that test materials may contribute to differences in performance observed between adult and pediatric CI users.
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Affiliation(s)
- Qiaotong Su
- Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China, Beijing, People's Republic of China
| | - John J Galvin
- Department of Head and Neck Surgery, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
| | - Guoping Zhang
- Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China, Beijing, People's Republic of China
| | - Yongxin Li
- Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Ministry of Education of China, Beijing, People's Republic of China
| | - Qian-Jie Fu
- Department of Head and Neck Surgery, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
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Shannon RV. Auditory implant research at the House Ear Institute 1989-2013. Hear Res 2015; 322:57-66. [PMID: 25449009 PMCID: PMC4380593 DOI: 10.1016/j.heares.2014.11.003] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 11/04/2014] [Accepted: 11/07/2014] [Indexed: 11/29/2022]
Abstract
The House Ear Institute (HEI) had a long and distinguished history of auditory implant innovation and development. Early clinical innovations include being one of the first cochlear implant (CI) centers, being the first center to implant a child with a cochlear implant in the US, developing the auditory brainstem implant, and developing multiple surgical approaches and tools for Otology. This paper reviews the second stage of auditory implant research at House - in-depth basic research on perceptual capabilities and signal processing for both cochlear implants and auditory brainstem implants. Psychophysical studies characterized the loudness and temporal perceptual properties of electrical stimulation as a function of electrical parameters. Speech studies with the noise-band vocoder showed that only four bands of tonotopically arrayed information were sufficient for speech recognition, and that most implant users were receiving the equivalent of 8-10 bands of information. The noise-band vocoder allowed us to evaluate the effects of the manipulation of the number of bands, the alignment of the bands with the original tonotopic map, and distortions in the tonotopic mapping, including holes in the neural representation. Stimulation pulse rate was shown to have only a small effect on speech recognition. Electric fields were manipulated in position and sharpness, showing the potential benefit of improved tonotopic selectivity. Auditory training shows great promise for improving speech recognition for all patients. And the Auditory Brainstem Implant was developed and improved and its application expanded to new populations. Overall, the last 25 years of research at HEI helped increase the basic scientific understanding of electrical stimulation of hearing and contributed to the improved outcomes for patients with the CI and ABI devices. This article is part of a Special Issue entitled .
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Affiliation(s)
- Robert V Shannon
- Department of Otolaryngology, University of Southern California, Keck School of Medicine of USC, 806 W. Adams Blvd, Los Angeles, CA 90007-2505, USA.
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Mandarin consonant contrast recognition among children with cochlear implants or hearing aids and normal-hearing children. Otol Neurotol 2013; 34:471-6. [PMID: 23486352 DOI: 10.1097/mao.0b013e318286836b] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
HYPOTHESIS The purpose of the present study was to investigate the consonant recognition of Mandarin-speaking children with cochlear implants (CIs) and hearing aids (HAs) and to determine if they reach a level of consonant recognition similar to that of normal-hearing (NH) children. BACKGROUND Little information is available in the literature regarding the consonant perception abilities of prelingually deafened young children with either CIs or HAs. No studies have compared Mandarin-Chinese consonant contrast recognition in CI and HA children. METHODS Forty-one prelingually deafened children with CIs, 26 prelingually deafened children with HAs, and 30 NH children participated in this study. The 3 groups were matched for chronologic age (3-5 yr). The hearing-impaired groups were matched for age at fitting of the devices, duration of device use, and aided hearing threshold. All subjects completed a computerized Mandarin consonant phonetic contrast perception test. RESULTS CI and HA children scored, on average, approximately 8 percentage points below the mean NH group performance on the consonant contrast recognition. Approximately 40% of the CI and HA children had not reached a performance level of the NH group. No significant differences in the consonant recognition scores were found between the CI and HA groups. Age of implantation was correlated with consonant contrast recognition in the CI group. CONCLUSION When age at fitting of the devices, duration of device use, and aided thresholds are matched at the group level, consonant recognition is similar between the CI and HA children after 2 years of device use. Early implantation tends to yield better consonant contrast recognition in the young children with CIs. However, a large amount of variance in performance was not accounted for by the demographic variables studied.
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Zhu M, Wang X, Fu QJ. Development and validation of the Mandarin disyllable recognition test. Acta Otolaryngol 2012; 132:855-61. [PMID: 22768800 DOI: 10.3109/00016489.2011.653668] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
CONCLUSION Given the phonetic balancing across lists and the validation with spectrally degraded speech, the present Mandarin disyllable recognition test (DRT) materials may be useful for assessing speech performance of Mandarin-speaking cochlear implant (CI) users. If combined with the previously developed sentence materials, these materials would help to establish standardized speech perception tests for Mandarin-speaking hearing-impaired (HI) and CI patients. OBJECTIVES To develop standardized Mandarin DRT materials that can be used to evaluate the speech performance of Mandarin-speaking HI and CI patients, and to establish standardized Mandarin speech perception test materials that include both disyllables and sentences. METHODS Ten phonetically balanced Mandarin DRT lists were developed. The DRT materials were validated in 8 normal-hearing (NH) subjects listening to unprocessed speech and in 10 NH subjects listening to a 4-channel, sine-wave vocoded acoustic simulation of CI speech processing. Performance with the DRT materials was compared to that with Mandarin sentence materials previously developed by our group. RESULTS The distribution of vowels, consonants, and tones within each DRT list was similar to that observed across commonly used Chinese characters. There was no significant difference in disyllable word recognition across lists in both unprocessed and four-channel vocoded speech. There was a significant correlation between disyllable and sentence recognition performance.
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Affiliation(s)
- Meimei Zhu
- Division of Communication and Auditory Neuroscience, House Research Institute, Los Angeles, CA 90057, USA
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Abstract
PURPOSE OF REVIEW Auditory prostheses use electric currents on multiple electrodes to stimulate auditory neurons and recreate auditory sensations in deaf people. Cochlear implants have restored hearing in more than 200 000 deaf adults and children to a level that allows most to understand speech. Here we review the reasons underlying these results and describe new directions in restoring hearing to additional patient populations and the design of new devices. RECENT FINDINGS From their early development about 50 years ago, cochlear implants have been well received and beneficial to people who had lost their hearing. Although those first implants did not allow high levels of speech understanding, they provided auditory information that worked synergistically with lip reading to improve communication. Present day cochlear implants provide excellent speech understanding in children and in postlingually deafened adults. Research is focused on improved signal processing and new electrode designs. Electric stimulation of the auditory brainstem can also produce excellent hearing in some children and adults. SUMMARY Auditory prostheses, both at the level of the sensory nerve and at the brainstem, can restore patterns of neural activation that are sufficient for high levels of speech understanding. These prostheses are not only clinically successful but also important tools for understanding sensory processing in the brain.
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