Neural correlates of speech processing in prelingually deafened children and adolescents with cochlear implants

PLoS One. 2013 Jul 4;8(7):e67696. doi: 10.1371/journal.pone.0067696. Print 2013.

Abstract

Prelingually deafened children with cochlear implants stand a good chance of developing satisfactory speech performance. Nevertheless, their eventual language performance is highly variable and not fully explainable by the duration of deafness and hearing experience. In this study, two groups of cochlear implant users (CI groups) with very good basic hearing abilities but non-overlapping speech performance (very good or very bad speech performance) were matched according to hearing age and age at implantation. We assessed whether these CI groups differed with regard to their phoneme discrimination ability and auditory sensory memory capacity, as suggested by earlier studies. These functions were measured behaviorally and with the Mismatch Negativity (MMN). Phoneme discrimination ability was comparable in the CI group of good performers and matched healthy controls, which were both better than the bad performers. Source analyses revealed larger MMN activity (155-225 ms) in good than in bad performers, which was generated in the frontal cortex and positively correlated with measures of working memory. For the bad performers, this was followed by an increased activation of left temporal regions from 225 to 250 ms with a focus on the auditory cortex. These results indicate that the two CI groups developed different auditory speech processing strategies and stress the role of phonological functions of auditory sensory memory and the prefrontal cortex in positively developing speech perception and production.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Auditory Cortex / physiopathology
  • Child
  • Cochlear Implantation*
  • Cochlear Implants*
  • Deafness / physiopathology
  • Deafness / psychology*
  • Deafness / surgery
  • Discrimination, Psychological / physiology
  • Electrocardiography
  • Female
  • Hearing Tests
  • Humans
  • Male
  • Memory
  • Recovery of Function
  • Speech / physiology*
  • Speech Perception / physiology*

Grants and funding

This work was supported by the Deutsche Forschungsgemeinschaft [DFG DO 711/7-1 to C.D., A.Z.D. and P.Z., http://www.dfg.de), the Konrad-Adenauer-Stiftung (PhD grant to M.O., www.kas.de) and the FAZIT-Stiftung (PhD grant to M.O., www.fazit-stiftung.de). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.