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PubMed2005

Adaptation of nasometry to Hungarian language and experiences with its clinical application.

OBJECTIVES: (1) To adopt the nasometry for the Hungarian language and to obtain normative nasalance scores. (2) To compare our results with the data of other languages and to evaluate the correlation between nasalance scores and perceptual ratings of nasality. (3) To use the nasometry in various fields of the otolaryngological, phoniatric, and logopedic diagnostics, therapy and documentation. METHODS: (1) To determine the normative nasalance scores regarding the Hungarian language, we included 30 children aged 5-7 years and 45 adults in the 20-25 years age group. In the latter group 15 subjects were speech therapists and 30 phonetically untrained people-15 males and 15 females. STUDY DESIGN: phonation of isolated vowels, articulation of spirants, cyclical repetition of affricates, pronunciation of various (oral, nasal, mixed type) sentences and evaluation of the nasalance score in continuous speech. (2) Thirty-six persons (12 speech pathologists, 12 logopedic students, 12 phonetically uneducated individuals) evaluated the children's physiological and nasal speech recordings with a 3-point scale. (3) Two hundred and forty-eight children of kindergarten age were examined, 20 infants and 6 adult singers in the following fields: evaluation of hypernasality due to cleft palate or velopharyngeal insufficiency (VPI), and of the success of the therapy; examination of hyponasality in cases of enlarged adenoid and allergic rhinitis; evaluation of the speech of hard-of-hearing people; differentiation between nasal sigmatism and hyperrhinophony; testing of the resonance in professional singers; examination of infant cry; application of nasometry in the therapy. RESULTS: The mean value of the nasalance score using the oral sentence: "Zsuzsi kutyája ugat" is 11-13%, in the nasal sentence ("A majom banánt enne") 56%, while that of the mixed sentence representing the Hungarian language ("Jó napot kívánok!") falls in the 30-40% range. The resonance grows with aging and there is no significant difference between genders. The nasalance score is greater with phonetically trained people. Our data correlate with the values of other languages. The correlation is significant between the nasalance scores and perceived nasality (r=0.901). Practical results: Values above 40% in cases of VPI using mixed sentences may support the indication of velopharyngoplasty, together with the subjective evaluation of nasality and other tests. In cases with rhinitis and adenoid vegetation the nasalance score remains below 20%. The nasality value is increased in sensorineural hearing loss, and is decreased in cases with conducting hearing impairment. In nasal sigmatism not the vowels' but the nasality of consonants grow. The difference between the nasalance score of the cry in clefted and non-cleft infants is significant (26% versus 36%): this observation could give possibility in the future to screen babies with congenital hearing problems or hidden VPI. Alterations in nasalance can be documented with nasometry in professional singers when they increase the nasal resonance to grow the power capacity of their voice. The nasometry procedure is a significant help also in speech therapy through the real time visual and auditive control. CONCLUSIONS: The otolaryngological, phoniatric and logopedic diagnostics and therapy is significantly widened with nasometry which is a quick, non-invasive and objective procedure, measuring the nasal resonance of the speech.

Adult↗
PubMed2004

Categorical perception of speech stimuli in children at risk for reading difficulty.

Children determined to be at risk (n = 24) or not at risk (n = 13) for reading difficulty listened to tokens from a voice onset time (VOT) (/ga/-/ka/) or tone series played in a continuous unbroken rhythm. Changes between tokens occurred at random intervals and children were asked to press a button as soon as they detected a change. For the VOT series, at-risk children were less sensitive than not-at-risk children to changes between tokens that crossed the phonetic boundary. Maps of group stimulus space produced using multidimensional scaling of reaction times for the VOT series indicated that at-risk children may attend less to the phonological information available in the speech stimuli and more to subtle acoustic differences between phonetically similar stimuli than not-at-risk children. Better phonological processing was associated with greater sensitivity to changes between VOT tokens that crossed the phonetic boundary and greater relative weighting of the phonological compared to the acoustic dimension across both groups.

Acoustics↗
PubMed2004

Young children's sensitivity to probabilistic phonotactics in the developing lexicon.

