Electrophysiological Examination of Ambient Speech Processing in Children With Cochlear Implants.

PURPOSE: This research examined the expression of cortical auditory evoked potentials in a cohort of children who received cochlear implants (CIs) for treatment of congenital deafness (n = 28) and typically hearing controls (n = 28). METHOD: We make use of a novel electroencephalography paradigm that permits the assessment of auditory responses to ambiently presented speech and evaluates the contributions of concurrent visual stimulation on this activity. RESULTS: Our findings show group differences in the expression of auditory sensory and perceptual event-related potential components occurring in 80- to 200-ms and 200- to 300-ms time windows, with reductions in amplitude and a greater latency difference for CI-using children. Relative to typically hearing children, current source density analysis showed muted responses to concurrent visual stimulation in CI-using children, suggesting less cortical specialization and/or reduced responsiveness to auditory information that limits the detection of the interaction between sensory systems. CONCLUSION: These findings indicate that even in the face of early interventions, CI-using children may exhibit disruptions in the development of auditory and multisensory processing.

Effects of age on American Sign Language sentence repetition.

The study of deaf users of signed languages, who often experience delays in primary language (L1) acquisition, permits a unique opportunity to examine the effects of aging on the processing of an L1 acquired under delayed or protracted development. A cohort of 107 congenitally deaf adult signers ages 45-85 years who were exposed to American Sign Language (ASL) either in infancy, early childhood, or late childhood were tested using an ASL sentence repetition test. Participants repeated 20 sentences that gradually increased in length and complexity. Logistic mixed-effects regression with the variables of chronological age (CA) and age of acquisition (AoA) was used to assess sentence repetition accuracy. Results showed that CA was a significant predictor, with increased age being associated with decreased likelihood to reproduce a sentence correctly (odds ratio [OR] = 0.56, p = .010). In addition, effects of AoA were observed. Relative to native deaf signers, those who acquired ASL in early childhood were less likely to successfully reproduce a sentence (OR = 0.42, p = .003), as were subjects who learned ASL in late childhood (OR = 0.27, p < .001). These data show that aging affects verbatim recall in deaf users of ASL and that the age of sign language acquisition has a significant and lasting effect on repetition ability, even after decades of sign language use. These data show evidence for life-span continuity of early life effects. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

A novel EEG paradigm to simultaneously and rapidly assess the functioning of auditory and visual pathways.

Objective assessment of the sensory pathways is crucial for understanding their development across the life span and how they may be affected by neurodevelopmental disorders (e.g., autism spectrum) and neurological pathologies (e.g., stroke, multiple sclerosis, etc.). Quick and passive measurements, for example, using electroencephalography (EEG), are especially important when working with infants and young children and with patient populations having communication deficits (e.g., aphasia). However, many EEG paradigms are limited to measuring activity from one sensory domain at a time, may be time consuming, and target only a subset of possible responses from that particular sensory domain (e.g., only auditory brainstem responses or only auditory P1-N1-P2 evoked potentials). Thus we developed a new multisensory paradigm that enables simultaneous, robust, and rapid (6-12 min) measurements of both auditory and visual EEG activity, including auditory brainstem responses, auditory and visual evoked potentials, as well as auditory and visual steady-state responses. This novel method allows us to examine neural activity at various stations along the auditory and visual hierarchies with an ecologically valid continuous speech stimulus, while an unrelated video is playing. Both the speech stimulus and the video can be customized for any population of interest. Furthermore, by using two simultaneous visual steady-state stimulation rates, we demonstrate the ability of this paradigm to track both parafoveal and peripheral visual processing concurrently. We report results from 25 healthy young adults, which validate this new paradigm.NEW & NOTEWORTHY A novel electroencephalography paradigm enables the rapid, reliable, and noninvasive assessment of neural activity along both auditory and visual pathways concurrently. The paradigm uses an ecologically valid continuous speech stimulus for auditory evaluation and can simultaneously track visual activity to both parafoveal and peripheral visual space. This new methodology may be particularly appealing to researchers and clinicians working with infants and young children and with patient populations with limited communication abilities.

Putting underspecification in context: ERP evidence for sparse representations in morphophonological alternations.

Numerous studies have shown evidence for a sparse lexicon in speech perception, often in the guise of underspecification, where certain information is omitted in the specification of phonological forms. While previous work has made a good case for underspecifying certain features of single speech sounds, the role of phonological context in underspecification has been overlooked. Contextually-mediated underspecification is particularly relevant to conceptualizations of the lexicon, as it is couched in item-specific (as opposed to phoneme-specific) patterning. In this study, we present behavioral and ERP evidence that surrounding phonological context may trigger underspecified lexical forms, using regular morphophonological alternations in English.

Auditory and Visual Electrophysiology of Deaf Children with Cochlear Implants: Implications for Cross-modal Plasticity.

