title: Auditory-visual fusion in speech perception in children with cochlear implants.
abstract: Speech, for most of us, is a bimodal percept whenever we both hear the voice and see the lip movements of a speaker. Children who are born deaf never have this bimodal experience. We tested children who had been deaf from birth and who subsequently received cochlear implants for their ability to fuse the auditory information provided by their implants with visual information about lip movements for speech perception. For most of the children with implants (92%), perception was dominated by vision when visual and auditory speech information conflicted. For some, bimodal fusion was strong and consistent, demonstrating a remarkable plasticity in their ability to form auditory-visual associations despite the atypical stimulation provided by implants. The likelihood of consistent auditory-visual fusion declined with age at implant beyond 2.5 years, suggesting a sensitive period for bimodal integration in speech perception.
authors.affiliation: Department of Human Development/Institute of Child Study, University of Maryland, 3304 Benjamin Building, College Park, MD 20742, USA.
authors.forename: Efrat A
authors.initials: EA
authors.lastname: Schorr
authors.forename: Nathan A
authors.initials: NA
authors.lastname: Fox
authors.forename: Virginie
authors.initials: V
authors.lastname: van Wassenhove
authors.forename: Eric I
authors.initials: EI
authors.lastname: Knudsen
mesh_terms: D000328:Adult; D000375:Aging; D002648:Child; D002675:Child, Preschool; D003054:Cochlear Implants; D003638:Deafness / Q000151:congenital / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006309:Hearing / Q000502:physiology*; D006801:Humans; D007223:Infant; D008297:Male; D013067:Speech Perception / Q000502:physiology*; D013997:Time Factors; D014785:Vision, Ocular / Q000502:physiology*