Tone Perception in Cantonese-Speaking Children with Hearing Aids

Objectives: In this study we investigated the benefit of using hearing aids for Cantonese tone perception among children with various degrees of hearing impairment. Methods: Forty-eight children with moderate to profound hearing loss were investigated. They were required to perform a lexical tone perception test with recorded test stimuli presented at 65 dB in soundproof booths. To allow for comparison, the subjects performed the test under 2 conditions: With their hearing aids turned off (unaided condition) and with them turned on (aided condition). Results: The mean tone perception scores for the aided condition were higher than those for the unaided condition across all of the subject groups. Paired sample t-tests showed statistically significant improvement in tone perception in the moderate and severe hearing loss groups (p = .02 and p = .03, respectively). The result obtained from the moderately severe hearing loss group was marginally significant (p = .058). The improvement in tone perception in the profound hearing loss group was insignificant (p = .55). Conclusions: The use of a hearing aid is beneficial for Cantonese tone perception in children who have moderate to severe hearing impairment. When a hearing loss is greater than 90 dB, ie, in children who are classified as having profound hearing loss, a hearing aid is not effective in aiding Cantonese tone perception.

[1]  R. Varley,et al.  Age effect in tonal comprehension in Cantonese , 1995 .

[2]  C. V. van Hasselt,et al.  Spoken Word Recognition in Children With Cochlear Implants: A Five-Year Study on Speakers of a Tonal Language , 2005, Ear and hearing.

[3]  J S Gravel,et al.  Children's speech recognition in noise using omni-directional and dual-microphone hearing aid technology. , 1999, Ear and hearing.

[4]  C. Norbury,et al.  Phonological processing, language, and literacy: a comparison of children with mild-to-moderate sensorineural hearing loss and those with specific language impairment. , 2001, Journal of child psychology and psychiatry, and allied disciplines.

[5]  C A van Hasselt,et al.  Cantonese tone perception ability of cochlear implant children in comparison with normal-hearing children. , 2002, International journal of pediatric otorhinolaryngology.

[6]  R. F. Lee,et al.  Metaphor Performance in Children With Hearing Impairment. , 1998, Language, speech, and hearing services in schools.

[7]  L. Wong,et al.  Tone Perception of Cantonese-Speaking Prelingually Hearing-Impaired Children with Cochlear Implants , 2004, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[8]  Mark Flynn,et al.  Multiple-channel non-linear power hearing instruments for children with severe hearing impairment: long-term follow-up , 2004, International journal of audiology.

[10]  John K. P. Tse,et al.  Tone acquisition in Cantonese: a longitudinal case study , 1978, Journal of Child Language.

[11]  R. Parker,et al.  Children with Minimal Sensorineural Hearing Loss: Prevalence, Educational Performance, and Functional Status , 1998, Ear and hearing.

[12]  R A Bentler,et al.  Effects of mild and moderate hearing impairments on language, educational, and psychosocial behavior of children. , 1986, The Journal of speech and hearing disorders.

[14]  Virginia Yip,et al.  Cantonese: A Comprehensive Grammar , 1994 .

[15]  Ang Yuen Yuen The teaching of tones to children with profoud hearing impairment , 1984 .

[16]  Alexander L. Francis,et al.  The perception of Cantonese lexical tones by early-deafened cochlear implantees. , 2002, The Journal of the Acoustical Society of America.

[17]  A. M. Tharpe,et al.  Case History Data on Unilaterally Hearing‐Impaired Children , 1986, Ear and hearing.