Related Experiment Video
Updated: Feb 22, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Waiting for lexical access: Cochlear implants or severely degraded input lead listeners to process speech less
Bob McMurray1, Ashley Farris-Trimble2, Hannah Rigler3
1Dept. of Psychological and Brain Sciences, University of Iowa, United States; Dept. of Communication Sciences and Disorders, University of Iowa, United States; Dept. of Otolaryngology, University of Iowa, United States; DeLTA Center, University of Iowa, United States.
Abstract:
Spoken language unfolds over time. Consequently, there are brief periods of ambiguity, when incomplete input can match many possible words. Typical listeners solve this problem by immediately activating multiple candidates which compete for recognition. In two experiments using the visual world paradigm, we examined real-time lexical competition in prelingually deaf cochlear implant (CI) users, and normal hearing (NH) adults listening to severely degraded speech. In Experiment 1, adolescent CI users and NH controls matched spoken words to arrays of pictures including pictures of the target word and phonological competitors. Eye-movements to each referent were monitored asa measure of how strongly that candidate was considered over time. Relative to NH controls, CI users showed a large delay in fixating any object, less competition from onset competitors (e.g., sandwich after hearing sandal), and increased competition from rhyme competitors (e.g., candle after hearing sandal). Experiment 2 observed the same pattern with NH listeners hearing highly degraded speech. These studies suggests that in contrast to all prior studies of word recognition in typical listeners, listeners recognizing words in severely degraded conditions can exhibit a substantively different pattern of dynamics, waiting to begin lexical access until substantial information has accumulated.
Related Concept Videos
The Cochlea
Unrenewable Cells
Photoreceptors
The retina is composed of several layers and contains specialized cells called photoreceptors. The photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. There are two types of photoreceptors—rods and cones—which differ in the shape of...
Auditory Pathway
When viewed cross-sectionally, the cochlea reveals the scala vestibuli and scala tympani flanking...
Hair Cells
Hearing
Higher Mental Functions of the Brain: Language
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...

