CoDAS
http://www.codas.periodikos.com.br/article/doipath/10.1590/2317-1782/20202018227
CoDAS
Artigo Original

Voice of hearing impaired children and adolescents and hearing peers: influence of speech auditory perception on vocal production

Voz de crianças e adolescentes deficientes auditivos e pares ouvintes: influência da percepção auditiva da fala na produção vocal

Eliane Maria Carrit Delgado-Pinheiro; Jéssica Caroline Bonbonati; Flávia Rodrigues dos Santos; Eliana Maria Gradim Fabron

Downloads: 0
Views: 42

Abstract

Purpose: To compare the acoustic and perceptual-auditory results of the hearing impaired children and adolescents with hearing pairs and to correlate these results with parents’ reports regarding speech auditory perception. Method: The participants were divided into two groups: Group I, 20 hearing-impaired children and adolescents and Group II, 20 children and adolescents with normal hearing. Acoustic analysis of the vowel /a/ and perceptual-auditory assessment of the vowel /a/ and speech were performed. The speech auditory perception of the GI was assessed using the Infant-Toddler Meaningful Auditory Integration Scale and the Meaningful Auditory Integration Scale with adaptation for adolescent participants. The acoustic and perceptual-auditory voice results of the GI and GII were compared and these results were correlated with the performance in the auditory perception of the GI group. Results: The groups I and II presented similar results, differing statistically in the long-term frequency variation (vF0 ) and the long-term amplitude variation (vAm) parameters of the vowel /a/ and speech resonance parameter. It was found a negative correlation between auditory perception performance with jitter, vF0 and general degree of vowel /a/. Conclusion: The vocal quality in GI was similar to their hearing peers in almost all the vocal parameters that were analyzed. The auditory perception influenced jitter, vF0 and general degree of voice parameters, in which hearing-impaired children and adolescents who presented higher scores for auditory perception were also able to keep a more controlled vocal emission.

Keywords

Cochlear Implants; Hearing Aids; Hearing loss; Speech Perception; Voice Quality

Resumo

Objetivo: Comparar os resultados acústicos e perceptivo-auditivos da voz de crianças e adolescentes deficientes auditivos com pares ouvintes e correlacionar estes resultados com o relato dos pais em relação à percepção auditiva da fala. Método: Os participantes foram divididos em dois grupos: grupo I, 20 crianças e adolescentes deficientes auditivos, e grupo II, 20 crianças e adolescentes ouvintes. Foi realizada análise acústica da vogal /a/ e avaliação perceptivo-auditiva da vogal /a/ e da fala. A percepção auditiva do GI foi avaliada utilizando a Escala de Integração Auditiva Significativa para Crianças Pequenas e a Escala de Integração Auditiva Significativa, com adaptação para participantes adolescentes. Os resultados acústicos e perceptivo-auditivos da voz de GI e GII foram comparados e, para o GI, estes resultados foram correlacionados com o desempenho na percepção auditiva. Resultados: Os grupos I e II apresentaram resultados similares, diferenciando-se estatisticamente nos parâmetros variação da frequência fundamental (vF0 ) e variação da amplitude (vAm) da vogal /a/ e ressonância da fala. Houve correlação negativa entre o desempenho na percepção auditiva com os parâmetros de jitter, vF0 e grau geral da vogal /a/. Conclusão: A qualidade vocal do GI foi semelhante em praticamente todos os parâmetros vocais analisados a dos seus pares ouvintes (G2). A percepção auditiva influenciou os parâmetros jitter, vF0 e grau geral do impacto da voz, em que crianças e adolescentes deficientes auditivos que apresentaram maiores escores para a percepção auditiva também foram capazes de manter a emissão vocal mais equilibrada.

