Investigating the Effectiveness of Morphosyntactic Treatment on Production in Two Children with Hearing Impairment Older Than 3 Years
Abstract
Introduction: Since hearing loss (HL) can lead to linguistic and especially morphosyntactic (MS) delay, creating a method for fostering and facilitating MS development is required. Accordingly, the auditory-based Sayeh Tahbaz Hoseynzadeh (STH)-method has been designed. Accordingly, the present article examines the effectiveness of this treatment.
Case Description: Two hearing-impaired children (HIC) who used hearing aids, with moderately severe and severe HL and older than 3 years of age at the time of study, enrolled in the STH method for 24 weeks. The Persian developmental sentence scoring was used to analyze language samples together with some formal and informal assessments performed within a 12-week interval.
Results: According to the Persian developmental sentence scoring used to analyze spontaneous language samples, the score of participant 1 changed from 0 to 10.6 and the score of participant 2 improved from 5 to 7.4 in the final assessment.
Conclusion: The findings showed that STH-method helped in improving the MS skills of the participants.
Joint Committee of Infant Hearing. Year 2019 Position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics. 2007; 120(4):898–921. [DOI:10.1542/peds.2007-2333]
Cupples L, Ching TY, Button L, Seeto M, Zhang V, Whitfield J, et al. Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants. International Journal of Audiology. 2018; 57(sup2):S55-69. [DOI:10.1080/14992027.2017.1370140] [PMID]
Scarabello EM, Lamônica DAC, Morettin-Zupelari M, Tanamati LF, Campos PD, Alvarenga KF, et al. Language evaluation in children with pre-lingual hearing loss and cochlear implant. Brazilian Journal of Otorhinolaryngology. 2020; 86(1):91-8. [DOI:10.1016/j.bjorl.2018.10.006] [PMID]
Moeller MP, Tomblin JB. An introduction to the outcomes of children with hearing loss study. Ear and Hearing. 2015; 36 Suppl 1(0 1):4S-13S. [DOI:10.1097/AUD.0000000000000210] [PMID]
Tomblin JB, Harrison M, Ambrose SE, Walker EA, Oleson JJ, Moeller MP. Language outcomes in young children with mild to severe hearing loss. Ear and Hearing. 2015; 36 Suppl 1(0 1):76S-91S. [DOI:10.1097/AUD.0000000000000219] [PMID]
May-Mederake B, Shehata-Dieler W. A case study assessing the auditory and speech development of four children implanted with cochlear implants by the chronological age of 12 months. Case Reports in Otolaryngology. 2013; 2013:359218. [DOI:10.1155/2013/359218] [PMID]
Yoshinaga-Itano C, Baca RL, Sedey AL. Describing the trajectory of language development in the presence of severe-to-profound hearing loss: A closer look at children with cochlear implants versus hearing aids. Otology & Neurotology. 2010; 31(8):1268-74. [DOI:10.1097/MAO.0b013e3181f1ce07] [PMID]
Nicholas JG, Geers AE. Effects of early auditory experience on the spoken language of deaf children at 3 years of age. Ear and Hearing. 2006; 27(3):286-98. [DOI:10.1097/01.aud.0000215973.76912.c6] [PMID]
Werfel KL. Morphosyntax production of preschool children with hearing loss: An evaluation of the extended optional infinitive and surface accounts. Journal of Speech, Language, and Hearing Research. 2018; 61(9):2313-24. [DOI:10.1044/2018_JSLHR-L-17-0406] [PMID]
Golestani SD, Jalilevand N, Kamali M. A comparison of morpho-syntactic abilities in deaf children with cochlear implant and 5-year-old normal-hearing children. International Journal of Pediatric Otorhinolaryngolog. 2018; 110:27-30. [DOI:10.1016/j.ijporl.2018.04.019] [PMID]
Friedmann N, Haddad-Hanna M. The comprehension of sentences derived by syntactic movement in Palestinian Arabic speakers with hearing impairment. Applied Psycholinguistics. 2014; 35(3):473-513. [DOI:10.1017/S0142716412000483]
Teymouri R, Daneshmandan N, Hemmati S, Soleimani F. Perception development of complex syntactic construction in children with hearing impairment. Iranian Rehabilitation Journal. 2014; 12(4):11-6. [Link]
Koehlinger KM, Van Horne AJ, Moeller MP. Grammatical outcomes of 3- and 6-year-old children who are hard of hearing. Journal of Speech, Language, and Hearing Research. 2013; 56(5):1701-14. [DOI:10.1044/1092-4388(2013/12-0188)] [PMID]
Moeller MP, McCleary E, Putman C, Tyler-Krings A, Hoover B, Stelmachowicz P. Longitudinal development of phonology and morphology in children with late-identified mild-moderate sensorineural hearing loss. Ear and Hearing. 2010; 31(5):625-35. [DOI:10.1097/AUD.0b013e3181df5cc2] [PMID]
