Performance-intensity (PI) functions for Pediatric Speech Intelligibility (PSI) test materials were obtained in 40 normal-hearing children between 3 and 6 yrs of age. PSI messages were monosyllabic words and sentences presented in quiet and in the presence of a competing speech message. The message-to-competition ratio was constant across intensity levels: +4 dB (words) and O dB (sentences). Maximum speech intelligibility scores were 100% correct in all children for all conditions. The steepness of the PSI-PI functions, defined by the intensity range yielding performance between 20 and 80%, ranged from 8 to 12 dB. Threshold levels (50% correct) ranged from 21 to 26 dB SPL. With one exception, chronological age did not significantly influence the steepness of PSI-PI functions. The exception was the increasing steepness with increasing age noted for sentences in competition. A significant chronological age developmental trend was noted for all speech threshold results.

Age Factors↗

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Speech audiometry in the young child.

Normal children between 3 and 6 yrs old generated word and sentence messages for use in a pediatric speech intelligibility (PSI) test. Word materials did not differ as a function of chronological age (CA), vocabulary skills, or receptive language (RL) ability. Elicited sentence materials, however, did reflect differences in CA, vocabulary skills, and RL ability. To represent differences in the children's responses, two different types of test sentences, subsequently referred to as format I and format II sentences, were formed. Performance for format I and format II sentences was significantly different in normal children between 3 and 6 yrs old. Performance differences were related to CA and RL ability. However, performance for format I sentences in children with relatively low RL age and performance for format II sentences in children with relatively high RL age was equivalent. This observation yielded an algorithm that determines the sentence format as a function of a child's RL age in order to yield "language equivalent" norms for speech audiometry. In contrast to performance for PSI sentence materials, performance for PSI word materials was not influenced by differences in RL skill. Reliability coefficients for PSI word and sentence test-retest measures ranged from about 0.85 to 0.95 in normal-hearing and hearing-impaired children. Illustrative PSI results in children with confirmed central auditory disorders are presented.

Age Factors↗

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Acoustic reflex decay: 10-second or 5-second criterion?

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Humans↗

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Development of speech intelligibility in children with recurrent otitis media.

This study defined developmental functions for Pediatric Speech Intelligibility word and sentence materials presented in quiet and in competition for 25 normal children and 25 children with recurrent otitis media. Ages ranged from 24 to 56 mos. In normal children, developmental functions for Pediatric Speech Intelligibility speech materials showed earlier development of performance (1) in quiet than in competition and (2) for words than for sentences (competing condition). In children with otitis media, developmental functions were normal for both words and sentences in quiet and for sentences in competition. However, developmental functions were grossly abnormal for words in competition.

Child, Preschool↗

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Pediatric hearing aid evaluation: case reports.

The Pediatric Speech Intelligibility (PSI) sentence materials were used to carry out hearing aid evaluations in one child who was too immature to be tested by conventional speech audiometric techniques and in a second child who completed both conventional and PSI procedures. Results indicated that the PSI sentence materials lower the age level at which hearing aid evaluations can be carried out via speech audiometry in young children.

Auditory Threshold↗

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Audiological comparison of cochlear and eighth nerve disorders.

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Audiometry↗

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Extra- and intra-axial brain stem auditory disorders.

Auditory symptoms of brain stem disorder depend on the nature of the lesion. This study compared auditory test results in 28 patients with extra-axial, 11 patients with intra-axial, and 6 patients with combined extra-axial and intra-axial brain stem disorders. Patients with extra-axial lesions usually demonstrated (1) sensitivity loss, (2) marked adaptation on Békésy audiometry, (3) impairment in PBmax scores, and (4) auditory symptoms on the ear ipsilateral to the radiographic abnormality. Patients with intra-axial brain stem lesions usually showed (1) slight, if any, sensitivity loss, (2) normal Békésy audiograms, (3) relatively good PBmax scores, and (4) suditory symptoms on both ears or on the ear contralateral to the radiographic disorders. In the patients with combined extra-axial and intra-axial disorders, auditory findings varied in relation to the extent of extra-axial involvement.

Acoustic Stimulation↗