Children need to discover linguistically meaningful structures in the acoustic speech signal. Being attentive to recurring, time-varying formant patterns helps in that process. However, that kind of acoustic structure may not be available to children with cochlear implants (CIs), thus hindering development. The major goal of this study was to examine whether children with CIs are as sensitive to time-varying formant structure as children with normal hearing (NH) by asking them to recognize sine-wave speech. The same materials were presented as speech in noise, as well, to evaluate whether any group differences might simply reflect general perceptual deficits on the part of children with CIs. Vocabulary knowledge, phonemic awareness, and “top-down” language effects were all also assessed. Finally, treatment factors were examined as possible predictors of outcomes. Results showed that children with CIs were as accurate as children with NH at recognizing sine-wave speech, but poorer at recognizing speech in noise. Phonemic awareness was related to that recognition. Top-down effects were similar across groups. Having had a period of bimodal stimulation near the time of receiving a first CI facilitated these effects. Results suggest that children with CIs have access to the important time-varying structure of vocal-tract formants.

1.
Beckman
,
M. E.
, and
Edwards
,
J.
(
2000
). “
The ontogeny of phonological categories and the primacy of lexical learning in linguistic development
,”
Child Dev.
71
,
240
249
.
2.
Boothroyd
,
A.
(
1968
). “
Statistical theory of the speech discrimination score
,”
J. Acoust. Soc. Am.
43
,
362
367
.
3.
Boothroyd
,
A.
, and
Nittrouer
,
S.
(
1988
). “
Mathematical treatment of context effects in phoneme and word recognition
,”
J. Acoust. Soc. Am.
84
,
101
114
.
4.
Brownell
,
R.
(
2000
).
Expressive One-Word Picture Vocabulary Test (EOWPVT)
, 3rd ed. (
Academic Therapy Publications
,
Novato, CA
).
5.
Caldwell
,
A.
, and
Nittrouer
,
S.
(
2013
). “
Speech perception in noise by children with cochlear implants
,”
J. Speech Lang Hear. Res.
56
,
13
30
.
6.
Charles-Luce
,
J.
, and
Luce
,
P. A.
(
1990
). “
Similarity neighbourhoods of words in young children's lexicons
,”
J. Child Lang
17
,
205
215
.
7.
Conway
,
C. M.
,
Deocampo
,
J.
,
Walk
,
A. M.
,
Anaya
,
E. M.
, and
Pisoni
,
D. B.
(
2014
). “
Deaf children with cochlear implants do not appear to use sentence context to help recognize spoken words
,”
J. Speech Lang Hear. Res.
57
,
2174
2190
.
8.
Darwin
,
C.
(
2003
). Sine-wave speech produced automatically using a script for the PRAAT program. http://www.lifesci.sussex.ac.uk/home/Chris_Darwin/SWS/ (Last viewed October 15, 2014).
9.
Eisenberg
,
L. S.
,
Martinez
,
A. S.
,
Holowecky
,
S. R.
, and
Pogorelsky
,
S.
(
2002
). “
Recognition of lexically controlled words and sentences by children with normal hearing and children with cochlear implants
,”
Ear Hear.
23
,
450
462
.
10.
Eisenberg
,
L. S.
,
Shannon
,
R. V.
,
Schaefer Martinez
,
A.
,
Wygonski
,
J.
, and
Boothroyd
,
A.
(
2000
). “
Speech recognition with reduced spectral cues as a function of age
,”
J. Acoust. Soc. Am.
107
,
2704
2710
.
11.
Ferguson
,
C. A.
, and
Farwell
,
C. B.
(
1975
). “
Words and sounds in early language acquisition
,”
Language
51
,
419
439
.
12.
Gifford
,
R. H.
,
Hedley-Williams
,
A.
, and
Spahr
,
A. J.
(
2014
). “
Clinical assessment of spectral modulation detection for adult cochlear implant recipients: A non-language based measure of performance outcomes
,”
Int. J. Audiol.
53
,
159
164
.
13.
Jusczyk
,
P. W.
(
1995
). “
Language acquisition: Speech sounds and the beginning of phonology
,” in
Speech, Language, and Communication
, edited by
J. L.
Miller
and
P. D.
Eimas
(
Academic Press
,
San Diego, CA
), pp.
263
301
.
14.
Kuhl
,
P. K.
(
1987
). “
Perception of speech and sound in early infancy
,” in
From Perception to Cognition, Vol. 2 of Handbook of Infant Perception
, edited by
P.
Salapatek
and
L.
Cohen
(
Academic Press
,
New York
), pp.
275
382
.
15.
Liberman
,
A. M.
(
1996
).
Speech: A Special Code
(
MIT Press
,
Cambridge, MA
).
16.
Licklider
,
J. C.
, and
Pollack
,
I.
