Language-specific, hearing-related changes in vowel spaces: a preliminary study of English- and Spanish-speaking cochlear implant users.

OBJECTIVE: This study investigates the role of hearing in vowel productions of postlingually deafened cochlear implant users. Two hypotheses are tested that derive from the view that vowel production is influenced by competing demands of intelligibility for the listener and least effort in the speaker: 1) Hearing enables a cochlear implant user to produce vowels distinctly from one another; without hearing, the speaker may give more weight to economy of effort, leading to reduced vowel separation. 2) Speakers may need to produce vowels more distinctly from one another in a language with a relatively "crowded" vowel space, such as American English, than in a language with relatively few vowels, such as Spanish. Thus, when switching between hearing and non-hearing states, English speakers may show a tradeoff between vowel distinctiveness and least effort, whereas Spanish speakers may not. DESIGN: To test the prediction that there will be a reduction of average vowel spacing (AVS) (average intervowel distance in the F1-F2 plane) with interrupted hearing for English-speaking cochlear implant users, but no systematic change in AVS for Spanish cochlear implant users, vowel productions of seven English-speaking and seven Spanish-speaking cochlear implant users, who had been using their implants for at least 1 yr, were recorded when their implant speech processors were turned off and on several times in two sessions. RESULTS: AVS was consistently larger for the English speakers with hearing than without hearing. The magnitude and direction of AVS change was more variable for the Spanish speakers, both within and between subjects. CONCLUSION: Vowel distinctiveness was enhanced with the provision of some hearing in the language group with a more crowded vowel space but not in the language group with fewer vowels. The view that speakers seek to minimize effort while maintaining the distinctiveness of acoustic goals receives some support.     

Acoustic and perceptual appraisal of speech production in pediatric cochlear implant users

OBJECTIVE: The purpose of the present study was to examine the relationship between objectively measurable acoustic changes in speech production and subjective speech production accuracy and perceived intelligibility immediately following a disruption in auditory feedback normally provided to subjects from a cochlear implant. METHODS: Six children with profound sensorineural hearing loss participated in the study. Their task was to produce speech samples in two conditions: (1) with auditory feedback from their cochlear implants, and (2) without auditory feedback from their cochlear implants. Samples were subjected to both objective and subjective analyses. Objectively, measures were made of duration, fundamental frequency, and the first and second formants of the vowels. Subjectively, two groups of listeners, one familiar with the speech of children with hearing loss and the other unfamiliar, transcribed the productions and provided ratings of intelligibility. RESULTS: All the children in this study exhibited significant differences from the cochlear implant-on to the cochlear implant-off condition, although these changes were not always in the predicted direction, nor were they always perceptually salient. CONCLUSIONS: Consistent with previous studies, children in this investigation demonstrated variable acoustic voice and speech changes following deactivation of their cochlear implant device. Few of these acoustic changes affected speech intelligibility. The results of this study overall suggest that during the initial years following implantation children who are deaf rely to some extent on the auditory feedback provided by a cochlear implant to control and modify F0, duration, and vowel formant production.     

Perception of vowels and prosody by cochlear implant recipients in noise

The aim of the present study was to compare the ability of cochlear implant (CI) recipients to recognise speech prosody in the presence of speech-weighted noise to their ability to recognise vowels in the same test paradigm and listening condition. All test materials were recorded from four different speakers (two male, two female). Two prosody recognition tasks were developed, both using single words as stimuli. The first task involved a question/statement distinction, while the second task required listeners to make a judgement about the speaker's attitude. Vowel recognition tests were conducted using vowel pairs selected on the basis of specific acoustic cues (frequencies of the first two formants and duration). Ten CI users and ten normal-hearing controls were tested in both quiet and an adaptive noise condition, using a two-alternative forced-choice test paradigm for all the tests. Results indicated that vowel recognition was significantly better than prosody recognition in both listener groups in both quiet and noise, and that question/statement discrimination was the most difficult task for CI listeners in noise. Data from acoustic analyses were used to interpret differences in performance on different tasks and with different speakers.Learning outcomes: As a result of this activity, readers will be able to (1) describe suitable methods for comparing vowel and prosody perception in noise, (2) compare performance on vowel and prosody perception tasks in quiet in normal-hearing listeners and cochlear implant recipients, (3) compare performance on vowel and prosody perception tasks in noise in normal-hearing listeners and cochlear implant recipients and (4) relate performance on prosody tasks in quiet to performance on these tasks in noise.     

