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["Specific" versus "audiogenic" speech development disorder. Quantitative speech development index in a controlled

C Kiese-Himmel1, E Kruse

  • 1Abteilung Phoniatrie/Pädaudiologie, George-August-Universität, Göttingen, Deutschland.

Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)
|January 1, 1996
PubMed
Summary

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Children with specific language impairment (SLI) and bilateral sensorineural hearing impairment (BSHI) both exhibit delayed expressive vocabulary. SLI appears to be a more severe neurobiological disorder than BSHI.

Area of Science:

  • Developmental Pediatrics
  • Speech-Language Pathology
  • Audiology

Context:

  • Language development is significantly impacted in children with hearing impairments, particularly when the impairment occurs before language acquisition.
  • Bilateral sensorineural hearing-impaired (BSHI) children often present with deficits in oral vocabulary acquisition.
  • Specific language impairment (SLI) represents a neurodevelopmental disorder affecting language skills.

Purpose:

  • To compare the expressive vocabulary of children with specific language impairment (SLI) against children with bilateral sensorineural hearing impairment (BSHI) and typically developing children.
  • To investigate the potential differences in language development severity between SLI and BSHI.
  • To explore the influence of hearing impairment characteristics (degree, onset) and kindergarten attendance on language outcomes.

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Summary:

  • Two clinical groups (n=110 SLI, n=34 BSHI with hearing aids) and a control group (n=66 typical) aged 2-5 years were assessed for expressive vocabulary using nonverbal intelligence tests.
  • Both SLI and BSHI groups demonstrated comparable lexical performance, significantly lower than the typical group.
  • Findings suggest SLI may be a more profound neurobiologically based disorder than audiogenic language impairment (hearing-related).

Impact:

  • Highlights the significant impact of both SLI and BSHI on early expressive vocabulary development.
  • Emphasizes the importance of early diagnosis by a phoniatrician for children with language delays.
  • Provides insights into the neurobiological underpinnings of language disorders, differentiating between developmental and sensory-related impairments.