scholarly journals Relationship between Behavioral Infant Speech Perception and Hearing Age for Children with Hearing Loss

2021 ◽  
Vol 10 (19) ◽  
pp. 4566
Author(s):  
Kristin M. Uhler ◽  
Alexander M. Kaizer ◽  
Kerry A. Walker ◽  
Phillip M. Gilley

(1) Background: Research has demonstrated that early intervention for children who are hard-of-hearing (CHH) facilitates improved language development. Early speech perception abilities may impact CHH outcomes and guide future intervention. The objective of this study was to examine the use of a conditioned head turn (CHT) task as a measure of speech discrimination in CHH using a clinically feasible protocol. (2) Methods: Speech perception was assessed for a consonant and vowel contrast among 57 CHH and 70 children with normal hearing (CNH) aged 5–17 months using a CHT paradigm. (3) Results: Regardless of hearing status, 74% of CHH and 77% of CNH could discriminate /a-i/, and 55% of CHH and 56% of CNH could discriminate /ba-da/. Regression models revealed that both CHH and CNH performed better on /ba-da/ at 70 dBA compared to 50 dBA. Performance by hearing age showed no speech perception differences for CNH and children with mild hearing loss for either contrast. However, children with hearing losses ≥ 41 dB HL performed significantly poorer than CNH for /a-i/. (4) Conclusions: This study demonstrates the clinical feasibility of assessing early speech perception in infants with hearing loss and replicates previous findings of speech perception abilities among CHH and CNH.

2013 ◽  
Vol 24 (09) ◽  
pp. 832-844 ◽  
Author(s):  
Andrea L. Pittman ◽  
Mollie M. Hiipakka

Background: Before advanced noise-management features can be recommended for use in children with hearing loss, evidence regarding their ability to use these features to optimize speech perception is necessary. Purpose: The purpose of this study was to examine the relation between children's preference for, and performance with, four combinations of noise-management features in noisy listening environments. Research Design: Children with hearing loss were asked to repeat short sentences presented in steady-state noise or in multitalker babble while wearing ear-level hearing aids. The aids were programmed with four memories having an orthogonal arrangement of two noise-management features. The children were also asked to indicate the hearing aid memory that they preferred in each of the listening conditions both initially and after a short period of use. Study Sample: Fifteen children between the ages of 8 and 12 yr with moderate hearing losses, bilaterally. Results: The children's preference for noise management aligned well with their performance for at least three of the four listening conditions. The configuration of noise-management features had little effect on speech perception with the exception of reduced performance for speech originating from behind the child while in a directional hearing aid setting. Additionally, the children's preference appeared to be governed by listening comfort, even under conditions for which a benefit was not expected such as the use of digital noise reduction in the multitalker babble conditions. Conclusions: The results serve as evidence in support of the use of noise-management features in grade-school children as young as 8 yr of age.


2016 ◽  
Vol 59 (1) ◽  
pp. 110-121 ◽  
Author(s):  
Marc Brennan ◽  
Ryan McCreery ◽  
Judy Kopun ◽  
Dawna Lewis ◽  
Joshua Alexander ◽  
...  

Purpose This study compared masking release for adults and children with normal hearing and hearing loss. For the participants with hearing loss, masking release using simulated hearing aid amplification with 2 different compression speeds (slow, fast) was compared. Method Sentence recognition in unmodulated noise was compared with recognition in modulated noise (masking release). Recognition was measured for participants with hearing loss using individualized amplification via the hearing-aid simulator. Results Adults with hearing loss showed greater masking release than the children with hearing loss. Average masking release was small (1 dB) and did not depend on hearing status. Masking release was comparable for slow and fast compression. Conclusions The use of amplification in this study contrasts with previous studies that did not use amplification. The results suggest that when differences in audibility are reduced, participants with hearing loss may be able to take advantage of dips in the noise levels, similar to participants with normal hearing. Although children required a more favorable signal-to-noise ratio than adults for both unmodulated and modulated noise, masking release was not statistically different. However, the ability to detect a difference may have been limited by the small amount of masking release observed.


1982 ◽  
Vol 9 (2) ◽  
pp. 289-302 ◽  
Author(s):  
Rebecca E. Eilers ◽  
William J. Gavin ◽  
D. Kimbrough Oller

ABSTRACTThe possibility that early linguistic experience affects infant speech perception was investigated in a cross-linguistic study with naturally produced speech stimuli. Using the Visually Reinforced Infant Speech Discrimination paradigm, three contrasts were presented to Spanish-and English-learning infants 6–8 months of age. Both groups of infants showed statistically significant discrimination of two contrasts, English and Czech. Only the Spanish-learning infants provided evidence of discrimination of the Spanish contrast. The groups discriminated the English contrast at similarly high levels, but the Spanish-learning infants showed significantly higher performance than the English on both the Spanish and the Czech contrast. The results indicate that early experience does affect early discrimination, and further (since the stimuli were natural) that the effect may be of practical consequence in language learning.


1980 ◽  
Vol 23 (2) ◽  
pp. 419-428 ◽  
Author(s):  
Rebecca E. Eilers ◽  
D. Kimbrough Oller

The discrimination of minimally paired speech sounds by seven retarded children with a mean age of 3 years, 2 months and a mean IQ of 38.4 was compared with the discrimination performance of eight normally developing 7-month-old infants. Children and infants were tested using the Visually Reinforced Infant Speech Discrimination (VRISD) paradigm in which they were taught to respond with a head turn to a change in a repeating background auditory stimulus. Responses were reinforced by activation of an animated toy. All children proved to be conditionable and both groups evidenced discrimination of the speech contrasts tested. The data suggest that the retarded children have more difficulty processing a contrast cued by rapid spectral changes (often associated with consonant discrimination) than they do a contrast cued by steady-state spectral information (often associated with the perception of slowly articulated vowels): The normally developing infants did not find rapid spectral cues more difficult than steady-state cues. These results parallel those of Tallal (1976) who found that dynamic cues were specifically difficult for dysphasic children (with normal nonverbal intelligence), but not for linguistically-normal elementary school children.


1977 ◽  
Vol 20 (1) ◽  
pp. 40-54 ◽  
Author(s):  
Philip A. Morse ◽  
Lewis A. Leavitt ◽  
Cynthia L. Miller ◽  
Rhonda C. Romero

The relationship between verbal report and cardiac orienting response measures of speech discrimination in adult listeners was examined in two experiments using stimuli and paradigms previously employed in studies of infant speech perception. The results of Experiment I revealed that all listeners, those who reported discrimination of a synthetic [ba-ga] change (Group D) as well as those who did not (Group ND), demonstrated cardiac discrimination of the stimulus shift. However, this pattern of cardiac activity, both at stimulus onset and the shift, was found to be different in these two groups of listeners. Experiment II replicated the Group D results using a slightly different cardiac paradigm and quasinatural speech syllables. The implications of these findings for developmental research on speech perception with older infants, children, and populations with language disorders are discussed.


1979 ◽  
Vol 87 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Robert W. Hutcherson ◽  
Donald D. Dirks ◽  
Donald E. Morgan

Several investigations were performed with normal hearing subjects to determine the effects of presentation level and signal-to-babble ratio on the speech perception in noise (SPIN) test. The SPIN test contains sentences that simulate a range of contextual situations encountered in everyday speech communication. Findings from several representative patients with sensorineural hearing loss demonstrate the possible clinical utility of the test to measure the effects of context on speech discrimination.


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