title: Auditory-visual speech perception in normal-hearing and cochlear-implant listeners.
abstract: 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.
authors.affiliation: Departments of Anatomy and Neurobiology, Biomedical Engineering, Cognitive Sciences and Otolaryngology - Head and Neck Surgery, 364 Medical Surgery II, University of California, Irvine, California 92697-1275, USA.
authors.forename: Sheetal
authors.initials: S
authors.lastname: Desai
authors.forename: Ginger
authors.initials: G
authors.lastname: Stickney
authors.forename: Fan-Gang
authors.initials: FG
authors.lastname: Zeng
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001301:Audiometry, Pure-Tone; D001307:Auditory Perception / Q000502:physiology*; D003054:Cochlear Implants; D003638:Deafness / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006309:Hearing / Q000502:physiology*; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D013067:Speech Perception; D014796:Visual Perception / Q000502:physiology*