Auditory-visual speech perception in normal-hearing and cochlear-implant listeners

The present study evaluated auditory-visual speech perception in cochlear-implant users as well as normal-hearing and simulated-implant controls to delineate relative contributions of sensory experience and cues. Auditory-only, visual-only, or auditory-visual speech perception was examined in the context of categorical perception, in which an animated face mouthing ba, da, or ga was paired with synthesized phonemes from an 11-token auditory continuum. A three-alternative, forced-choice method was used to yield percent identification scores. Normal-hearing listeners showed sharp phoneme boundaries and strong reliance on the auditory cue, whereas actual and simulated implant listeners showed much weaker categorical perception but stronger dependence on the visual cue. The implant users were able to integrate both congruent and incongruent acoustic and optical cues to derive relatively weak but significant auditory-visual integration. This auditory-visual integration was correlated with the duration of the implant experience but not the duration of deafness. Compared with the actual implant performance, acoustic simulations of the cochlear implant could predict the auditory-only performance but not the auditory-visual integration. These results suggest that both altered sensory experience and improvised acoustic cues contribute to the auditory-visual speech perception in cochlear-implant users.     

Patterns of phoneme perception errors by listeners with cochlear implants as a function of overall speech perception ability

Many studies have noted great variability in speech perception ability among postlingually deafened adults with cochlear implants. This study examined phoneme misperceptions for 30 cochlear implant listeners using either the Nucleus-22 or Clarion version 1.2 device to examine whether listeners with better overall speech perception differed qualitatively from poorer listeners in their perception of vowel and consonant features. In the first analysis, simple regressions were used to predict the mean percent-correct scores for consonants and vowels for the better group of listeners from those of the poorer group. A strong relationship between the two groups was found for consonant identification, and a weak, nonsignificant relationship was found for vowel identification. In the second analysis, it was found that less information was transmitted for consonant and vowel features to the poorer listeners than to the better listeners; however, the pattern of information transmission was similar across groups. Taken together, results suggest that the performance difference between the two groups is primarily quantitative. The results underscore the importance of examining individuals' perception of individual phoneme features when attempting to relate speech perception to other predictor variables.     

Effect of stimulation rate on phoneme recognition by nucleus-22 cochlear implant listeners

This study investigated the effect of pulsatile stimulation rate on medial vowel and consonant recognition in cochlear implant listeners. Experiment 1 measured phoneme recognition as a function of stimulation rate in six Nucleus-22 cochlear implant listeners using an experimental four-channel continuous interleaved sampler (CIS) speech processing strategy. Results showed that all stimulation rates from 150 to 500 pulses/s/electrode produced equally good performance, while stimulation rates lower than 150 pulses/s/electrode produced significantly poorer performance. Experiment 2 measured phoneme recognition by implant listeners and normal-hearing listeners as a function of the low-pass cutoff frequency for envelope information. Results from both acoustic and electric hearing showed no significant difference in performance for all cutoff frequencies higher than 20 Hz. Both vowel and consonant scores dropped significantly when the cutoff frequency was reduced from 20 Hz to 2 Hz. The results of these two experiments suggest that temporal envelope information can be conveyed by relatively low stimulation rates. The pattern of results for both electrical and acoustic hearing is consistent with a simple model of temporal integration with an equivalent rectangular duration (ERD) of the temporal integrator of about 7 ms.     

Relative contributions of spectral and temporal cues for phoneme recognition

Cochlear implants provide users with limited spectral and temporal information. In this study, the amount of spectral and temporal information was systematically varied through simulations of cochlear implant processors using a noise-excited vocoder. Spectral information was controlled by varying the number of channels between 1 and 16, and temporal information was controlled by varying the lowpass cutoff frequencies of the envelope extractors from 1 to 512 Hz. Consonants and vowels processed using those conditions were presented to seven normal-hearing native-English-speaking listeners for identification. The results demonstrated that both spectral and temporal cues were important for consonant and vowel recognition with the spectral cues having a greater effect than the temporal cues for the ranges of numbers of channels and lowpass cutoff frequencies tested. The lowpass cutoff for asymptotic performance in consonant and vowel recognition was 16 and 4 Hz, respectively. The number of channels at which performance plateaued for consonants and vowels was 8 and 12, respectively. Within the above-mentioned ranges of lowpass cutoff frequency and number of channels, the temporal and spectral cues showed a tradeoff for phoneme recognition. Information transfer analyses showed different relative contributions of spectral and temporal cues in the perception of various phonetic/acoustic features.     

