Deaf Subjects Research Articles

The Effects of Spatial Attention on Motion Processing in Deaf Signers, Hearing Signers, and Hearing Nonsigners

Visual abilities in deaf individuals may be altered as a result of auditory deprivation and/or because the deaf rely heavily on a sign language (American Sign Language, or ASL). In this study, we asked whether attentional abilities of deaf subjects are altered. Using a direction of motion discrimination task in the periphery, we investigated three aspects of spatial attention: orienting of attention, divided attention, and selective attention. To separate influences of auditory deprivation and sign language experience, we compared three subject groups: deaf and hearing native signers of ASL and hearing nonsigners. To investigate the ability to orient attention, we compared motion thresholds obtained with and without a valid spatial precue, with the notion that subjects orient to the stimulus prior to its appearance when a precue is presented. Results suggest a slight advantage for deaf subjects in the ability to orient spatial attention. To investigate divided attention, we compared motion thresholds obtained when a single motion target was presented to thresholds obtained when the motion target was presented among confusable distractors. The effect of adding distractors was found to be identical across subject groups, suggesting that attentional capacity is not altered in deaf subjects. Finally, to investigate selective attention, we compared performance for a single, cued motion target with that of a cued motion target presented among distractors. Here, deaf, but not hearing, subjects performed better when the motion target was presented among distractors than when it was presented alone, suggesting that deaf subjects are more affected by the presence of distractors. In sum, our results suggest that attentional orienting and selective attention are altered in the deaf and that these effects are most likely due to auditory deprivation as opposed to sign language experience.

Visual Field Asymmetries for Motion Processing in Deaf and Hearing Signers

Recently, we reported a strong right visual field/left hemisphere advantage for motion processing in deaf signers and a slight reverse asymmetry in hearing nonsigners (Bosworth & Dobkins, 1999). This visual field asymmetry in deaf signers may be due to auditory deprivation or to experience with a visual–manual language, American Sign Language (ASL). In order to separate these two possible sources, in this study we added a third group, hearing native signers, who have normal hearing and have learned ASL from their deaf parents. As in our previous study, subjects performed a direction-of-motion discrimination task at different locations across the visual field. In addition to investigating differences in left vs right visual field asymmetries across subject groups, we also asked whether performance differences exist for superior vs inferior visual fields and peripheral vs central visual fields. Replicating our previous study, a robust right visual field advantage was observed in deaf signers, but not in hearing nonsigners. Like deaf signers, hearing signers also exhibited a strong right visual field advantage, suggesting that this effect is related to experience with sign language. These results suggest that perceptual processes required for the acquisition and comprehension of language (motion processing in the case of ASL) are recruited by the left, language-dominant, hemisphere. Deaf subjects also exhibited an inferior visual field advantage that was significantly larger than that observed in either hearing group. In addition, there was a trend for deaf subjects to perform relatively better on peripheral than on central stimuli, while both hearing groups showed the reverse pattern. Because deaf signers differed from hearing signers and nonsigners along these domains, the inferior and peripheral visual field advantages observed in deaf subjects is presumably related to auditory deprivation. Finally, these visual field asymmetries were not modulated by attention for any subject group, suggesting they are a result of sensory, and not attentional, factors.

Facial affect recognition in pre-lingually deaf people with schizophrenia

The present study examined facial affect recognition in pre-lingually deaf individuals with schizophrenia. Affective facial-labeling task and the control task of face feature processing (the Benton facial recognition test) were performed by deaf subjects with schizophrenia using French sign language (FSL), hearing subjects with schizophrenia, and hearing healthy controls. Deaf subjects with schizophrenia performed more poorly than hearing clinical controls with schizophrenia or healthy controls on the affective facial-labeling task. No differences were found on the control task between deaf subjects with schizophrenia and hearing clinical or healthy controls. The results showed that facial affect recognition and face feature processing were differently impaired in pre-lingually deaf individuals with schizophrenia, suggesting that neurocognitive backgrounds of impaired affective facial processing may be distinct from those of general impairment in face processing.

Successful cochlear implantation in prelingual profound deafness resulting from the common 233delC mutation of the GJB2 gene in the Japanese.

