İşitme Cihazı Kullanan Çocuklarda Gürültüde Konuşmayı Anlama Becerisinin Değerlendirilmesi: Preliminer Sonuçlar

Year 2021, Volume: 4 Issue: 2, 45 - 50, 04.09.2021

Ecem Kartal Özcan Merve Batuk Şule Kaya Gonca Sennaroğlu

Abstract

Amaç: Gürültülü ortamlar, tıpkı yetişkinler gibi çocukların da günlük yaşamının bir parçasıdır. İşitme kaybı olan ve işitme cihazı takan çocuklar, normal işiten yaşıtlarına göre gürültünün olumsuz etkilerine daha hassastır. Bu çalışmanın amacı işitme cihazı kullanan çocukların gürültüde konuşmayı anlama performanslarının değerlendirilmesi ve normal işiten yaşıtlarıyla karşılaştırılmasıdır.
Gereç ve Yöntemler: Çalışmaya 6-12 yaşları arasında, bilateral ortadan ileri dereceye kadar simetrik sensörinöral işitme kaybı olan ve bilateral kulak arkası işitme cihazı kullanan 5 çocuk dahil edilmiştir. Türkçe HINT-C’nin 4 farklı koşulu uygulanmış ve her koşul için bir konuşmayı anlama eşiği (KAE) belirlenmiştir.
Bulgular: İşitme cihazı kullanan çocukların, yaşlarından bağımsız olarak normal işiten yaşıtlarıyla eşit performansa ulaşabilmek için ihtiyaç duydukları SGO, tüm test koşulları için daha yüksek bulunmuştur. Genel olarak normal işiten çocuklarda da görüldüğü gibi işitme kayıplı çocukların ortalama Gön skoru, ortalama Gsağ ve Gsol skorlarından daha yüksek elde edilmiştir.
Sonuç: Bu araştırmanın sonuçları bilateral simetrik ortadan ileri dereceye kadar işitme kaybı olan çocukların normal işiten yaşıtlarına kıyasla, sınıf ortamına benzer ortamlarda daha kötü konuşmayı anlama skorları elde ettiklerini ortaya koymuştur. Sonuçlarımız, uygun rehabilitasyon ve takipler için yol gösterici olmuştur.

Keywords

gürültüde konuşmayı anlama, işitme kaybı, işitme cihazı, pediatrik odyoloji, HINT

Assessment of Speech Perception in Noise in Children with Hearing Aids: Preliminary Results

Abstract

Objective: Noisy environments are a part of the daily life of children, just like adults. Children with hearing loss who wear hearing aids are more susceptible to the negative effects of noise than their normal-hearing peers. This study aims to evaluate the speech recognition in noise performance of hearing aid users and compare them with their normal-hearing peers.
Material and Method: Five children aged 6-12 years with bilateral moderate to severe symmetrical sensorineural hearing loss and using bilateral behind-the-ear hearing aids were included in the study. 4 different conditions of the Turkish HINT-C were applied, and a speech recognition threshold (SRT) is determined for each condition.
Results: Regardless of their age, the SRT needed by children with hearing aids to achieve equal performance with their normal-hearing peers was found to be higher for all test conditions. As seen in children with normal hearing in general, the mean noise front score of the children with hearing loss was higher than the mean noise right and noise left scores.
Conclusion: The results of this study revealed that children with bilaterally symmetrical moderate to severe hearing loss achieved poor speech recognition scores in environments similar to the classroom environment, compared to their normal-hearing peers. Our results guided appropriate rehabilitation and follow-up.

Keywords

speech recognition in noise, hearing loss, hearing aid, pediatric audiology, HINT

