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Results for “Lipreading”

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At least 145 records · Page 8Linked to original sources
PubMed1983

Electrical stimulation at the wrist as an aid for the profoundly deaf.

The development and evaluation of a sensory electrical substitution aid for the profoundly deaf is described. The aid is a small wrist-worn device which converts sound into an electrical stimulus at the wrist. The initial aim was to give profoundly deaf people useful information from ambient sounds. Evaluation of the Mark 1 aid on 15 hearing and five profoundly deaf people indicated that such a device might be of use to some deaf people. Investigation of the sensitivity of the peripheral nervous system to electrical pulse stimulation showed that information could be transmitted in a more efficient manner so a Mark 2 aid was developed which incorporated circuitry to transmit pitch information, potentially useful in lipreading. The Mark 2 aid was shown to give improved results over the Mark 1 aid in transmitting voice intonation, but gave no help in an isolated word lipreading test. A portable Mark 2 aid was developed to enable clinical trials to be carried out on profoundly deaf people.

Adult↗
PubMed2004

Time-compressed visual speech and age: a first report.

OBJECTIVE: The purpose of this research was to investigate the effects of age on the ability to identify temporally altered visual speech signals. DESIGN: Two groups of adult lipreaders, older (N = 20) and younger (N = 15), were tested on perception of visual-only speech signals. Identification performance was measured for time-compressed, time-expanded, and unaltered versions of words with visual only speech. RESULTS: An overall reduction in lipreading ability was observed as a function of age. However, in contrast to results with time-altered auditory speech, older adults did not show a disproportionate change to speeded or slowed visual speech. CONCLUSIONS: The absence of age effects in the identification of temporally altered visual speech signals stands in contrast to the considerable evidence that older adults are disproportionately affected by temporal alterations of auditory speech signals. These results argue against a generalized slowing of information processing in older adults and instead point to modality specific changes in temporal processing abilities.

Adult↗
PubMed2004

Read my lips: asymmetries in the visual expression and perception of speech revealed through the McGurk effect.

It is well known that the right side of the mouth moves more than the left during speech, but little is known about how this asymmetry affects lipreading. We investigated asymmetries in the visual expression and perception of speech using the McGurk effect-an illusion in which incongruent lip movements cause listeners to misreport sounds. Thirty right-handed participants watched film clips in which the left, the right, or neither side of the mouth was covered. The McGurk effect was attenuated when the right side of the mouth was covered, demonstrating that this side is more important to lipreading than is the left side of the mouth. Mirror-reversed images tested whether the asymmetry was the result of an observer bias toward the left hemispace. The McGurk effect was stronger in the normal than in the mirror orientation when the mouth was fully visible. Thus, observers attend more to what they think is the right side of the speaker's mouth. Asymmetries in mouth movements may reflect the gestural origins of language, which are also right lateralized.

Adolescent↗
PubMed2005

The role of visual speech cues in reducing energetic and informational masking.

Two experiments compared the effect of supplying visual speech information (e.g., lipreading cues) on the ability to hear one female talker's voice in the presence of steady-state noise or a masking complex consisting of two other female voices. In the first experiment intelligibility of sentences was measured in the presence of the two types of maskers with and without perceived spatial separation of target and masker. The second study tested detection of sentences in the same experimental conditions. Results showed that visual cues provided more benefit for both recognition and detection of speech when the masker consisted of other voices (versus steady-state noise). Moreover, visual cues provided greater benefit when the target speech and masker were spatially coincident versus when they appeared to arise from different spatial locations. The data obtained here are consistent with the hypothesis that lipreading cues help to segregate a target voice from competing voices, in addition to the established benefit of supplementing masked phonetic information.

Adult↗
PubMed1994

A computational approach to analyzing sentential speech perception: phoneme-to-phoneme stimulus-response alignment.

