Speech and non-speech processing in children with phonological disorders: an electrophysiological study

OBJECTIVE: To determine whether neurophysiological auditory brainstem responses to clicks and repeated speech stimuli differ between typically developing children and children with phonological disorders. INTRODUCTION: Phonological disorders are language impairments resulting from inadequate use of...

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Main Authors: Isabela Crivellaro Gonçalves, Haydée Fiszbein Wertzner, Alessandra Giannella Samelli, Carla Gentile Matas
Format: Article
Language:English
Published: Elsevier España 2011-01-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000200019
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author Isabela Crivellaro Gonçalves
Haydée Fiszbein Wertzner
Alessandra Giannella Samelli
Carla Gentile Matas
author_facet Isabela Crivellaro Gonçalves
Haydée Fiszbein Wertzner
Alessandra Giannella Samelli
Carla Gentile Matas
author_sort Isabela Crivellaro Gonçalves
collection DOAJ
description OBJECTIVE: To determine whether neurophysiological auditory brainstem responses to clicks and repeated speech stimuli differ between typically developing children and children with phonological disorders. INTRODUCTION: Phonological disorders are language impairments resulting from inadequate use of adult phonological language rules and are among the most common speech and language disorders in children (prevalence: 8 - 9%). Our hypothesis is that children with phonological disorders have basic differences in the way that their brains encode acoustic signals at brainstem level when compared to normal counterparts. METHODS: We recorded click and speech evoked auditory brainstem responses in 18 typically developing children (control group) and in 18 children who were clinically diagnosed with phonological disorders (research group). The age range of the children was from 7-11 years. RESULTS: The research group exhibited significantly longer latency responses to click stimuli (waves I, III and V) and speech stimuli (waves V and A) when compared to the control group. DISCUSSION: These results suggest that the abnormal encoding of speech sounds may be a biological marker of phonological disorders. However, these results cannot define the biological origins of phonological problems. We also observed that speech-evoked auditory brainstem responses had a higher specificity/sensitivity for identifying phonological disorders than click-evoked auditory brainstem responses. CONCLUSIONS: Early stages of the auditory pathway processing of an acoustic stimulus are not similar in typically developing children and those with phonological disorders. These findings suggest that there are brainstem auditory pathway abnormalities in children with phonological disorders.
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spelling doaj.art-3a409db300e04a578475270125c958e02022-12-22T00:31:16ZengElsevier EspañaClinics1807-59321980-53222011-01-0166229329810.1590/S1807-59322011000200019Speech and non-speech processing in children with phonological disorders: an electrophysiological studyIsabela Crivellaro GonçalvesHaydée Fiszbein WertznerAlessandra Giannella SamelliCarla Gentile MatasOBJECTIVE: To determine whether neurophysiological auditory brainstem responses to clicks and repeated speech stimuli differ between typically developing children and children with phonological disorders. INTRODUCTION: Phonological disorders are language impairments resulting from inadequate use of adult phonological language rules and are among the most common speech and language disorders in children (prevalence: 8 - 9%). Our hypothesis is that children with phonological disorders have basic differences in the way that their brains encode acoustic signals at brainstem level when compared to normal counterparts. METHODS: We recorded click and speech evoked auditory brainstem responses in 18 typically developing children (control group) and in 18 children who were clinically diagnosed with phonological disorders (research group). The age range of the children was from 7-11 years. RESULTS: The research group exhibited significantly longer latency responses to click stimuli (waves I, III and V) and speech stimuli (waves V and A) when compared to the control group. DISCUSSION: These results suggest that the abnormal encoding of speech sounds may be a biological marker of phonological disorders. However, these results cannot define the biological origins of phonological problems. We also observed that speech-evoked auditory brainstem responses had a higher specificity/sensitivity for identifying phonological disorders than click-evoked auditory brainstem responses. CONCLUSIONS: Early stages of the auditory pathway processing of an acoustic stimulus are not similar in typically developing children and those with phonological disorders. These findings suggest that there are brainstem auditory pathway abnormalities in children with phonological disorders.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000200019Central auditory physiologyAuditory brainstem responseSpeech-evoked auditory brainstem responseSpeech encodingArticulation disorders
spellingShingle Isabela Crivellaro Gonçalves
Haydée Fiszbein Wertzner
Alessandra Giannella Samelli
Carla Gentile Matas
Speech and non-speech processing in children with phonological disorders: an electrophysiological study
Clinics
Central auditory physiology
Auditory brainstem response
Speech-evoked auditory brainstem response
Speech encoding
Articulation disorders
title Speech and non-speech processing in children with phonological disorders: an electrophysiological study
title_full Speech and non-speech processing in children with phonological disorders: an electrophysiological study
title_fullStr Speech and non-speech processing in children with phonological disorders: an electrophysiological study
title_full_unstemmed Speech and non-speech processing in children with phonological disorders: an electrophysiological study
title_short Speech and non-speech processing in children with phonological disorders: an electrophysiological study
title_sort speech and non speech processing in children with phonological disorders an electrophysiological study
topic Central auditory physiology
Auditory brainstem response
Speech-evoked auditory brainstem response
Speech encoding
Articulation disorders
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322011000200019
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