A meta-analysis of expressive prosody in cochlear implant users

CI users speak with less variable f₀, smaller f₀ contours, more variable intensity, a slower speech rate, and reduced final lengthening at syntactic boundaries. These acoustic differences are reflected in significantly poorer ratings of speech produced by CI users compared to their normal hearing peers, as assessed by groups of normal hearing listeners. Because atypical expressive prosody is associated with negative outcomes, clinicians should consider targeting prosody when working with individuals who use CIs.