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Updated: Mar 18, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Initial Stop Voicing in Bilingual Children With Cochlear Implants and Their Typically Developing Peers With Normal
Bilingual children, with normal hearing (NH) or cochlear implants (CIs), differentiate stop voicing similarly across languages. This crucial speech sound distinction is achieved comparably by both NH and CI users.
Area of Science:
- Speech-language pathology
- Developmental linguistics
- Auditory neuroscience
Background:
- Bilingual children develop complex phonological systems.
- Understanding speech sound acquisition in children with hearing loss using cochlear implants (CIs) is crucial.
- Investigating how cochlear implants affect phonological development in bilinguals is important.
Purpose of the Study:
- To compare stop voicing differentiation in bilingual children with normal hearing (NH) and those with hearing loss using cochlear implants (CIs).
- To determine if cochlear implant use impacts the ability to distinguish speech sounds.
- To examine language-specific patterns in stop voicing differentiation.
Main Methods:
- Study included 22 bilingual children (11 NH, 11 CI users), matched for hearing age.
- Data collected via single-word picture elicitation focusing on initial stop consonants.
- Statistical analysis used repeated measures ANOVA to assess voice onset time and prevoicing.
Main Results:
- Significant effects found for language, stop voicing, and place of articulation on speech sound production.
- No significant differences observed between normal hearing (NH) and cochlear implant (CI) groups.
- Both NH and CI groups demonstrated stop voicing differentiation in a language-specific manner.
Conclusions:
- Bilingual children with normal hearing (NH) and cochlear implants (CIs) achieve stop voicing differentiation similarly.
- Stop voicing differentiation is accomplished in a language-specific manner by both groups.
- Cochlear implant use does not impede the development of stop voicing contrasts in bilingual children.
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