(
1948
). “
Effects of differentiation, integration, and infinite peak clipping upon the intelligibility of speech
,”
J. Acoust. Soc. Am.
20
,
42
51
.
17.
Nilsson
,
M.
,
Soli
,
S. D.
, and
Sullivan
,
J. A.
(
1994
). “
Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise
,”
J. Acoust. Soc. Am.
95
,
1085
1099
.
18.
Nittrouer
,
S.
(
2006
). “
Children hear the forest
,”
J. Acoust. Soc. Am.
120
,
1799
1802
.
19.
Nittrouer
,
S.
(
2010
).
Early Development of Children with Hearing Loss
(
Plural Publishing
,
San Diego
).
20.
Nittrouer
,
S.
, and
Boothroyd
,
A.
(
1990
). “
Context effects in phoneme and word recognition by young children and older adults
,”
J. Acoust. Soc. Am.
87
,
2705
2715
.
21.
Nittrouer
,
S.
, and
Burton
,
L. T.
(
2005
). “
The role of early language experience in the development of speech perception and phonological processing abilities: Evidence from 5-year-olds with histories of otitis media with effusion and low socioeconomic status
,”
J. Commun. Disord.
38
,
29
63
.
22.
Nittrouer
,
S.
,
Caldwell-Tarr
,
A.
,
Moberly
,
A. C.
, and
Lowenstein
,
J. H.
(
2014
). “
Perceptual weighting strategies of children with cochlear implants and normal hearing
,”
J. Commun. Disord.
52
,
111
133
.
23.
Nittrouer
,
S.
,
Caldwell-Tarr
,
A.
,
Tarr
,
E.
,
Lowenstein
,
J. H.
,
Rice
,
C.
, and
Moberly
,
A. C.
(
2013
). “
Improving speech-in-noise recognition for children with hearing loss: Potential effects of language abilities, binaural summation, and head shadow
,”
Int. J. Audiol.
52
,
513
525
.
24.
Nittrouer
,
S.
, and
Lowenstein
,
J. H.
(
2010
). “
Learning to perceptually organize speech signals in native fashion
,”
J. Acoust. Soc. Am.
127
,
1624
1635
.
25.
Nittrouer
,
S.
,
Lowenstein
,
J. H.
, and
Packer
,
R.
(
2009
). “
Children discover the spectral skeletons in their native language before the amplitude envelopes
,”
J. Exp. Psychol. Hum. Percept. Perform.
35
,
1245
1253
.
26.
Remez
,
R. E.
,
Rubin
,
P. E.
,
Pisoni
,
D. B.
, and
Carrell
,
T. D.
(
1981
). “
Speech perception without traditional speech cues
,”
Science
212
,
947
949
.
27.
Roid
,
G. H.
, and
Miller
,
L. J.
(
2002
).
Leiter International Performance Scale—Revised (Leiter-R)
(
Stoelting Co.
,
Wood Dale, IL
).
28.
Shannon
,
R. V.
,
Zeng
,
F. G.
,
Kamath
,
V.
,
Wygonski
,
J.
, and
Ekelid
,
M.
(
1995
). “
Speech recognition with primarily temporal cues
,”
Science
270
,
303
304
.
29.
Smiljanic
,
R.
, and
Sladen
,
D.
(
2013
). “
Acoustic and semantic enhancements for children with cochlear implants
,”
J. Speech Lang Hear. Res.
56
,
1085
1096
.
30.
Storkel
,
H. L.
(
2002
). “
Restructuring of similarity neighbourhoods in the developing mental lexicon
,”
J. Child Lang.
29
,
251
274
.
31.
Treiman
,
R.
, and
Breaux
,
A. M.
(
1982
). “
Common phoneme and overall similarity relations among spoken syllables: Their use by children and adults
,”
J. Psycholinguist. Res.
11
,
569
598
.
32.
Walker
,
E. A.
, and
McGregor
,
K. K.
(
2013
). “
Word learning processes in children with cochlear implants
,”
J. Speech Lang Hear. Res.
56
,
375
387
.
33.
Walley
,
A. C.
,
Metsala
,
J. L.
, and
Garlock
,
V. M.
(
2003
). “
Spoken vocabulary growth: Its role in the development of phoneme awareness and early reading ability
,”
Read. Writ.
16
,
5
20
.
34.
Walley
,
A. C.
,
Smith
,
L. B.
, and
Jusczyk
,
P. W.
(
1986
). “
The role of phonemes and syllables in the perceived similarity of speech sounds for children
,”
Mem. Cognit.
14
,
220
229
.
35.
Werker
,
J. F.
(
1991
). “
The ontogeny of speech perception
,” in
Modularity and the Motor Theory of Speech Perception
, edited by
I. G.
Mattingly
and
M.
Studdert-Kennedy
(
Lawrence Erlbaum Associates
,
Hillsdale, NJ
), pp.
91
109
.
You do not currently have access to this content.