In hearing children, reading skills have been found to be closely related to phonological awareness. We used several standardized tests to investigate the reading and phonological awareness skills of 27 deaf school-age children who were experienced cochlear implant users. Approximately two-thirds of the children performed at or above the level of their hearing peers on the phonological awareness and reading tasks. Reading scores were found to be strongly correlated with measures of phonological awareness. These correlations remained the same when we statistically controlled for potentially confounding demographic variables such as age at testing and speech perception skills. However, these correlations decreased even after we statistically controlled for vocabulary size. This finding suggests that lexicon size is a mediating factor in the relationship between the children's phonological awareness and reading skills, a finding that has also been reported for typically developing hearing children.

The performance of deaf children with cochlear implants was assessed using measures standardized on hearing children. To investigate nonverbal cognitive and sensorimotor processes associated with postimplant variability, five selected sensorimotor and visuospatial subtests from A Developmental Neuropsychological Assessment (NEPSY) were compared with standardized vocabulary, reading, and digit span measures. Participants were 26 deaf children, ages 6-14 years, who received a cochlear implant between ages 1 and 6 years; duration of implant use ranged from 3 to 11 years. Results indicated significant correlations between standard scores on the Design Copying subtest of the NEPSY and standard scores on vocabulary comprehension, reading, and digit span measures. The results contribute to our understanding of the benefits of cochlear implantation and cognitive processes that may support postimplant language and academic functioning.

In this study, we examined two prosodic characteristics of speech production in 8-10-year-old experienced cochlear implant (CI) users who completed a nonword repetition task. We looked at how often they correctly reproduced syllable number and primary stress location in their responses. Although only 5% of all nonword imitations were produced correctly without errors, 64% of the imitations contained the correct syllable number and 61% had the correct placement of primary stress. Moreover, these target prosodic properties were correctly preserved significantly more often for targets with fewer syllables and targets with primary stress on the initial syllable. Syllable and stress scores were significantly correlated with measures of speech perception, intelligibility, perceived accuracy, and working memory. These findings suggest that paediatric CI users encode the overall prosodic envelope of nonword patterns, despite the loss of more detailed segmental properties. This phonological knowledge is also reflected in other language and memory skills.

The phonological processing skills of 24 pre-lingually deaf 8- and 9-year-old experienced cochlear implant users were measured using a nonword repetition task. The children heard recordings of 20 nonwords and were asked to repeat each pattern as accurately as possible. Detailed segmental analyses of the consonants in the children's imitation responses were carried out. Overall, 39% of the consonants were imitated correctly. Coronals were produced correctly more often than labials or dorsals. There was no difference in the proportion of correctly reproduced stops, fricatives, nasals, and liquids, or voiced and voiceless consonants. Although nonword repetition performance was not correlated with the children's demographic characteristics, the nonword repetition scores were strongly correlated with other measures of the component processes required for the immediate reproduction of a novel sound pattern: spoken word recognition, language comprehension, working memory, and speech production.

Fourteen prelingually deafened pediatric users of the Nucleus-22 cochlear implant were asked to imitate auditorily presented nonwords. The children's utterances were recorded, digitized. and broadly transcribed. The target patterns and the children's imitations were then played back to normal-hearing adult listeners in order to obtain perceptual judgments of repetition accuracy. The results revealed wide variability in the children's ability to repeat the novel sound sequences. Individual differences in the component processes of encoding, memory, and speech production were strongly reflected in the nonward repetition scores. Duration of deafness before implantation also appeared to be a factor associated with imitation perfonnance. Linguistic analyses of the initial consonants in the nonwords revealed that coronal stops were imitated best, followed by the coronal fricative /s/, and then the labial and velar stops. Labial fricatives were poorly imitated. The theoretical significance of the nonword repetition task as it has been used in past studies of working memory and vocabulary development in nonnal-hearing children is discussed.