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PubMedDate not supplied

Visual-auditory integration during speech imitation in autism.

Children with autistic spectrum disorder (ASD) may have poor audio-visual integration, possibly reflecting dysfunctional 'mirror neuron' systems which have been hypothesised to be at the core of the condition. In the present study, a computer program, utilizing speech synthesizer software and a 'virtual' head (Baldi), delivered speech stimuli for identification in auditory, visual or bimodal conditions. Children with ASD were poorer than controls at recognizing stimuli in the unimodal conditions, but once performance on this measure was controlled for, no group difference was found in the bimodal condition. A group of participants with ASD were also trained to develop their speech-reading ability. Training improved visual accuracy and this also improved the children's ability to utilize visual information in their processing of speech. Overall results were compared to predictions from mathematical models based on integration and non-integration, and were most consistent with the integration model. We conclude that, whilst they are less accurate in recognizing stimuli in the unimodal condition, children with ASD show normal integration of visual and auditory speech stimuli. Given that training in recognition of visual speech was effective, children with ASD may benefit from multi-modal approaches in imitative therapy and language training.

Adolescent↗
PubMed1985

On comprehension across the adult lifespan.

To test whether healthy elderly subjects develop language comprehension strategies to compensate for decreases in pure-tone audition, we tested 128 healthy subjects aged 30-79 on two tasks: (1) Comprehension materials from the Boston Diagnostic Aphasia Examination (Goodglass and Kaplan, 1972) presented over babble noise with and without the speaker's face visible; and (2) the Kalikow et al. (1977) Speech Perception in Noise test, which assesses the effect of semantic predictability on sentence-final word intelligibility. Whereas, as predicted, overall performance decreased with advancing age, it appeared, unexpectedly, that older and younger adults were equally affected by the absence of visual input and the absence of semantic predictability.

Adult↗
PubMed2002

Audiovisual speech perception in Williams syndrome.

People with the genetic disorder of Williams syndrome (WS) show an anomalous cognitive profile, wherein some purely verbal and social communicative abilities are relatively proficient, while visuo-spatial skills can be extremely impaired. Face processing, while apparently relatively spared among visuo-spatial skills, can show deficits suggesting developmental immaturity. In this context, the exploration of visual and audiovisual speech perception in WS is of interest. A new test based on tokens from a single natural English speaker of the form /(inverted v)ba:/, /(inverted v) va:/, /(inverted v)(theta)a:/, /(inverted v)da:/ and /(inverted v)ga:/, digitally manipulated and presented in unimodal (vision alone, audition alone) and audiovisual conditions, was presented for participants to identify each token. Compared with age-matched controls, WS participants were impaired at visual but not auditory identification, and in audiovisual testing showed correspondingly reduced effects of vision on report of auditory token identity. Audiovisual integration was nevertheless demonstrable in WS. Speech-reading may require skills which do not reach age-appropriate levels in WS, despite their age-appropriate (auditory) phonological abilities.

Adolescent↗
PubMed2002

The contribution of visual areas to speech comprehension: a PET study in cochlear implants patients and normal-hearing subjects.

Early visual cortex can be recruited by meaningful sounds in the absence of visual information. This occurs in particular in cochlear implant (CI) patients whose dependency on visual cues in speech comprehension is increased. Such cross-modal interaction mirrors the response of early auditory cortex to mouth movements (speech reading) and may reflect the natural expectancy of the visual counterpart of sounds, lip movements. Here we pursue the hypothesis that visual activations occur specifically in response to meaningful sounds. We performed PET in both CI patients and controls, while subjects listened either to their native language or to a completely unknown language. A recruitment of early visual cortex, the left posterior inferior temporal gyrus (ITG) and the left superior parietal cortex was observed in both groups. While no further activation occurred in the group of normal-hearing subjects, CI patients additionally recruited the right perirhinal/fusiform and mid-fusiform, the right temporo-occipito-parietal (TOP) junction and the left inferior prefrontal cortex (LIPF, Broca's area). This study confirms a participation of visual cortical areas in semantic processing of speech sounds. Observation of early visual activation in normal-hearing subjects shows that auditory-to-visual cross-modal effects can also be recruited under natural hearing conditions. In cochlear implant patients, speech activates the mid-fusiform gyrus in the vicinity of the so-called face area. This suggests that specific cross-modal interaction involving advanced stages in the visual processing hierarchy develops after cochlear implantation and may be the correlate of increased usage of lip-reading.