A series of three experiments examined children's sensitivity to probabilistic phonotactic structure as reflected in the relative frequencies with which speech sounds occur and co-occur in American English. Children, ages 212 and 312 years, participated in a nonword repetition task that examined their sensitivity to the frequency of individual phonetic segments and to the frequency of combinations of segments. After partialling out ease of articulation and lexical variables, both groups of children repeated higher phonotactic frequency nonwords more accurately than they did low phonotactic frequency nonwords, suggesting sensitivity to phoneme frequency. In addition, sensitivity to individual phonetic segments increased with age. Finally, older children, but not younger children, were sensitive to the frequency of larger (diphone) units. These results suggest not only that young children are sensitive to fine-grained acoustic-phonetic information in the developing lexicon but also that sensitivity to all aspects of the sound structure increases over development. Implications for the acoustic nature of both developing and mature lexical representations are discussed.

Acoustics↗
PubMed2004

Identification of emotional intonation evaluated by fMRI.

During acoustic communication among human beings, emotional information can be expressed both by the propositional content of verbal utterances and by the modulation of speech melody (affective prosody). It is well established that linguistic processing is bound predominantly to the left hemisphere of the brain. By contrast, the encoding of emotional intonation has been assumed to depend specifically upon right-sided cerebral structures. However, prior clinical and functional imaging studies yielded discrepant data with respect to interhemispheric lateralization and intrahemispheric localization of brain regions contributing to processing of affective prosody. In order to delineate the cerebral network engaged in the perception of emotional tone, functional magnetic resonance imaging (fMRI) was performed during recognition of prosodic expressions of five different basic emotions (happy, sad, angry, fearful, and disgusted) and during phonetic monitoring of the same stimuli. As compared to baseline at rest, both tasks yielded widespread bilateral hemodynamic responses within frontal, temporal, and parietal areas, the thalamus, and the cerebellum. A comparison of the respective activation maps, however, revealed comprehension of affective prosody to be bound to a distinct right-hemisphere pattern of activation, encompassing posterior superior temporal sulcus (Brodmann Area [BA] 22), dorsolateral (BA 44/45), and orbitobasal (BA 47) frontal areas. Activation within left-sided speech areas, in contrast, was observed during the phonetic task. These findings indicate that partially distinct cerebral networks subserve processing of phonetic and intonational information during speech perception.

Adult↗
PubMed2005

Perception of matching and conflicting audiovisual speech in dyslexic and fluent readers: an fMRI study at 3 T.

We presented phonetically matching and conflicting audiovisual vowels to 10 dyslexic and 10 fluent-reading young adults during "clustered volume acquisition" functional magnetic resonance imaging (fMRI) at 3 T. We further assessed co-variation between the dyslexic readers' phonological processing abilities, as indexed by neuropsychological test scores, and BOLD signal change within the visual cortex, auditory cortex, and Broca's area. Both dyslexic and fluent readers showed increased activation during observation of phonetically conflicting compared to matching vowels within the classical motor speech regions (Broca's area and the left premotor cortex), this activation difference being more extensive and bilateral in the dyslexic group. The between-group activation difference in conflicting > matching contrast reached significance in the motor speech regions and in the left inferior parietal lobule, with dyslexic readers exhibiting stronger activation than fluent readers. The dyslexic readers' BOLD signal change co-varied with their phonological processing abilities within the visual cortex and Broca's area, and to a lesser extent within the auditory cortex. We suggest these findings as reflecting dyslexic readers' greater use of motor-articulatory and visual strategies during phonetic processing of audiovisual speech, possibly to compensate for their difficulties in auditory speech perception.

Acoustic Stimulation↗
PubMed2004

[Assessment of the discriminating power of identifiers for record linkage].