Delage H, Tuller L. Language development and mild-to-moderate hearing loss: Does language normalize with age? Journal of Speech, Language, and Hearing Research. 2007; 50(5):1300-13. [DOI:10.1044/1092-4388(2007/091)] [PMID]
Sharma A, Dorman MF, Spahr AJ. A sensitive period for the development of the central auditory system in children with cochlear implants: Implications for age of implantation. Ear and Hearing. 2002; 23(6):532-9. [DOI:10.1097/00003446-200212000-00004] [PMID]
Northern JL, Downs MP. Hearing in children. Philadelphia: Lippincott Williams & Wilkins; 2002. [Link]
Fey ME, Proctor-Williams K. Recasting, elicited imitation and modelling in grammar. In: Bishop DVM, Leonard LB, editors. Speech and language impairments in children: Causes, characteristics, intervention and outcome. London: Psychology Press; 2000. [Link]
Moeller MP, Tomblin JB; OCHL Collaboration. Epilogue: Conclusions and implications for research and practice. Ear and Hearing. 2015; 36 Suppl 1(0 1):92S-8S. [DOI:10.1097/AUD.0000000000000214] [PMID]
Weisleder A, Fernald A. Talking to children matters: Early language experience strengthens processing and builds vocabulary. Psychological Science. 2013; 24(11):2143-52. [DOI:10.1177/0956797613488145] [PMID]
Nittrouer S, Burton LT. The role of early language experience in the development of speech perception and phonological processing abilities: Evidence from 5-year-olds with histories of otitis media with effusion and low socioeconomic status. Journal of Communication Disorders. 2005; 38(1):29-63. [DOI:10.1016/j.jcomdis.2004.03.006] [PMID]
Tahbaz S. [Decreasing treatment period of speech & language disorders by STH method (Persian)]. Tehran: Gisa Publication; 2020. [Link]
Tahbaz S, Farajnya S. [Step by step language teaching to hearing impaired children by STH method, from diagnosing to school (Persian)]. Tehran: Gisa Publication; 2018. [Link]
Corey RM, Jones U, Singer AC. Acoustic effects of medical, cloth, and transparent face masks on speech signals. The Journal of the Acoustical Society of America. 2020; 148(4):2371. [DOI:10.1121/10.0002279] [PMID]
Jafari Z, Asad-Malayeri S. The psychometric properties of newsha developmental scale: An integrated test for persian speaking children. Iranian Journal of Pediatrics. 2012; 22(1):28-34. [PMID] [PMCID]
Mahdipoor N, Shirazi S, Nematzadeh Sh. [A study of most frequent vocabulary in Persian speaking children aged 18-24months and their comparison between boys and girls (Persian)]. Journal of Speech & Language Pathology. 2013; 72-9. [Link]
Werner PH, Rini L. Perceptual-motor development equipment: Inexpensive ideas and activities. Hoboken: Wiley; 1976. [Link]
Mosleh M. [Development and evaluation of a speech recognition test for Persian speaking adults (Persian)]. Bimonthly Audiology. 2001; 9(l-2):72-6. [Link]
Mohamadi R, Alavije MR, Minayi A, Modaresi Y, Dastjerdi MK, Ghaderi M. Generation and content validation of a Persian syntax comprehension test. Psychology of Language and Communication. 2015; 19(3):222-36. [DOI:10.1515/plc-2015-0013]
Nilipour R. [Linguistic and language pathology (Persian)]. Tehran: Hermes Publisher. 2001. [Link]
Jalilevand N, Kamali M, Modarresi Y, Kazemi Y. The Persian developmental sentence scoring as a clinical measure of morphosyntax in children. Medical Journal of the Islamic Republic of Iran. 2016; 30:435. [PMID] [PMCID]
Haresabadi F, Ebadi A, Shirazi TS, Dastjerdi Kazemi M. Design and validation of a photographic expressive persian grammar test for children aged 4-6 years. Child Language Teaching and Therapy. 2016; 32(2):193-204. [DOI:10.1177/0265659015595445]
Pollack D. Educational audiology for the limited-hearing infant. Springfield: Thomas; 1970. [Link]
Eisenberg SL.. Grammar intervention: Content and procedures for facilitating children’s language development. Topics in Language Disorders. 2013; 33(2):165-78. [DOI:10.1097/TLD.0b013e31828ef28e]
Ling D. Speech and the hearing-impaired child: Theory and practice. Washington: Alexander Graham Association for the Deaf and Hard of Hearing. 2002. [Link]
Issue | Vol 18 No 3 (2024) | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/jmr.v18i3.16425 | |
Keywords | ||
Developmental language disorders Hearing impairment Morphosyntax Sayeh Tahbaz Hoseynzadeh (STH)-method Persian language |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |