Effect of Hearing Training on Hearing and Speech Skills in Children with Speech Sound Disorders

Overview

Journal Codas

Date 2025 Mar 7

PMID 40052997

Authors

Cristiane Dellinghausen Valim

Marcia Keske-Soares

Eliara Pinto Vieira Biaggio

Affiliations

Soon will be listed here.

Abstract

Purpose: to measure the effect of Brief Computerized Auditory Training (Brief-CAT) on behavioral auditory and speech skills in children with Speech Sound Disorder (SSD).

Methods: 14 children, aged 6 and 9, diagnosed with SSD participated. All children presented one or more altered auditory skills in the behavioral assessment of Central Auditory Processing (CAP). They underwent six sessions of Brief-CAT. CAP's behavioral auditory skills and speech were assessed and a questionnaire was administered pre and post Brief-CAT. Inferential analysis was carried out.

Results: Brief-CAT had an effect on the background figure ability for verbal sounds. The CAP tests individually showed an evolution in the number of subjects who changed their profile from "altered" to "normal", even if not all of them had normalized the assessment. Prior speech therapy and the type of SSD had no impact on CAP results after Brief CAT. The questionnaire sustained the same results after intervention. Combining speech therapy with Brief-CAT offered greater potential for improving the phonological system (reducing absent sounds, increasing acquired sounds, and lowering SSD severity). Children with phonological disorders exhibited enhanced speech outcomes with combined Brief-CAT compared to those with motor speech disorders.

Conclusion: Brief-CAT proved effective in enhancing figure-background auditory abilities in children with SSD. Associating speech therapy with Brief-CAT should be the preferred therapeutic approach as it provides greater progress. The type of SSD influenced the speech performance of children undergoing Brief-CAT.

References

Nalom A, Schochat E . Performance of public and private school students in auditory processing, receptive vocabulary, and reading comprehension. Codas. 2020; 32(6):e20190193. DOI: 10.1590/2317-1782/20202019193. View

Ceron M, Gubiani M, de Oliveira C, Keske-Soares M . Phonological Assessment Instrument (INFONO): A pilot study. Codas. 2020; 32(4):e20190105. DOI: 10.1590/2317-1782/20202019105. View

Shriberg L, Austin D, Lewis B, McSweeny J, Wilson D . The percentage of consonants correct (PCC) metric: extensions and reliability data. J Speech Lang Hear Res. 1997; 40(4):708-22. DOI: 10.1044/jslhr.4004.708. View

Guzek A, Iwanicka-Pronicka K . Auditory Discrimination-A Missing Piece of Speech and Language Development: A Study on 6-9-Year-Old Children with Auditory Processing Disorder. Brain Sci. 2023; 13(4). PMC: 10136593. DOI: 10.3390/brainsci13040606. View

Wren Y, Miller L, Peters T, Emond A, Roulstone S . Prevalence and Predictors of Persistent Speech Sound Disorder at Eight Years Old: Findings From a Population Cohort Study. J Speech Lang Hear Res. 2016; 59(4):647-73. PMC: 5280061. DOI: 10.1044/2015_JSLHR-S-14-0282. View

Sharma M, Purdy S, Kelly A . A randomized control trial of interventions in school-aged children with auditory processing disorders. Int J Audiol. 2012; 51(7):506-18. DOI: 10.3109/14992027.2012.670272. View

Keske-Soares M, Uberti L, Gubiani M, Gubiani M, Ceron M, Pagliarin K . Performance of children with speech sound disorders in the dynamic evaluation of motor speech skills. Codas. 2018; 30(2):e20170037. DOI: 10.1590/2317-1782/20182017037. View

Vilela N, Sanches S, Carvallo R . Development of auditory perception in preschool children. Int J Pediatr Otorhinolaryngol. 2019; 129:109777. DOI: 10.1016/j.ijporl.2019.109777. View

Zhao T, Boorom O, Kuhl P, Gordon R . Infants' neural speech discrimination predicts individual differences in grammar ability at 6 years of age and their risk of developing speech-language disorders. Dev Cogn Neurosci. 2021; 48:100949. PMC: 8047161. DOI: 10.1016/j.dcn.2021.100949. View

10.

Brasil P, Schochat E . Efficacy of auditory training using the Programa de Escuta no Ruído (PER) software in students with auditory processing disorders and poor school performance. Codas. 2018; 30(5):e20170227. DOI: 10.1590/2317-1782/20182017227. View

11.

Murphy C, Pagan-Neves L, Wertzner H, Schochat E . Children with speech sound disorder: comparing a non-linguistic auditory approach with a phonological intervention approach to improve phonological skills. Front Psychol. 2015; 6:64. PMC: 4316717. DOI: 10.3389/fpsyg.2015.00064. View

12.

Murray E, McCabe P, Ballard K . A Randomized Controlled Trial for Children With Childhood Apraxia of Speech Comparing Rapid Syllable Transition Treatment and the Nuffield Dyspraxia Programme-Third Edition. J Speech Lang Hear Res. 2015; 58(3):669-86. DOI: 10.1044/2015_JSLHR-S-13-0179. View

13.

Weiner F . Treatment of phonological disability using the method of meaningful minimal contrast: two case studies. J Speech Hear Disord. 1981; 46(1):97-103. DOI: 10.1044/jshd.4601.97. View

14.

Dale P, Hayden D . Treating speech subsystems in childhood apraxia of speech with tactual input: the PROMPT approach. Am J Speech Lang Pathol. 2013; 22(4):644-61. DOI: 10.1044/1058-0360(2013/12-0055). View

15.

Baker E, Williams A, McLeod S, McCauley R . Elements of Phonological Interventions for Children With Speech Sound Disorders: The Development of a Taxonomy. Am J Speech Lang Pathol. 2018; 27(3):906-935. DOI: 10.1044/2018_AJSLP-17-0127. View

16.

Tyler A, EDWARDS M, Saxman J . Clinical application of two phonologically based treatment procedures. J Speech Hear Disord. 1987; 52(4):393-409. DOI: 10.1044/jshd.5204.393. View

17.

Berti L, Assis M, Cremasco E, Cardoso A . Speech production and speech perception in children with speech sound disorder. Clin Linguist Phon. 2021; 36(2-3):183-202. DOI: 10.1080/02699206.2021.1948609. View

18.

Shriberg L, Kwiatkowski J . Phonological disorders III: a procedure for assessing severity of involvement. J Speech Hear Disord. 1982; 47(3):256-70. DOI: 10.1044/jshd.4703.256. View

19.

Ballard K, Robin D, McCabe P, McDonald J . A treatment for dysprosody in childhood apraxia of speech. J Speech Lang Hear Res. 2010; 53(5):1227-45. DOI: 10.1044/1092-4388(2010/09-0130). View

20.

Gubiani M, Pagliarin K, McCauley R, Keske-Soares M . Dynamic Evaluation of Motor Speech Skill: Adaptation for Brazilian Portuguese. J Commun Disord. 2021; 93:106114. DOI: 10.1016/j.jcomdis.2021.106114. View