Recently, we identified three novel mutations of the GJB2 gene in Japanese families with autosomal-recessive non-syndromic deafness.1 Seven of 11 mutated chromosomes (63.6%) contained a 233delC allele, suggesting that the 233delC mutation is the most common mutation of the GJB2 gene in the Japanese population. After it was recognized that cochlear implantation (CI) is of benefit to children with prelingual deafness, we have had a number of prelingual pediatric CI patients. Because children carrying the homozygous 233delC mutation show bilateral prelingual profound deafness, they could be enrolled in the CI program at Osaka University Graduate School of Medicine. The purposes of this study were 1) to analyze the occurrence of the GJB2 mutations in our 15 prelingual pediatric CI patients in whom the cause of non-syndromic deafness was unknown, and 2) to evaluate the auditory function and postoperative speech perception with CI of those GJB2-related deaf subjects. Retrospective analysis. Mutation analysis of the GJB2 gene by direct sequencing was performed with genomic DNA from 15 children born profoundly deaf as a result of unknown causes and implanted with CI. Intraoperative electrically evoked auditory brainstem response (EABR) and intra-/postoperative EAP were measured. The speech perception was evaluated with Infants and Toddlers Meaningful Auditory Integration Scale (IT-MAIS). We identified 4 CI patients (26.7%) out of 15 children carrying the homozygous 233delC mutation. Intra- and postoperative evaluation of the auditory system revealed almost intact cochlear and retrocochlear auditory function in these 4 patients. Postoperative auditory testing indicates that their speech perception had become significantly higher in comparison with that of other prelingual CI patients. These results suggest that prelingual deaf children carrying the homozygous 233delC mutation of the GJB2 gene can benefit from CI.

Comprensión de la sintaxis española por lectores sordos chilenos

The purpose of this study is to explore how Chilean, deaf readers comprehend sentences that contain different syntactic structures in Spanish. Each of the subjects, students and adults, individually completed a test of syntactic comprehension that required them to read a series of printed sentences and act them out with dolls and small objects according to their interpretation of each text. Results showed that, although the adults were more successful in interpreting the sentences than the students, overall, the deaf subjects demonstrated a very defficient level of comprehension of any sentence that deviated from a basic SVO word order consisting of explicit, noun-verb-noun elements. Overextension of the mimimal distance principle and imposition of SVO word order predominated as reading strategies employed by deaf subjects of both age groups.

Visual stimuli activate auditory cortex in the deaf.

Previous brain imaging studies have demonstrated responses to tactile and auditory stimuli in visual cortex of blind subjects, suggesting that removal of one sensory modality leads to neural reorganization of the remaining modalities. To investigate whether similar 'cross-modal' plasticity occurs in human auditory cortex, we used functional magnetic resonance imaging (fMRI) to measure visually evoked activity in auditory areas of both early-deafened and hearing individuals. Here we find that deaf subjects exhibit activation in a region of the right auditory cortex, corresponding to Brodmann's areas 42 and 22, as well as in area 41 (primary auditory cortex), demonstrating that early deafness results in the processing of visual stimuli in auditory cortex.

Functional MR Imaging of Vision in the Deaf

Rationale and Objectives Early loss of a sensory modality has been associated with cortical reorganization in both animal models and humans. The purpose of this study was to map visual activation with functional magnetic resonance (MR) imaging and to document possible developmental reorganization in the temporal lobe caused by early deafness. Materials and Methods Six prelingual, profoundly deaf subjects were compared with a similar group of six hearing subjects. Three visual tasks were performed by both groups: attention to movement in the field-of-view periphery, shape matching, and mental rotation. Echo-planar coronal MR imaging was performed at 1.5 T. Results Regions of interest encompassing the middle and posterior aspects of the superior and middle temporal gyri demonstrated a significantly ( P < .05) increased activation in deaf subjects compared with hearing subjects, particularly on the right side ( P < .05) and during the tasks involving motion. The most specific effect was noted during the mental-rotation task. Conclusion These results support the hypothesis that portions of the temporal lobe usually involved in auditory processing are more active during certain visual tasks in deaf compared with hearing subjects. Cortical reorganization may be an important factor in the deaf population when considering the physiology of temporal lobe lesions and predicting surgical outcomes. Functional MR imaging may be helpful during preoperative assessment in individuals with deafness.