Effects of short- and long-term changes in auditory feedback on vowel and sibilant contrasts.

PURPOSE: To assess the effects of short- and long-term changes in auditory feedback on vowel and sibilant contrasts and to evaluate hypotheses arising from a model of speech motor planning. METHOD: The perception and production of vowel and sibilant contrasts were measured in 8 postlingually deafened adults prior to activation of their cochlear implant speech processors, 1 month postactivation, and 1 year postactivation. Measures were taken postactivation both with and without auditory feedback. Contrast measures were also made for a group of speakers with reportedly normal hearing speaking with masked and unmasked auditory feedback. RESULTS: Vowel and sibilant contrasts, measured in the absence of auditory feedback after 1 month of prosthesis use, were diminished compared with their values measured before prosthesis. Contrasts measured in the absence of auditory feedback after 1 year's experience with the prosthesis were increased compared with their values after 1 month's experience. In both time samples, contrasts were enhanced when auditory feedback was restored. CONCLUSION: The provision of prosthetic hearing to postlingually deafened adults impaired their phonemic contrasts at first, as their auditory feedback had novel characteristics. Once auditory feedback became recalibrated with prosthesis use, it could, in turn, revise feedforward commands that control the contrasts in its absence.     

Changes in speech intelligibility of postlingually deaf adults after cochlear implantation.

OBJECTIVE: This study examines changes in the intelligibility of CVC words spoken by postlingually deafened adults after they have had 6 to 12 mo of experience with a cochlear implant. The hypothesis guiding the research is that the intelligibility of these speakers will improve after extended use of a cochlear implant. The paper also describes changes in CVC word intelligibility analyzed by phoneme class and by features. DESIGN: The speech of eight postlingually deaf adults was recorded before activation of the speech processors of their cochlear implants and at 6 mo and 1 yr after activation. Seventeen listeners with no known impairment of hearing completed a word identification task while listening to each implant user's speech in noise. The percent information transmitted by the speakers in their pre- and postactivation recordings was measured for 11 English consonants and eight vowels separately. RESULTS: An overall improvement in word intelligibility was observed: seven of the eight speakers showed improvement in vowel intelligibility and six speakers showed improvement in consonant intelligibility. However, the intelligibility of specific consonant and vowel features varied greatly across speakers. CONCLUSIONS: Extended use of a cochlear implant by postlingually deafened adults tends to enhance their intelligibility.     

Talker differences in clear and conversational speech: acoustic characteristics of vowels.

PURPOSE: To determine the specific acoustic changes that underlie improved vowel intelligibility in clear speech. METHOD: Seven acoustic metrics were measured for conversational and clear vowels produced by 12 talkers-6 who previously were found (S. H. Ferguson, 2004) to produce a large clear speech vowel intelligibility effect for listeners with normal hearing identifying vowels in background noise (the big benefit talkers), and 6 who produced no clear speech vowel intelligibility benefit (the no benefit talkers). RESULTS: For vowel duration and for certain measures of the overall acoustic vowel space, the change from conversational to clear speech was significantly greater for big benefit talkers than for no benefit talkers. For measures of formant dynamics, in contrast, the clear speech effect was similar for the 2 groups. CONCLUSION: These results suggest that acoustic vowel space expansion and large vowel duration increases improve vowel intelligibility. In contrast, changing the dynamic characteristics of vowels seems not to contribute to improved clear speech vowel intelligibility. However, talker variability suggested that improved vowel intelligibility can be achieved using a variety of clear speech strategies, including some apparently not measured here.     