A solution to the following problem is presented: Obtain a principled approach to studying error patterns in sentence-length responses obtained from subjects who were instructed to simply report what a talker had said. The solution is a sequence comparator that performs phoneme-to-phoneme alignment on transcribed stimulus and response sentences. Data for developing and testing the sequence comparator were obtained from 139 normal-hearing subjects who lipread (speechread) 100 sentences and from 15 different subjects who identified nonsense syllables by lipreading. Development of the sequence comparator involved testing two different costs metrics (visemes versus Euclidean distances) and two related comparison algorithms. After alignments with face validity were achieved, a validation experiment was conducted for which measures from random versus true stimulus-response sentence pairs were compared. Measures of phonemes correct and substitution uncertainty were found to be sensitive to the nature of the sentence pairs. In particular, correct phoneme matches were extremely rare in random pairings in comparison with true pairs. Also, an information-theoretic measure of uncertainty for substitutions in true versus random pairings showed that uncertainty was always higher for random than for true pairs.

Algorithms↗
PubMed1988

Comparison of benefit from vibrotactile aid and cochlear implant for postlinguistically deaf adults.

Four postlinguistically deaf adults were evaluated presurgically with a one- or two-channel vibrotactile aid and postsurgically with a multichannel, multielectrode, intracochlear implant. Although the vibrotactile aid provided awareness of sound and enhanced flow of conversation, benefit to lipreading was small on videotaped tests and speech tracking. Scores on recorded, sound-only speech tests were not significantly above chance except in discrimination of noise from voice. With the cochlear implant, benefit to lipreading was significantly greater than with the vibrotactile aid, and scores on sound-only tests were significantly above chance. Communication was markedly better with the implant than with the vibrotactile aid. In counseling those who get no benefit from a hearing aid, the results of this study provide data on the amount of benefit one- or two-channel vibrotactile aids provide postlinguistically deaf adults who are subsequently implanted.

Adult↗
PubMed1992

The receptive communication abilities of deaf students under oral, manual, and combined methods.

Two groups of severely and profoundly deaf students aged 10 to 17 years were tested on their abilities to choose, from a set of four pictures, the one matching a sentence presented on videotape under 11 different communication conditions. The communication conditions involved individual and combined presentations of lipreading, listening, fingerspelling, and signed English. Severely deaf students scored higher than profoundly deaf students under all conditions except those that involved signed English, where the profoundly deaf group scored as high as the severely deaf group. All the students scored higher under conditions that involved audition, including lipreading plus audition, than under audition alone. The discussion of the results highlights methodological problems that made it difficult to interpret some previous studies in this area. Practical implications of the results for both oral education of the deaf and simultaneous communication are also discussed.

Adolescent↗
PubMed2006

A sex difference in visual influence on heard speech.

Reports of sex differences in language processing are inconsistent and are thought to vary by task type and difficulty. In two experiments, we investigated a sex difference in visual influence onheard speech (the McGurk effect). First, incongruent consonant-vowel stimuli were presented where the visual portion of the signal was brief (100 msec) or full (temporally equivalent to the auditory). Second, to determine whether men and women differed in their ability to extract visual speech information from these brief stimuli, the same stimuli were presented to new participants with an additional visual-only (lipread) condition. In both experiments, women showed a significantly greater visual influence on heard speech than did men for the brief visual stimuli. No sex differences for the full stimuli or in the ability to lipread were found. These findings indicate that the more challenging brief visual stimuli elicit sex differences in the processing of audiovisual speech.

Adult↗
PubMed1999

[Word list for evaluating oral language perception in children with total and partial hearing impairment].

This article presents twelve lists of 25 words each that are counterbalanced for use in audiology. The lists are equivalent in phonetic and semantic complexity and difficulty for lipreading. The twelve TAV lists consist of a basic child's vocabulary known by profoundly deaf prolocutive children of school age. These lists allow the evaluation of lipreading, hearing, and language perception. They also make it possible to compare improvements made in technical aids. Four lists of 20 words are added for use with younger deaf children (preschool lists). These lists are useful for people with scant language development. Three training lists are included as well.