A mathematical model of medial consonant identification by cochlear implant users

The multidimensional phoneme identification model is applied to consonant confusion matrices obtained from 28 postlingually deafened cochlear implant users. This model predicts consonant matrices based on these subjects' ability to discriminate a set of postulated spectral, temporal, and amplitude speech cues as presented to them by their device. The model produced confusion matrices that matched many aspects of individual subjects' consonant matrices, including information transfer for the voicing, manner, and place features, despite individual differences in age at implantation, implant experience, device and stimulation strategy used, as well as overall consonant identification level. The model was able to match the general pattern of errors between consonants, but not the full complexity of all consonant errors made by each individual. The present study represents an important first step in developing a model that can be used to test specific hypotheses about the mechanisms cochlear implant users employ to understand speech.     

The use of acoustic cues for phonetic identification: effects of spectral degradation and electric hearing

Although some cochlear implant (CI) listeners can show good word recognition accuracy, it is not clear how they perceive and use the various acoustic cues that contribute to phonetic perceptions. In this study, the use of acoustic cues was assessed for normal-hearing (NH) listeners in optimal and spectrally degraded conditions, and also for CI listeners. Two experiments tested the tense/lax vowel contrast (varying in formant structure, vowel-inherent spectral change, and vowel duration) and the word-final fricative voicing contrast (varying in F1 transition, vowel duration, consonant duration, and consonant voicing). Identification results were modeled using mixed-effects logistic regression. These experiments suggested that under spectrally-degraded conditions, NH listeners decrease their use of formant cues and increase their use of durational cues. Compared to NH listeners, CI listeners showed decreased use of spectral cues like formant structure and formant change and consonant voicing, and showed greater use of durational cues (especially for the fricative contrast). The results suggest that although NH and CI listeners may show similar accuracy on basic tests of word, phoneme or feature recognition, they may be using different perceptual strategies in the process.     

The ability of cochlear implant users to use temporal envelope cues recovered from speech frequency modulation

Previous studies have demonstrated that normal-hearing listeners can understand speech using the recovered "temporal envelopes," i.e., amplitude modulation (AM) cues from frequency modulation (FM). This study evaluated this mechanism in cochlear implant (CI) users for consonant identification. Stimuli containing only FM cues were created using 1, 2, 4, and 8-band FM-vocoders to determine if consonant identification performance would improve as the recovered AM cues become more available. A consistent improvement was observed as the band number decreased from 8 to 1, supporting the hypothesis that (1) the CI sound processor generates recovered AM cues from broadband FM, and (2) CI users can use the recovered AM cues to recognize speech. The correlation between the intact and the recovered AM components at the output of the sound processor was also generally higher when the band number was low, supporting the consonant identification results. Moreover, CI subjects who were better at using recovered AM cues from broadband FM cues showed better identification performance with intact (unprocessed) speech stimuli. This suggests that speech perception performance variability in CI users may be partly caused by differences in their ability to use AM cues recovered from FM speech cues.     

Vowel intelligibility in clear and conversational speech for normal-hearing and hearing-impaired listeners

Several studies have demonstrated that when talkers are instructed to speak clearly, the resulting speech is significantly more intelligible than speech produced in ordinary conversation. These speech intelligibility improvements are accompanied by a wide variety of acoustic changes. The current study explored the relationship between acoustic properties of vowels and their identification in clear and conversational speech, for young normal-hearing (YNH) and elderly hearing-impaired (EHI) listeners. Monosyllabic words excised from sentences spoken either clearly or conversationally by a male talker were presented in 12-talker babble for vowel identification. While vowel intelligibility was significantly higher in clear speech than in conversational speech for the YNH listeners, no clear speech advantage was found for the EHI group. Regression analyses were used to assess the relative importance of spectral target, dynamic formant movement, and duration information for perception of individual vowels. For both listener groups, all three types of information emerged as primary cues to vowel identity. However, the relative importance of the three cues for individual vowels differed greatly for the YNH and EHI listeners. This suggests that hearing loss alters the way acoustic cues are used for identifying vowels.     

