Effect of speech in noise training in the auditory and cognitive skills in children with auditory processing disorders.

OBJECTIVES

Speech perception in the presence of background noise is identified as one of the most affected auditory processes in children with auditory processing disorders (APD). Mechanism of speech-in-noise perception is extensively studied and is reported to involve different auditory and cognitive skills. However previous research has reported mixed results investigating the relationship between the cognitive skills and speech-in-noise perception in children with APD. The present study intended to study the correlation between the speech-in-noise perception and other auditory and cognitive skills, and also to find the efficacy of speech-in-noise training in other auditory and cognitive skills in children with APD.

METHOD

The study imparted words in noise training utilizing monosyllable and trisyllable words in the presence of speech shaped noise and 4-talker babble. Participants included 20 children with APD, 10 of them in the experimental group who underwent the training and the remaining 10 served as controls. Auditory outcome measures included five behavioural APD tests and four digit span tests to assess cognition.

RESULTS

There was a significant improvement in the speech-in-noise perception measures, temporal processing measures (gap detection test and duration pattern test) and the backward, ascending and descending digit span measures after the training in participants in the experimental group. However, Spearman rank order correlation did not reveal a significant correlation between the speech-in-noise perception scores and any of the auditory or cognitive measures.

CONCLUSION

Even though there was no correlation within and between auditory and cognitive measures, speech-in-noise training improved the temporal processing skills as well as the working memory skills in children with APD supporting the relationship between the said processes. These relationships with evidence from further research could be utilized to design more effective treatment strategies for children with APD.