Comparison of acoustic analysis of voice parameters in children with cochlear implants and normal hearing

Srividya, A; Premalatha, B.; Gore, Madhuri

doi:10.4103/2230-9748.216705

Cited by 4 publications

(8 citation statements)

References 2 publications

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“…This study aimed to compare the frequency parameters of voice in children using CI and those with normal hearing. The overall significance obtained in all parameters is in concurrence with findings of an earlier investigation by Srividhya et al 9 and Wang et al 14 They attributed these changes due to a lack of auditory feedback. The current study showed a significant difference between both groups in fundamental frequency values.…”

Section: Discussionsupporting

confidence: 91%

“…The vocal deviations that are prominently seen in individuals with hearing impairment include strain, breathiness, roughness, monotone, absence of rhythm, hoarseness, vocal fatigue, high pitch, reduced volume, and loudness with excessive variation; unbalanced resonance and imprecise articulation are essentially due to the lack of auditory monitoring of their own voice. 7 - 9 Hence, improving intelligible speech with an acceptable quality of voice is a challenge for speech therapists, even post-intervention due to the deprivation period. 10 …”

Section: Introductionmentioning

confidence: 99%

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Frequency Characteristics in Children Using Cochlear Implant: A Comparison With Normal Hearing Peers

et al. 2021

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Background: To compare the frequency parameters of voice between children using cochlear implant (CI) and those with normal hearing and establishing a trend of development of voice characteristics across chronological and implant ages. Methods: The study included 87 children aged 12 to 72 months, with a mean age of 41 months. The subjects were divided into 2 groups: group 1 included 44 children using CIs, and group 2 included 43 children with normal hearing and age-appropriate speech and language characteristics. Both groups were categorized into 3 subgroups based on their chronological ages, group A (12-32 months), B (33-52 months), and C (53-72 months). The CI group (i.e., group 2) was further subdivided based on implant ages as group D (1-4 months), E (5-8 months), and F (9-12 months). Results: Comparison of vocal frequency parameters across chronological ages revealed a decline with increasing age in both groups; however, stability was not maintained in the CI group. There was a statistically significant difference in the vocal frequency parameters between normal hearing children and those with CI. Comparing across implant ages, there was a significant difference between groups D and F. Conclusion: For better communication abilities of individuals with CI, along with early implantation and rehabilitation, there is a need to also focus therapy on providing training on speech modulations, especially on voice characteristics .

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Frequency Characteristics in Children Using Cochlear Implant: A Comparison With Normal Hearing Peers

et al. 2021

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“…Srividya et al [ 10 ] compared voice parameters in 30 cochlear implant users and showed similar results with a statistically significant difference in the fundamental frequency of speech between both the groups. Group 1 with cochlear implant had a lower value of fundamental frequency (277.26 ± 47.88 Hz) as compared to normally hearing candidates (322.60 ± 60.19 Hz) in Group 2 (NH).…”

Section: Discussionmentioning

confidence: 80%

“…The literature suggests that due to poor auditory feedback, the children with profound or severe hearing loss have difficulty in controlling their pitch but children with cochlear implants after a period of speech training tend to have control over their pitch resulting in normal fundamental frequency range, but the range seems to be wider [ 3 , 10 , 11 ]…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study of Voice Characteristics in Children With Cochlear Implants and Typically Hearing Children: Insights From an Indian Context

Kushwaha,

Alexander,

Sreenivasan

2023

Cureus

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Purpose The aim of the study was to evaluate speech outcomes in children with cochlear implants compared to normally hearing children in terms of fundamental frequency, shimmer, and jitter. The study also aims to assess the intelligibility of speech in children with cochlear implants using a speech intelligibility rating scale. Methods This was a hospital-based comparative study conducted at JIPMER, a major tertiary referral center. A total of 25 prelingually deaf children with profound deafness, who underwent cochlear implantation at the institute, were recruited from the outpatient department of the Department of Otorhinolaryngology. Twenty-five children under seven years of age who underwent cochlear implantation and received a minimum of 36 speech therapy sessions were included in the study. Subjects with incomplete electrode array insertion and any neurological maldevelopment were excluded. Age- and gender-matched controls comprising 25 individuals were selected from the Ophthalmology Outpatient Department at JIPMER. Study procedure The study commenced in January 2019. Test subjects were asked to visit the Audiology and Speech and Language Pathology Department at JIPMER. Voice recordings were conducted in a soundproof room using a microphone, with the mouthpiece held at a distance of 10-15 cm from the patient. The patient was instructed to say "a" three times. Their voice was recorded and analyzed using Praat software (Version 6.1.15, developed by Paul Boersma and David Weenink, Phonetic Sciences, University of Amsterdam). Data were analyzed using IBM SPSS Statistics for Windows, Version 19 (Released 2010; IBM Corp., Armonk, New York) (Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA), and the results were derived. Results The mean fundamental frequency for Group 1 (CI) was 266.03 ± 57.46 Hz, compared to 312.97 ± 22.15 Hz for Group 2 (NH). There was a statistically significant difference between the values of both groups, indicating that cochlear implantation positively impacted the fundamental frequency of speech. The study revealed a significant change in the fundamental frequency when children were implanted at an early age and received effective speech therapy post-implantation. This change was assessed after one year post-implant. Perturbation measures such as shimmer and jitter were lower in the cochlear implant group but were not statistically significant. Conclusion Children with congenital bilateral severe to profound sensorineural hearing loss tend to have higher values of the fundamental frequency of speech. However, when implanted at an early age, they showed a significant difference in the fundamental frequency of speech (p < 0.001). Speech perturbation was lower in the post-cochlear implant group, with a statistically significant difference in the values of shimmer alone. The study concludes that children with cochlear implants can achieve normal voice parameters...

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Comparative Study on the Acoustic Analysis of Voice in Auditory Brainstem Implantees, Cochlear Implantees, and Normal Hearing Children

Umashankar,

Ramamoorthy,

Selvaraj

et al. 2023

Indian J Otolaryngol Head Neck Surg

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Comparison of acoustic analysis of voice parameters in children with cochlear implants and normal hearing

Cited by 4 publications

References 2 publications

Frequency Characteristics in Children Using Cochlear Implant: A Comparison With Normal Hearing Peers

Frequency Characteristics in Children Using Cochlear Implant: A Comparison With Normal Hearing Peers

A Comparative Study of Voice Characteristics in Children With Cochlear Implants and Typically Hearing Children: Insights From an Indian Context

Comparative Study on the Acoustic Analysis of Voice in Auditory Brainstem Implantees, Cochlear Implantees, and Normal Hearing Children

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