Passive perception of signs and words in monolingual hearing versus bilingual deaf subjects

Passive perception of signs and words in monolingual hearing versus bilingual deaf subjects

Cross-Modal Plasticity Underpins Language Recovery after Cochlear Implantation

Postlingually deaf subjects learn the meaning of sounds after cochlear implantation by forming new associations between sounds and their sources. Implants generate coarse frequency responses, preventing place-coding fine enough to discriminate sounds with similar temporal characteristics, e.g., buck/duck. This limitation imposes a dependency on visual cues, e.g., lipreading. We hypothesized that cross-modal facilitation results from engagement of the visual cortex by purely auditory tasks. In four functional neuroimaging experiments, we show recruitment of early visual cortex (V1/V2) when cochlear implant users listen to sounds with eyes closed. Activity in visual cortex evolved in a stimulus-specific manner as a function of time from implantation reflecting experience-dependent adaptations in the postimplant phase.

Memory span for Arabic numerals and digit words in Japanese kanji in deaf signers

According to the theory of working memory, the “phonological loop” is a slave system that stores a limited number of sounds for a short period of time. The question of how this system works for deaf people reading a logographic script, kanji, was investigated. We measured the memory span of a sample of Japanese hearing and deaf participants. Hearing subjects were tested in Japanese and deaf subjects in sign language. Memory span was assessed in control and articulatory suppression conditions. In the control condition, subjects were required to recall various item sequences as quickly and accurately as possible. In the articulatory suppression condition, the hearing subjects articulated the phrase no‐no, and the deaf subjects expressed a pseudosign, while viewing the stimuli. Results showed that the memory span of the deaf for Japanese kanji was similar to that of their hearing peers. This finding conflicts with previous research which suggested that for users of English, the deaf display consistently shorter memory spans than do their hearing counterparts. In addition, we discovered that in contrast to their hearing colleagues, the deaf Japanese subjects were relatively immune to expected articulatory suppression effects. This finding raises the possibility that working memory coding processes are not universal.

Ultrasound activates the auditory cortex of profoundly deaf subjects.

Using three-dimensional PET, the cortical areas activated by bone-conducted ultrasound were measured from five profoundly deaf subjects and compared with the cortical areas of normal-hearing subjects activated by stimuli through bone-conducted ultrasonic, air-conducted, bone-conducted, and vibro-tactile hearing aids. All of the hearing aids, including the ultrasonic hearing aid, consistently activated the medial portion of the primary auditory cortex of the normal volunteers. The same cortical area was also significantly activated in the profoundly deaf subjects although the percentage increase in regional cerebral blood flow (rCBF) was smaller than in normal subjects. These results suggest that extra-cochlear routes convey information to the primary auditory cortex and can therefore produce detectable sound sensation even in the profoundly deaf subjects, who reported a sensation themselves.

Visual contrast sensitivity in deaf versus hearing populations: exploring the perceptual consequences of auditory deprivation and experience with a visual language

Early deafness in humans provides a unique opportunity to examine the perceptual consequences of altered sensory experience. In particular, visual perception in the deaf may be altered as a result of their auditory deprivation and/or because the deaf rely heavily upon a visual language (American Sign Language, or ASL, in the US). Recently, we found that deaf, but not hearing, subjects exhibit a right visual field/left hemisphere advantage on a low-level direction of motion task, a finding that has been attributed to the deaf’s experience with ASL [Psychol. Sci. 10 (1999) 256; Brain Res. 405 (1987) 268]. In order to determine whether this visual field asymmetry generalizes to other low-level visual functions, in this study we measured contrast sensitivity in deaf and hearing subjects to moving stimuli over a range of speeds (0.125–64°/s). We hypothesized that if ASL use drives differences between hearing and deaf subjects, such differences may occur over a restricted range of speeds most commonly found in ASL. In addition, we tested a third group, hearing native signers who learned ASL early from their deaf parents, to further assess whether potential differences between groups results from ASL use. These experiments reveal no overall differences in contrast sensitivity, nor differences in visual field asymmetries, across subject groups at any speed tested. Thus, differences previously observed between deaf and hearing subjects for discriminating the direction of moving stimuli do not generalize to contrast sensitivity for moving stimuli, a result that has implications for the neural level at which plastic changes occur in the visual system of deaf subjects.

