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特定语言障碍儿童的听觉处理:一项基于脑干听觉诱发电位的研究。

Auditory Processing in Children with Specific Language Impairment: A FFR Based Study.

作者信息

Barman Animesh, Prabhu Prashanth, Mekhala V G, Vijayan Kavya, Swapna N

机构信息

Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Naimisham campus, Mysore, Karnataka 570006 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):368-373. doi: 10.1007/s12070-020-02127-x. Epub 2020 Sep 14.

Abstract

Specific language impairment (SLI) is diagnosed when a child has difficulty in producing or understanding spoken language for no apparent reason. The study attempted to assess the sub-cortical encoding in children with SLI using speech-evoked auditory brainstem response (ABR). The objective of the study was to compare the amplitude and latency of the frequency following response (FFR) parameters between the children with SLI and typically developing children. The frequency following response was recorded using/da/stimuli from ten ears of children diagnosed with SLI. The amplitude and the latencies of the different peaks of FFR in children with SLI were compared with those of typically developing children. The results of the study showed that the latencies of wave C and D were significantly prolonged in children with SLI compared to typically developing children. The waveforms obtained from the typically developing (TD) children were clearer and easily identifiable, with larger negativity observed in the troughs. The waveform morphology was poorer in children with SLI with shallower peaks. Thus, it can be concluded that speech evoked ABR gives an insight into the auditory processing ability of children with SLI. It indicates that signal processing in the auditory pathway of children with SLI is temporally distorted and which might affect the development of language.

摘要

特定语言障碍(SLI)是指儿童在没有明显原因的情况下,在生成或理解口语方面存在困难时被诊断出的病症。该研究试图使用言语诱发听觉脑干反应(ABR)来评估患有SLI的儿童的皮质下编码。该研究的目的是比较患有SLI的儿童与发育正常儿童之间频率跟随反应(FFR)参数的振幅和潜伏期。使用来自被诊断患有SLI的儿童的十只耳朵的/da/刺激来记录频率跟随反应。将患有SLI的儿童的FFR不同峰值的振幅和潜伏期与发育正常儿童的进行比较。研究结果表明,与发育正常儿童相比,患有SLI的儿童的C波和D波潜伏期明显延长。从发育正常(TD)儿童获得的波形更清晰且易于识别,在波谷处观察到更大的负性波。患有SLI的儿童的波形形态较差,峰值较浅。因此,可以得出结论,言语诱发ABR可以深入了解患有SLI的儿童的听觉处理能力。这表明患有SLI的儿童的听觉通路中的信号处理在时间上发生了扭曲,这可能会影响语言的发展。

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