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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Cross-modal plasticity and speech perception in pre- and postlingually deaf cochlear implant users
Kristi A Buckley1, Emily A Tobey
1Department of Communicative Disorders & Sciences, University at Buffalo, Buffalo, New York, USA. kb78@buffalo.edu
Ear and Hearing
|September 11, 2010
Summary
Cross-modal plasticity impacts cochlear implant speech perception in prelingual hearing loss, but not postlingual. The timing of hearing loss, not duration of deprivation, influences outcomes.
Area of Science:
- Neuroscience
- Audiology
- Speech-Language Pathology
Background:
- Speech perception variability after cochlear implantation (CI) is significant.
- Cross-modal plasticity is a potential contributing factor to this variability.
- Understanding these mechanisms is crucial for optimizing CI outcomes.
Purpose of the Study:
- To investigate the association between visual/auditory cross-modal plasticity and speech perception in CI users.
- To differentiate the influence of cross-modal plasticity based on the onset of hearing loss (pre- vs. postlingual).
Main Methods:
- Recorded N1 visual evoked potential (VEP) in response to visual motion stimuli in prelingual (N=10) and postlingual (N=12) CI users.
- Analyzed the association between N1 VEP amplitude and speech perception scores using linear regression.
- Examined the relationship between VEP amplitude and duration of auditory deprivation.
Main Results:
- Increased N1 VEP amplitude correlated with decreased speech perception in prelingual CI users.
- No significant association was found between N1 VEP amplitude and speech perception in postlingual CI users.
- Neither group showed a correlation between VEP amplitude and duration of auditory deprivation.
Conclusions:
- Cross-modal plasticity significantly influences speech perception variability in prelingual CI users.
- This influence is not observed in postlingual CI users.
- The timing of hearing loss onset is a more critical factor than the duration of auditory deprivation in modulating the effects of cross-modal plasticity on CI speech perception.
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