Wachtlin Bianka, Turinsky Yvonne, Herrmann Frank, Schaefer Blanca
Catholic University of Applied Sciences, Department of Health Care and Nursing, Mainz, Germany.
Private Practice for Speech and Language Therapy Yvonne Pawlik, Grimma, Germany.
Int J Pediatr Otorhinolaryngol. 2017 Sep;100:198-203. doi: 10.1016/j.ijporl.2017.06.031. Epub 2017 Jun 30.
The aim was to explore PA skills German-speaking preschool children with cochlea implants (CIs) and how these skills may be related to their speech and language skills.
Three monolingual German-speaking pre-school children aged 5;04-6;01 with bilateral CIs were tested. Their cognitive, speech and language skills were assessed. Six subtests of a standardized PA test battery were administered (i.e. rhyme identification, rhyme production; phoneme identification- input and -output; phoneme blending-input and -output).
All three children showed distinctive PA profiles. One boy, who had no spoken language deficits, struggled to complete the rhyme tasks but performed well on three phoneme tasks. However, he showed a discrepancy between expressive and receptive phoneme blending skills, scoring poorly on the expressive subtest. The second boy, who displayed grammar comprehension and expressive vocabulary difficulties, showed a mixed profile, with a below average performance on rhyme production. The girl who had significant speech and language deficits scored below average on all six PA subtests.
PA profiles in children with CI vary considerably and PA testing should include a range of different PA tasks. The assumed link between spoken language deficits and PA difficulties shown in children with normal hearing could be confirmed.
探讨使用人工耳蜗（CI）的德语学前儿童的语音意识（PA）技能，以及这些技能与他们的言语和语言技能之间的关系。
对三名年龄在5岁4个月至6岁1个月的德语单语学前儿童进行了双侧人工耳蜗植入测试。评估了他们的认知、言语和语言技能。进行了标准化PA测试组的六个子测试（即押韵识别、押韵生成；音素识别——输入和输出；音素混合——输入和输出）。
所有三名儿童都表现出独特的PA特征。一名没有言语语言缺陷的男孩在完成押韵任务时遇到困难，但在三项音素任务中表现良好。然而，他在表达性和接受性音素混合技能之间存在差异，在表达性子测试中得分较低。第二名男孩表现出语法理解和表达性词汇困难，表现出混合特征，在押韵生成方面表现低于平均水平。在所有六项PA子测试中得分均低于平均水平的女孩存在明显的言语和语言缺陷。
人工耳蜗植入儿童的PA特征差异很大，PA测试应包括一系列不同的PA任务。正常听力儿童中出现的言语语言缺陷与PA困难之间的假定联系可以得到证实。