Feeling vibrations: enhanced tactile sensitivity in congenitally deaf humans

The human nervous system displays remarkable functional plasticity following long-term sensory deprivation. For example, the auditory cortex of congenitally deaf humans may start to process tactile information. To further explore this type of cross-modal plasticity, we examined the tactile accuracy of congenitally deaf and normal hearing subjects in frequency discrimination and in detection of random suprathreshold frequency changes within a monotonous sequence of vibratory stimuli. We found that congenital deafness can enhance the accuracy of suprathreshold tactile change detection while tactile frequency discrimination is not significantly changed, although there is a trend toward reduced thresholds. The enhanced tactile sensitivity in the deaf probably reflects both neural plasticity and increased attention directed to the stimuli. Whatever the underlying neural mechanisms might be, functional compensation following early sensory loss apparently leads the remaining sensory modalities to develop capacities exceeding those of the normal functional systems.

Exploring a new silent test of phonological awareness

This is the preliminary study of a test of phonologicalawareness which does not require that subjects speak or hear toparticipate. The test was designed to minimize memory loads, and tomeasure speeded written naming and segmentation-by-sound. Spelling datacan also be collected. Subjects have 45 seconds to name items in each oftwo sets of line drawings. The average frequency of the names variesacross these sets. In the third set, subjects must name the items, andalso segment the written names into their constituent sounds. This taskwas administered to disabled and normally-reading adults, with twocommon tests of phonological awareness. The new test discriminatedbetween the readers as reliably as the benchmark tasks, correlating witheach better than they correlated with each other. The new test was thenadministered to deaf adults, who performed similarly to the disabled(hearing) readers. The data represent the first direct demonstration ofphonological abilities in deaf subjects, using a task designedspecifically for that purpose.

Time spent viewing captions on television programs.

The eye movements of 23 deaf subjects, ages 14 to 61 years, were recorded 30 times per second while the subjects watched four 2.5-minute captioned television programs. The eye movement data were analyzed to determine the percentage of time each subject actually looked at the captions on the screen. It was found that subjects gazed at the captions 84% of the time, at the video picture 14% of the time, and off the video 2% of the time. Age, sex, and educational level appeared to have little influence on time spent viewing captions. When caption speed increased from the slowest speed (100 words per minute, or wpm) to the fastest speed (180 wpm), mean percentage of time spent gazing at captions increased only from 82% to 86%. A distinctive characteristic of the data was the considerable variation from subject to subject and also within subjects (from video to video) in regard to percentage of time spent gazing at captions.

Functional differentiation of the auditory association area in prelingually deaf subjects

Background: it is believed that the number of neurons of the human cortex increases rapidly in the first postnatal year, and then decreases gradually towards adult level as their functions are revised up to 11 years of age (‘synaptic revision’). It is also confirmed that regional cerebral blood flow (rCBF) at rest represents the density of the neurons and decreases in accordance with the synaptic revision in process. If synaptic revision does not occur, rCBF remains at high level. Thus, we can evaluate whether functional differentiation has occurred in the human cortex by measuring rCBF at resting state. Objective: to examine functional differentiation of the auditory association area (A2) in prelingually deaf subjects. Methods: six postlingually and six prelingually deaf subjects who had undergone cochlear implant (CI) were involved in the current study. All prelingually deaf subjects underwent CI over 8 years old. The rCBF in A2 was examined during resting and listening to speech sounds using positron emission tomography (PET) and H 2 15O intravenous injection. Twelve normal subjects’ rCBFs were also measured as control. Furthermore, three prelingually deaf subjects underwent follow up PET studies in which cortical activities in A2 for listening and lipreading were examined. Results: in the examination of rCBF at rest, rCBFs of prelingually deaf subjects in A2 showed significantly higher than those of either the postlingually deaf subjects or normal subjects. During listening, rCBFs in A2 increased in postlingually deaf subjects and normal subjects, while there was no significant rCBF increase in the prelingually deaf. High rCBF level in A2 at rest observed in prelingually deaf subjects implied a lack of synaptic revision, and it was suggested that the functional differentiation for auditory processing was little in the A2 of prelingually deaf subjects. In the follow up study for three prelingually deaf subjects, activation of A2 was observed during lipreading but not during listening in two cases, who had developed the skill of lipreading while speech recognition was not improved by CI. In contrast, the other case had not used any visual clues in daily communication prior to CI, and the hearing acuity was well improved by CI. This case demonstrated an activity in A2 during listening, while lipreading induced no activation. Conclusion: it is suggested that functional differentiation of A2 should differ according to which of visual and auditory clue is chiefly used during critical periods for speech acquisition. The findings are thought to be important for us to schedule the education and treatment for prelingually deaf children.