Child, Preschool↗
PubMed1991

Pediatric performance with the Nucleus 22-channel cochlear implant system.

Results from 80 pediatric subjects with 12 months of experience wearing the Nucleus multichannel cochlear implant are presented. The data suggest that children demonstrate statistically and clinically significant benefit across a broad spectrum of abilities with the implant. Significant postoperative improvement was demonstrated by 66 percent (51 of 77), 63 percent (45 of 72), and 46 percent (27 of 59) of subjects tested on suprasegmental (prosodic), closed-set and open-set tests, respectively. Forty-nine percent of subjects tested improved when lipreading was combined with sound from the implant, compared with lipreading alone. Children who were deaf at an early age or who had longer duration deafness tended to demonstrate poorer performance on the more difficult perceptual tasks after 12 months of implant experience. However, preliminary evidence suggests that continued improvements by congenital and prelinguistic subjects over longer periods of time may reduce performance differences between subjects with early and later onset deafness.

Adolescent↗
PubMedDate not supplied

Results of a preliminary clinical trial on a multiple channel cochlear prosthesis.

Speech discrimination testing was carried out under clinical trial conditions for eight profoundly postlingually deaf adults to assess the efficacy of a newly developed 22-channel cochlear prosthesis and speech processor. Three months postoperatively, these patients showed significantly better results with the cochlear prosthesis than for preoperative testing with a conventional hearing aid or vibrotactile aid (following a 6-month trial with the aid) on each of a series of tests from the Minimal Auditory Capabilities battery. Assessment of lipreading enhancement using standard speech tests, consonant recognition studies, and speech tracking showed significant improvements for each patient when using the cochlear prosthesis. Six patients showed a significant amount of open set speech discrimination without lipreading at levels which have not been reported for single electrode cochlear prostheses. The two patients who performed poorly on these tests both had restricted multiple channel systems due to their disease, one patient being restricted to virtually a single channel system and the other to only ten of the 22 electrodes. These results indicate that this multiple channel cochlear prosthesis has potential as a treatment for profound postlingual deafness over a wide range of etiologies and ages.

Adult↗
PubMed1986

Tracking skill of a deaf person with long-term tactile aid experience: a case study.

This paper describes a case study of a single deaf individual who has been using a vibrotactile aid for approximately 13 years. He has acquired the ability to lip-read speakers in three languages, using the speech-analyzing device that he and his collaborators have developed. The report describes his communicative abilities with and without the aid in his native language, which is Russian, and in English and Hebrew. When he was tested with the De Filippo-Scott connected-discourse tracking technique, the aid produced a considerable improvement in performance over that for unaided lipreading. The amount of improvement was a function of several factors, in particular his unaided lipreading rates for the different languages.

Adult↗
PubMed1986

Nucleus 22-channel cochlear implant: preliminary observations.

A carefully designed study was undertaken in 1982 to evaluate the performance of individuals who received the Nucleus 22-channel cochlear implant. All patients were profound-totally deaf, adults with a postlingual onset of impairment. The preoperative evaluation, prosthesis fitting, training, and postoperative testing were consistent across clinics. Single-subject studies, where each patient acted as his/her own control, revealed that of the 37 subjects, 16-24 obtained significant improvement (P less than or equal to 0.001) on unpracticed, unfamiliar recorded speech tests from the Minimal Auditory Capabilities (MAC) Battery, when using hearing alone (no lipreading). In addition, virtually all patients showed improvement in recognition of speech material with lipreading. The data support the efficacy of a feature extraction coding system where specific formant and amplitude information are transmitted via direct electrical stimulation to the cochlea.

Adult↗
PubMed1995

Predictors of postoperative performance with cochlear implants.

One objective of the Department of Veterans Affairs study: A Prospective Randomized Study of Advanced Cochlear Implants was to attempt to identify preoperative patient characteristics that might predict postoperative performance. We studied the relationship between all preoperative factors and the 2-year postoperative performance on 24 audiological tests for 82 patients who were implanted with the Ineraid, Nucleus, or 3M/Vienna device. Results of the univariate analysis indicated that computed tomographic findings of the cochlea and round window, IQ, age at implantation, length of deafness, profound deafness, and lipreading ability weakly correlated to postoperative performance. The multivariate analysis showed age at time of implantation, IQ, and lipreading ability to be predictive of postoperative performance.