Music perception with temporal cues in acoustic and electric hearing

OBJECTIVE: The first specific aim of the present study is to compare the ability of normal-hearing and cochlear implant listeners to use temporal cues in three music perception tasks: tempo discrimination, rhythmic pattern identification, and melody identification. The second aim is to identify the relative contribution of temporal and spectral cues to melody recognition in acoustic and electric hearing. DESIGN: Both normal-hearing and cochlear implant listeners participated in the experiments. Tempo discrimination was measured in a two-interval forced-choice procedure in which subjects were asked to choose the faster tempo at four standard tempo conditions (60, 80, 100, and 120 beats per minute). For rhythmic pattern identification, seven different rhythmic patterns were created and subjects were asked to read and choose the musical notation displayed on the screen that corresponded to the rhythmic pattern presented. Melody identification was evaluated with two sets of 12 familiar melodies. One set contained both rhythm and melody information (rhythm condition), whereas the other set contained only melody information (no-rhythm condition). Melody stimuli were also processed to extract the slowly varying temporal envelope from 1, 2, 4, 8, 16, 32, and 64 frequency bands, to create cochlear implant simulations. Subjects listened to a melody and had to respond by choosing one of the 12 names corresponding to the melodies displayed on a computer screen. RESULTS: In tempo discrimination, the cochlear implant listeners performed similarly to the normal-hearing listeners with rate discrimination difference limens obtained at 4-6 beats per minute. In rhythmic pattern identification, the cochlear implant listeners performed 5-25 percentage points poorer than the normal-hearing listeners. The normal-hearing listeners achieved perfect scores in melody identification with and without the rhythmic cues. However, the cochlear implant listeners performed significantly poorer than the normal-hearing listeners in both rhythm and no-rhythm conditions. The simulation results from normal-hearing listeners showed a relatively high level of performance for all numbers of frequency bands in the rhythm condition but required as many as 32 bands in the no-rhythm condition. CONCLUSIONS: Cochlear-implant listeners performed normally in tempo discrimination, but significantly poorer than normal-hearing listeners in rhythmic pattern identification and melody recognition. While both temporal (rhythmic) and spectral (pitch) cues contribute to melody recognition, cochlear-implant listeners mostly relied on the rhythmic cues for melody recognition. Without the rhythmic cues, high spectral resolution with as many as 32 bands was needed for melody recognition for normal-hearing listeners. This result indicates that the present cochlear implants provide sufficient spectral cues to support speech recognition in quiet, but they are not adequate to support music perception. Increasing the number of functional channels and improved encoding of the fine structure information are necessary to improve music perception for cochlear implant listeners.     

Double-vowel perception in listeners with cochlear hearing loss: differences in fundamental frequency, ear of presentation, and relative amplitude.

This study presents 2 experiments investigating whether listeners with cochlear hearing loss (hearing impaired; HI) and listeners with normal hearing (NH) show differential susceptibility to masking in double-vowel identification. Experiment 1 addressed how double-vowel perception changes as a function of differences in fundamental frequency (deltaF0) of 0 and 2 semitones and the relative amplitudes of the constituent vowels (target-to-masker ratios: -10, -5, 0, 5, 10 dB). When deltaF0 is 0 semitones, listeners in the HI group often perceive the presence of only 1 vowel, whereas listeners in the NH group generally perceive the presence of 2 vowels. In both groups, deltaF0 benefits target-vowel identification, with the greatest benefit occurring when the target-to-masker ratio is -10 dB. When identification rates of specific vowels (in d') were rank ordered, different patterns of vowel dominance were found between the NH and HI groups. In Experiment 2, the effects of deltaF0 (0 to 4 semitones) were compared for monaural and dichotic presentation of double vowels. Both groups show significant dichotic benefit. In addition, individual listeners in the HI group showed trends toward greater dichotic benefit. In both experiments, identification of competing vowels was significantly worse in HI listeners. The results of this study support the idea that increased susceptibility to masking is a primary factor underlying the degraded double-vowel perception in listeners with hearing loss.     

Control of voice-onset time in the absence of hearing: a review.

The relation between partial or absent hearing and control of the voicing contrast has long been of interest to investigators, in part because speakers who are born deaf characteristically have great difficulty mastering the contrast and in part for the light it can cast on the role of hearing in the acquisition and maintenance of phonological contrasts in general. One of the phonetic characteristics that distinguish voiced from voiceless plosives in English (p/b, t/d, k/g) is voice onset time (VOT): the interval from plosive release to the onset of voicing of the following vowel. This article first reviews research on VOT anomalies in the speech production of prelingually and postlingually deaf speakers. Then it turns to studies of the mechanisms in speech breathing, phonation and articulation that underlie those anomalies. In both populations of speakers, there is a tendency for the difference between voiced and voiceless VOT to be reduced, to the point for many speakers that there is in effect a substitution of the voiced for the voiceless cognate. The separation of the cognate VOTs can be enhanced when some hearing is restored with a cochlear implant. Both populations also present anomalies in speech breathing that can hinder the development of intraoral pressures and transglottal pressure drops that are required for the production of the VOT contrast. Its successful management further requires critical timing among phonatory and articulatory gestures, most of which are not visible, rendering the VOT contrast a particular challenge in the absence of hearing.     

