İşitme Cihazı Kullanıcısı Bebeklerin Görsel Pekiştirmeli Konuşmayı Ayırt Etme Yöntemi ile Değerlendirilmesi: Olgu Sunumu
Abstract
Konuşma algısı ölçümleri odyoloji test bataryasının önemli bir parçasıdır. Erken dönemde işitme kaybının araştırılması ve uygun amplifikasyon için işitsel yolun konuşma algısı açısından değerlendirilmesi önemlidir. Bebeklerde dil gelişimi seviyesi nedeniyle konuşma algılama becerilerini yetişkinlerde kullanılan konuşma test bataryası ile objektif şekilde değerlendirmek mümkün değildir. Bebeklerde konuşma algısı ölçümü için objektif sonuçlar veren test bataryası kullanılması gereklidir. Bebeklerde konuşmayı ayırt etme becerisini değerlendirmede en sık kullanılan test tekniği Visual Reinforcement Infant Speech Discrimination (VRISD) yöntemidir. Bu çalışmanın amacı, işitme cihazı kullanıcısı olan 6-18 aylık 3 bebeğin konuşmayı ayırt etme becerilerinin VRISD test yöntemi ile değerlendirilmesidir. Bu çalışmada kullanılan VRISD test protokolünde, /a/ ile /i/ ve /ba/ ile /da/ konuşma uyaranları eşleştirilerek test uyaranları oluşturulmuştur. Bu uyaran çiftleri biri hedef ses, diğeri arka plan ses olacak şekilde sıralanmış olup tekrarlı ses dizini oluşturularak hoparlör aracılığı ile 70 dB’de sunulmuştur. Görsel pekiştireç olarak ise bebeğin ilgisini çeken animasyonlu video kullanılmıştır. Bilateral işitme cihazı kullanıcısı 3 bebeğin konuşmayı ayırt etme becerileri VRISD testi ile değerlendirilmiş olup olgulara ait sonuçlar sunulmuştur. Çalışmanın sonucunda işitme cihazı kullanıcısı bebeklerin konuşmayı ayırt etme becerileri VRISD test yöntemi ile değerlendirilecektir; bu sonuçlar habilitasyon ve amplifikasyon programlamasına katkı sağlamaktadır.
References
- Akkaplan, S., Batuk, M. O., & Sennaroglu, G. (2021). Auditory perception skills in children receiving simultaneous bilateral cochlear implants: early speech-discrimination results. European Archives of Oto-Rhino-Laryngology. doi:10.1007/s00405-020-06579-3
- Downs, M. P., & Sterritt, G. M. (1967). A guide to newborn and infant hearing screening programs. Archives of Otolaryngology, 85(1), 15-22.
- Eilers, R. E., Gavin, W., & Wilson, W. R. (1979). Linguistic experience and phonemic perception in infancy: A crosslinguistic study. Child Development, 14-18.
- Eimas, P. D., Siqueland, E. R., Jusczyk, P., & Vigorito, J. (1971). Speech perception in infants. Science, 171(3968), 303-306.
- Grieser, D., & Kuhl, P. K. (1989). Categorization of speech by infants: Support for speech-sound prototypes. Developmental Psychology, 25(4), 577.
- Kuhl, P. K. (1991). Human adults and human infants show a “perceptual magnet effect” for the prototypes of speech categories, monkeys do not. Perception & psychophysics, 50(2), 93-107.
- Lisker, L., & Abramson, A. S. (1964). A cross-language study of voicing in initial stops: Acoustical measurements. Word, 20(3), 384-422.
- Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106(3), E43. doi:10.1542/peds.106.3.e43
- Nozza, R. J. (1987). Infant speech‐sound discrimination testing: Effects of stimulus intensity and procedural model on measures of performance. The Journal of the Acoustical Society of America, 81(6), 1928-1939.
- Nozza, R. J. (2000). Thresholds are not enough: Understanding how infants process speech has a role in how we manage hearing loss. Paper presented at the A sound foundation through early amplification: Proceedings of an international conference. Stäfa, Switzerland: Phonak AG.
