Journal of Rehabilitation Sciences & Research

Lexical Effects on Spoken Word Recognition in Children with Hearing Impairment: Test-Retest Reliability of the Persian Lexical Neighborhood Tests

Document Type : Original Articles

Authors

Mohammad Majid Oryadi-Zanjani 1
Maryam Vahab 2

1 Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

https://doi.org/10.30476/jrsr.2021.92117.1201
Abstract
Background: The current study investigated lexical effects on the recognition
of spoken words in Persian-speaking children with hearing impairment using
Persian lexical neighborhood tests (PLNTs).
Methods: The research was administered as a cross-sectional study. PLNTs
were performed on thirty-three pediatric hearing aid (HAs) or cochlear implant
(CIs) users by sound field under spectrally degraded conditions. Thirteen 7-to-
13-year-old (8 boys and 5 girls) participants completed the experiments, which
were administered in a 3 × 4-m acoustic room using a sound field. The order of
the tests in each session was from the lowest to the highest signal-to-noise ratios
(SNRs), ranging from − 2 to 4 dB. The experiments were repeated by the same
examiners under the same conditions two months later with nine of the thirteen
participants.
Results: Pediatric users of HAs or CIs could not optimally recognize spoken
words in noise, specifically when they had to recognize words through an
auditory-only modality. There was a significant difference in the participants’
SWR performance on the PMLNT-easy versus the PMLNT-hard and the PDLNTeasy
versus the PDLNT-hard based on independent samples T test (p <0.001).
There was a significant difference in the participants’ SWR performance on the
PMLNT-easy versus the PDLNT-easy and the PMLNT-hard versus the PDLNThard
based on the independent samples T test as well (p <0.001). Accordingly,
word lexical difficulty (easy/hard words) and word length (monosyllabic/
disyllabic words) were the most fundamental factors having significant effects
on the recognition of spoken words in children with HAs or CIs in the test/
retest phases.
Conclusion: The PLNTs, as a valid assessment toolkit, can be reliably used to
measure SWR performance under spectrally degraded conditions in Persianspeaking
children with hearing impairment using HAs or CIs.

Keywords

Persian lexical neighborhood tests
Spoken word recognition
Hearing loss
Cochlear implant
Children
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Journal of Rehabilitation Sciences & Research
Volume 8, Issue 4
December 2021
Pages 169-175

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