BACKGROUND: To reconstruct a patient's medical history, one has often to combine information from different sources, whatever the context of this reconstitution: epidemiological studies or health care. As a linkage using less informative identifiers could lead to linkage errors, it is essential to quantify the information associated to each identifier. METHODS: The aim of this study was to estimate the discriminating power of different identifiers which could be used in a record linkage process based on the means of the likelihood ratio proposed by Jaro as a probabilistic record linkage method. Six identifiers were considered: date of birth, maiden name, usual last name, first and second christian names and the gender. Two types of phonetic treatment were taken into account: the Soundex and a phonetic treatment adapted to the French language. Three situations were considered: 1) and 2) linkage of the data collected during two consecutive years in a university hospital (CHU de Dijon; 100000x100000 records) and a Paris hospital (50000x50000 records), 3) linkage of two files obtained through a healthcare network (Burgundy Perinatal Network; 200x2500 records). RESULTS: Whatever the situation, this work showed the interest of three identifiers when linking data concerning a same patient. The date of birth had the best discriminating power followed by the first and the last names. Including a poorly discriminating identifier like gender did not improve the results. Moreover, adding a second Christian name, often missing, increased linkage errors. On the contrary, it seemed that using a phonetic treatment adapted to the French language could slightly improve the results of linkage in comparison to Soundex. CONCLUSION: Whatever the method used, it seems necessary to improve the quality of identifier collection, in particular of the date of birth and of the first and last names as it could make the linkage of data obtained from different sources easier. Further research is needed to estimate the discriminating power of other identifiers (birth place and parents identifiers).

Medical Record Linkage↗
PubMed1985

Nonsense syllables: comprehending the "almost incomprehensible variation".

Ebbinghaus noted that there were great differences in nonsense syllables in ease of learning. Later investigators attempted to control for this variability but made little effort to account for the differences. An approach from the point of view of systematic linguistics suggests that a major source of variability can be found in the phonetic and orthographic "distance from English." A scale of phonetic distance and a scale of orthographic distance combined in multiple regression to predict association value and meaningfulness with R above +.80. Experimental tests suggest that subjects are highly sensitive to violations of the rules of syllable structure even when the syllables are very unlike English. It is suggested that nonsense syllables do equate for prior knowledge across subjects because all subjects are highly familiar with the phonetic and orthographic rules that contribute heavily to the meaningfulness of nonsense syllables.

Humans↗
PubMed2003

Development of materials for the clinical assessment of speech recognition: the speech sound pattern discrimination test.

The purpose of this investigation was to evaluate the validity and reliability of materials designed for an assessment procedure capable of making meaningful distinctions in speech recognition ability among individuals having mild-to-moderate hearing losses. Sets of phonetic contrasts were presented within sentence contexts to 53 listeners (22 normal hearing, 31 hearing impaired) in 4 listening conditions (quiet and with background competition at signal-to-noise ratios of +5, 0, and -5 dB). The listeners were asked to discriminate pairs of sentences (e.g., "The man hid the dog" and "The man hit the dog") using same-different judgments. Their performances were analyzed in a manner enabling comparisons among items in terms of the classification of phonetic contrasts. Listener performance was also compared to performance on a set of independent variables, including the W-22 and QuickSIN speech tests, high-frequency hearing loss, speech reception threshold, listener age, and others. Results indicated that the new materials distinguished the normal-hearing from the hearing-impaired group and that listener performance (a) declined about 17% for each 5 dB decrement in SNR and (b) was influenced by the phonetic content of items in a manner similar to that reported by G. A. Miller and P. E. Nicely (1955). The performances of the hearing-impaired listeners were much more strongly related to high-frequency hearing loss, listener age, and other variables than were their performances on either the W-22 or QuickSIN tests. These findings are discussed with specific reference to the use of a mathematical model (i.e., the Rasch model for person measurement) for scaling items along a continuum of difficulty. The mathematical model and associated item difficulty values will serve as the basis for construction of a clinically useful computerized, adaptive test of speech recognition ability known as the Speech Sound Pattern Discrimination Test (Bochner, J., Garrison, W., Palmer, L., MacKenzie, D., & Braveman, A., 1997).

Adult↗
PubMed2005

Neurophysiological indices of speech and nonspeech stimulus processing.