Speech intelligibility and prosody production in children with cochlear implants

ObjectivesThe purpose of the current study was to examine the relation between speech intelligibility and prosody production in children who use cochlear implants.MethodsThe Beginner's Intelligibility Test (BIT) and Prosodic Utterance Production (PUP) task were administered to 15 children who use cochlear implants and 10 children with normal hearing. Adult listeners with normal hearing judged the intelligibility of the words in the BIT sentences, identified the PUP sentences as one of four grammatical or emotional moods (i.e., declarative, interrogative, happy, or sad), and rated the PUP sentences according to how well they thought the child conveyed the designated mood.ResultsPercent correct scores were higher for intelligibility than for prosody and higher for children with normal hearing than for children with cochlear implants. Declarative sentences were most readily identified and received the highest ratings by adult listeners; interrogative sentences were least readily identified and received the lowest ratings. Correlations between intelligibility and all mood identification and rating scores except declarative were not significant.DiscussionThe findings suggest that the development of speech intelligibility progresses ahead of prosody in both children with cochlear implants and children with normal hearing; however, children with normal hearing still perform better than children with cochlear implants on measures of intelligibility and prosody even after accounting for hearing age. Problems with interrogative intonation may be related to more general restrictions on rising intonation, and the correlation results indicate that intelligibility and sentence intonation may be relatively dissociated at these ages.Learning outcomes: As a result of this activity, readers will be able to describe (1) methods for measuring speech intelligibility and prosody production in children with cochlear implants and children with normal hearing, (2) the differences between children with normal hearing and children with cochlear implants on measures of speech intelligibility and prosody production, and (3) the relations between speech intelligibility and prosody production in children with cochlear implants and children with normal hearing.     

A comparison of Tactaid II+ and Tactaid 7 use by adults with a profound hearing impairment

OBJECTIVE: To evaluate and compare use of the Tactaid II+ and the Tactaid 7, in terms of speech perception, by adults with a hearing impairment. DESIGN: Eight adults used one device daily for approximately 10 wk and attended seven training sessions. Performance was measured with tests of phonetic contrast perception, closed-set vowel and consonant identification, word and phoneme recognition in monosyllabic word lists, word recognition in sentences and speechtracking rate. A questionnaire was also administered. The protocol was repeated with the alternative device. RESULTS: With each device, the group discriminated most phonetic contrasts at better-than-chance levels and demonstrated somewhat enhanced visual or auditory-visual perception when measured in terms of vowel identification, monosyllabic word recognition and speechtracking rate. An increase in speechtracking rate was also demonstrated for some individuals. Subjects generally reported little subjective improvement in speech perception and production, but were satisfied with the physical attributes of each device. Five of six subjects preferred the Tactaid 7. CONCLUSIONS: The Tactaid II+ and the Tactaid 7 provided suprasegmental and segmental information, enabling the group to discriminate phonetic contrasts and improve their perception of some speech materials. No consistent advantage was found for either device, thought most subjects preferred the Tactaid 7. Alternatives likely to provide a greater benefit to communication should be considered before a Tactaid fitting.     

Correlations Between Pitch and Phoneme Perception in Cochlear Implant Users and Their Normal Hearing Peers

This study examined correlations between pitch and phoneme perception for nine cochlear implant users and nine normal hearing listeners. Pure tone frequency discrimination thresholds were measured for frequencies of 500, 1000, and 2000 Hz. Complex tone fundamental frequency (F0) discrimination thresholds were measured for F0s of 110, 220, and 440 Hz. The effects of amplitude and frequency roving were measured under the rationale that individuals who are robust to such perturbations would perform better on phoneme perception measures. Phoneme identification was measured using consonant and vowel materials in quiet, in stationary speech-shaped noise (SSN), in spectrally notched SSN, and in temporally gated SSN. Cochlear implant pure tone frequency discrimination thresholds ranged between 1.5 and 9.9 %, while cochlear implant complex tone F0 discrimination thresholds ranged between 2.6 and 28.5 %. On average, cochlear implant users had 5.3 dB of masking release for consonants and 8.4 dB of masking release for vowels when measured in temporally gated SSN compared to stationary SSN. Correlations with phoneme identification measures were generally higher for complex tone discrimination measures than for pure tone discrimination measures. Correlations with phoneme identification measures were also generally higher for pitch perception measures that included amplitude and frequency roving. The strongest correlations were observed for measures of complex tone F0 discrimination with phoneme identification in temporally gated SSN. The results of this study suggest that musical training or signal processing strategies that improve F0 discrimination should improve consonant identification in fluctuating noise.     