Evaluating the function of phonetic perceptual phenomena within speech recognition: an examination of the perception of /d/-/t/ by adult cochlear implant users

This study examined whether cochlear implant users must perceive differences along phonetic continua in the same way as do normal hearing listeners (i.e., sharp identification functions, poor within-category sensitivity, high between-category sensitivity) in order to recognize speech accurately. Adult postlingually deafened cochlear implant users, who were heterogeneous in terms of their implants and processing strategies, were tested on two phonetic perception tasks using a synthetic /da/-/ta/ continuum (phoneme identification and discrimination) and two speech recognition tasks using natural recordings from ten talkers (open-set word recognition and forced-choice /d/-/t/ recognition). Cochlear implant users tended to have identification boundaries and sensitivity peaks at voice onset times (VOT) that were longer than found for normal-hearing individuals. Sensitivity peak locations were significantly correlated with individual differences in cochlear implant performance; individuals who had a /d/-/t/ sensitivity peak near normal-hearing peak locations were most accurate at recognizing natural recordings of words and syllables. However, speech recognition was not strongly related to identification boundary locations or to overall levels of discrimination performance. The results suggest that perceptual sensitivity affects speech recognition accuracy, but that many cochlear implant users are able to accurately recognize speech without having typical normal-hearing patterns of phonetic perception.     

Companding to improve cochlear-implant speech recognition in speech-shaped noise

Nonlinear sensory and neural processing mechanisms have been exploited to enhance spectral contrast for improvement of speech understanding in noise. The "companding" algorithm employs both two-tone suppression and adaptive gain mechanisms to achieve spectral enhancement. This study implemented a 50-channel companding strategy and evaluated its efficiency as a front-end noise suppression technique in cochlear implants. The key parameters were identified and evaluated to optimize the companding performance. Both normal-hearing (NH) listeners and cochlear-implant (CI) users performed phoneme and sentence recognition tests in quiet and in steady-state speech-shaped noise. Data from the NH listeners showed that for noise conditions, the implemented strategy improved vowel perception but not consonant and sentence perception. However, the CI users showed significant improvements in both phoneme and sentence perception in noise. Maximum average improvement for vowel recognition was 21.3 percentage points (p<0.05) at 0 dB signal-to-noise ratio (SNR), followed by 17.7 percentage points (p<0.05) at 5 dB SNR for sentence recognition and 12.1 percentage points (p<0.05) at 5 dB SNR for consonant recognition. While the observed results could be attributed to the enhanced spectral contrast, it is likely that the corresponding temporal changes caused by companding also played a significant role and should be addressed by future studies.     

The relative phonetic contributions of a cochlear implant and residual acoustic hearing to bimodal speech perception

The addition of low-passed (LP) speech or even a tone following the fundamental frequency (F0) of speech has been shown to benefit speech recognition for cochlear implant (CI) users with residual acoustic hearing. The mechanisms underlying this benefit are still unclear. In this study, eight bimodal subjects (CI users with acoustic hearing in the non-implanted ear) and eight simulated bimodal subjects (using vocoded and LP speech) were tested on vowel and consonant recognition to determine the relative contributions of acoustic and phonetic cues, including F0, to the bimodal benefit. Several listening conditions were tested (CI/Vocoder, LP, T(F0-env), CI/Vocoder + LP, CI/Vocoder + T(F0-env)). Compared with CI/Vocoder performance, LP significantly enhanced both consonant and vowel perception, whereas a tone following the F0 contour of target speech and modulated with an amplitude envelope of the maximum frequency of the F0 contour (T(F0-env)) enhanced only consonant perception. Information transfer analysis revealed a dual mechanism in the bimodal benefit: The tone representing F0 provided voicing and manner information, whereas LP provided additional manner, place, and vowel formant information. The data in actual bimodal subjects also showed that the degree of the bimodal benefit depended on the cutoff and slope of residual acoustic hearing.     

Vowel recognition via cochlear implants and noise vocoders: effects of formant movement and duration

Previous work has demonstrated that normal-hearing individuals use fine-grained phonetic variation, such as formant movement and duration, when recognizing English vowels. The present study investigated whether these cues are used by adult postlingually deafened cochlear implant users, and normal-hearing individuals listening to noise-vocoder simulations of cochlear implant processing. In Experiment 1, subjects gave forced-choice identification judgments for recordings of vowels that were signal processed to remove formant movement and/or equate vowel duration. In Experiment 2, a goodness-optimization procedure was used to create perceptual vowel space maps (i.e., best exemplars within a vowel quadrilateral) that included F1, F2, formant movement, and duration. The results demonstrated that both cochlear implant users and normal-hearing individuals use formant movement and duration cues when recognizing English vowels. Moreover, both listener groups used these cues to the same extent, suggesting that postlingually deafened cochlear implant users have category representations for vowels that are similar to those of normal-hearing individuals.     

