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Related Experiment Videos

Speech pattern audiometry in hearing impaired children.

B Mac Ardle1, V Hazan, D Prasher

  • 1Department of Audiological Medicine, Great Ormond Street NHS Trust, London, UK.

British Journal of Audiology
|February 3, 2000
PubMed
Summary

Speech pattern audiometry (SPA) effectively assesses speech perception in children with sensorineural hearing loss, with performance correlating to hearing loss severity. SPA offers valuable insights into phoneme contrast identification.

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Area of Science:

  • Audiology
  • Speech-Language Pathology
  • Pediatric Hearing

Background:

  • Sensorineural hearing loss (SNH) impacts speech perception in children.
  • Accurate assessment of speech perception is crucial for effective intervention.
  • Existing speech perception tests may not fully capture nuances in hearing-impaired children's abilities.

Purpose of the Study:

  • To evaluate Speech Pattern Audiometry (SPA) for assessing speech perception in children with SNH.
  • To compare aided SPA performance on phoneme contrasts with Manchester Junior Word Lists (MJWL) scores.
  • To determine the relationship between hearing loss severity and performance on SPA and MJWL.

Main Methods:

  • 25 children (8-14 years) with SNH, categorized by hearing loss severity (mild, moderate, severe).

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  • Aided performance on SPA tests (voicing and place of articulation contrasts) and MJWL at most comfortable listening level (MCLL).
  • Analysis of SPA gradient measures, labelling function configuration, and MJWL scores.
  • Main Results:

    • Children with severe SNH (>81 dB HL) performed significantly worse on both SPA and MJWL compared to mild/moderate groups.
    • Performance was better on voicing contrast tests than place of articulation contrast tests within SPA.
    • A MJWL score ≤75% correlated with random labelling function on SPA, indicating different perceptual aspects measured.

    Conclusions:

    • Speech Pattern Audiometry (SPA) is a valuable tool for speech perception assessment in hearing-impaired children.
    • SPA provides complementary information to traditional word list tests.
    • SPA's utility is supported across different severity levels of sensorineural hearing loss.