Perception of coarticulatory information in normal speech and dysarthria.

PURPOSE: This study addressed three research questions: (a) Can listeners use anticipatory vowel information in prevocalic consonants produced by talkers with dysarthria to identify the upcoming vowel? (b) Are listeners sensitive to interspeaker variation in anticipatory coarticulation during prevocalic consonants produced by healthy talkers and/or talkers with dysarthria, as measured by vowel identification accuracy? (c) Is interspeaker variation in anticipatory coarticulation reflected in measures of intelligibility? METHOD: Stimuli included 106 CVC words produced by 20 speakers with either Parkinson's disease or multiple sclerosis or by 16 healthy controls characterized by an operationally defined normal, under, or over level of anticipatory vowel coarticulation. Ten listeners were presented with prevocalic consonants for identification of the vowel. Ten additional listeners judged single-word intelligibility. An analysis of variance was used to determine differences in vowel identification accuracy and intelligibility as a function of speaker group, coarticulation level, and vowel type. RESULTS: Listeners accurately identified vowels produced by all speaker groups from the aperiodic portion of prevocalic consonants, but interspeaker variations in strength of coarticulation did not strongly affect vowel identification accuracy or intelligibility. CONCLUSIONS: Listeners appear to be tuned to similar types of information in the acoustic speech stream irrespective of the source or speaker, and any perceptual effects of interspeaker variation in coarticulation are subtle.     

Phonological abilities of hearing-impaired Cantonese-speaking children with cochlear implants or hearing AIDS.

PURPOSE: This article examined the phonological skills of 2 groups of Cantonese-speaking children with prelingual, profound bilateral hearing loss. The phonological abilities of 7 children fitted with hearing aids were compared with the abilities of 7 children who wore cochlear implants. METHOD: Participants in each group ranged in age from 5;1 to 6;4 years. The participants were asked to name 57 pictures and retell 2 stories. Phonological abilities were described in terms of the participants' phonological units and the phonological processes used. The participants' perception of single words was assessed using a Cantonese phonology test that includes tonal, segmental, and semantic distracters. RESULTS: All except 1 participant had incomplete phonetic repertories. All participants showed complete vowel and tone inventories. The study group used both developmental rules and nondevelopmental phonological rules. For perception of single words, participants chose the target word most often. The cochlear implant users had a significantly higher percentage correct score for consonant production than hearing aid users. CONCLUSIONS: The prediction that Cantonese children wearing cochlear implants would have better phonological skills than children having hearing aids with a similar degree of hearing loss was confirmed. Cochlear implant usage appeared to promote consonant feature production development to a greater degree than did the use of a hearing aid.     

Pitch perception and auditory stream segregation: implications for hearing loss and cochlear implants

Pitch is important for speech and music perception, and may also play a crucial role in our ability to segregate sounds that arrive from different sources. This article reviews some basic aspects of pitch coding in the normal auditory system and explores the implications for pitch perception in people with hearing impairments and cochlear implants. Data from normal-hearing listeners suggest that the low-frequency, low-numbered harmonics within complex tones are of prime importance in pitch perception and in the perceptual segregation of competing sounds. The poorer frequency selectivity experienced by many hearing-impaired listeners leads to less access to individual harmonics, and the coding schemes currently employed in cochlear implants provide little or no representation of individual harmonics. These deficits in the coding of harmonic sounds may underlie some of the difficulties experienced by people with hearing loss and cochlear implants, and may point to future areas where sound representation in auditory prostheses could be improved.     

