Relationship Between Auditory-Perceptual and Objective Measures of Resonance in Children with Cleft Palate: Effects of Intelligibility and Dysphonia.
| Autor: | Fujiki RB; Department of Surgery, University of Wisconsin Madison, Madison, WI, USA., Kostas G; Department of Surgery, University of Wisconsin Madison, Madison, WI, USA., Thibeault SL; Department of Surgery, University of Wisconsin Madison, Madison, WI, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 Aug; Vol. 61 (8), pp. 1245-1256. Date of Electronic Publication: 2023 Mar 08. |
| DOI: | 10.1177/10556656231162238 |
| Abstrakt: | Objective: To investigate the relationship between auditory-perceptual ratings of resonance and nasometry scores in children with cleft palate. Factors which may impact this relationship were examined including articulation, intelligibility, dysphonia, sex, and cleft-related diagnosis. Design: Retrospective, observational cohort study. Setting: Outpatient pediatric cranio-facial anomalies clinic. Patients: Four hundred patients <18 years of age identified with CP ± L, seen for auditory-perceptual and nasometry evaluations of hypernasality as well as assessments of articulation and voice. Main Outcome Measure: Relationship between auditory-perceptual ratings of resonance and nasometry scores. Results: Pearson's correlations indicated that auditory-perceptual resonance ratings and nasometry scores were significantly correlated across oral-sound stimuli on the picture-cued portion of the MacKay-Kummer SNAP-R Test (r values .69 to.72) and the zoo reading passage (r = .72). Linear regression indicated that intelligibility ( p ≤ .001) and dysphonia ( p = .009) significantly impacted the relationship between perceptual and objective assessments of resonance on the Zoo passage. Moderation analyses indicated that the relationship between auditory-perceptual and nasometry values weakened as severity of speech intelligibility increased ( P < .001) and when children presented with moderate dysphonia ( p ≤ .001). No significant impact of articulation testing or sex were observed. Conclusions: Speech intelligibility and dysphonia alter the relationship between auditory-perceptual and nasometry assessments of hypernasality in children with cleft palate. SLPs should be aware of potential sources of auditory-perceptual bias and shortcomings of the Nasometer when following patients with limited intelligibility or moderate dysphonia. Future study may identify the mechanisms by which intelligibility and dysphonia affect auditory-perceptual and nasometry evaluations. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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