PERCEPTIVE VOICE ANALYSIS IN CHILDREN WITH SPECIFIC LANGUAGE DISORDERS
Abstract
Specific language disorder (SLD) is a neurodevelopmental disorder that characterizes language deficits together with the preservation of some cognitive domains. Voice evaluation in children with SLD should indicate and encourage a new perspective and provide us with a conceptual approach that has the potential to better understand the voice system of children with SLD by completing a guide to voice rehabilitation in these children.
The aim of this research was to determine the components of the voice system, voice quality, as well as potential gender differences among children with SLD. The sample included 30 children with developmental dysphasia, aged 3 to 9 years (AS = 6.40; SD = 1.714), of whom 20 were boys and 10 were girls.
The adapted Quick Screen For Voice and GRBAS scale were used to assess the voice quality.
The obtained results show that the largest number of children with SLD have adequate biological predispositions for typical voice quality. A large number of children with SLD have no change in all analyzed perceptual voice parameters. The most common perceptual changes in the voice have been mild, followed by moderate, and the least common have been pronounced changes in the voice. There have been significant differences in the degree of hoarseness and hoarseness of the voice in relation to gender, more pronounced in boys (p < 0.05).
Although the changes in voice quality in children with SLD have been mild, they are potentially significant for vocal pathologists, pointing to the importance of prevention, which should be implemented at an early age in order to preserve a healthy and quality voice.
References
Bishop DVM. Listening out for subtle deficits. Nature, 1997;387(6629):129-30. [CrossRef] [PubMed]
Boyle B. Voice Disorders in Children. Support lear 2003;15(2):71-5. [CrossRef]
Catts HW. The relationship between speech-language impairments and reading disabilities. J Speech Lang Hear Res 1993;36(5):948-58. [CrossRef] [PubMed]
Clahsen H, Richman K, Richman K. Child Language and Developmental Dysphasia. Linguistic Studies of the Acquisition of German. Dusseldorf: University of Dusseldorf;1991. [CrossRef]
Dobres R, Lee L, Stemple J, Kretschmer L, Kummer A. Description of laryngeal pathologies in children evalua-ted by otolaryngologists. J Speech Lang Hear Res 1990;55(3):526-32. [CrossRef] [PubMed]
Elham S, Sahar S, Nader A, Heba A. Prosodic assessment in Egyptian children with specific language impairment. Egypti J Otolaryngol 2012;28:56-63.
Gray S, Smith M, Schneider H. Voice disorders in children. Teleheal pediatric 1996;60(4):1357-84. [CrossRef] [PubMed]
Green G. Psycho-behavioral characteristics of children with vocal nodules: WPBIC ratings. J Speech Lang Hear Res 1989;54(3):306-12. [CrossRef] [PubMed]
Helzer JR, Champlin CA, Gillam RB. Auditory temporal resolution in specifically language-impaired and age-matched children. Percept Mot Skills 1996;83(3Pt 2):1171-81. [CrossRef] [PubMed]
Hirschberg J, Dejonckere PH, Hirano M, Mori K, Schultz-Coulon H, Vrtička K. Voice disorders in children. Int J Pediatr Otorhinolaryngol 1995;32:S109-S125. [CrossRef] [PubMed]
Hooper C. Treatment of voice disorders in children. Lang Speech Hear Serv Sch 2004;35(4):320-6. [CrossRef] [PubMed]
Isshiki N, Okamura H, Tanabe M, Morimoto M. Differential diagnosis of hoarseness. Folia Phoniatr Logop 1969;21(1):9-19. [CrossRef] [PubMed]
Korovin GS, Sataloff RT, Rubin JS. Diagnosis and Treatment of Voice Disorders. San Diego (CA): APA; 2014.
Kowal S, O’Connell D, Sabin E. Development of temporal patterning and vocal hesitations in spontan-eous narratives. Journal Psycholinguist Res 1975; 4(3):195-207. [CrossRef]
Lee L, Stemple JC, Glaze L. Quick screen for voice and supplementary documents for identifying pediatric voice disorders. Lang Speech Hear Serv Sch 2004; 35(4):308-19. [CrossRef] [PubMed]
Leonard L. Children with Specific Language Im-pairment. Cambridge MA: MIT Press; 1998.
Leonard LB. Children with specific language im-pairment. Cambridge (MA): MIT Press; 1997.
Levelt W. Speaking: From intention to articulation. Cambridge MA: MIT Press; 1989.
Lopes WL, Barbosa L, Alves ANL, Cavalcante PD, Figueirêdode AA. Severity of Voice Disorders in Children: Correlations Between Perceptual and Acoustic. J Voice 2012;26(6):819.e7-819.e12. [CrossRef] [PubMed]
McArthur GM, Bishop DV. Speech and non-speech processing in people with specific language im-pairment: A behavioural and electrophysiological study. Brain Lang 2005;94(3):260-273. [CrossRef] [PubMed]
Petrović-Lazić M, Kosanović R, Vasić M. Rehabilitacija laringektomiranih bolesnika. Beograd: Nova naučna; 2013.
Petrović-Lazić M., Kosanović R. Vokalna rehabilitacija glasa. Beograd: Nova naučna; 2008.
Postma A, Kolk H. The covert repair hypothesis: Prearticulatory repair processes in normal and stut-tered disfluencies. J Speech Lang Hear Res 1993; 36(3):472-87. [CrossRef] [PubMed]
Powell M, Filter M, Williams B. A longitudinal study of the prevalence of voice disorders in children from a rural school division. J Commun Disord 1989;22(5): 375-82. [CrossRef] [PubMed]
Samuelsson C, Scocco C, Nettelbladt U. Towards assessment of prosodic abilities in Swedish children with language impairment. Logoped Phoniatr Vocol 2003;28(4):156-66. [CrossRef] [PubMed]
Tallal P, Piercy M. Defects of non-verbal auditory perception in children with developmental aphasia. Nature 1973;241(5390):468-9. [CrossRef] [PubMed]
Tallal P, Piercy M. Developmental aphasia: Rate of auditory processing and selective impairment of consonant perception. Neuropsychologia 1974;12(1): 83-94. [CrossRef] [PubMed]
Tallal P, Piercy M. Developmental aphasia: The per-ception of brief vowels and extended stop consonants. Neuropsychologia 1975;13(1):69-74. [CrossRef] [PubMed]
Tomblin JB, Records N, Buckwalter P, Znang X, Smith E, O’brien M. Prevalence of specific language impairment in kindergarten children. J Speech Lang Hear Res 1997;40(6):1245-60. [CrossRef] [PubMed]
Wright BA, Lombardino LJ, King WM, Puranik CS, Leonard CM, Merzenich M. Deficits in auditory temporal and spectral resolution in language-impaired children. Nature 1997;387(6629):176-8. [CrossRef][PubMed]
Zur KB, Cotton S, Kelchner L, Baker S, Weinrich B, Lee L. Pediatric Voice Handicap Index (pVHI): A new tool for evaluating pediatric dysphonia. Int J Pediatr Otorhinolaryngol 2007;71(1):77-82. [CrossRef] [PubMed]