- Nozza, R. J., & Wilson, W. R. (1984). Masked and unmasked pure-tone thresholds of infants and adults: Development of auditory frequency selectivity and sensitivity. Journal of Speech, Language, and Hearing Research, 27(4), 613-622.
- Sloutsky, V. M., & Napolitano, A. C. (2003). Is a picture worth a thousand words? Preference for auditory modality in young children. Child Dev, 74(3), 822-833. doi:10.1111/1467-8624.00570
- Strange, W., & Jenkins, J. J. (1978). Role of linguistic experience in the perception of speech. In Perception and experience (pp. 125-169): Springer.
- Tomblin, J. B., Oleson, J. J., Ambrose, S. E., Walker, E., & Moeller, M. P. (2014). The influence of hearing aids on the speech and language development of children with hearing loss. JAMA Otolaryngol Head Neck Surg, 140(5), 403-409. doi:10.1001/jamaoto.2014.267
- Uhler, K., & Gifford, R. H. (2014). Current trends in pediatric cochlear implant candidate selection and postoperative follow-up. Am J Audiol, 23(3), 309-325. doi:10.1044/2014_aja-13-0067
- Uhler, K., Yoshinaga-Itano, C., Gabbard, S. A., Rothpletz, A. M., & Jenkins, H. (2011). Longitudinal infant speech perception in young cochlear implant users. Journal of the American Academy of Audiology, 22(3), 129-142.
- Uhler, K. M., Baca, R., Dudas, E., & Fredrickson, T. (2015). Refining stimulus parameters in assessing infant speech perception using visual reinforcement infant speech discrimination: Sensation level. Journal of the American Academy of Audiology, 26(10), 807-814.
- Werker, J. F., Polka, L., & Pegg, J. E. (1997). The conditioned head turn procedure as a method for testing infant speech perception. Early Development and Parenting, 6(3-4), 171-178. doi:https://doi.org/10.1002/(SICI)1099-0917(199709/12)6:3/4<171::AID-EDP156>3.0.CO;2-H
- Werker, J. F., & Tees, R. C. (1984). Cross-language speech perception: Evidence for perceptual reorganization during the first year of life. Infant behavior and development, 7(1), 49-63.
- Zupan, B., & Sussman, J. E. (2009). Auditory preferences of young children with and without hearing loss for meaningful auditory-visual compound stimuli. J Commun Disord, 42(6), 381-396. doi:10.1016/j.jcomdis.2009.04.002
Evaluation of Babies with Hearing Aids Using Visual Reinforcement Infant Speech Discrimination Method: A Case Report
Abstract
Speech perception measurements are an important part of the audiology test battery. It is important to investigate hearing loss in the early period and to evaluate the auditory pathway in terms of speech perception for appropriate amplification. Due to the level of language development in infants, it is not possible to objectively evaluate speech perception skills with the speech test battery used in adults. It is necessary to use a test battery that gives objective results for the measurement of speech perception in infants. Visual Reinforcement Infant Speech Discrimination (VRISD) method is the most commonly used test technique to evaluate speech discrimination skills in infants. The aim of this study is to evaluate the speech discrimination skills of 3 babies aged 6-18 months, who are hearing aid users, with the VRISD test method. In the VRISD test protocol used in this study, test stimuli were created by matching /a/ with /i/ and /ba/ with /da/ speech stimuli. These stimulus pairs are arranged as one target sound and the other background sound, and they are presented at 70 dB via loudspeaker by creating a repeating sound sequence. Animated video that attracts the attention of the baby was used as visual reinforcement. Speech discrimination skills of 3 babies with bilateral hearing aids were evaluated with the VRISD test, and the results of the cases are presented. As a result of the study, speech discrimination skills of babies with hearing aids will be evaluated with the VRISD test method. These results contribute to habilitation and amplification programming.
References
- Akkaplan, S., Batuk, M. O., & Sennaroglu, G. (2021). Auditory perception skills in children receiving simultaneous bilateral cochlear implants: early speech-discrimination results. European Archives of Oto-Rhino-Laryngology. doi:10.1007/s00405-020-06579-3
- Downs, M. P., & Sterritt, G. M. (1967). A guide to newborn and infant hearing screening programs. Archives of Otolaryngology, 85(1), 15-22.