Age of Onset↗
PubMed1995

Communication with deaf patients. Knowledge, beliefs, and practices of physicians.

OBJECTIVE: To assess physicians' knowledge and beliefs regarding communication with deaf people and compare their knowledge and beliefs with their methods of communicating with deaf patients in their practices. DESIGN: Survey. SETTING: University medical center. SUBJECTS: Attending physicians in an internal medicine department. INTERVENTIONS: Physicians were surveyed regarding prior contacts with deaf patients and with deaf people outside the medical setting, and regarding their knowledge and beliefs concerning methods of communicating with deaf people. Physicians were asked to estimate the fraction of encounters in which they communicated with deaf patients by lipreading, writing, translation by a relative or friend, a sign language interpreter, or other methods. RESULTS: Writing was the method used most frequently in communicating with deaf patients. Although 63% of physicians knew that signing should be the initial method of communicating with deaf patients who sign, only 22% used sign language interpreters more frequently than other methods in their practices. Past contact with deaf people (P = .05), belief that communication by signing was the best means of communication (P = .04), and knowledge of the inefficiency of lipreading (P = .04) were predictors of the use of sign language interpreters for deaf patients. Physicians who used sign language interpreters more frequently than other methods believed that much more time and effort were involved in caring for deaf than for hearing patients compared with those who used interpreters less frequently (P = .08). CONCLUSION: Although most physicians believed that use of sign language interpreters was preferable, only a minority used them in their practices. Greater recognition of the advantages of signing over other methods and greater availability of sign language interpreters should lead to more effective communication between deaf patients and physicians.

Adult↗
PubMed1986

Speech recognition for 40 patients receiving multichannel cochlear implants.

We collected data on 40 patients who received the Nucleus multichannel cochlear implant. Results were reviewed to determine if the coding strategy is effective in transmitting the intended speech features and to assess patient benefit in terms of communication skills. All patients demonstrated significant improvement over preoperative results with a hearing aid for both lipreading enhancement and speech recognition without lipreading. Of the patients, 50% demonstrated ability to understand connected discourse with auditory input only. For the 23 patients who were tested 12 months postoperatively, there was substantial improvement in open-set speech recognition.

Adult↗
PubMed2004

Modulations of 'late' event-related brain potentials in humans by dynamic audiovisual speech stimuli.

Lipreading reliably improve speech perception during face-to-face conversation. Within the range of good dubbing, however, adults tolerate some audiovisual (AV) discrepancies and lipreading, then, can give rise to confusion. We used event-related brain potentials (ERPs) to study the perceptual strategies governing the intermodal processing of dynamic and bimodal speech stimuli, either congruently dubbed or not. Electrophysiological analyses revealed that non-coherent audiovisual dubbings modulated in amplitude an endogenous ERP component, the N300, we compared to a 'N400-like effect' reflecting the difficulty to integrate these conflicting pieces of information. This result adds further support for the existence of a cerebral system underlying 'integrative processes' lato sensu. Further studies should take advantage of this 'N400-like effect' with AV speech stimuli to open new perspectives in the domain of psycholinguistics.

Acoustic Stimulation↗
PubMed2006

An ideal observer analysis of variability in visual-only speech.

Normal-hearing observers typically have some ability to "lipread," or understand visual-only speech without an accompanying auditory signal. However, talkers vary in how easy they are to lipread. Such variability could arise from differences in the visual information available in talkers' speech, human perceptual strategies that are better suited to some talkers than others, or some combination of these factors. A comparison of human and ideal observer performance in a visual-only speech recognition task found that although talkers do vary in how much physical information they produce during speech, human perceptual strategies also play a role in talker variability.

Communication Methods, Total↗