Analysis of post implantation speech recognition abilities of children with hearing impairment using cochlear implants

Authors

  • Anjali R. Kant Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, (Divyangjan), Mumbai, Maharashtra, India
  • Arun A. Banik Department of Material Development, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, (Divyangjan), Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20171572

Keywords:

Monosyllabic, Multisyllabic, Lexically easy, Lexically hard, Speech recognition, Cochlear implantees

Abstract

Background: As per census’2011, in India, there are 15, 94,249 children with hearing impairment below 18 years of age. A current method in treating children with hearing impairment is cochlear implantation. The use of cochlear implants aids in improving auditory detection, discrimination, identification and speech recognition. Although, speech recognition is a primary outcome measure in cochlear implantees, there is a paucity of word lists or tests to assess speech recognition abilities, both in local languages in general and Hindi in particular.

Methods: In order to construct word lists comprising of monosyllabic and multisyllabic, easy and hard words, language samples from children (3 - 5 years of age, n = 120) were collected in order to create a database to select stimuli from. The frequency of occurrence and neighborhood density for the words selected from this database was then computed and word lists were constructed.  These newly constructed Hindi word lists were administered to 45 cochlear implantees (4.1 to 9 years of age); one year post implantation. Subjects were instructed to listen to the words and repeat them. Responses were scored as number of words correctly repeated.  

Results: Cochlear implantees were able to show lexical effects of difficulty, i.e. they achieved higher scores for easy words than those for hard words. However, they were not able to show the same effect for word type.

Conclusions: The newly constructed Hindi word lists appear to be valid lists in assessment of speech recognition abilities of children with hearing impairment using cochlear implants.

Author Biographies

Anjali R. Kant, Department of Speech and Language Pathology, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, (Divyangjan), Mumbai, Maharashtra, India

Reader and Head

Department of Speech and Language Pathology

Arun A. Banik, Department of Material Development, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, (Divyangjan), Mumbai, Maharashtra, India

Reader and Head

Material Development Department

References

Boothroyd A. Evaluation of speech production in the hearing-impaired: Some benefits of forced-choice testing. J Speech Hearing Res. 1995;28:185-96.

Tyler R. Speech Perception by children. In: Tyler R, Editor. Cochlear Implants: Audiological Foundations. San Diego: Singular Publishing Group, Inc; 1993.

Seewald, Ross, Giolas, Yonovitz. Primary modality for speech perception in children with normal and impaired hearing. J Speech Hearing Res. 1985;28:36–46.

Tillberg I, Ronneberg J, Svard I, Ahlner B. Audio-visual speechreading in a group of hearing aid users: The effects of onset age, handicap age and degree of hearing loss. Scandinavian Audiology. 1996;25:267–72.

Cluff MS, Luce PA. Similarity neighborhoods of spoken two-syllable words: Retroactive effects on multiple activation. J Experimental Psychol (Human Perception and Performance). 1990;16: 551–63.

Luce PA, Pisoni DB, Goldinger SD. Similarity neighborhoods of spoken words. In: Altmann G, Eds. Cognitive Models of Speech Processing: Psycholinguistics and Computational Perspectives. MA: Cambridge: 1990: 122–147.

Kirk KI, Pisoni DB, Osberger MJ. Lexical effects on spoken word recognition by pediatric cochlear implant users. Ear and Hearing. 1995;16:470–81.

MacWhinney B, Snow C. The child language data exchange system. J Child Language. 1985;12:271–96.

Luce PA. The Neighborhood Activation Model of auditory word recognition. J Acoustical Soc Am. 1987;81:1.

Luce PA, Pisoni DB. Recognizing spoken words: the neighborhood activation model. Ear and Hearing. 1998;19:1–36.

Rajshekar B. The Development and Standardization of a Picture SRT Test for Adults and children in Kannada. 1976. In: Jayaram M, Savithri S. Dissertation Abstracts, 2000;1:75.

Malini M. Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 1981. In: Jayram M, Savithri S. Dissertation Abstracts. 2000;1:160.

Mayadevi. Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 1974. In: Jayram M, Savithri S. Dissertation Abstracts. 2000;1:34.

Samuel J. Development and standardization of phonetically balanced test material in Tamil language Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 1976. In: Jayram M, Savithri S. Dissertation Abstracts. 2000.

Ghosh D. Development and standardization of speech test material in Bengali Language. Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 1988. In: Jayram M, Savithri S. Dissertation Abstracts. 2000;2:113.

Gathoo. A Systematized Approach to Improve Speech Intelligibility in Hearing Impaired. In Innovative Experiments and Practices in Pre-primary and Elementary Education. New Delhi: NCERT; 1996.

Patro C, Yathiraj A. The lexical neighborhood test: An Indian English version for children. Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 2010.

Apoorva HM, Yathiraj A. Lexical Neighborhood test (LNT) for children in Kannada. Unpublished dissertation submitted in part fulfillment for the degree of Master of Science in Audiology. 2012.

Liu H, Liu S, Wang S, Liu C, Kong Y, Zhang N, et al. Effects of lexical characteristics and demographic factors on Mandarin Chinese open-set word recognition in children with cochlear implants. Ear Hear. 2013;34(2):221-8.

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Published

2017-06-24

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Original Research Articles