Referências

1 Coelho ACC, Bevilacqua MC, Oliveira G, Behlau M. Relationship between voice and speech perception in children with cochlear implant. Pró-Fono R. Atual. Cient. 2009; 21(1):7-12. https://doi.org/10.1590/S0104-56872009000100002 [ Links ]

2 Moret ALM, Bevilacqua MC, Costa OA. Cochlear implant: hearing and language in pre-lingual deaf children. Pró-Fono R. Atual. Cient. 2007;19(3):295-304. https://doi.org/10.1590/s0104-56872007000300008. PMid:17934605 [ Links ]

3 Souza LBR de, Bevilacqua MC, Brasolotto AG, Coelho AC. Cochlear implanted children present vocal parameters within normal standards. Int J Pediatr Otorhinolaryngol. 2012;76(8):1180-3. https://doi.org/10.1016/j.ijporl.2012.04.029. PMid:22652499 [ Links ]

4 Coelho AC, Brasolotto AG, Bevilacqua MC. Systematic analysis of the benefits of cochlear implants on voice production. J Soc Bras Fonoaudiol. 2012;24(41):395-402. https://doi.org/10.1590/S2179-64912012000400018. [ Links ]

5 Knight K, Ducasse S, Coetzee A, Van der Linde J, Louw A. The effect of age of cochlear implantation on vocal characteristics in children. South African J Commun Disord. 2016;63(1):1-6. https://doi.org/10.4102/sajcd.v63i1.142. PMid:27380914 [ Links ]

6 Fabron EMG, Garcia YS, Delgado-Pinheiro EMC. The voice of the hearing impaired: a literature review. Distúrbios Comum. 2017;29(1):55-67. https://doi.org/10.23925/2176-2724.2017v29i1p55-67 [ Links ]

7 Van Lierde KM, Vinck BM, Baudonck N, De Vel E, Dhooge I. Comparison of the overall intelligibility, articulation, resonance, and voice characteristics between children using cochlear implants and those using bilateral hearing aids: A pilot study. Int J Audiol. 2005;44(8):452-65. https://doi.org/10.1080/14992020500189146. PMid:16149240 [ Links ]

8 Horga D, Liker M. Voice and pronunciation of cochlear implant speakers. Clin Linguist Phonetics. 2006;20(2-3):211-7. https://doi.org/10.1080/02699200400027015. PMid:16428239 [ Links ]

9 Souza LBR. Differences between vocal parameters of cochlear implanted children and children who use individual sound amplification device. Rev CEFAC. 2013;15(3):616-21. https://doi.org/10.1590/S1516-18462013005000027 [ Links ]

10 Jafari N, Yadegari F, Jalaie S. Acoustic Analysis of Persian Vowels in cochlear implant Users: A Comparison With Hearing-impaired Children Using Hearing Aid and Normal-hearing Children. J Voice. 2016;30(6):763.e1-763.e7. https://doi.org/10.1016/j.jvoice.2015.10.006. PMid:26725549 [ Links ]

11 Jafari N, Izadi F, Salehi A, Dabirmoghaddam P, Yadegari F, Ebadi A, et al. Objective Voice Analysis of Pediatric cochlear implant Recipients and Comparison With Hearing Aids Users and Hearing Controls. J Voice. 2017;31(4):505.e11-505.e18. https://doi.org/10.1016/j.jvoice.2016.10.018. PMid:27865551 [ Links ]

12 Joy J V, Deshpande S, Vaid N. Period for Normalization of Voice Acoustic Parameters in Indian Pediatric cochlear implantees. J Voice. 2017;31(3):391.e19-391.e25. https://doi.org/10.1016/j.jvoice.2016.09.030. PMid:28029557 [ Links ]

13 Novaes BCAC, Versolatto-Cavanaugh MC, Figueiredo RSL, Mendes BCA. Determinants of communication skills development in children with hearing impairment. J Soc Bras Fonoaudiol. 2012;24(4):335-41. PMid:23306683 [ Links ]

14 Coelho AC, Brasolotto AG, Bevilacqua MC. An initial study of voice characteristics of children using two different sound coding strategies in comparison to normal hearing children. Int J Audiol. 2015;54(6):417-23. https://doi.org/10.3109/14992027.2014.998784. PMid:25634776 [ Links ]

15 Coelho AC, Brasolotto AG, Bevilacqua MC, Moret ALM, Júnior FB. Hearing performance and voice acoustics of cochlear implanted children. Braz J Otorhinolaryngol. 2016;82(1):70-5. https://doi.org/10.1016/j.bjorl.2015.11.002 [ Links ]

16 Cysneiros HRS, Leal MC, Lucena JA, Muniz LF. Relação entre percepção auditiva e produção vocal em implantados cocleares: uma revisão sistemática. CoDAS. 2016;28(5):634-9. https://doi.org/10.1590/2317-1782/20162015165 [ Links ]

