Attention to Speech and Music in Young Children with Bilateral Cochlear Implants: A Pupillometry Study

Saksida, Amanda; Ghiselli, Sara; Picinali, Lorenzo; Pintonello, Sara; Battelino, Saba; Orzan, Eva

doi:10.3390/jcm11061745

Cited by 6 publications

(2 citation statements)

References 59 publications

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“…As for the effects of demographic factors and audiological outcomes, present findings show a significant effect of age at implantation on both speech-in-noise and music perception even in a group of early implanted sample (≤ 3.5 years), reflecting the significant role of very early auditory experience in complex listening performance [ 26 , 30 ]. On the other hand, the chronological age results in a significant impact on the total Gordon scores in THC, suggesting that the test outcomes should be interpreted with caution in younger children.…”

Section: Discussionmentioning

confidence: 98%

Low-frequency pitch coding: relationships with speech-in-noise and music perception by pediatric populations with typical hearing and cochlear implants

Dinçer D’Alessandro,

Nicastri,

Portanova

et al. 2024

Eur Arch Otorhinolaryngol

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Purpose This study aimed to investigate the effects of low frequency (LF) pitch perception on speech-in-noise and music perception performance by children with cochlear implants (CIC) and typical hearing (THC). Moreover, the relationships between speech-in-noise and music perception as well as the effects of demographic and audiological factors on present research outcomes were studied. Methods The sample consisted of 22 CIC and 20 THC (7–10 years). Harmonic intonation (HI) and disharmonic intonation (DI) tests were used to assess LF pitch perception. Speech perception in quiet (WRSq)/noise (WRSn + 10) were tested with the Italian bisyllabic words for pediatric populations. The Gordon test was used to evaluate music perception (rhythm, melody, harmony, and overall). Results CIC/THC performance comparisons for LF pitch, speech-in-noise, and all music measures except harmony revealed statistically significant differences with large effect sizes. For the CI group, HI showed statistically significant correlations with melody discrimination. Melody/total Gordon scores were significantly correlated with WRSn + 10. For the overall group, HI/DI showed significant correlations with all music perception measures and WRSn + 10. Hearing thresholds showed significant effects on HI/DI scores. Hearing thresholds and WRSn + 10 scores were significantly correlated; both revealed significant effects on all music perception scores. CI age had significant effects on WRSn + 10, harmony, and total Gordon scores (p < 0.05). Conclusion Such findings confirmed the significant effects of LF pitch perception on complex listening performance. Significant speech-in-noise and music perception correlations were as promising as results from recent studies indicating significant positive effects of music training on speech-in-noise recognition in CIC.

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Section: Discussionmentioning

confidence: 98%

Low-frequency pitch coding: relationships with speech-in-noise and music perception by pediatric populations with typical hearing and cochlear implants

Dinçer D’Alessandro,

Nicastri,

Portanova

et al. 2024

Eur Arch Otorhinolaryngol

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“…A cochlear implant (CI) is currently the only FDA-approved biomedical device that can restore hearing for the majority of individuals with severe-to-profound sensorineural hearing loss (SNHL). Despite the fact that speech restoration with a CI has generally been successful in cases of deaf children (Nikolopoulos et al, 2004;Wiley et al, 2005;Sharma and Dorman, 2006), there is still a great deal of variability in CI post-implantation results (Niparko et al, 2010;Geers et al, 2011), particularly when listening to speech amid background noise (Saksida et al, 2022). It is unknown why some implanted children experience poor speech perception following implantation.…”

Section: Introductionmentioning

confidence: 99%

Cortical responses correlate with speech performance in pre-lingually deaf cochlear implant children

Zhou,

Zhang,

et al. 2023

Front. Neurosci.

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IntroductionCochlear implantation is currently the most successful intervention for severe-to-profound sensorineural hearing loss, particularly in deaf infants and children. Nonetheless, there remains a significant degree of variability in the outcomes of CI post-implantation. The purpose of this study was to understand the cortical correlates of the variability in speech outcomes with a cochlear implant in pre-lingually deaf children using functional near-infrared spectroscopy (fNIRS), an emerging brain-imaging technique.MethodsIn this experiment, cortical activities when processing visual speech and two levels of auditory speech, including auditory speech in quiet and in noise with signal-to-noise ratios of 10 dB, were examined in 38 CI recipients with pre-lingual deafness and 36 normally hearing children whose age and sex matched CI users. The HOPE corpus (a corpus of Mandarin sentences) was used to generate speech stimuli. The regions of interest (ROIs) for the fNIRS measurements were fronto-temporal-parietal networks involved in language processing, including bilateral superior temporal gyrus, left inferior frontal gyrus, and bilateral inferior parietal lobes.ResultsThe fNIRS results confirmed and extended findings previously reported in the neuroimaging literature. Firstly, cortical responses of superior temporal gyrus to both auditory and visual speech in CI users were directly correlated to auditory speech perception scores, with the strongest positive association between the levels of cross-modal reorganization and CI outcome. Secondly, compared to NH controls, CI users, particularly those with good speech perception, showed larger cortical activation in the left inferior frontal gyrus in response to all speech stimuli used in the experiment.DiscussionIn conclusion, cross-modal activation to visual speech in the auditory cortex of pre-lingually deaf CI children may be at least one of the neural bases of highly variable CI performance due to its beneficial effects for speech understanding, thus supporting the prediction and assessment of CI outcomes in clinic. Additionally, cortical activation of the left inferior frontal gyrus may be a cortical marker for effortful listening.

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Do auditory brainstem implants favor the development of sensory integration and cognitive functions?

BAŞ,

Gökay,

Aydoğan

et al. 2024

Brain and Behavior

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BackgroundInformation about the development of cognitive skills and the effect of sensory integration in children using auditory brainstem implants (ABIs) is still limited.ObjectiveThis study primarily aims to investigate the relationship between sensory processing skills and attention and memory abilities in children with ABI, and secondarily aims to examine the effects of implant duration on sensory processing and cognitive skills in these children.MethodsThe study included 25 children between the ages of 6 and 10 years (mean age: 14 girls and 11 boys) with inner ear and/or auditory nerve anomalies using auditory brainstem implants. Visual‐Aural Digit Span Test B, Marking Test, Dunn Sensory Profile Questionnaire were applied to all children.ResultsThe sensory processing skills of children are statistically significant and positive, and moderately related to their cognitive skills. As the duration of implant use increases, better attention and memory performances have been observed (p < .05).ConclusionThe study demonstrated the positive impact of sensory processing on the development of memory and attention skills in children with ABI. It will contribute to evaluating the effectiveness of attention, memory, and sensory integration skills, and aiding in the development of more effective educational strategies for these children.

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Attention to Speech and Music in Young Children with Bilateral Cochlear Implants: A Pupillometry Study

Cited by 6 publications

References 59 publications

Low-frequency pitch coding: relationships with speech-in-noise and music perception by pediatric populations with typical hearing and cochlear implants

Low-frequency pitch coding: relationships with speech-in-noise and music perception by pediatric populations with typical hearing and cochlear implants

Cortical responses correlate with speech performance in pre-lingually deaf cochlear implant children

Do auditory brainstem implants favor the development of sensory integration and cognitive functions?

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