Auditory event-related potentials (mismatch negativity and P300) and behavioral discrimination were measured to synthetically generated consonant-vowel (CV) speech and nonspeech contrasts in 10 young adults with normal auditory systems. Previous research has demonstrated that behavioral and P300 responses reflect a phonetic, categorical level of processing. The aims of the current investigation were (a) to examine whether the mismatch negativity (MMN) response is also influenced by the phonetic characteristics of a stimulus or if it reflects purely an acoustic level of processing and (b) to expand our understanding of the neurophysiology underlying categorical perception, a phenomenon crucial in the processing of speech. The CVs were 2 within-category stimuli and the nonspeech stimuli were 2 glides whose frequency ramps matched the formant transitions of the CV stimuli. Listeners exhibited better behavioral discrimination to the nonspeech versus speech stimuli in same/different and oddball behavioral paradigms. MMN responses were elicited by the nonspeech stimuli, but absent to CV speech stimuli. Larger amplitude and earlier P300s were elicited by the nonspeech stimuli, while smaller and longer latency P300s were elicited by the speech stimulus contrast. Results suggest that the 2 types of stimuli were processed differently when measured behaviorally, with MMN, or P300. The better discrimination and clearer neurophysiological representation of the frequency glide, nonspeech stimuli versus the CV speech stimuli of analogous acoustic content support (a) categorical perception representation at the level of the MMN generators and (b) parallel processing of acoustic (sensory) and phonetic (categorical) information at the level of the MMN generators.

Acoustic Stimulation↗
PubMed2006

Effects of acoustic manipulation on the real-time inflectional processing of children with specific language impairment.

PURPOSE: This study reports the findings of an investigation designed to examine the effects of acoustic enhancement on the processing of low-phonetic-substance inflections (e.g., 3rd-person singular -s, possessive -s) versus a high-phonetic-substance inflection (e.g., present progressive -ing) by children with specific language impairment (SLI) in a word recognition, reaction time (RT) processing task. The effects of acoustic enhancement on the processing of the same morphemes as well as an additional morpheme (comparative -er) were examined in an offline grammaticality judgment task. The grammatical function of 1 of the higher-phonetic-substance inflections, -ing, was presumed to be hypothesized relatively early by children; the function of the other, -er, was presumed to be hypothesized relatively late. METHOD: Sixteen children with SLI (age(M) = 9 years;0 months) and 16 chronological age (CA; age(M) = 8;11) children participated. For both tasks, children listened to sentences containing the target morphemes as they were produced naturally (natural condition) or with acoustic enhancement (enhanced condition). RESULTS: On the RT task, the children with SLI demonstrated RT sensitivity only to the presence of the high-substance inflection, irrespective of whether it was produced naturally or with enhancement. Acoustic enhancement had no effect on these children's processing of low-substance inflections. The CA children, by contrast, showed sensitivity to low-substance inflections when they were produced naturally and with acoustic enhancement. These children also showed sensitivity to the high-substance inflection in the natural condition, but in the enhanced condition they demonstrated significantly slower RT. On the grammaticality judgment task, the children with SLI performed worse than the CA children overall and showed especially poor performance on low-substance inflections. Acoustic enhancement had a beneficial effect on the inflectional processing of the children with SLI, but it had no effect on CA children. CONCLUSION: The findings are interpreted to suggest that the reduced language processing capacity of children with SLI constrains their ability to process low-substance grammatical material in real time. This factor should be considered along with any difficulty that might be attributable to the grammatical function of the inflection.

Child↗
PubMed1998

Individual differences in arousal and accessibility to information in memory.

The authors conducted 9 experiments to test the hypothesis (S. Schwartz, 1975) that arousal influences the accessibility of information stored in memory. They investigated the relationship between arousal levels (as indexed by personality types) and the type of stimuli or cues presented during study or test. They predicted that low-arousal individuals (stable extraverted individuals in Experiments 1-3 and 5-9 and high-impulsive individuals in Experiment 4) would be influenced by semantic stimuli, whereas high-arousal individuals (neurotic introverted individuals in Experiments 1-3 and 5-9 and low-impulsive individuals in Experiment 4) would be influenced by physical (i.e., graphic, phonetic, or both) stimuli. They tested the arousal-accessibility hypothesis by using a variety of tasks including verbal discrimination, false recognition, cued recall, and paired associates. With the exception of the finding that stable extraverted participants performed better than neurotic introverted participants on an incidental associative-matching task (Experiment 3), the results from the verbal discrimination studies (1-5) did not support the hypothesis. In Experiment 6, the authors tested the hypothesis by using a false-recognition task. False alarms varied as a function of phonetic and semantic stimuli, but personality types were not differentially sensitive to the manipulation. The same was true for the cued-recall studies (Experiments 7 and 8); personality types were not differentially sensitive to the semantic and phonetic stimuli. Experiment 9 (paired-associate learning) was a replication of Schwartz's study. The authors found some support for the Schwartz hypothesis: Extraverted participants were adversely affected by semantic similarity. Overall, the findings did not provide much support for the arousal-accessibility hypothesis.

