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Updated: May 30, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
[Auditory-perceptive, acoustic and vocal self-perception analyses in children]
Rafaella Cristina Oliveira1, Letícia Caldas Teixeira, Ana Cristina Côrtes Gama
1Curso de Fonoaudiologia, Universidade Federal de Minas Gerais – UFMG – Belo Horizonte (MG), Brasil. rafaellacris_bh@hotmail.com
Purpose:
To establish the occurrence of dysphonic children and to relate data from auditory-perceptive, acoustic and vocal self-perception analyses of dysphonic and non-dysphonic children.
Methods:
Participants were 70 children, 37 female and 33 male, with ages ranging from 6 to 10 years. The sustained emission of the vowel /a/ was recorded, and children replied to the question "What do you think of your voice?".After that, the auditory-perceptive analysis of their voices was carried out, based on the parameters of the GRBASI scale. The acoustic analysis was also conducted, considering the following measures: fundamental frequency, frequency and amplitude perturbation quotient, and harmonic-to-noise ratio. The self-perception analysis of the subjects' voices was based on content analysis. Data were statistically analyzed.
Results:
The occurrence of dysphonic children was 37.14%. Breathiness was the most common vocal quality among dysphonic children, followed by roughness, which was also common. The acoustic measures frequency and amplitude perturbation quotient and harmonic-to-noise ration were higher among dysphonic children. However, these measures were similar between children that had positive self-perception and those with negative self-perception. Negative self-perception was more frequent among dysphonic children.
Conclusion:
The occurrence of dysphonia in the studied group was 37.14%. Dysphonic children present negative self-perception of their voices, voice quality predominantly rough and/or breathy, and altered acoustic measures, when compared to non-dysphonic children.
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