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Single-word intelligibility in speakers with repaired cleft palate.

Many speakers with repaired cleft palate have reduced intelligibility, but there are limitations with current procedures for assessing intelligibility. The aim of this study was to construct a single-word intelligibility test for speakers with cleft palate. The test used a multiple-choice identification format, and was based on phonetic contrasts which are problematic for speakers with cleft palate. Fifteen Cantonese speakers with repaired cleft palate served as speakers. The intelligibility score of each speaker was calculated, based on the number of words correctly identified by eight naive listeners. The most problematic contrasts, based on mean error proportions, were place of articulation (stops and nasals), stop versus fricative, and stop versus affricate. The most robust contrasts were also determined, and physiological and language-specific interpretations offered. Single-word intelligibility could be predicted with 91% accuracy using three phonetic contrasts. The importance of an 'explanatory' intelligibility test, for focusing treatment and monitoring severity, is discussed.

Adolescent↗

What's /depsilonr/? An anomalous error in a child with specific language impairment.

This longitudinal case study describes an anomalous error produced by a child with specific language impairment (SLI), MM, whose language development was documented from ages 3 through 7 years. Twelve spontaneous language samples were analysed. Across nine language samples MM produced the phonetic sequence /depsilonr/ in ungrammatical contexts as if it were the nominative third person plural pronoun, for example, with a past tense form (e.g. */depsilonr/ ate dinner). The phonetic sequence /depsilonr/ may have been either their, a case error, or they're, inclusion of a form of BE in an unexpected context. In this paper, we examine and describe the distribution of /depsilonr/ and the development of pronominal forms and the verb BE in order to account for the anomalous error.

Age Factors↗

Gradient change in the acquisition of phonology.

The prevailing view of phonological development is that changes in pronunciation are driven by phonological changes. This view (it is argued here) derives from the particular form of the data that has most often been used in studies of phonological development, namely broad phonetic transcriptions. Transcribing an earlier pronunciation with one phoneme symbol and a later pronunciation with a different symbol encourages the interpretation that the child has made a flip from one category to another. However, broad transcriptions may have misrepresented the facts of speech development. We review some auditory-based studies which have used a more fine-grained phonetic transcription and discuss the significance of findings on the development of long-lag plosives. We argue that gradient change is the typical fashion in which children's speech output development progresses; that it is therefore not appropriate to use rules of the sort that are employed for morphophonemic alternations in adult phonology to explain revisions over time in children's pronunciations; and that a child's speech output is not the best guide to their phonology.

Adult↗

Comparison of the overall intelligibility, articulation, resonance, and voice characteristics between children using cochlear implants and those using bilateral hearing aids: a pilot study.

The purpose of this study was to determine and to compare the overall intelligibility, articulation, resonance, and voice characteristics in children using cochlear implants (CI) and children using conventional hearing aids (HA). Nine prelingually deaf children using CI and six children with a prelingual severe hearing loss using HA, were selected to participate. Objective (DSI, nasalance scores) as well as subjective assessment techniques (perceptual evaluations) were used. Both the CI and HA children demonstrated normal vocal quality and resonance but showed the presence of articulation disorders. In the CI children, intelligibility was significantly better compared to the HA children. Significantly more phonetic and phonological disorders were present in the HA children. The results of this study show a poorer intelligibility of the HA children in comparison with the CI children which is probably due to the occurrence of significantly more phonetic and phonological disorders. Future detailed analysis in a larger sample of CI and HA children may help further clarify the issue of speech and voice characteristics and may demonstrate an important prognostic value.

Adolescent↗

Cortical differentiation of speech and nonspeech sounds at 100 ms: implications for dyslexia.