Fundamental frequency is critical to speech perception in noise in combined acoustic and electric hearing

Cochlear implant (CI) users have been shown to benefit from residual low-frequency hearing, specifically in pitch related tasks. It remains unclear whether this benefit is dependent on fundamental frequency (F0) or other acoustic cues. Three experiments were conducted to determine the role of F0, as well as its frequency modulated (FM) and amplitude modulated (AM) components, in speech recognition with a competing voice. In simulated CI listeners, the signal-to-noise ratio was varied to estimate the 50% correct response. Simulation results showed that the F0 cue contributes to a significant proportion of the benefit seen with combined acoustic and electric hearing, and additionally that this benefit is due to the FM rather than the AM component. In actual CI users, sentence recognition scores were collected with either the full F0 cue containing both the FM and AM components or the 500-Hz low-pass speech cue containing the F0 and additional harmonics. The F0 cue provided a benefit similar to the low-pass cue for speech in noise, but not in quiet. Poorer CI users benefited more from the F0 cue than better users. These findings suggest that F0 is critical to improving speech perception in noise in combined acoustic and electric hearing.     

Effects of cochlear implant processing and fundamental frequency on the intelligibility of competing sentences

Speech perception in the presence of another competing voice is one of the most challenging tasks for cochlear implant users. Several studies have shown that (1) the fundamental frequency (F0) is a useful cue for segregating competing speech sounds and (2) the F0 is better represented by the temporal fine structure than by the temporal envelope. However, current cochlear implant speech processing algorithms emphasize temporal envelope information and discard the temporal fine structure. In this study, speech recognition was measured as a function of the F0 separation of the target and competing sentence in normal-hearing and cochlear implant listeners. For the normal-hearing listeners, the combined sentences were processed through either a standard implant simulation or a new algorithm which additionally extracts a slowed-down version of the temporal fine structure (called Frequency-Amplitude-Modulation-Encoding). The results showed no benefit of increasing F0 separation for the cochlear implant or simulation groups. In contrast, the new algorithm resulted in gradual improvements with increasing F0 separation, similar to that found with unprocessed sentences. These results emphasize the importance of temporal fine structure for speech perception and demonstrate a potential remedy for difficulty in the perceptual segregation of competing speech sounds.     

Enhancement of temporal periodicity cues in cochlear implants: effects on prosodic perception and vowel identification

Standard continuous interleaved sampling processing, and a modified processing strategy designed to enhance temporal cues to voice pitch, were compared on tests of intonation perception, and vowel perception, both in implant users and in acoustic simulations. In standard processing, 400 Hz low-pass envelopes modulated either pulse trains (implant users) or noise carriers (simulations). In the modified strategy, slow-rate envelope modulations, which convey dynamic spectral variation crucial for speech understanding, were extracted by low-pass filtering (32 Hz). In addition, during voiced speech, higher-rate temporal modulation in each channel was provided by 100% amplitude-modulation by a sawtooth-like wave form whose periodicity followed the fundamental frequency (F0) of the input. Channel levels were determined by the product of the lower- and higher-rate modulation components. Both in acoustic simulations and in implant users, the ability to use intonation information to identify sentences as question or statement was significantly better with modified processing. However, while there was no difference in vowel recognition in the acoustic simulation, implant users performed worse with modified processing both in vowel recognition and in formant frequency discrimination. It appears that, while enhancing pitch perception, modified processing harmed the transmission of spectral information.     

Acoustic cues to tonal contrasts in Mandarin: implications for cochlear implants

The present study systematically manipulated three acoustic cues--fundamental frequency (f0), amplitude envelope, and duration--to investigate their contributions to tonal contrasts in Mandarin. Simplified stimuli with all possible combinations of these three cues were presented for identification to eight normal-hearing listeners, all native speakers of Mandarin from Taiwan. The f0 information was conveyed either by an f0-controlled sawtooth carrier or a modulated noise so as to compare the performance achievable by a clear indication of voice f0 and what is possible with purely temporal coding of f0. Tone recognition performance with explicit f0 was much better than that with any combination of other acoustic cues (consistently greater than 90% correct compared to 33%-65%; chance is 25%). In the absence of explicit f0, the temporal coding of f0 and amplitude envelope both contributed somewhat to tone recognition, while duration had only a marginal effect. Performance based on these secondary cues varied greatly across listeners. These results explain the relatively poor perception of tone in cochlear implant users, given that cochlear implants currently provide only weak cues to f0, so that users must rely upon the purely temporal (and secondary) features for the perception of tone.     

