Speech perception in Mandarin-speaking children with cochlear implants: A systematic review

Chen, Yuan; Wong, Lena L. N.

doi:10.1080/14992027.2017.1300694

Cited by 30 publications

(19 citation statements)

References 35 publications

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“…Demographic factors were evaluated in both types of studies in order to explain performance variability. As all but one study on lexical tone perception have been reviewed by Chen and Wong (2017) , they are not reviewed here. For this review, we focused on longitudinal studies on unilateral CI to synthesize evidence.…”

Section: Reviewmentioning

confidence: 99%

“…With emerging research on this topic and the gradual reduction in the age of implantation, it is necessary to synthesize new evidence regarding speech perception of Mandarin-speaking children with unilateral CI, bimodal stimulation and bilateral CIs in order to guide clinical application and identify knowledge gaps. This review attempts to cover areas not addressed in the review by Chen and Wong (2017) .…”

Section: Introductionmentioning

confidence: 99%

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A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation

Gao

Wong

2021

Front. Neurosci.

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Objective: This paper reviewed the literature on the development of and factors affecting speech perception of Mandarin-speaking children with cochlear implantation (CI). We also summarized speech outcome measures in standard Mandarin for evaluating auditory and speech perception of children with CI.Method: A comprehensive search of Google Scholar and PubMed was conducted from March to June 2021. Search terms used were speech perception/lexical tone recognition/auditory perception AND cochlear implant AND Mandarin/Chinese.Conclusion: Unilateral CI recipients demonstrated continuous improvements in auditory and speech perception for several years post-activation. Younger age at implantation and longer duration of CI use contribute to better speech perception. Having undergone a hearing aid trial before implantation and having caregivers whose educational level is higher may lead to better performance. While the findings that support the use of CI to improve speech perception continue to grow, much research is needed to validate the use of unilateral and bilateral implantation. Evidence to date, however, revealed bimodal benefits over CI-only conditions in lexical tone recognition and sentence perception in noise. Due to scarcity of research, conclusions on the benefits of bilateral CIs compared to unilateral CI or bimodal CI use cannot be drawn. Therefore, future research on bimodal and bilateral CIs is needed to guide evidence-based clinical practice.

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Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation

Gao

Wong

2021

Front. Neurosci.

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“…Moreover, future work is needed that develops batteries of tests for the systematic assessment of speech production abilities in Mandarin-speaking children (cf. Chen and Wong (2017) for a battery for testing speech perception). Together, they will allow us to gain a better understanding of the factors that affect speech production development in Mandarin-speaking children with CIs.…”

Section: Conclusion and Suggestions For Future Researchmentioning

confidence: 99%

Speech production in Mandarin-speaking children with cochlear implants: a systematic review

Mayr

Zhao

2021

International Journal of Audiology

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Objective: This study aimed to systematically review and critically appraise the literature describing the phonetic characteristics and accuracy of the consonants, vowels and tones produced by Mandarin-speaking children with cochlear implants (CIs). Design: The protocol in this review was designed in conformity with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. EBSCOhost, PubMed, Scopus, PsycINFO, ProQuest Central databases were searched for relevant articles which met the inclusion criteria. Study sample: A total of 18 journal papers were included in this review. Results:The results revealed that Mandarin-speaking children with CIs perform consistently more poorly in their production of consonants, in particular on fricatives, have a smaller and less well-defined vowel space, and exhibit greater difficulties in tone realisation, notably T2 and T3, when compared to their normal-hearing (NH) peers. The results from acoustic and accuracy analyses are negatively correlated with CI implantation age, but largely positively correlated with hearing age. Conclusions: Findings of this review highlight the factors that influence consonant, vowel and tone production in Mandarin-speaking children with CIs, thereby providing critical information for clinicians and researchers working with this population.

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“…However, because pitch information is not explicitly encoded in CI stimulations, pitch-related tasks in music and speech (e.g., lexical tone, intonation, voice, and emotion recognition) are still challenging for CI users (Chatterjee, Sis, Damm, & Kulkarni, 2018; Hopyan-Misakyan, Gordon, Dennis, & Papsin, 2009; Limb & Rubinstein, 2012; Wang, Zhou, & Xu, 2011; Wilson, 2015). So far, many studies have documented the deficits in tone perception and production in prelingually deafened children with CIs (Y. Chen & Wong, 2017; Ciocca, Francis, Aisha, & Wong, 2002; Han et al, 2007; Liu, Peng, Zhao, & Ni, 2017; Mao & Xu, 2017; Peng, Weiss, Cheung, & Lin, 2004; Tan, Dowell, & Vogel, 2016; Xu et al, 2004, 2011; Xu & Zhou, 2011).…”

Section: Pitch Perception and Production In Cochlear Implant Usersmentioning

confidence: 99%

Singing Proficiency of Members of a Choir Formed by Prelingually Deafened Children With Cochlear Implants

Yang

Liang²,

Chen

et al. 2019

J Speech Lang Hear Res

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PurposeA group of 10 prelingually deafened children with cochlear implants (CIs) formed a choir and received 21 months of formal music training. The purpose of this study was to evaluate the singing proficiency of these children.MethodThe participants included all choir members (7 girls and 3 boys, mean age of 9.5 years old) who were unilateral CI users. Meanwhile, 8 age-matched children with normal hearing were recruited as controls and were trained on 1 song for 2 weeks. Individual singing samples without instrument accompaniment were recorded from all participants. The singing samples were subject to acoustic analysis in which the fundamental frequency (F0) of each note was extracted and the duration was measured. Five metrics were developed and computed to quantify the accuracy of their pitch and rhythm performance. The 5 metrics included (a) percent correct of F0 contour direction of adjacent notes, (b) mean deviation of the normalized F0 across the notes, (c) mean deviation of the pitch intervals, (d) mean deviation of adjacent note duration ratio, and (e) mean absolute deviation of note duration.ResultsThe choir members with CIs demonstrated high accuracy in both pitch and tempo measures and performed on par with the children with normal hearing. Early start of music training after implantation and use of bimodal hearing contributed to the development of better music ability in these children with CIs.ConclusionThese findings indicated that rigorous music training could facilitate high singing proficiency in prelingually deafened children with CIs.

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Speech perception in Mandarin-speaking children with cochlear implants: A systematic review

Abstract: Findings from this review will contribute to the establishment of appropriate short-term developmental goals for Mandarin-speaking children with CIs in mainland China and clinicians could use them to determine whether children have made appropriate progress with CIs.

Cited by 30 publications

References 35 publications

A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation

A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation

Speech production in Mandarin-speaking children with cochlear implants: a systematic review

Singing Proficiency of Members of a Choir Formed by Prelingually Deafened Children With Cochlear Implants

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