Potential perceptual bases for successful use of a vibrotactile speech perception aid.

This paper examines the possibility that perception of vibrotactile speech stimuli is enhanced in adults with early and life-long use of hearing aids. We present evidence that vibrotactile aid benefit in adults is directly related to the age at which the hearing aid was fitted and the duration of its use. The stimulus mechanism responsible for this effect is hypothesized to be long-term vibrotactile stimulation by high powered hearing aids. We speculate on possible mechanisms for enhanced vibrotactile speech perception as the result of hearing aid use: (1) long-term experience receiving degraded or improverished speech stimuli results in a speech processing system that is more effective for novel stimuli, independent of perceptual modality; and/or (2) long-term sensory/perceptual experience causes neural changes that result in more effective delivery of speech information via somatosensory pathways.