References

• Aarabi, S., Jarollahi, F., Badfar, S., Hosseinabadi, R., & Ahadi, M. (2016). Speech perception in noise mechanisms.
• Anderson, K. L., Goldstein, H., Colodzin, L., & Iglehart, F. (2005). Benefit of S/N enhancing devices to speech perception of children listening in a typical classroom with hearing aids or a cochlear implant. Journal of Educational Audiology, 12, 14-28.
• Assmann, P., & Summerfield, Q. (2004). The perception of speech under adverse conditions. In Speech processing in the auditory system (pp. 231-308): Springer.
• Bess, F. H., & Tharpe, A. M. (1986). An introduction to unilateral sensorineural hearing loss in children. Ear and Hearing, 7(1), 3-13.
• Brännström, K. J., von Lochow, H., Lyberg Åhlander, V., & Sahlén, B. (2020). Passage comprehension performance in children with cochlear implants and/or hearing aids: The effects of voice quality and multi-talker babble noise in relation to executive function. Logopedics Phoniatrics Vocology, 45(1), 15-23.
• Carhart, R., & Tillman, T. W. (1972). Individual consistency of hearing for speech across diverse listening conditions. Journal of Speech and Hearing Research, 15(1), 105-113.
• Carhart, R., & Young, L. (1976). Development of test procedures for evaluation of binaural hearing aids. Bulletin of prosthetics research.
• Celesia, G. G. (2013). Disorders of Peripheral and Central Auditory Processing1: Disorders of Peripheral and Central Auditory Processing (Vol. 10): Elsevier Health Sciences.
• Ching, T. Y., Crowe, K., Martin, V., Day, J., Mahler, N., Youn, S., . . . Orsini, J. (2010). Language development and everyday functioning of children with hearing loss assessed at 3 years of age. International journal of speech-language pathology, 12(2), 124-131.
• Ching, T. Y., Van Wanrooy, E., Dillon, H., & Carter, L. (2011). Spatial release from masking in normal-hearing children and children who use hearing aids. The Journal of the acoustical society of America, 129(1), 368-375.
• Ching, T. Y., Zhang, V. W., Flynn, C., Burns, L., Button, L., Hou, S., . . . Van Buynder, P. (2018). Factors influencing speech perception in noise for 5-year-old children using hearing aids or cochlear implants. International journal of audiology, 57(sup2), S70-S80.
• Crandell, C. C. (1993). Speech recognition in noise by children with minimal degrees of sensorineural hearing loss. Ear and Hearing, 14(3), 210-216.
• de Carvalho, N. G., Novelli, C. V. L., & Colella-Santos, M. F. (2017). Evaluation of speech in noise abilities in school children. International journal of pediatric otorhinolaryngology, 99, 66-72.
• DL, D. J., & Abrams, H. (2018). Audiologic considerations for people with normal hearing sensitivity yet hearing difficulty and/or speech-in-noise problems.
• Iglehart, F. (2020). Speech perception in classroom acoustics by children with hearing loss and wearing hearing aids. American journal of audiology, 29(1), 6-17.
• Jerger, S., & Jerger, J. (1984). Pediatric speech intelligibility test: Auditec of St. Louis.
• KARTAL, E. (2019). Çocuklar için Gürültüde Konuşmayı Anlama Testi'nin Türkçe Yaşa Özgü Normlarının Belirlenmesi. Sağlık Bilimleri Enstitüsü.
• McArdle, R. A., Wilson, R. H., & Burks, C. A. (2005). Speech recognition in multitalker babble using digits, words, and sentences. Journal of the American Academy of Audiology, 16(9), 726-739.
• Moore, B. C. (2008). The role of temporal fine structure processing in pitch perception, masking, and speech perception for normal-hearing and hearing-impaired people. Journal of the Association for Research in Otolaryngology, 9(4), 399-406.
• Neuman, A. C., & Hochberg, I. (1983). Children’s perception of speech in reverberation. The Journal of the acoustical society of America, 73(6), 2145-2149.
• Nilsson, M., Soli, S., & Gelnett, D. (1996). Development of the hearing in noise test for children (HINT-C). Los Angeles, CA: House Ear Institute, 1-9.
• Nyquette, P. (2005). BKB-SIN Speech-in-Noise Test. Elk Grove Village, IL: Etymotic Research.
• Olsen, W. O., & Tillman, T. W. (1968). Hearing aids and sensorineural hearing loss. Ann Otol Rhinol Laryngol, 77(4), 717-726. doi:10.1177/000348946807700410
• Percy-Smith, L., Wischmann, S., Josvassen, J. L., Hallstrøm, M., Laplante-Lévesque, A., Sorgenfrei, M. G., & Caye-Thomasen, P. (2020). Evaluation of a sentence test in noise in children with hearing impairment. Danish medical journal, 67(1).
• Ruscetta, M. N., Arjmand, E. M., & Pratt, S. R. (2005). Speech recognition abilities in noise for children with severe-to-profound unilateral hearing impairment. International Journal of Pediatric Otorhinolaryngology, 69(6), 771-779.
• Schafer, E. C. (2010). Speech perception in noise measures for children: A critical review and case studies. Journal of Educational Audiology, 16, 4-15.
• Spahr, A. J., Dorman, M. F., Litvak, L. M., Cook, S., Loiselle, L. M., DeJong, M. D., . . . Gifford, R. H. (2014). Development and validation of the pediatric AzBio sentence lists. Ear and Hearing, 35(4), 418.
• Spahr, A. J., Dorman, M. F., Litvak, L. M., Van Wie, S., Gifford, R. H., Loizou, P. C., . . . Cook, S. (2012). Development and validation of the AzBio sentence lists. Ear and Hearing, 33(1), 112.
• Torkildsen, J. v. K., Hitchins, A., Myhrum, M., & Wie, O. B. (2019). Speech-in-noise perception in children with cochlear implants, hearing aids, developmental language disorder and typical development: The effects of linguistic and cognitive abilities. Frontiers in Psychology, 10, 2530.
• von Lochow, H., Lyberg-Åhlander, V., Sahlén, B., Kastberg, T., & Brännström, K. J. (2018). The effect of voice quality and competing speakers in a passage comprehension task: performance in relation to cognitive functioning in children with normal hearing. Logopedics Phoniatrics Vocology, 43(1), 11-19.
• Wong, P. C., Uppunda, A. K., Parrish, T. B., & Dhar, S. (2008). Cortical mechanisms of speech perception in noise.