Speech perception without hearing.

In this study of visual phonetic speech perception without accompanying auditory speech stimuli, adults with normal hearing (NH; n = 96) and with severely to profoundly impaired hearing (IH; n = 72) identified consonant-vowel (CV) nonsense syllables and words in isolation and in sentences. The measures of phonetic perception were the proportion of phonemes correct and the proportion of transmitted feature information for CVs, the proportion of phonemes correct for words, and the proportion of phonemes correct and the amount of phoneme substitution entropy for sentences. The results demonstrated greater sensitivity to phonetic information in the IH group. Transmitted feature information was related to isolated word scores for the IH group, but not for the NH group. Phoneme errors in sentences were more systematic in the IH than in the NH group. Individual differences in phonetic perception for CVs were more highly associated with word and sentence performance for the IH than for the NH group. The results suggest that the necessity to perceive speech without hearing can be associated with enhanced visual phonetic perception in some individuals.