Adult↗
PubMedDate not supplied

Automatic speech recognition and training for severely dysarthric users of assistive technology: the STARDUST project.

The STARDUST project developed robust computer speech recognizers for use by eight people with severe dysarthria and concomitant physical disability to access assistive technologies. Independent computer speech recognizers trained with normal speech are of limited functional use by those with severe dysarthria due to limited and inconsistent proximity to "normal" articulatory patterns. Severe dysarthric output may also be characterized by a small mass of distinguishable phonetic tokens making the acoustic differentiation of target words difficult. Speaker dependent computer speech recognition using Hidden Markov Models was achieved by the identification of robust phonetic elements within the individual speaker output patterns. A new system of speech training using computer generated visual and auditory feedback reduced the inconsistent production of key phonetic tokens over time.

Artificial Intelligence↗
PubMed2004

Cross-modal integration and plastic changes revealed by lip movement, random-dot motion and sign languages in the hearing and deaf.

Sign language activates the auditory cortex of deaf subjects, which is evidence of cross-modal plasticity. Lip-reading (visual phonetics), which involves audio-visual integration, activates the auditory cortex of hearing subjects. To test whether audio-visual cross-modal plasticity occurs within areas involved in cross-modal integration, we used functional MRI to study seven prelingual deaf signers, 10 hearing non-signers and nine hearing signers. The visually presented tasks included mouth-movement matching, random-dot motion matching and sign-related motion matching. The mouth-movement tasks included conditions with or without visual phonetics, and the difference between these was used to measure the lip-reading effects. During the mouth-movement matching tasks, the deaf subjects showed more prominent activation of the left planum temporale (PT) than the hearing subjects. During dot-motion matching, the deaf showed greater activation in the right PT. Sign-related motion, with or without a lexical component, activated the left PT in the deaf signers more than in the hearing signers. These areas showed lip-reading effects in hearing subjects. These findings suggest that cross-modal plasticity is induced by auditory deprivation independent of the lexical processes or visual phonetics, and this plasticity is mediated in part by the neural substrates of audio-visual cross-modal integration.

Adult↗
PubMed2006

Brain mechanisms implicated in the preattentive categorization of speech sounds revealed using FMRI and a short-interval habituation trial paradigm.

A hallmark of categorical perception is better discrimination of stimulus tokens from 2 different categories compared with token pairs that are equally dissimilar but drawn from the same category. This effect is well studied in speech perception and represents an important characteristic of how the phonetic form of speech is processed. We investigated the brain mechanisms of categorical perception of stop consonants using functional magnetic resonance imaging and a passive short-interval habituation trial design (Zevin and McCandliss 2005). The paradigm takes advantage of neural adaptation effects to identify specific regions sensitive to an oddball stimulus presented in the context of a repeated item. These effects were compared for changes in stimulus characteristics that result in either a between-category (phonetic and acoustic) or a within-category (acoustic only) stimulus shift. Significantly greater activation for between-category than within-category stimuli was observed in left superior sulcus and middle temporal gyrus as well as in inferior parietal cortex. In contrast, only a subcortical region specifically responded to within-category changes. The data suggest that these habituation effects are due to the unattended detection of a phonetic stimulus feature.

Acoustic Stimulation↗
PubMed2001

Effects of articulation training on the production of trained and untrained phonemes in conversations and formal tests.

The aim of this study was to investigate the effectiveness of articulation training for specific phonemes on the production of phonemes in conversational language samples, the 108 Single Word Articulation Test (Paatsch, 1997), and the Phonetic Level Evaluation (Ling, 1976). Speech production skills of 12 hearing-impaired children were assessed using these evaluation tools pre- and posttraining. A total of six phonemes were selected for each child to be trained during 15-to 20-minute daily sessions throughout an 8-week speech production program. Three phonemes, with a particularly high error rate, were trained at a phonetic level (category 1) while three phonemes, with an intermediate error rate of 40% to 70%, were trained at a phonological level (category 2). Results showed improvements in the percentage of correctly articulated category 1 phonemes and category 2 phonemes. The improvements for category 2 phonemes were larger than for category 1 phonemes for all test materials. It may be that phonological level training is more effective than phonetic level training or that phonemes with an intermediate error rate are easier to train than phonemes with a high error rate. Untrained vowels and consonants also improved slightly after training. Phonological process analysis showed that many of the errors apparent in the trained phonemes also had occurred in the untrained phonemes. This may have resulted in the generalization and carryover of taught speech skills into other aspects of the child's spoken language.

