Literature DB >> 34456300

Effects of Device Limitations on Acquisition of the /t/-/k/ Contrast in Children With Cochlear Implants.

Allison A Johnson1, Danielle M Bentley2, Benjamin Munson3, Jan Edwards1.   

Abstract

OBJECTIVES: The present study investigated how development of the /t/-/k/ contrast is affected by the unique perceptual constraints imposed on young children using cochlear implants (CIs). We hypothesized that children with CIs would demonstrate unique patterns of speech acquisition due to device limitations, rather than straightforward delays due to a lack of auditory input in the first year of life before implantation. This study focused on the contrast between /t/ and /k/ because it is acquired early in the sequence of development, requires less advanced motor control than later-acquired place contrasts, is differentiated by spectral cues (which are particularly degraded when processed by CIs), and is not easily differentiated by visual cues alone. Furthermore, perceptual confusability between /t/ and /k/ may be exacerbated in front-vowel contexts, where the spectral energy for /k/ is shifted to higher frequencies, creating more spectral overlap with /t/.
DESIGN: Children with CIs (n = 26; ages 31 to 66 mo) who received implants around their first birthdays were matched to peers with normal hearing (NH). Children participated in a picture-prompted auditory word-repetition task that included over 30 tokens of word-initial /t/ and /k/ consonants. Tokens were balanced across front-vowel and back-vowel contexts to assess the effects of coarticulation. Productions were transcribed and coded for accuracy as well as the types of errors produced (manner of articulation, voicing, or place of articulation errors). Centroid frequency was also calculated for /t/ and /k/ tokens that were produced correctly. Mixed-effects models were used to compare accuracy, types of errors, and centroid frequencies across groups, target consonants, and vowel contexts.
RESULTS: Children with CIs produced /t/ and /k/ less accurately than their peers in both front- and back-vowel contexts. Children with CIs produced /t/ and /k/ with equal accuracy, and /k/ was produced less accurately in front-vowel contexts than in back-vowel contexts. When they produced errors, children with CIs were more likely to produce manner errors and less likely to produce voicing errors than children with NH. Centroid frequencies for /t/ and /k/ were similar across groups, except for /k/ in front-vowel contexts: children with NH produced /k/ in front-vowel contexts with higher centroid frequency than children with CIs, and they produced /k/ and /t/ with equal centroid frequencies in front-vowel contexts.
CONCLUSIONS: Children with CIs not only produced /t/ and /k/ less accurately than peers with NH, they also demonstrated idiosyncratic patterns of acquisition, likely resulting from receiving degraded and distorted spectral information critical for differentiating /t/ and /k/. Speech-language pathologists should consider perceptual confusability of consonants (and their allophonic variations) during their assessment and treatment of this unique population of children.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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Mesh:

Year:  2022        PMID: 34456300      PMCID: PMC8881315          DOI: 10.1097/AUD.0000000000001115

Source DB:  PubMed          Journal:  Ear Hear        ISSN: 0196-0202            Impact factor:   3.562


  23 in total

Review 1.  Speech processing in vocoder-centric cochlear implants.

Authors:  Philipos C Loizou
Journal:  Adv Otorhinolaryngol       Date:  2006

2.  A comparison of the perceptual evaluation of speech production between bilaterally implanted children, unilaterally implanted children, children using hearing aids, and normal-hearing children.

Authors:  Nele Baudonck; Kristiane Van Lierde; Evelien D'haeseleer; Ingeborg Dhooge
Journal:  Int J Audiol       Date:  2011-09-14       Impact factor: 2.117

Review 3.  Cochlear implantation in children under the age of two years: candidacy considerations.

Authors:  M J Osberger
Journal:  Otolaryngol Head Neck Surg       Date:  1997-09       Impact factor: 3.497

4.  Spectral dynamics of sibilant fricatives are contrastive and language specific.

Authors:  Patrick F Reidy
Journal:  J Acoust Soc Am       Date:  2016-10       Impact factor: 1.840

5.  Back From the Future: Nonlinear Anticipation in Adults' and Children's Speech.

Authors:  Aude Noiray; Martijn Wieling; Dzhuma Abakarova; Elina Rubertus; Mark Tiede
Journal:  J Speech Lang Hear Res       Date:  2019-08-29       Impact factor: 2.297

6.  Consonant development in pediatric cochlear implant users who were implanted before 30 months of age.

Authors:  Linda J Spencer; Ling-Yu Guo
Journal:  J Deaf Stud Deaf Educ       Date:  2012-11-09

7.  Comparison of outcomes in children with hearing aids and cochlear implants.

Authors:  Elizabeth M Fitzpatrick; Janet Olds; Isabelle Gaboury; Rosemary McCrae; David Schramm; Andrée Durieux-Smith
Journal:  Cochlear Implants Int       Date:  2012-02

8.  Linear mixed-effects models and the analysis of nonindependent data: A unified framework to analyze categorical and continuous independent variables that vary within-subjects and/or within-items.

Authors:  Markus Brauer; John J Curtin
Journal:  Psychol Methods       Date:  2017-11-27

9.  Residual hearing and speech production in deaf children.

Authors:  C R Smith
Journal:  J Speech Hear Res       Date:  1975-12

10.  Infant vocalizations and the early diagnosis of severe hearing impairment.

Authors:  R E Eilers; D K Oller
Journal:  J Pediatr       Date:  1994-02       Impact factor: 4.406

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