Comparison of the development of early auditory and preverbal skills in Mandarin-Speaking children with cochlear implants with and without additional disabilities

Zhao, Yawen; Liu, Ying; Long, Yue; Jin, Xin; Zheng, Zhipeng; Liu, Yidi; Wang, Ying; Zheng, Jun; Zhang, Jie; Chen, Min; Hao, Jinsheng; Yang, Yang; Liu, Wei; Liu, Haihong; Ni, Xin

doi:10.1080/00016489.2019.1670358

Cited by 3 publications

(6 citation statements)

References 19 publications

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“…The combination of instrument names obtained by instrument recognition and melody extraction can achieve textual information annotation of music and then reach the goals of automatic music transcription and visualization. In addition, instrument recognition requires the acquisition of timbre representations of musical instruments, a technical innovation that facilitates the formation of new digital music evaluations [ 5 ]. The key to musical instrument recognition is practical feature extraction of instrumental timbres, followed by instrument-specific name annotation using machine learning.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Rehabilitation Occupational Therapy Techniques Based on Instrumental Music Chinese Tonal Language Spectrogram Analysis

Liao

2022

Occupational Therapy International

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This paper provides an in-depth analysis of timbre-speech spectrograms in instrumental music, designs a model analysis of rehabilitation occupational therapy techniques based on the analysis of timbre-speech spectrograms in instrumental music, and tests the models for comparison. Starting from the mechanism of human articulation, this paper models the process of human expression as a time-varying linear system consisting of excitation, vocal tract, and radiation models. The system’s overall architecture is designed according to the characteristics of Chinese speech and everyday speech rehabilitation theory (HSL theory). The dual judgment of temporal threshold and short-time average energy realized the phonetic length training. Tone and clear tone training were achieved by linear predictive coding technique (LPC) and autocorrelation function. Using the DTW technique, isolated word speech recognition was achieved by extracting Mel-scale Frequency Cepstral Coefficients (MFCC) parameters of speech signals. The system designs corresponding training scenes for each training module according to the extracted speech parameters, combines the multimedia speech spectrogram motion situation with the speech parameters, and finally presents the training content as a speech spectrogram, and evaluates the training results through human-machine interaction to stimulate the interest of rehabilitation therapy and realize the speech rehabilitation training of patients. After analyzing the pre- and post-test data, it was found that the p -values of all three groups were <0.05, which was judged to be significantly different. Also, all subjects changed their behavioral data during the treatment. Therefore, it was concluded that the music therapy technique could improve the patients’ active gaze communication ability, verbal command ability, and active question-answering ability after summarizing the data, i.e., the hypothesis of this experiment is valid. Therefore, it is believed that the technique of timbre-speech spectrogram analysis in instrumental music can achieve the effect of rehabilitation therapy to a certain extent.

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Section: Introductionmentioning

confidence: 99%

Analysis of Rehabilitation Occupational Therapy Techniques Based on Instrumental Music Chinese Tonal Language Spectrogram Analysis

Liao

2022

Occupational Therapy International

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“…While these response rates are clearly below the achievements of children without additional disabilities, it is particularly noticeable that even children who do not develop expressive language usually improve in adaptive behaviors [16] and/or in environmental sound awareness [22,24]. In reference to the timing of the responses, children with additional disabilities often displayed a slower rate of improvement, possibly reaching the maximum response level 2-3 years after CI, as compared to control children reaching higher response levels at 12 months [16,29,37]. Evidence from class 3 and 4 articles, despite lower reliability or a more targeted focus, also converges upon these same conclusions, both in reference to a lower, yet sizable improvement in the auditory and language domains as compared to DHH children without additional disabilities and to a slower rate of response to CI (Tables 4 and 5).…”

Section: Resultsmentioning

confidence: 92%

“…Variable degrees of hearing impairment are not unusual in CP, with prevalence estimates ranging from 7 to 39% [89,90]. Forms of mild and moderate severity [19,60], especially athetoid [54], have been associated with better outcomes, whereas the presence of more severe cognitive impairment appears to be detrimental [29,34,71]. Finally, several studies either include some patients with genetic syndromes or focus on a single genetic syndrome among those more frequently associated with hearing impairment (Waardenburg syndrome, Usher syndrome, CHARGE syndrome, Bartter syndrome, Down syndrome).…”