Vowel Perception in Listeners With Normal Hearing and in Listeners With Hearing Loss: A Preliminary Study

ObjectivesTo determine the influence of hearing loss on perception of vowel slices.MethodsFourteen listeners aged 20-27 participated; ten (6 males) had hearing within normal limits and four (3 males) had moderate-severe sensorineural hearing loss (SNHL). Stimuli were six naturally-produced words consisting of the vowels /i a u æ ɛ ʌ/ in a /b V b/ context. Each word was presented as a whole and in eight slices: the initial transition, one half and one fourth of initial transition, full central vowel, one-half central vowel, ending transition, one half and one fourth of ending transition. Each of the 54 stimuli was presented 10 times at 70 dB SPL (sound press level); listeners were asked to identify the word. Stimuli were shaped using signal processing software for the listeners with SNHL to mimic gain provided by an appropriately-fitting hearing aid.ResultsListeners with SNHL had a steeper rate of decreasing vowel identification with decreasing slice duration as compared to listeners with normal hearing, and the listeners with SNHL showed different patterns of vowel identification across vowels when compared to listeners with normal hearing.ConclusionAbnormal temporal integration is likely affecting vowel identification for listeners with SNHL, which in turn affects vowel internal representation at different levels of the auditory system.     

MUSIC AND COCHLEAR IMPLANTS

Currently, most people with modern multichannel cochlear implant systems can understand speech in qui-et environment very well. However, studies in recent decades reported a lack of satisfaction in music percep-tion with cochlear implants. This article reviews the literature on music ability of cochlear implant users by presenting a systematic outline of the capabilities and limitations of cochlear implant recipients with regard to their music perception as well as production. The review also evaluates the similarities and differences be-tween electric hearing and acoustic hearing regarding music perception. We summarize the research results in terms of the individual components of music (e.g., rhythm, pitch, and timbre). Finally, we briefly intro-duce the vocal singing of prelingually-deafened children with cochlear implants as evaluated by acoustic measures.     

Lexical tone identification and consonant recognition in acoustic simulations of cochlear implants

Conclusion: Cochlear implant (CI) recipients’ performance of lexical tone identification and consonant recognition can be enhanced by providing greater spectral details. Objective: To evaluate the effects of increasing the number of total spectral channels on the lexical tone identification and consonant recognition by normally hearing listeners who are native speakers of Mandarin Chinese. Subjects and methods: Lexical tone identification and consonant recognition were measured in 15 Mandarin-speaking, normal-hearing (NH) listeners with varied numbers of total spectral channels (i.e. 4, 6, 8, 10, 12, 16, 20, and 24), using acoustic simulations of CIs. Results: The group of NH listeners’ performance of lexical tone identification ranged from 44.53% to 66.60% with 4–24 spectral channels. The performance of tone identification between channels 4 and 16 remained similar; between channels 16 and 20 performance improved significantly. As regards consonant recognition, the NH listeners’ overall accuracy ranged from 73.17% to 95.33% with 4–24 channels. Steady improvement in consonant recognition accuracy was observed as a function of increasing the spectral channels. With about 12–16 spectral channels, the NH listeners’ overall accuracy in consonant recognition began to be comparable to their accuracy with the unprocessed stimuli.     

Perception of the voicing distinction in speech produced during simultaneous communication

This study investigated the perception of voice onset time (VOT) in speech produced during simultaneous communication (SC). Four normally hearing, experienced sign language users were recorded under SC and speech alone (SA) conditions speaking stimulus words with voiced and voiceless initial consonants embedded in a sentence. Twelve hearing-impaired listeners participated, with three of them randomly assigned to audit the speech sample provided by each one of the four speakers under the SC and SA conditions. In addition, 24 normal hearing listeners were randomly assigned to audit the speech samples produced by the four speakers under the SC and SA conditions, three listeners in noise and three listeners in filtered listening conditions for each of the four speakers. Although results indicated longer sentence durations for SC than SA, results showed no difference in the perception of the voicing distinction for speech produced during SC versus speech produced during SA under either the noise or filtered listening condition, or any difference in perception for the hearing-impaired listeners. This conclusion is consistent with previous research indicating that temporal alterations produced by SC do not produce degradation of temporal or spectral cues in speech or disruption of the perception of specific English phoneme segments. LEARNING OUTCOMES: As a result of this activity, the participant will be able to: (1) describe simultaneous communication; (2) explain the role of simultaneous communication in communication with persons who are hearing-impaired; (3) discuss methods of measuring perception of voice onset time with hearing-impaired listeners and with hearing listeners under filtered and noise conditions; and (4) specify the ability of listeners to perceive the voicing distinction in speech produced during simultaneous communication.