17 Bicas RS, Guijo LM, Delgado-Pinheiro EMC. Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process. Rev CEFAC. 2017;19(4):465-74. https://doi.org/10.1590/1982-0216201719412516 [ Links ]

18 Yavas M, Hernandorena CLM, Lamprecht RR. Avaliação Fonológica da Criança. 1st ed. Porto Alegre: Artmed; 2001 [ Links ]

19 Castiquini EAT. Escala de integração auditiva significativa: procedimento adaptado para a avaliação da percepção da fala [dissertação]. São Paulo(SP): Pontifícia Universidade Católica; 1998. Adaptado de: Zimmerman-Phillips S; Osberger MJ; Robbins AM. Infant-Toddler: Meaningful Auditory Integration Scale (IT-MAIS). Sylmar, Advanced Bionics Corporation, 1997 [ Links ]

20 Castiquini EAT, Bevilacqua MC. Escala de integração auditiva significativa: procedimento adaptado para a avaliação da percepção da fala. Rev Soc Bras Fonoaudiol. 2000;4(6):51-60 [ Links ]

21 Tavares ELM, Brasolotto A, Santana MF, Padovan CA, Martins RHG. Epidemiological study of dysphonia in 4-12 year-old children. Braz J Otorhinolaryngol. 2011;77(6):736-46. PMid:22183280 [ Links ]

22 Maturo S, Hill C, Bunting G, Ballif C, Maurer R, Hartnick C. Establishment of a normative cepstral pediatric acoustic database. Arch Otolaryngol Head Neck Surg. 2012;138(10):956-61. https://doi.org/10.1001/jamaoto.2014.3545. PMid:25612091 [ Links ]

23 Spazzapan EA. Características acústicas da voz de falantes do português brasileiro nos diferentes ciclos da vida [dissertação]. São Paulo(SP): Universidade Estadual Paulista; 2018 [ Links ]

24 Cappellari VM, Cielo CA. Vocal acoustic characteristics in pre-school aged children. Braz J Otorhinolaryngol. 2008;74(2):265-72. https://doi.org/10.1016/s1808-8694(15)31099-5. PMid:18568207 [ Links ]

25 Natour YS, Wingate JM. Fundamental Frequency Characteristics of Jordanian Arabic Speakers. J Voice. 2009;23(5):560-6. https://doi.org/10.1016/j.jvoice.2008.01.005. PMid:18640820 [ Links ]

26 Lopes LW, Lima ILB, Almeida LNA, Cavalcante DP, Almeida AAF. Severity of voice disorders in children: Correlations between perceptual and acoustic data. J Voice. 2012;26(6):819e7-819e12. https://doi.org/10.1016/j.jvoice.2012.05.008. PMid:23177753 [ Links ]

27 Soltani M, Ashayeri H, Modarresi Y, Salavati M, Ghomashchi H. Fundamental frequency changes of persian speakers across the life span. J Voice. 2014;28(3):274-81. https://doi.org/10.1016/j.jvoice.2013.10.012. PMid:24461477 [ Links ]

28 Stathopoulos ET, Huber Je, Sussman JE. Changes in Acoustic Characteristics of the Voice Across the Life Span: Measures From Individuals 4-93 Years of Age. J. Speech Lang. Hear. Res. 2011;54(4):1011-21. https://doi.org/10.1044/1092-4388(2010/10-0036). PMid:21173391 [ Links ]

29 Holler T, Campisi P, Allegro J, Chadha NK, Harrison RV., Papsin B, et al. Abnormal Voicing in Children Using cochlear implants. Arch Otolaryngol Head Neck Surg. 2010;136(1):17-21. https://doi.org/10.1001/archoto.2009.194. PMid:20083772 [ Links ]

30 Oates J. Auditory-perceptual evaluation of disordered voice quality.Folia Phoniatr Logop. 2009;61(1):49-56. https://doi.org/10.1159/000200768. PMid:19204393 [ Links ]


Submetido em:
10/09/2018

Aceito em:
27/08/2019

5f35d11c0e88256823587299 codas Articles

CoDAS

Share this page
Page Sections