Keilmann A, Klüsener P, Freude C
Schwerpunkt Kommunikationsstörungen der Universitäts-HNO-Klinik Mainz (Leiterin des Schwerpunkts: Prof. Dr. A. Keilmann).
Laryngorhinootologie. 2008 Oct;87(10):704-10. doi: 10.1055/s-2007-995723. Epub 2008 Apr 17.
Children with hearing impairment commonly present with articulation deficits. This is considered one main characteristic.
24 pairs of children (5;00 - 6;11 yrs) with articulation deficits in the context of a language disorder were matched in the severity of the language disorder, age, gender and nonverbal intelligence. Of each matched pair one child had a hearing impairment, the other a specific language impairment. Both groups were compared for their articulation. In children with hearing impairment the influence of the severity of the hearing loss was evaluated.
In both groups the same type of articulation deficit for consonants was found. Both groups of children had most frequently problems with sibilants. Children with specific language impairment had slightly more severe articulation deficits. In unvoiced plosives children with specific language impairment demonstrated more often substitutions. The severity of the language disorder, but not the severity of the articulation deficit, was correlated with the degree of hearing loss.
Articulation deficits in children with hearing impairment are slightly less than in children with specific language impairment, but follow the same pattern.
听力受损儿童通常存在发音缺陷。这被视为一个主要特征。
24对患有语言障碍且有发音缺陷的儿童(年龄5;00 - 6;11岁)在语言障碍严重程度、年龄、性别和非语言智力方面进行匹配。每对匹配儿童中,一个有听力障碍,另一个有特定语言障碍。比较两组儿童的发音情况。对听力受损儿童,评估听力损失严重程度的影响。
两组中发现相同类型的辅音发音缺陷。两组儿童最常出现的问题都是擦音。有特定语言障碍的儿童发音缺陷稍严重一些。在清塞音方面,有特定语言障碍的儿童更常出现替代现象。语言障碍的严重程度与听力损失程度相关,而发音缺陷的严重程度与听力损失程度无关。
听力受损儿童的发音缺陷比有特定语言障碍的儿童稍轻,但模式相同。