Speechreading Ability Affects Mandarin Tone Perception in Young Adults With Prelingual Hearing Impairment in China

Purpose: This cross-sectional study explored how the speechreading ability of adults with hearing impairment (HI) in China would affect their perception of the four Mandarin Chinese lexical tones: high (Tone 1), rising (Tone 2), falling–rising (Tone 3), and falling (Tone 4). We predicted that higher speechreading ability would result in better tone performance and that accuracy would vary among individual tones. Method: A total of 136 young adults with HI (ages 18–25 years) in China participated in the study and completed Chinese speechreading and tone awareness tests. The participants were divided into three groups on their basis of their speechreading performance (HIGH, MIDDLE, and LOW speechreading ability), and their ability to recognize the four Mandarin tones was compared. Results: HI adults with high speechreading ability identified tones more accurately than HI adults with low speechreading ability. The overall performance for Tone 2 was the lowest across all the groups. We found a significant interaction between speechreading ability groups and tone levels; the high speechreading ability group performed significantly better than the low ability group when identifying Tones 1 and 4, and performance on Tone 3 also differed by speechreading ability. Conclusions: These results suggest that speechreading ability affects Mandarin tone perception in adults with HI in China. Higher speechreading ability was associated with better overall tone perception. Tone 2 was the most difficult tone to identify, while identification of the other three lexical tones depended on speechreading ability. In visual language processing, adults with HI must reconstitute phonological units from visual and auditory fragments. To determine the generalizability of these results, they should be examined in languages beyond Mandarin Chinese.