Neurophysiological measures indicate cortical sensitivity to speech sounds by 150 ms after stimulus onset. In this time window dyslexic subjects start to show abnormal cortical processing. We investigated whether phonetic analysis is reflected in the robust auditory cortical activation at approximately 100 ms (N100m), and whether dyslexic subjects show abnormal N100m responses to speech or nonspeech sounds. We used magnetoencephalography to record auditory responses of 10 normally reading and 10 dyslexic adults. The speech stimuli were synthetic Finnish speech sounds (/a/, /u/, /pa/, /ka/). The nonspeech stimuli were complex nonspeech sounds and simple sine wave tones, composed of the F1+F2+F3 and F2 formant frequencies of the speech sounds, respectively. All sounds evoked a prominent N100m response in the bilateral auditory cortices. The N100m activation was stronger to speech than nonspeech sounds in the left but not in the right auditory cortex, in both subject groups. The leftward shift of hemispheric balance for speech sounds is likely to reflect analysis at the phonetic level. In dyslexic subjects the overall interhemispheric amplitude balance and timing were altered for all sound types alike. Dyslexic individuals thus seem to have an unusual cortical organization of general auditory processing in the time window of speech-sensitive analysis.

Acoustic Stimulation↗

Time course of top-down and bottom-up influences on syllable processing in the auditory cortex.

In speech perception, extraction of meaning from complex streams of sounds is surprisingly fast and efficient. By tracking the neural time course of syllable processing with magnetoencephalography we show that this continuous construction of meaning-based representations is aided by both top-down (context-based) expectations and bottom-up (acoustic-phonetic) cues in the speech signal. Syllables elicited a sustained response at 200-600 ms (N400m) which became most similar to that evoked by words when the expectation for meaningful speech was increased by presenting the syllables among words and sentences or using sentence-initial syllables. This word-like cortical processing of meaningless syllables emerged at the build-up of the N400m response, 200-300 ms after speech onset, during the transition from perceptual to lexical-semantic analysis. These findings show that the efficiency of meaning-based analysis of speech is subserved by a cortical system finely tuned to lexically relevant acoustic-phonetic and contextual cues.

Adult↗

Speech reading and learning to read: a comparison of 8-year-old profoundly deaf children with good and poor reading ability.

Nine children with severe-profound prelingual hearing loss and single-word reading scores not more than 10 months behind chronological age (Good Readers) were matched with 9 children whose reading lag was at least 15 months (Poor Readers). Good Readers had significantly higher spelling and reading comprehension scores. They produced significantly more phonetic errors (indicating the use of phonological coding) and more often correctly represented the number of syllables in spelling than Poor Readers. They also scored more highly on orthographic awareness and were better at speech reading. Speech intelligibility was the same in the two groups. Cluster analysis revealed that only three Good Readers showed strong evidence of phonetic coding in spelling although seven had good representation of syllables; only four had high orthographic awareness scores. However, all 9 children were good speech readers, suggesting that a phonological code derived through speech reading may underpin reading success for deaf children.

Child↗

A phonological representation in the infant brain.

In adults, neural networks for phonological processing distinct from those involved in acoustical processing are located in the left temporal lobe. We now report that by the age of 3 months, infants display phonological processing devices analogous to those found in adults. Within a stream of identical syllables, acoustic deviants were introduced, either crossing a phonetic boundary or remaining within the same category. Event-related potentials were recorded using a 64-electrode net. Although the acoustical change was of similar amplitude in the two deviants, the electrophysiological response was larger for a phonological change and involved a more posterior and dorsal temporal region than for an acoustical change. These results demonstrate that infants, like adults, already possess a dedicated neuronal network for phonetic processing.

Acoustic Stimulation↗

Analysis of speech sounds is left-hemisphere predominant at 100-150ms after sound onset.

Hemispheric specialization of human speech processing has been found in brain imaging studies using fMRI and PET. Due to the restricted time resolution, these methods cannot, however, determine the stage of auditory processing at which this specialization first emerges. We used a dense electrode array covering the whole scalp to record the mismatch negativity (MMN), an event-related brain potential (ERP) automatically elicited by occasional changes in sounds, which ranged from non-phonetic (tones) to phonetic (vowels). MMN can be used to probe auditory central processing on a millisecond scale with no attention-dependent task requirements. Our results indicate that speech processing occurs predominantly in the left hemisphere at the early, pre-attentive level of auditory analysis.

