Department of Surgery, University of Wisconsin Madison, Madison, WI, USA.
Cleft Palate Craniofac J. 2024 Aug;61(8):1245-1256. doi: 10.1177/10556656231162238. Epub 2023 Mar 8.
To investigate the relationship between auditory-perceptual ratings of resonance and nasometry scores in children with cleft palate. Factors which may impact this relationship were examined including articulation, intelligibility, dysphonia, sex, and cleft-related diagnosis.
Retrospective, observational cohort study.
Outpatient pediatric cranio-facial anomalies clinic.
Four hundred patients <18 years of age identified with CP ± L, seen for auditory-perceptual and nasometry evaluations of hypernasality as well as assessments of articulation and voice.
Relationship between auditory-perceptual ratings of resonance and nasometry scores.
Pearson's correlations indicated that auditory-perceptual resonance ratings and nasometry scores were significantly correlated across oral-sound stimuli on the picture-cued portion of the MacKay-Kummer SNAP-R Test (r values .69 to.72) and the zoo reading passage (r = .72). Linear regression indicated that intelligibility (≤ .001) and dysphonia (= .009) significantly impacted the relationship between perceptual and objective assessments of resonance on the Zoo passage. Moderation analyses indicated that the relationship between auditory-perceptual and nasometry values weakened as severity of speech intelligibility increased (< .001) and when children presented with moderate dysphonia (≤ .001). No significant impact of articulation testing or sex were observed.
Speech intelligibility and dysphonia alter the relationship between auditory-perceptual and nasometry assessments of hypernasality in children with cleft palate. SLPs should be aware of potential sources of auditory-perceptual bias and shortcomings of the Nasometer when following patients with limited intelligibility or moderate dysphonia. Future study may identify the mechanisms by which intelligibility and dysphonia affect auditory-perceptual and nasometry evaluations.
探讨腭裂儿童共鸣的听觉感知评估与鼻音计评分之间的关系。检查了可能影响这种关系的因素，包括发音、清晰度、发声障碍、性别和与腭裂相关的诊断。
回顾性、观察性队列研究。
门诊儿科颅面畸形诊所。
400 名年龄<18 岁的 CP ± L 患者，接受了听觉感知和鼻音计对过度鼻音的评估，以及对发音和声音的评估。
共鸣的听觉感知评估与鼻音计评分之间的关系。
Pearson 相关分析表明，在 MacKay-Kummer SNAP-R 测试的图片提示部分（r 值为.69 至.72）和动物园阅读短文（r = .72）的口腔声音刺激中，听觉感知共鸣评分和鼻音计评分显著相关。线性回归表明，清晰度（≤ .001）和发声障碍（= .009）显著影响了动物园短文的共鸣感知和客观评估之间的关系。调节分析表明，随着言语清晰度的增加（<.001）和儿童出现中度发声障碍（≤ .001），听觉感知和鼻音计值之间的关系减弱。未观察到发音测试或性别的显著影响。
语音清晰度和发声障碍改变了腭裂儿童鼻音计和听觉感知评估过度鼻音的关系。言语清晰度有限或中度发声障碍的患者在随访时，言语治疗师应意识到听觉感知偏差的潜在来源和鼻音计的局限性。未来的研究可能会确定语音清晰度和发声障碍影响听觉感知和鼻音计评估的机制。
