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Laryngeal Aerodynamics in Children with Hearing Impairment versus Age and Height Matched Normal Hearing Peers

DOI: 10.1155/2013/394604

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Abstract:

Lack of proper auditory feedback in hearing-impaired subjects results in functional voice disorder. It is directly related to discoordination of intrinsic and extrinsic laryngeal muscles and disturbed contraction and relaxation of antagonistic muscles. A total of twenty children in the age range of 5–10 years were considered for the study. They were divided into two groups: normal hearing children and hearing aid user children. Results showed a significant difference in the vital capacity, maximum sustained phonation, and fast adduction abduction rate having equal variance for normal and hearing aid user children, respectively, but no significant difference was found in the peak flow value with being statistically significant. A reduced vital capacity in hearing aid user children suggests a limited use of the lung volume for speech production. It may be inferred from the study that the hearing aid user children have poor vocal proficiency which is reflected in their voice. The use of voicing component in hearing impaired subjects is seen due to improper auditory feedback. It was found that there was a significant difference in the vital capacity, maximum sustained phonation (MSP), and fast adduction abduction rate and no significant difference in the peak flow. 1. Introduction Lack of proper auditory feedback in hearing-impaired subjects results in functional voice disorder. It is directly related to discoordination of intrinsic and extrinsic laryngeal muscles and disturbed contraction and relaxation of antagonistic muscles. Generally, the voice organ of a hearing-impaired child shows no anatomical abnormalities in the first years of life. Data in the literature suggest that the impairment of the voice organ is a secondary effect and results not only from abnormal auditory feedback but also from inappropriate hearing, voice, and speech rehabilitation in early childhood, or even its cessation [1, 2]. Research on the physiopathology of voice and speech in hearing-impaired children proves that a physiological deficiency of the larynx affects phonation and articulation. Specialists therefore emphasize that voice and speech rehabilitation should begin as soon as possible, helping to maintain correct functioning of the larynx [3, 4]. Changes in the larynx of a prelingually hearing-impaired child and changes in his/her voice develop in the first years of life. The nature of these disorders depends on numerous conditions, including degree and type of hearing loss, duration of the hearing impairment, the moment of its occurrence, the treatment applied, and

References

[1]  C. H. Chouard, “Changes on the speaking fundamental frequencyafter cochlear implantation,” Annales d'Otolaryngologie et de Chirurgie Cervico-faciale, vol. 105, no. 4, pp. 249–252, 1988.
[2]  K. I. Kirk and C. Hill-Brown, “Speech and language results in children with a cochlear implant,” Ear and Hearing, vol. 6, no. 3, supplement, pp. 36S–47S, 1985.
[3]  W. H. Manning, J. N. Moore, M. J. Dunham, F. L. Lu, and E. Domico, “Vowel production in a prelinguistic child following cochlear implantation,” Journal of the American Academy of Audiology, vol. 3, no. 1, pp. 16–21, 1992.
[4]  A. Szkielkowska, B. Maniecka-Aleksandrowicz, and J. Dolecki, “Voice rehabilitation in children post cochlear implantation,” Central and East European Journal of Oto-Rino-Laryngology Head and Neck Surgery, vol. 1, no. 14, 2000.
[5]  A. Szkielkowska, J. Ratynska, H. Skarzynski, and T. Michalak, “Acoustic structure of the voice in children considered for partial deafness treatment,” Journal of Hearing Science, no. 2, pp. 75–80, 2012.
[6]  M. P. Mavilya, “Spontaneous vocalization and babbling in hearing impaired infants,” in Proceedings of the International Symposium on Speech Communication Abilities and Profound Deafness, G. Fant, Ed., A. G. Bell Association, Washington, DC, USA, 1968.
[7]  P. H. Quanjer, M. D. Lebowitz, I. Gregg, M. R. Miller, and O. F. Pedersen, “Peak expiratory flow: conclusions and recommendations of a working party of the European respiratory society,” European Respiratory Journal, vol. 10, no. 24, pp. 2–8, 1985.
[8]  L. L. Forner and T. J. Hixon, “Respiratory kinematics in profoundly hearing impaired speakers,” Journal of Speech and Hearing Research, vol. 20, no. 2, pp. 373–408, 1977.
[9]  C. Sapienza and B. Hoffman-Ruddy, Voice Disorders, Plural Publishing, San Diego, Calif, USA, 2009.
[10]  R. L. Whitehead and S. M. Barefoot, “Airflow characteristics of fricative consonants produced by normally hearing and hearing-impaired speakers,” Journal of Speech and Hearing Research, vol. 26, no. 2, pp. 185–194, 1983.
[11]  R. L. Whitehead, “Some respiratory and aerodynamic patterns in the speech of the hearing impaired,” in Speech of the Hearing Impaired: Research, Training and Personnel Preparation, I. Hochberg, H. Levitt, and M. J. Osberger, Eds., pp. 97–116, University Park Press, Baltimore, Md, USA, 1983.
[12]  J. Stemple, B. Weinrich, and S. B. Brehm, Phonatory Aerodynamic System: A Clinical Manual, KayPentax, Lincoln Park, NJ, USA, 2008.
[13]  K. Treole and M. D. Trudeau, “Changes in sustained production tasks among women with bilateral vocal nodules before and after voice therapy,” Journal of Voice, vol. 11, no. 4, pp. 462–469, 1997.
[14]  P. Schmidt, F. Klingholz, and F. Martin, “Influence of pitch, voice sound pressure, and vowel quality on the maximum phonation time,” Journal of Voice, vol. 2, no. 3, pp. 245–249, 1988.
[15]  R. B. Monsen, A. M. Engebretson, and N. R. Vemula, “Some effects of deafness on the generation of voice,” Journal of Acoustic Society of America, vol. 66, no. 6, pp. 1680–1690, 1978.
[16]  D. Metz, R. Whitehead, and J. Mahshie, “Physiological correlates of the speech of the deaf,” in Deafness and Communication: Assessment and Training, D. Sims, Ed., Williams & Wilkins, Baltimore, Md, USA, 1982.
[17]  N. S. McGarr and A. L?fqvist, “Obstruent production by hearing-impaired speakers: interarticulator timing and acoustics,” Journal of the Acoustical Society of America, vol. 72, no. 1, pp. 34–42, 1982.
[18]  D. E. Metz, R. L. Whitehead, and B. H. Whitehead, “Mechanics of vocal fold vibration and laryngeal articulatory gestures produced by hearing-impaired speakers,” Journal of Speech and Hearing Research, vol. 27, no. 1, pp. 62–69, 1984.
[19]  M. B. Higgins, A. E. Carney, and L. Schulte, “Physiological assessment of speech and voice production of adults with hearing loss,” Journal of Speech and Hearing Research, vol. 37, no. 3, pp. 510–521, 1994.

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