Acoustic Stimulation↗

Recognizing spoken words: the neighborhood activation model.

OBJECTIVE: A fundamental problem in the study of human spoken word recognition concerns the structural relations among the sound patterns of words in memory and the effects these relations have on spoken word recognition. In the present investigation, computational and experimental methods were employed to address a number of fundamental issues related to the representation and structural organization of spoken words in the mental lexicon and to lay the groundwork for a model of spoken word recognition. DESIGN: Using a computerized lexicon consisting of transcriptions of 20,000 words, similarity neighborhoods for each of the transcriptions were computed. Among the variables of interest in the computation of the similarity neighborhoods were: 1) the number of words occurring in a neighborhood, 2) the degree of phonetic similarity among the words, and 3) the frequencies of occurrence of the words in the language. The effects of these variables on auditory word recognition were examined in a series of behavioral experiments employing three experimental paradigms: perceptual identification of words in noise, auditory lexical decision, and auditory word naming. RESULTS: The results of each of these experiments demonstrated that the number and nature of words in a similarity neighborhood affect the speed and accuracy of word recognition. A neighborhood probability rule was developed that adequately predicted identification performance. This rule, based on Luce's (1959) choice rule, combines stimulus word intelligibility, neighborhood confusability, and frequency into a single expression. Based on this rule, a model of auditory word recognition, the neighborhood activation model, was proposed. This model describes the effects of similarity neighborhood structure on the process of discriminating among the acoustic-phonetic representations of words in memory. The results of these experiments have important implications for current conceptions of auditory word recognition in normal and hearing impaired populations of children and adults.

Adult↗

Recognition of lexically controlled words and sentences by children with normal hearing and children with cochlear implants.

OBJECTIVE: The purpose of this study was to investigate the combined lexical effects of word frequency and neighborhood density (acoustic-phonetic similarity) on the recognition of words spoken in isolation and words spoken in sentences for children with normal hearing and children with cochlear implants. DESIGN: Lexically controlled sentences were created from a subset of words obtained from the spoken vocabulary of children between the ages of 3 and 5 yr. Two sentence lists were generated, applying the definitions and procedures of Kirk, Pisoni, and Osberger (1995) in accordance with the Neighborhood Activation Model ( Luce, 1986; Luce & Pisoni, 1998). One list was composed of lexically "easy" words (those high in frequency of occurrence but phonemically dissimilar to other words) and the other list was composed of lexically "hard" words (those low in frequency of occurrence but phonemically similar to other words). Each list consisted of five practice and 20 test sentences that were syntactically correct but semantically neutral (low in predictability). Three key words were used in constructing each of the 5- to 7-word sentences, resulting in 15 practice and 60 key words per test list. In the first of three experiments, 48 normal-hearing children between the ages of 5 and 12 yr were asked to repeat the words and sentences at one of six presentation levels to establish performance-intensity functions. In the second experiment, 12 normal-hearing children between the ages of 5 and 14 yr repeated the words and sentences under spectrally degraded conditions. Twelve children with cochlear implants ages 5 to 14 yr repeated the unprocessed stimuli in a third experiment. RESULTS: The lexically easy stimuli were recognized with greater accuracy than the lexically hard stimuli for the children tested in all three experiments. Sentence scores were significantly higher than word scores for the normal-hearing children (Experiments 1 and 2) and nine high-performing children with cochlear implants (Experiment 3). Word scores were higher than sentence scores for the three low-performing children with cochlear implants. There was a statistically significant relationship between chronological age and sentence score for the normal-hearing children listening under spectrally degraded conditions. For the children with cochlear implants, the relationship between language quotient and sentence and word scores was statistically significant. CONCLUSION: Sensitivity to the combined lexical properties of word frequency and neighborhood density was evident both for words and sentences. Lexically easy stimuli were recognized with greater accuracy than lexically hard stimuli across groups, affirming the robustness of this effect and verifying that words were being organized in relation to the frequency and acoustic-phonetic properties of other words. Syntactic context facilitated word recognition for the children with normal hearing and the high-performing implant group. The three low-performing children with cochlear implants recognized words more accurately than sentences, reflecting limitations in linguistic and cognitive capacity.