The use of static and dynamic vowel cues by multichannel cochlear implant users.

Multichannel cochlear implant users vary greatly in their word-recognition abilities. This study examined whether their word recognition was related to the use of either highly dynamic or relatively steady-state vowel cues contained in /bVb/ and /wVb/ syllables. Nine conditions were created containing different combinations of formant transition, steady-state, and duration cues. Because processor strategies differ, the ability to perceive static and dynamic information may depend on the type of cochlear implant used. Ten Nucleus and ten Ineraid subjects participated, along with 12 normal-hearing control subjects. Vowel identification did not differ between implanted groups, but both were significantly poorer at identifying vowels than the normal-hearing group. Vowel identification was best when at least two kinds of cues were available. Using only one type of cue, performance was better with excised vowels containing steady-state formants than in "vowelless" syllables, where the center vocalic portion was deleted and transitions were joined. In the latter syllable type, Nucleus subjects identified vowels significantly better when /b/ was the initial consonant; the other two groups were not affected by specific consonantal context. Cochlear implant subjects' word-recognition was positively correlated with the use of dynamic vowel cues, but not with steady-state cues.     

Sensitivity to isolated and concurrent intensity and fundamental frequency increments by cochlear implant users under natural listening conditions

Sensitivity to acoustic cues in cochlear implant (CI) listening under natural conditions is a potentially complex interaction between a number of simultaneous factors, and may be difficult to predict. In the present study, sensitivity was measured under conditions that approximate those of natural listening. Synthesized words having increases in intensity or fundamental frequency (F0) in a middle stressed syllable were presented in soundfield to normal-hearing listeners and to CI listeners using their everyday speech processors and programming. In contrast to the extremely fine sensitivity to electrical current observed when direct stimulation of single electrodes is employed, difference limens (DLs) for intensity were larger for the CI listeners by a factor of 2.4. In accord with previous work, F0 DLs were larger by almost one order of magnitude. In a second experiment, it was found that the presence of concurrent intensity and F0 increments reduced the mean DL to half that of either cue alone for both groups of subjects, indicating that both groups combine concurrent cues with equal success. Although sensitivity to either cue in isolation was not related to word recognition in CI users, the listeners having lower combined-cue thresholds produced better word recognition scores.     

The performance of different synthesis signals in acoustic models of cochlear implants

Synthesis (carrier) signals in acoustic models embody assumptions about perception of auditory electric stimulation. This study compared speech intelligibility of consonants and vowels processed through a set of nine acoustic models that used Spectral Peak (SPEAK) and Advanced Combination Encoder (ACE)-like speech processing, using synthesis signals which were representative of signals used previously in acoustic models as well as two new ones. Performance of the synthesis signals was determined in terms of correspondence with cochlear implant (CI) listener results for 12 attributes of phoneme perception (consonant and vowel recognition; F1, F2, and duration information transmission for vowels; voicing, manner, place of articulation, affrication, burst, nasality, and amplitude envelope information transmission for consonants) using four measures of performance. Modulated synthesis signals produced the best correspondence with CI consonant intelligibility, while sinusoids, narrow noise bands, and varying noise bands produced the best correspondence with CI vowel intelligibility. The signals that performed best overall (in terms of correspondence with both vowel and consonant attributes) were modulated and unmodulated noise bands of varying bandwidth that corresponded to a linearly varying excitation width of 0.4 mm at the apical to 8 mm at the basal channels.     

Speaker recognition with temporal cues in acoustic and electric hearing

Natural spoken language processing includes not only speech recognition but also identification of the speaker's gender, age, emotional, and social status. Our purpose in this study is to evaluate whether temporal cues are sufficient to support both speech and speaker recognition. Ten cochlear-implant and six normal-hearing subjects were presented with vowel tokens spoken by three men, three women, two boys, and two girls. In one condition, the subject was asked to recognize the vowel. In the other condition, the subject was asked to identify the speaker. Extensive training was provided for the speaker recognition task. Normal-hearing subjects achieved nearly perfect performance in both tasks. Cochlear-implant subjects achieved good performance in vowel recognition but poor performance in speaker recognition. The level of the cochlear implant performance was functionally equivalent to normal performance with eight spectral bands for vowel recognition but only to one band for speaker recognition. These results show a disassociation between speech and speaker recognition with primarily temporal cues, highlighting the limitation of current speech processing strategies in cochlear implants. Several methods, including explicit encoding of fundamental frequency and frequency modulation, are proposed to improve speaker recognition for current cochlear implant users.