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Nasalance in typically developing children and in children with hearing impairment | Journal of All India Institute of Speech and Hearing

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Vol 33 No 1 (2014)
Speech

Nasalance in typically developing children and in children with hearing impairment

How to Cite
HM, M., SR, D., & M, P. (1). Nasalance in typically developing children and in children with hearing impairment. Journal of All India Institute of Speech and Hearing, 33(1), 1-7. Retrieved from http://203.129.241.91/jaiish/index.php/aiish/article/view/759

Abstract

This study compared the effects of vowels and CV combinations on nasalance scores in children with and without hearing impairment using Nasometer II Model 6400. The eect of voicing on nasalance scores was also analyzed. Fifteen children with normal hearing and fteen with hearing impairment in the age range of 3 to 7 years participated
in the study. The subjects were instructed to repeat isolated vowels (/a/, /i/, /u/) and CV combinations (phonemes /p/, /t/, /k/, /b/, /d/ and /g/ with vowels /a/, /i/ and /u/) at their habitual rate. The mean nasalance value was extracted. Independent samples t-test showed a signicant dierence in the nasalance values across vowels in both
the groups. High nasalance value was seen for high anterior vowel /i/ followed by /a/ and /u/. Both unvoiced and voiced bilabial, dental and velar consonants with /i/ had high nasalance value followed by /u/ and /a/ in the both groups. This is attributed to the valving function of velopharyngeal closure during the articulation of /i/. Children with
hearing impairment had signicantly higher mean nasalance values when compared to children with normal hearing owing to the lack of auditory feedback, essential to maintain the oral/nasal distribution. The results also showed that voiced consonants had higher nasalance values than their unvoiced counterparts. The outcome of the present
study would aid Speech Pathologists in developing appropriate stimuli for assessing velopharyngeal closure for children with hearing impairment.

References

Brehm, F. E. (1922). Speech Correction, American Annual
of the Deaf, 67, 361-370.
Colton, R. H., and Cookes, H. S. (1968). Perceived nasal-
ity in the speech of the Deaf. Journal of Speech and
Hearing Research, 11, 553-559.
Dalston, R. M., Warren, D., & Dalston, E. (1991a). A pri-
mary investigation concerning use of nasometry in iden-
tifying patients with hyponasality and/or nasal air way
impairment. Journal of Speech and Hearing Research,
34, 11-18.
Dalston, R. M., Warren, D., & Dalston, E. (1991b). Use of
nasometer as a diagnostic tool for identifying patients
with velopharyngeal impairment. The Cleft Palate-
Craniofacial Journal, 28, 184-188.
Dalston, R. M., Warren, D., & Dalston, E. (1991c). The
identi cation of nasal obtrusion using clinical judgments
of hyponasality nasalance assessment of speech acoustic.
American Journal of Orthodontics, 100, 59-65.
Fairbanks, G. (1960). Voice and articulation drillbook. 2nd
edn. New York: Harper & Row. pp. 124-139.
Fletcher, S. (1976). Diagnosing Speech Disorders from Cleft
Palate. New York: Grune and Stratton.
Fletcher, S. G., & Daly, D. A. (1978). Nasalance in utter-
ances of hearing impaired speakers, Journal of Commu-
nication Disorder, 9, 63-73.
Gilbert, H.R. (1975). Simultaneous oral and nasal air
ow
during stop consonant production by hearing impaired
speakers, Folia Phoniatrica, 27, 423-437.
Kendrick K. R (2004). Nasalance Protocol Standardization.
Unpublished Master Thesis Submitted to the Graduate
Faculty of the Louisiana State University and Agricul-
tural and Mechanical College.
Kerry, L, Watterson, T, & Terasa, Q (2000). The Ef-
fect of vowels on nasalance Values. The Cleft palate-
Craniofacial Journal, 37(6), 584-589.
Lapine. P. R., Stewart. M. G., & Tatchell. J. (1991).
Application of nasometry to speech samples of hearing-
impaired children. Perceptual and Molor Skills, 73, 467-
475.
Lewis, K. E., Watterson, T., & Quint, T. (2000). The e ect
of vowels on nasalance values. Cleft Palate Craniofacial
Journal, 37, 584-589.
Lintz, L. B., & Sherman, D. (1961). Phonetic elements and
perception of nasality. Journal of Speech and Hearing
Research, 4, 381-396.
MacKay, I. R. A., and Kummer, A. W. (1994). The MacKay
Kummer SNAP Test. Lincoln Park, NJ: Kay Elemetrics
Corp.
McClumpha & Sharon (1969). Cine
ourographic investi-
gations of the velopharyngeal function in selected deaf
speakers, Folia Phoniatrica, 21, 363-374.
Parker, A. J., & Maw, A. R. (1989). An objective method
of assessing nasality: A possible aid in the selection of
patients for adenoidectomy. Clinical Otolaryngology &
Allied Sciences, 14(2), 161-166.
Rutherford, D. (1967). Auditory motor learning and the ac-
quisition of speech, American Journal of Physiology and
Medicines, 46, 245-251.
Seaver, E. J., & Dalston, R. M. (1990). Using simultaneous
Nasometry and standard audio recording to detect the
acoustic onset and o set of speech. Journal of Speech
and Hearing Research, 33, 358-362.
Tatchell. I. A., Stewart. M., & Lapine. P. R.
(1991). Nasalance measurements in hearing-impaired
children. Journal of Communication Disorders, 24, 275-
285.
Whithead, R. L., & Jones, K. O. (1978). The e ect of vowel
environment and duration of consonants produced by
normal hearing, hearing impaired and deaf adults, Jour-
nal of phonetics, 6, 77-81.