Child, Preschool↗

Lexical neighborhoods and the word-form representations of 14-month-olds.

The degree to which infants represent phonetic detail in words has been a source of controversy in phonology and developmental psychology. One prominent hypothesis holds that infants store words in a vague or inaccurate form until the learning of similar-sounding neighbors forces attention to subtle phonetic distinctions. In the experiment reported here, we used a visual fixation task to assess word recognition. We present the first evidence indicating that, infact, the lexical representations of 14- and 15-month-olds are encoded in fine detail, even when this detail is not functionally necessary for distinguishing similar words in the infant's vocabulary. Exposure to words is sufficient for well-specified lexical representations, even well before the vocabulary spurt. These results suggest developmental continuity in infants' representations of speech: As infants begin to build a vocabulary and learn word meanings, they use the perceptual abilities previously demonstrated in tasks testing the discrimination and categorization of meaningless syllables.

Attention↗

Brain potentials to native and non-native speech contrasts in 7- and 11-month-old American infants.

Abstract Behavioral data establish a dramatic change in infants' phonetic perception between 6 and 12 months of age. Foreign-language phonetic discrimination significantly declines with increasing age. Using a longitudinal design, we examined the electrophysiological responses of 7- and 11-month-old American infants to native and non-native consonant contrasts. Analyses of the event-related potentials (ERP) of the group data at 7 and at 11 months of age demonstrated that infants' discriminatory ERP responses to the non-native contrast are present at 7 months of age but disappear by 11 months of age, consistent with the behavioral data reported in the literature. However, when the same infants were divided into subgroups based on individual ERP components, we found evidence that the infant brain remains sensitive to the non-native contrast at 11 months of age, showing differences in either the P150-250 or the N250-550 time window, depending upon the subgroup. Moreover, we observed an increase in infants' responsiveness to native language consonant contrasts over time. We describe distinct neural patterns in two groups of infants and suggest that their developmental differences may have an impact on language development.

Acoustic Stimulation↗

Speech perception in infancy predicts language development in the second year of life: a longitudinal study.

Infants' early phonetic perception is hypothesized to play an important role in language development. Previous studies have not assessed this potential link in the first 2 years of life. In this study, speech discrimination was measured in 6-month-old infants using a conditioned head-turn task. At 13, 16, and 24 months of age, language development was assessed in these same children using the MacArthur Communicative Development Inventory. Results demonstrated significant correlations between speech perception at 6 months of age and later language (word understanding, word production, phrase understanding). The finding that speech perception performance at 6 months predicts language at 2 years supports the idea that phonetic perception may play an important role in language acquisition.

Child↗

Children with reading disorders--I. Efficacy of reading remediation.

The efficacy of reading remediation, which emphasized phonetic decoding, was investigated in children with pure reading disorders, controlling for the influence on non-specific treatment effects. Sixty-one children were randomly assigned to receive instruction in reading or in other subjects for four months. Children were re-evaluated immediately after, and two and eight months after, the cessation of the intervention. At the end of treatment, the children who had received reading remediation obtained significantly higher scores than the controls on all reading tests. Some of the treatment advantages were maintained beyond the treatment period. Results clearly support the efficacy of reading remediation which emphasizes phonetic skills. The study does not address itself to whether this treatment method differs from other remedial interventions.

