Speech production in Mandarin-speaking children with cochlear implants: a systematic review

Li, Jiaying; Mayr, Robert; Zhao, Fei

doi:10.1080/14992027.2021.1978567

Cited by 3 publications

(1 citation statement)

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“…There are existing review papers describing speech perception outcomes in the pediatric Chinese CI population, and prior work has indicated that adult Mandarin-speaking CI patients' ability to recognize and perceive speech is highly impacted by speech rate and noise type. In a multitalker environment, Mandarin-speaking CI users have been shown to be susceptible to interference between concurrent tones (9)(10)(11)(12)(13). However, little is known about how to best advise Chinese-speaking adult CI candidates and to what extent clinicians are consulting the existing complex body of literature.…”

Section: Introductionmentioning

confidence: 99%

Cochlear Implant Outcomes in the Chinese-Speaking Adult Population: A Systematic Review

Jia,

Wen,

Arya

et al. 2023

Otol Neurotol

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Objective The purpose of this study is to perform a systematic review of speech perception outcomes in the Chinese-speaking adult cochlear implant (CI) population. Databases Reviewed PubMed, EMbase, and Scopus. Methods A comprehensive English literature search was performed with MeSH search terms, keywords, and phrases. Literature written in a language other than English was not included. Full-text articles were screened by two blinded reviewers and adjudicated by a third. Relevant outcomes and demographic data were extracted. Qualitative summaries were performed of the demographics and assessment tools. Speech perception outcomes were assessed with quantitative measures. Results Forty-four studies (n = 467) notable for marked heterogeneity in speech perception assessment utilized and reporting of relevant patient demographics were included. Mean duration of deafness among studies reporting this metric was 10.27 years (range, 0.08–49; SD, 7.70; n = 250), with 80% of subjects reporting >5 years' duration of deafness and only 19 subjects (7.6%) with <1 year of deafness preimplantation. A summary of the most commonly used assessments is provided. Conclusion Within the English-language literature, there is marked heterogeneity and lack of standardization regarding speech perception outcomes, tests utilized, and reported patient demographics in the Chinese-speaking adult CI population. Most Chinese-speaking CI users for whom data were available had prolonged duration of deafness before implantation. This study may serve as an initial reference for providers counseling Chinese-language CI candidates and who may be interested in adopting these tests, while highlighting the need for continued efforts to measure speech perception outcomes after CI for tonal language speakers.

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Section: Introductionmentioning

confidence: 99%

Cochlear Implant Outcomes in the Chinese-Speaking Adult Population: A Systematic Review

Jia,

Wen,

Arya

et al. 2023

Otol Neurotol

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Investigating Perception to Production Transfer in Children With Cochlear Implants: A High Variability Phonetic Training Study

Zhang,

Dai,

et al. 2024

J Speech Lang Hear Res

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Purpose: This study builds upon an established effective training method to investigate the advantages of high variability phonetic identification training for enhancing lexical tone perception and production in Mandarin-speaking pediatric cochlear implant (CI) recipients, who typically face ongoing challenges in these areas. Method: Thirty-two Mandarin-speaking children with CIs were quasirandomly assigned into the training group (TG) and the control group (CG). The 16 TG participants received five sessions of high variability phonetic training (HVPT) within a period of 3 weeks. The CG participants did not receive the training. Perception and production of Mandarin tones were administered before (pretest) and immediately after (posttest) the completion of HVPT via lexical tone recognition task and picture naming task. Both groups participated in the identical pretest and posttest with the same time frame between the two test sessions. Results: TG showed significant improvement from pretest to posttest in identifying Mandarin tones for both trained and untrained speech stimuli. Moreover, perceptual learning of HVPT significantly facilitated trainees' production of T1 and T2 as rated by a cohort of 10 Mandarin-speaking adults with normal hearing, which was corroborated by acoustic analyses revealing improved fundamental frequency ( F 0) median for T1 and T2 production and enlarged F 0 movement for T2 production. In contrast, TG children's production of T3 and T4 showed nonsignificant changes across two test sessions. Meanwhile, CG did not exhibit significant changes in either perception or production. Conclusions: The results suggest a limited and inconsistent transfer of perceptual learning to lexical tone production in children with CIs, which challenges the notion of a robust transfer and highlights the complexity of the interaction between perceptual training and production outcomes. Further research on individual differences with a longitudinal design is needed to optimize the training protocol or tailor interventions to better meet the diverse needs of learners.

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Production of Tone 2 in disyllabic words in Mandarin Chinese speaking children aged 3-5 with a cochlear implant and a contralateral hearing aid

Pan

Xiao

2022

Clinical Linguistics & Phonetics

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Speech production in Mandarin-speaking children with cochlear implants: a systematic review

Cited by 3 publications

References 84 publications

Cochlear Implant Outcomes in the Chinese-Speaking Adult Population: A Systematic Review

Cochlear Implant Outcomes in the Chinese-Speaking Adult Population: A Systematic Review

Investigating Perception to Production Transfer in Children With Cochlear Implants: A High Variability Phonetic Training Study

Production of Tone 2 in disyllabic words in Mandarin Chinese speaking children aged 3-5 with a cochlear implant and a contralateral hearing aid

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