Sehgal S T, Kirk K I, Svirsky M, Ertmer D J, Osberger M J
Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA.
Ear Hear. 1998 Feb;19(1):72-83. doi: 10.1097/00003446-199802000-00005.
To examine changes over time in consonant feature production by children with profound hearing impairments who used either the Nucleus multichannel cochlear implant or the multichannel vibrotactile aid, Tactaid 7.
Imitative consonant productions of children with prelingual deafness were elicited and transcribed at two intervals: 1) before receiving their respective devices (predevice interval), and 2) after an average of 1.5 yr of device use (postdevice interval). The consonant productions were analyzed in terms of the percentage of consonant features (manner, place, and voicing) produced by the child that matched the features of the examiner's target. The percentage of features produced correctly was then averaged across repetitions, vowel environments, and participants within each group.
At the predevice interval, the cochlear implant and Tactaid 7 participants demonstrated similar imitative consonant production abilities. After an average of 1.5 yr of device use, the cochlear implant participants demonstrated significantly greater gains than did the Tactaid 7 participants for the features of voicing and place of articulation. Although the cochlear implant participants showed a trend towards better production of the consonant manner features, this difference failed to reach significance.
The current results suggest that the use of a multichannel sensory aid yields improvements in consonant feature production. Furthermore, use of a cochlear implant appears to promote the production of consonant voicing and place features to a greater degree than does the use of a multichannel tactile aid.
研究使用核多通道人工耳蜗或多通道触觉辅助装置Tactaid 7的重度听力障碍儿童的辅音特征产生随时间的变化。
对语前聋儿童的模仿辅音发音进行诱发并记录,分两个阶段:1)在佩戴各自装置之前(佩戴装置前阶段),以及2)在平均使用装置1.5年后(佩戴装置后阶段)。根据儿童产生的与检查者目标特征相匹配的辅音特征(发音方法、发音部位和浊音)的百分比来分析辅音发音。然后将正确产生的特征百分比在每个组内的重复、元音环境和参与者之间进行平均。
在佩戴装置前阶段,人工耳蜗组和Tactaid 7组参与者表现出相似的模仿辅音发音能力。在平均使用装置1.5年后,人工耳蜗组参与者在浊音和发音部位特征方面的进步明显大于Tactaid 7组参与者。尽管人工耳蜗组参与者在辅音发音方法特征的表现上有更好的趋势,但这种差异未达到显著水平。
目前的结果表明,使用多通道感觉辅助装置可改善辅音特征的产生。此外,与使用多通道触觉辅助装置相比,使用人工耳蜗似乎在更大程度上促进了辅音浊音和发音部位特征的产生。