Achievement↗

The Marius implant bridge: surgical and prosthetic rehabilitation for the completely edentulous upper jaw with moderate to severe resorption: a 5-year retrospective clinical study.

BACKGROUND: Patients seeking replacement of their upper denture with an implant-supported restoration are most interested in a fixed restoration. Accompanying the loss of supporting alveolar structure due to resorption is the necessity for lip support, often provided by a denture flange. Attempts to provide a fixed restoration can result in compromises to oral hygiene based on designs with ridge laps. An alternative has been an overdenture prosthesis, which provides lip support but has extensions on to the palate and considerations of patient acceptance. The Marius bridge was developed as a fixed bridge alternative offering lip support that is removable by the patient for hygiene purposes, with no palatal extension beyond normal crown-alveolar contours. PURPOSE: Implant-supported restorative treatment of completely edentulous upper jaws, as an alternative to a complete denture, is frequently an elective preference, and it requires significant patient acceptance beyond the functional improvement of chewing. Patients with moderate to severe bone resorption and thin ridges present additional challenges for adequate bone volume and soft-tissue contours. The purpose of this investigation was to develop a surgical and prosthetic implant treatment protocol for completely edentulous maxillae in which optimal lip support and phonetics is achieved in combination with substantial implant anchorage without bone grafting. MATERIALS AND METHODS: The Marius bridge is a complete-arch, double-structure prosthesis for maxillae that is removable by the patient for oral hygiene. The first 45 consecutive patients treated by one person (YF) in one center with this concept are reported, with 245 implants followed for up to 5 years after prostheses connection. RESULTS: The cumulative fixture survival rate for this 5-year retrospective clinical study was 97%. Five fixtures failed before loading, in five different patients, and two fixtures in the same patient failed at the 3-year follow-up visit. None of the bridges failed, giving a prostheses survival rate of 100%. The complications were few and mainly prosthetic: nine incidences of attachment component complications, one mesobar fracture, and three reports of gingivitis. All complications were solved or repaired immediately, with minimal or no interruption of prostheses use. CONCLUSIONS: Satisfactory medium-term results of survival and patient satisfaction show that the Marius bridge can be recommended for implant dentistry. The technique may reduce the need for grafting, because it allows for longer implants to be placed with improved bone anchorage and prostheses support. key words: clinical follow-up, complete arch, double structure, esthetics, maxilla, phonetics, tilted implants

Adolescent↗

Speech perception in the human infant and rhesus monkey.

In summary, a complete understanding of the development of infant speech perception requires not only research guided by efforts to construct an ontogenetic timetable of the infant's speech discriminative abilities, but investigations of the phylogenetic bases of these ontogenetic abilities, and much more concern for how the microgenetic development of speech perception affects our assessment of ontogenetic and phylogenetic development. The data presented in this paper on the categorical discrimination of place of articulation in rhesus monkeys and human infants illustrates the importance of considering phylogenetic and microgenetic aspects of development in explaining the origin of some of the infant's phonetic capabilities. In addition to continuing to explore the upper bounds of the infant's "phonetic" perceptual abilities, the adaptation of feature detectors, and short-term memory processes in the assessment of infant and non-human primate speech discrimination. Only then we will be able to appreciate fully the significance of a study demonstrating categorical discrimination in human infants .

Animals↗

Chinese dialect identification using segmental and prosodic features.

Several approaches to Chinese dialect identification based on segmental and prosodic features of speech are described in this paper. When using segmental information only, the system performs phonotactic analysis after speech utterances have been tokenized into sequences of broad phonetic classes. The second scheme comprises prosodic models which are trained to capture tone sequence information for individual dialects. Also proposed is a novel approach that examines differences between Chinese dialects at broad phonetic and prosodic levels. These algorithms were evaluated via a multispeaker read-speech mode. Simulation results indicate that the combined use of segmental and prosodic features allows the proposed system to discriminate among three major Chinese dialects spoken in Taiwan with 93.0% accuracy.

Adolescent↗