Nayana M, Kumar Prawin
Department of Audiology, All India Institute of Speech and Hearing (AIISH), Mysore, 06, India.
Eur Arch Otorhinolaryngol. 2025 Jan;282(1):491-498. doi: 10.1007/s00405-024-08998-y. Epub 2024 Sep 28.
Children with temporal processing deficits struggle to detect and discriminate syllables, phonemes, and stress patterns in speech. To overcome these deficits, computer-based auditory training programs have been widely used as one of the rehabilitation alternatives in recent years. The present study aimed to examine the usefulness of one such computer-based temporal processing training (CBTPT) module on children with temporal processing deficits.
Sixteen children (8-15 years) with temporal processing deficits were enrolled in the study, further divided into active (CBTPT) and placebo (placebo training) groups. Further, 8 typically developing children (no training) were enrolled as a comparison group. The auditory outcome measures included Duration Pattern Test (DPT), Gap Detection Test (GDT), Dichotic CV (DCV), and Speech-in-Noise-Indian English (SPIN-IE) assessed before and after training for all three groups.
Wilcoxon-sign rank test showed a statically significant difference between pre and post-test scores of DPT, GDT, and SPIN (p < 0.001) except DCV among the active group. However, no significant differences were noted in the pre and post-test scores among the placebo and TD groups. Mann Whitney U test showed a significant difference in DPT and SPIN post-training scores between active and placebo groups; active and TD group; placebo and TD group.
From the above finding, it is inferred that the CBTPT module is useful among children having temporal processing deficits.
患有颞叶加工缺陷的儿童在检测和区分语音中的音节、音素及重音模式方面存在困难。为克服这些缺陷，近年来基于计算机的听觉训练项目已被广泛用作康复替代方案之一。本研究旨在检验一种此类基于计算机的颞叶加工训练（CBTPT）模块对患有颞叶加工缺陷儿童的有效性。
16名患有颞叶加工缺陷的儿童（8 - 15岁）参与了本研究，进一步分为实验组（CBTPT）和安慰剂组（安慰剂训练）。此外，8名发育正常的儿童（无训练）作为对照组。对所有三组儿童在训练前后进行听觉结果测量，包括时长模式测试（DPT）、间隙检测测试（GDT）、双耳分听CV（DCV）以及印度英语噪声下言语测试（SPIN - IE）。
威尔科克森符号秩检验显示，实验组中除DCV外，DPT、GDT和SPIN的测试前与测试后分数之间存在统计学显著差异（p < 0.001）。然而，安慰剂组和对照组的测试前与测试后分数之间未发现显著差异。曼 - 惠特尼U检验显示，实验组与安慰剂组、实验组与对照组、安慰剂组与对照组之间在训练后DPT和SPIN分数上存在显著差异。
从上述结果推断，CBTPT模块对患有颞叶加工缺陷的儿童是有效的。