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation in Children with Additional Disabilities: A Systematic Review

Caragli,

Monzani,

Genovese

et al. 2023

Children

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This study examines the last 10 years of medical literature on the benefits of cochlear implantation in children who are deaf or hard of hearing (DHH) with additional disabilities. The most recent literature concerning cochlear implants (CIs) in DHH children with additional disabilities was systematically explored through PubMed, Embase, Scopus, PsycINFO, and Web of Science from January 2012 to July 2023. Our two-stage search strategy selected a total of 61 articles concerning CI implantation in children with several forms of additional disabilities: autism spectrum disorder, cerebral palsy, visual impairment, motor disorders, developmental delay, genetic syndromes, and intellectual disability. Overall, many children with additional disabilities benefit from CIs by acquiring greater environmental sound awareness. This, in turn, improves non-verbal communication and adaptive skills, with greater possibilities to relate to others and to be connected with the environment. Instead, despite some improvement, expressive language tends to develop more slowly and to a lesser extent compared to children affected by hearing loss only. Further studies are needed to better appreciate the specificities of each single disability and to personalize interventions, not restricting the analysis to auditory and language skills, but rather applying or developing cross-culturally validated instruments able to reliably assess the developmental trajectory and the quality of life of DHH children with additional disabilities before and after CI.

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“…Chen et al reported that children with WMLs had lower categories of auditory performance (CAPs) and speech intelligibility rating (SIR) scores than the control without WMLs at 24, 48, and 60 months post-CI [10]. Similarly, Zhao et al showed significant differences in semantic auditory behavior ability and expressive language skills between children with and without WMLs 24 months after CI [11]. However, Wang et al observed that children with WMLs confirmed by two MRI scans obtained better CAP and SIR scores with 36 months of implant use [12].…”

Section: Introductionmentioning

confidence: 98%

“…CI outcomes in patients with WMLs have attracted researchers' attention, as white matter is critical for transmitting action potentials between neurons. While improvements in communication abilities post-CI have been satisfactory in children [6][7][8], few studies have identified CI candidates with a potentially good prognosis, and the CI effect in children with WMLs remains variable [9][10][11][12][13]. Moon et al reported that pediatric CI candidates with diffuse brain parenchymal lesions should be counseled regarding the poor prognosis preoperatively [9].…”

Section: Introductionmentioning

confidence: 99%

Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions

Fan,

Li,

Xie

et al. 2023

Brain Sciences

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To analyze the association between stable asymptomatic white matter lesions (WMLs) and the cochlear implantation (CI) effect in congenitally deaf children, 43 CI children with stable asymptomatic WMLs determined via preoperative assessments and 86 peers with normal white matter were included. Outcome measurements included closed-set Mandarin Chinese (tone, disyllable, and sentence) recognition tests; categories of auditory performance (CAPs); and speech intelligibility rating (SIR) scales at 1, 12, and 24 months post-CI. Generalized estimating equation (GEE) models were used to analyze the association between WML and outcomes. In the WML group (control group), median CAP and SIR scores were 5 (5) and 4 (4) with mean rates of tone, disyllable, and sentence recognition of 84.8% (89.0%), 87.9% (89.7%), and 85.8% (88.0%) at 24 months post-CI, respectively. Auditory and speech performance improved significantly with implant use. Compared to their peers in the control group, for the participants with stable asymptomatic WMLs, auditory and speech abilities were not significantly different (p > 0.05). Stable asymptomatic WMLs might not be associated with poor auditory and speech intelligibility post-CI, which indicates that it is feasible to use comprehensive assessments to screen suitable candidates with WMLs who are likely to present with a good prognosis.

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Comparison of the development of early auditory and preverbal skills in Mandarin-Speaking children with cochlear implants with and without additional disabilities

Cited by 3 publications

References 19 publications

Analysis of Rehabilitation Occupational Therapy Techniques Based on Instrumental Music Chinese Tonal Language Spectrogram Analysis

Analysis of Rehabilitation Occupational Therapy Techniques Based on Instrumental Music Chinese Tonal Language Spectrogram Analysis

Cochlear Implantation in Children with Additional Disabilities: A Systematic Review

Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions

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