Audiovestibular Unit, Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Phoniatrics Unit, Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Folia Phoniatr Logop. 2022;74(1):29-45. doi: 10.1159/000516979. Epub 2021 Jul 21.
The role of prosody in language acquisition and effective communication is documented in research. Nevertheless, rehabilitation of prosodic skills in children with hearing impairment using hearing aids or cochlear implants is relatively neglected compared to other speech and language areas.
To detect the effect of prosodic rehabilitation using the adapted translated version of the "Prosody Treatment Program" on expression of prosodic features in Egyptian Arabic-speaking hearing-impaired school-age children fitted with hearing aids or cochlear implant devices in comparison to conventional auditory and language rehabilitation.
This study was conducted on 34 children with sensorineural hearing loss in a randomized controlled trial design. Children were randomly divided into 2 groups, group A (cases) and group B (control), by block randomization. Both groups were initially evaluated for their prosodic skills using objective measures. Group A received rehabilitation for prosody using the Prosody Treatment Program for 1 h, once per week for 3 months, while group B received conventional auditory and language training and served as their control. Both groups were re-evaluated using the same protocol after 3 months of therapy.
A statistically significant improvement of most of the assessed prosodic parameters in group A was shown when comparing the pretherapy and posttherapy scores, as well as comparing between both studied groups after therapy.
Prosody is amenable to motor learning. The Prosody Treatment Program seems to be an effective rehabilitation tool in improving some prosodic skills of hearing-impaired children. Prosodic rehabilitation showed superiority to conventional auditory and language training in improving the expression of some prosodic features and pragmatic language skills.
韵律在语言习得和有效沟通中的作用在研究中已有记载。然而，与其他言语和语言领域相比，使用助听器或人工耳蜗对听力障碍儿童进行韵律技能康复的工作相对较少。
使用经过改编的《韵律治疗计划》的翻译版本，检测韵律康复对使用助听器或人工耳蜗设备的埃及阿拉伯语听力障碍学龄儿童韵律特征表达的影响，并与传统听觉和语言康复进行比较。
这是一项随机对照试验设计，研究对象为 34 名患有感音神经性听力损失的儿童。通过区组随机化将儿童随机分为 2 组，即 A 组（病例）和 B 组（对照）。两组均首先使用客观测量方法评估其韵律技能。A 组使用韵律治疗计划进行韵律康复，每周 1 小时，持续 3 个月，而 B 组接受传统听觉和语言训练作为对照组。治疗 3 个月后，两组均采用相同方案进行重新评估。
A 组在治疗前和治疗后评分以及治疗后两组之间的比较中，大多数评估的韵律参数均显示出统计学上的显著改善。
韵律可以进行运动学习。《韵律治疗计划》似乎是一种有效的听力障碍儿童韵律技能康复工具。韵律康复在改善一些韵律特征和语用语言技能方面优于传统听觉和语言训练。