Deaf children who receive a cochlear implant early in life and engage in intensive oral/aural therapy often make great strides in spoken language acquisition. However, despite clinicians' best efforts, there is a great deal of variability in language outcomes. One concern is that cortical regions which normally support auditory processing may become reorganized for visual function, leaving fewer available resources for auditory language acquisition. The conditions under which these changes occur are not well understood, but we may begin investigating this phenomenon by looking for interactions between auditory and visual evoked cortical potentials in deaf children. If children with abnormal auditory responses show increased sensitivity to visual stimuli, this may indicate the presence of maladaptive cortical plasticity. We recorded evoked potentials, using both auditory and visual paradigms, from 25 typical hearing children and 26 deaf children (ages 2-8 years) with cochlear implants. An auditory oddball paradigm was used (85% /ba/ syllables vs. 15% frequency modulated tone sweeps) to elicit an auditory P1 component. Visual evoked potentials (VEPs) were recorded during presentation of an intermittent peripheral radial checkerboard while children watched a silent cartoon, eliciting a P1-N1 response. We observed reduced auditory P1 amplitudes and a lack of latency shift associated with normative aging in our deaf sample. We also observed shorter latencies in N1 VEPs to visual stimulus offset in deaf participants. While these data demonstrate cortical changes associated with auditory deprivation, we did not find evidence for a relationship between cortical auditory evoked potentials and the VEPs. This is consistent with descriptions of intra-modal plasticity within visual systems of deaf children, but do not provide evidence for cross-modal plasticity. In addition, we note that sign language experience had no effect on deaf children's early auditory and visual ERP responses.

Distinguishing underlying and surface variation patterns in speech perception.

This study examines the relationship between patterns of variation and speech perception using two English prefixes: 'in-'/'im-' and 'un-'. In natural speech, 'in-' varies due to an underlying process of phonological assimilation, while 'un-' shows a pattern of surface variation, assimilating before labial stems. In a go/no-go lexical decision experiment, subjects were presented a set of 'mispronounced' stimuli in which the prefix nasal was altered (replacing [n] with [m], or vice versa), in addition to real words with unaltered prefixes. No significant differences between prefixes were found in responses to unaltered words. In mispronounced items, responses to 'un-' forms were faster and more accurate than to 'in-' forms, although a significant interaction mitigated this effect in labial contexts. These results suggest the regularity of variation patterns has consequences for the lexical specification of words, and argues against radical under-specification accounts which argue for a maximally sparse lexicon.

An Investigation of Place and Voice Features Using fMRI-Adaptation.

A widely accepted view of speech perception holds that in order to comprehend language, the variable acoustic signal must be parsed into a set of abstract linguistic representations. However, the neural basis of early phonological processing, including the nature of featural encoding of speech, is still poorly understood. In part, progress in this domain has been constrained by the difficulty inherent in extricating the influence of acoustic modulations from those which can be ascribed to the abstract, featural content of the stimuli. A further concern is that group averaging techniques may obscure subtle individual differences in cortical regions involved in early language processing. In this paper we present the results of an fMRI-adaptation experiment which finds evidence of areas in the superior and medial temporal lobes which respond selectively to changes in the major feature categories of voicing and place of articulation. We present both single-subject and group-averaged analyses.

Lexical processing in deaf readers: an FMRI investigation of reading proficiency.

Individuals with significant hearing loss often fail to attain competency in reading orthographic scripts which encode the sound properties of spoken language. Nevertheless, some profoundly deaf individuals do learn to read at age-appropriate levels. The question of what differentiates proficient deaf readers from less-proficient readers is poorly understood but topical, as efforts to develop appropriate and effective interventions are needed. This study uses functional magnetic resonance imaging (fMRI) to examine brain activation in deaf readers (N = 21), comparing proficient (N = 11) and less proficient (N = 10) readers' performance in a widely used test of implicit reading. Proficient deaf readers activated left inferior frontal gyrus and left middle and superior temporal gyrus in a pattern that is consistent with regions reported in hearing readers. In contrast, the less-proficient readers exhibited a pattern of response characterized by inferior and middle frontal lobe activation (right>left) which bears some similarity to areas reported in studies of logographic reading, raising the possibility that these individuals are using a qualitatively different mode of orthographic processing than is traditionally observed in hearing individuals reading sound-based scripts. The evaluation of proficient and less-proficient readers points to different modes of processing printed English words. Importantly, these preliminary findings allow us to begin to establish the impact of linguistic and educational factors on the neural systems that underlie reading achievement in profoundly deaf individuals.

Cross-linguistic differences in the neural representation of human language: evidence from users of signed languages.

Studies of deaf individuals who are users of signed languages have provided profound insight into the neural representation of human language. Case studies of deaf signers who have incurred left- and right-hemisphere damage have shown that left-hemisphere resources are a necessary component of sign language processing. These data suggest that, despite frank differences in the input and output modality of language, core left perisylvian regions universally serve linguistic function. Neuroimaging studies of deaf signers have generally provided support for this claim. However, more fine-tuned studies of linguistic processing in deaf signers are beginning to show evidence of important differences in the representation of signed and spoken languages. In this paper, we provide a critical review of this literature and present compelling evidence for language-specific cortical representations in deaf signers. These data lend support to the claim that the neural representation of language may show substantive cross-linguistic differences. We discuss the theoretical implications of these findings with respect to an emerging understanding of the neurobiology of language.