Mismatch negativity: a tool for the assessment of stimuli discrimination in cochlear implant subjects

Objectives: The performance of cochlear implants varies among users. This variability may be due to the ability to process auditory information. The mismatch negativity should provide an index of discrimination in cochlear implantees (Kraus N, McGee T, Carrell T, Sharma A. Neurophysiologic bases of speech discrimination. Ear Hear. 1995;16:19–37). Our aim was to analyze MMN in cochlear implant (Digisonic) subjects to assess electrode discrimination and to study the relationship between MMN and speech performance. Methods: The mismatch was determined by stimulating three pairs of different electrodes. Two sessions were performed with both standard and deviant stimuli reversed. Speech recognition abilities were evaluated using 4 speech tests. The statistics included the results of 6 subjects. They indicated that MMN may be obtained when stimulating two different electrodes. A difference occurred between standard and deviant stimuli within a session but also when the response to the deviant stimulus was compared to the response of the same stimulus in a standard condition, validating the discrimination process. MMN latency was about 140 ms, and amplitude about −2.8 μV. No differences were shown with respect to electrode spacing. No relationship between MMN and speech performance was found. A clinical application of this method might be to assess the auditory processing of electrical stimuli in congenitally deaf subjects at the pre-implantation stage.

Verbal self-monitoring in deaf subjects using cochlear implants

Cortical activation during vocalization was studied in an attempt to elucidate verbal self-monitoring mechanisms in cochlear implant users. Six post-lingually deafened subjects using cochlear implants were included in this study. Significant activation was observed in the bilateral temporal cortices during reading sentences aloud, which was not found in normal subjects in our previous study. The activation patterns in the temporal cortex were similar for reading aloud and for listening to the examiner's speech, and the activation foci in the middle temporal gyri for the two tasks were almost identical. Cochlear implant users may monitor their own speech during speech production, and their verbal self-monitoring mechanisms are thought to depend on similar mechanisms that are used to monitor externally generated speech.

Verbal self-monitoring in deaf subjects using cochlear implants

Cortical activation during vocalization was studied in an attempt to elucidate verbal self-monitoring mechanisms in cochlear implant users. Six post-lingually deafened subjects using cochlear implants were included in this study. Significant activation was observed in the bilateral temporal cortices during reading sentences aloud, which was not found in normal subjects in our previous study. The activation patterns in the temporal cortex were similar for reading aloud and for listening to the examiner's speech, and the activation foci in the middle temporal gyri for the two tasks were almost identical. Cochlear implant users may monitor their own speech during speech production, and their verbal self-monitoring mechanisms are thought to depend on similar mechanisms that are used to monitor externally generated speech.

Short-term effect of auditory feedback on fundamental frequency after cochlear implantation.

The present study evaluates the short-term effect of cochlear implantation on the fundamental frequency (FO) of 13 deaf patients. All patients were provided with the Combi 40+ cochlear implant. Voice recording was made pre- and 3 months post-implantation. The FO was analysed using X-Tools software. The results showed that 38 per cent of our subjects had a statistically significant decrease of their mean F0 (p=0.001) at 3 months following implantation. It was also observed that the patients tended to have a lower F0 postoperatively approaching the normal range of F0. A large variability in F0 was noticed among the deaf subjects but no correlation with the duration of deafness was seen. There was also no correlation between speech recognition and speech production.