- Eilers, R. E., Gavin, W., & Wilson, W. R. (1979). Linguistic experience and phonemic perception in infancy: A crosslinguistic study. Child Development, 14-18.
- Eimas, P. D., Siqueland, E. R., Jusczyk, P., & Vigorito, J. (1971). Speech perception in infants. Science, 171(3968), 303-306.
- Grieser, D., & Kuhl, P. K. (1989). Categorization of speech by infants: Support for speech-sound prototypes. Developmental Psychology, 25(4), 577.
- Kuhl, P. K. (1991). Human adults and human infants show a “perceptual magnet effect” for the prototypes of speech categories, monkeys do not. Perception & psychophysics, 50(2), 93-107.
- Lisker, L., & Abramson, A. S. (1964). A cross-language study of voicing in initial stops: Acoustical measurements. Word, 20(3), 384-422.
- Moeller, M. P. (2000). Early intervention and language development in children who are deaf and hard of hearing. Pediatrics, 106(3), E43. doi:10.1542/peds.106.3.e43
- Nozza, R. J. (1987). Infant speech‐sound discrimination testing: Effects of stimulus intensity and procedural model on measures of performance. The Journal of the Acoustical Society of America, 81(6), 1928-1939.
- Nozza, R. J. (2000). Thresholds are not enough: Understanding how infants process speech has a role in how we manage hearing loss. Paper presented at the A sound foundation through early amplification: Proceedings of an international conference. Stäfa, Switzerland: Phonak AG.
- Nozza, R. J., & Wilson, W. R. (1984). Masked and unmasked pure-tone thresholds of infants and adults: Development of auditory frequency selectivity and sensitivity. Journal of Speech, Language, and Hearing Research, 27(4), 613-622.
- Sloutsky, V. M., & Napolitano, A. C. (2003). Is a picture worth a thousand words? Preference for auditory modality in young children. Child Dev, 74(3), 822-833. doi:10.1111/1467-8624.00570
- Strange, W., & Jenkins, J. J. (1978). Role of linguistic experience in the perception of speech. In Perception and experience (pp. 125-169): Springer.
- Tomblin, J. B., Oleson, J. J., Ambrose, S. E., Walker, E., & Moeller, M. P. (2014). The influence of hearing aids on the speech and language development of children with hearing loss. JAMA Otolaryngol Head Neck Surg, 140(5), 403-409. doi:10.1001/jamaoto.2014.267
- Uhler, K., & Gifford, R. H. (2014). Current trends in pediatric cochlear implant candidate selection and postoperative follow-up. Am J Audiol, 23(3), 309-325. doi:10.1044/2014_aja-13-0067
- Uhler, K., Yoshinaga-Itano, C., Gabbard, S. A., Rothpletz, A. M., & Jenkins, H. (2011). Longitudinal infant speech perception in young cochlear implant users. Journal of the American Academy of Audiology, 22(3), 129-142.
- Uhler, K. M., Baca, R., Dudas, E., & Fredrickson, T. (2015). Refining stimulus parameters in assessing infant speech perception using visual reinforcement infant speech discrimination: Sensation level. Journal of the American Academy of Audiology, 26(10), 807-814.
- Werker, J. F., Polka, L., & Pegg, J. E. (1997). The conditioned head turn procedure as a method for testing infant speech perception. Early Development and Parenting, 6(3-4), 171-178. doi:https://doi.org/10.1002/(SICI)1099-0917(199709/12)6:3/4<171::AID-EDP156>3.0.CO;2-H
- Werker, J. F., & Tees, R. C. (1984). Cross-language speech perception: Evidence for perceptual reorganization during the first year of life. Infant behavior and development, 7(1), 49-63.
- Zupan, B., & Sussman, J. E. (2009). Auditory preferences of young children with and without hearing loss for meaningful auditory-visual compound stimuli. J Commun Disord, 42(6), 381-396. doi:10.1016/j.jcomdis.2009.04.002
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Audiology |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 28, 2021 |
| Submission Date | August 26, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 3 |