Journal Article↗
PubMed1999

Some computational analyses of the PBK test: effects of frequency and lexical density on spoken word recognition.

OBJECTIVE: The Phonetically Balanced Kindergarten (PBK) Test (Haskins, Reference Note 2) has been used for almost 50 yr to assess spoken word recognition performance in children with hearing impairments. The test originally consisted of four lists of 50 words, but only three of the lists (lists 1, 3, and 4) were considered "equivalent" enough to be used clinically with children. Our goal was to determine if the lexical properties of the different PBK lists could explain any differences between the three "equivalent" lists and the fourth PBK list (List 2) that has not been used in clinical testing. DESIGN: Word frequency and lexical neighborhood frequency and density measures were obtained from a computerized database for all of the words on the four lists from the PBK Test as well as the words from a single PB-50 (Egan, 1948) word list. RESULTS: The words in the "easy" PBK list (List 2) were of higher frequency than the words in the three "equivalent" lists. Moreover, the lexical neighborhoods of the words on the "easy" list contained fewer phonetically similar words than the neighborhoods of the words on the other three "equivalent" lists. CONCLUSIONS: It is important for researchers to consider word frequency and lexical neighborhood frequency and density when constructing word lists for testing speech perception. The results of this computational analysis of the PBK Test provide additional support for the proposal that spoken words are recognized "relationally" in the context of other phonetically similar words in the lexicon. Implications of using open-set word recognition tests with children with hearing impairments are discussed with regard to the specific vocabulary and information processing demands of the PBK Test.

Child, Preschool↗
PubMed1999

A comparison of Tactaid II+ and Tactaid 7 use by adults with a profound hearing impairment.

OBJECTIVE: To evaluate and compare use of the Tactaid II+ and the Tactaid 7, in terms of speech perception, by adults with a hearing impairment. DESIGN: Eight adults used one device daily for approximately 10 wk and attended seven training sessions. Performance was measured with tests of phonetic contrast perception, closed-set vowel and consonant identification, word and phoneme recognition in monosyllabic word lists, word recognition in sentences and speechtracking rate. A questionnaire was also administered. The protocol was repeated with the alternative device. RESULTS: With each device, the group discriminated most phonetic contrasts at better-than-chance levels and demonstrated somewhat enhanced visual or auditory-visual perception when measured in terms of vowel identification, monosyllabic word recognition and speechtracking rate. An increase in speechtracking rate was also demonstrated for some individuals. Subjects generally reported little subjective improvement in speech perception and production, but were satisfied with the physical attributes of each device. Five of six subjects preferred the Tactaid 7. CONCLUSIONS: The Tactaid II+ and the Tactaid 7 provided suprasegmental and segmental information, enabling the group to discriminate phonetic contrasts and improve their perception of some speech materials. No consistent advantage was found for either device, thought most subjects preferred the Tactaid 7. Alternatives likely to provide a greater benefit to communication should be considered before a Tactaid fitting.

Acoustic Stimulation↗
PubMed2006

Correlations of thalamic reductions with verbal fluency impairment in those born prematurely.

Prematurity is associated with reduced brain volume, and the thalamus is among the structures most affected. We used a voxel-based morphometry analysis of gray matter to map regional atrophy in the thalamus in a sample of 30 adolescents with antecedents of very preterm birth. The preterm sample was compared with 30 controls matched by age, sex, handedness and sociocultural status. Individuals with very preterm birth differed from controls in several thalamic nuclei, and semantic and phonetic fluency showed different correlation patterns with brain volume. Semantic fluency achieved significant correlations with more thalamic nuclei than phonetic fluency. These results agree with functional magnetic resonance imaging studies showing that semantic fluency involves more cerebral regions than phonetic fluency.

Adolescent↗