Auditory Cortex↗
PubMed1997

Perceptual asymmetries in judgements of facial attractiveness, age, gender, speech and expression.

Lateralization of perception of various facial attributes (age, attractiveness, gender, lip-reading and expression) was studied using chimaeric faces in which the sides of the face differed along one dimension (e.g. the left side was male and the right side female). Computer graphics were used to eliminate naturally occurring physical asymmetries (e.g. those present in the mouth during speech and spontaneous smiles) and obvious vertical mid-line joins in the photo-realistic chimaeric stimuli. Following previous studies, we found that subjects' judgements of gender and expression were influenced more by the left than the right side of the face (viewer's perspective). This left of face stimulus bias extended to judgements about facial attractiveness and facial age. This was not true of lip-reading stimuli; for these stimuli subjects were influenced more by the right than the left side of the face. Thus using free fixation, it appears possible to demonstrate in normal subjects that brain processes underlying judgements of facial speech display different lateralization from the judgements of other facial dimensions.

Adult↗
PubMed1999

Communication methodologies: options for families.

When parents are told their child has a hearing loss they not only have to cope with the loss, they must also decide which communication and educational option is best for them. The purpose of this article is to discuss the different communication modalities available for hearing-impaired children. Whether parents choose auditory/oral, sign language, or cued speech they must be committed to the chosen modality. It is important that families are presented with all the communication options available in an unbiased manner. Parents need to research each option carefully and decide which is best, not only for the child, but also for the entire family.

Child, Preschool↗
PubMed1997

Comparing implants with hearing aids in profoundly deaf children.

Speech perception, speech production, and spoken language skills of 13 age-matched groups of prelingually deaf children, all enrolled in the same educational setting, were compared. Each group consisted of three children, two with hearing aids but different degrees of hearing loss (pure-tone average > 100 dB HL and pure-tone average between 90 and 100 dB HL) and one who had used a Nucleus multichannel implant (Cochlear Corp., Englewood, Colo.) for 3 years. The implanted group exhibited significantly better performance in all areas than aided children with greater than 100 dB losses. However, children with hearing losses in the 90 to 100 dB range who received hearing aids and auditory oral instruction at an early age performed just as well as children who had used implants for 3 years.

Audiometry, Pure-Tone↗
PubMed1981

Acquisition of oral and written language in children with severely impaired hearing.

The effect of the use of written language (WL) for the training of children with severely impaired hearing was compared with that of oral language (OL). WL training was given by means of a WL card method from the age of 1 (group 1; 6 cases) of 2 (group 2; 2 cases). The children in group 1 acquired 3.8 words in OL and 50.5 words in WL as an average number of receptive vocabulary, while 4.5 words in OL and 50.5 words in WL as that of expressive vocabulary by the age of 1 year and 11 months. In group 2, one case acquired 641 words and six-word sentences in OL and 1,066 words and nine-word sentences in WL for reception, while 401 words and five-word sentences in OL and 1,066 words and six-word sentences in WL for expression by the age of 3 years and 6 months. The other case acquired no word in OL but 676 words and nine-word sentences in WL for reception, while 131 words and four-word sentences in OL and 676 words and six-word sentences in WL for expression by the age of 4. The results would indicate that the training of children with poor hearing using WL from an early period of life is effective for the promotion of the language development.

Child, Preschool↗
PubMed2001

Audio-visual speech perception in schizophrenia: an fMRI study.

Abnormalities in the integration of auditory and visual language inputs could underlie many core psychotic features. Perceptual confusion may arise because of the normal propensity of visual speech perception to evoke auditory percepts. Recent functional neuroimaging studies of normal subjects have demonstrated activation in auditory-linguistic brain areas in response to silent lip-reading. Three functional magnetic resonance imaging experiments were carried out on seven normal volunteers, and 14 schizophrenia patients, half of whom were actively psychotic. The tasks involved listening to auditory speech, silent lip-reading (visual speech), and perception of meaningless lip movements (visual non-speech). Subjects also undertook a behavioural study of audio-visual word identification designed to evoke perceptual fusions. Patients and controls both showed susceptibility to audio-visual fusions on the behavioural task. The patient group as a whole showed less activation relative to controls in superior and inferior posterior temporal areas while performing the silent lip-reading task. Attending to visual non-speech, the patients activated less posterior (occipito-temporal) and more anterior (frontal, insular and striatal) brain areas than controls. This difference was accounted for largely by the psychotic subgroup. Insular and striatal areas were also activated in both subject groups in the auditory speech perception condition, thus demonstrating the bimodal sensitivity of these regions. The results suggest that schizophrenia patients with psychotic symptoms respond to visually ambiguous stimuli (non-speech) by activation of polysensory structures. This could reflect particular processing strategies and may increase susceptibility to certain paranoid and hallucinatory symptoms.

Adult↗
PubMed2001

Cortical substrates for the perception of face actions: an fMRI study of the specificity of activation for seen speech and for meaningless lower-face acts (gurning).

Can the cortical substrates for the perception of face actions be distinguished when the superficial visual qualities of these actions are very similar? Two fMRI experiments are reported. Compared with watching the face at rest, observing silent speech was associated with bilateral activation in a number of temporal cortical regions, including the superior temporal sulcus (STS). Watching face movements of similar extent and duration, but which could not be construed as speech (gurning; Experiment 1b) was not associated with activation of superior temporal cortex to the same extent, especially in the left hemisphere. Instead, the peak focus of the largest cluster of activation was in the posterior part of the inferior temporal gyrus (right, BA 37). Observing silent speech, but not gurning faces, was also associated with bilateral activation of inferior frontal cortex (BA 44 and 45). In a second study, speechreading and observing gurning faces were compared within a single experiment, using stimuli which comprised the speaker's face and torso (and hence a much smaller image of the speaker's face and facial actions). There was again differential engagement of superior temporal cortex which followed the pattern of Experiment 1. These findings suggest that superior temporal gyrus and neighbouring regions are activated bilaterally when subjects view face actions--at different scales--that can be interpreted as speech. This circuitry is not accessed to the same extent by visually similar, but linguistically meaningless actions. However, some temporal regions, such as the posterior part of the right superior temporal sulcus, appear to be common processing sites for processing both seen speech and gurns.

Adult↗
PubMed1993

Profound deafness treated by the Ineraid multichannel intracochlear implant.

Twelve deaf adults and two deaf children were treated with the Ineraid (formerly Symbion) four channel intracochlear implant between September 1989 and October 1991 at Addenbrooke's Hospital in Cambridge. All were post-lingually totally deaf and had found themselves beyond the reach of hearing aids. The effect of the implant upon the patients ability to lip-read was tested with the speech tracking test, BKB sentences (comparable to CID sentences) and Boothroyd word lists (comparable to NU6 word lists). All patients showed an improvement in their ability to understand speech with the help of the implant. Discrimination of speech without lip-reading was tested with Boothroyd word lists and BKB sentences, eight patients (57 per cent) demonstrated some 'open set' speech discrimination. The acceptability of the carbon percutaneous pedestal is discussed from the patient's, audiologist's and surgeon's points of view.

Adolescent↗
PubMed1991

Integral processing of visual place and auditory voicing information during phonetic perception.

Results of auditory speech experiments show that reaction times (RTs) for place classification in a test condition in which stimuli vary along the dimensions of both place and voicing are longer than RTs in a control condition in which stimuli vary only in place. Similar results are obtained when subjects are asked to classify the stimuli along the voicing dimension. By taking advantage of the "McGurk" effect (McGurk & MacDonald, 1976), the present study investigated whether a similar pattern of interference extends to situations in which variation along the place dimension occurs in the visual modality. The results showed that RTs for classifying phonetic features in the test condition were significantly longer than in the control condition for the place and voicing dimensions. These results indicate a mutual and symmetric interference exists in the classification of the two dimensions, even when the variation along the dimensions occurs in separate modalities.

Adult↗