RESUMEN
This study reviews the fundamental roles of pre-supplementary motor area (SMA) and SMA-proper responsible for speech-motor functions and auditory perception in succinic semialdehyde dehydrogenase (SSADH) deficiency. We comprehensively searched the databases of PubMed, Google Scholar, and the electronic journals Springer, PreQuest, and Science Direct associated with keywords SSADHD, SMA, auditory perception, speech, and motor with AND operator. Transcranial magnetic stimulation emerged for assessing excitability/inhibitory M1 functions, but its role in pre-SMA and SMA proper dysfunction remains unknown. There was a lack of data on resting-state and task-based functional magnetic resonance imaging (MRI), with a focus on passive and active tasks for both speech and music, in terms of analysis of SMA-related cortex and its connections. Children with SSADH deficiency likely experience a dysfunction in connectivity between SMA portions with cortical and subcortical areas contributing to disabilities in speech-motor functions and auditory perception. Early diagnosis of auditory-motor disabilities in children with SSADH deficiency by neuroimaging techniques invites opportunities for utilizing sensory-motor integration as future interventional strategies.
Asunto(s)
Errores Innatos del Metabolismo de los Aminoácidos/fisiopatología , Percepción Auditiva/fisiología , Discapacidades del Desarrollo/fisiopatología , Imagen por Resonancia Magnética/métodos , Neuroimagen/métodos , Habla/fisiología , Succionato-Semialdehído Deshidrogenasa/deficiencia , Estimulación Magnética Transcraneal/métodos , Encéfalo/diagnóstico por imagen , Encéfalo/fisiopatología , Niño , Bases de Datos Factuales , Humanos , Corteza Motora/diagnóstico por imagen , Corteza Motora/fisiopatologíaRESUMEN
OBJECTIVE: Crying is a multimodal, dynamic behavior and the first way to communicate. Early identification of hearing impairment is critical for prevention of speech and language disorders. The present study aimed to assess the acoustic features of infant's cry signals to find possible differences between two groups including hearing-impaired (HI) infants and normal hearing (NH) control. METHODS: The data were collected from 34 (17 HI, 17 NH) infants under 2 months of age. Recording of the infant cry signals was collected during the examination of the Babinski reflex and was subsequently submitted for acoustic analysis. The total duration of the recording for each infant was approximately 30 seconds. The acoustical features included fundamental frequency (F0), formants (F1, F2, and F3), intensity, jitter, shimmer, ratios of F2/F1 and F3/F1, ratio of harmonic to noise, and voice break. The recording device was an Olympus ws-321M voice recorder with 44,100 Hz sampling frequency in the stereo form. Praat analysis software (version 27, 3, 5) was used to analyze the crying signals. The data were then statistically analyzed using SPSS version 21. RESULTS: Acoustic analysis of the crying signals showed that HI infants have lower intensity and higher F0 and voice break than NH infants. However, the other differences were not statistically significant. CONCLUSION: The results of the present study demonstrated that the acoustic components including F0, intensity, and voice break may be used as indices to discriminate HI infants from NH infants under 2 months of age. These findings can be increased our knowledge concerning the functional mechanisms of the vocal organ in HI and NH infants.
Asunto(s)
Acústica , Llanto , Niños con Discapacidad/psicología , Pérdida Auditiva/psicología , Audición , Conducta del Lactante , Personas con Deficiencia Auditiva/psicología , Factores de Edad , Estudios de Casos y Controles , Potenciales Evocados Auditivos del Tronco Encefálico , Femenino , Pérdida Auditiva/diagnóstico , Pérdida Auditiva/fisiopatología , Humanos , Lactante , Recién Nacido , Masculino , Emisiones Otoacústicas Espontáneas , Reflejo de Babinski , Espectrografía del Sonido , Factores de TiempoRESUMEN
OBJECTIVE: Auditory discrimination of speech sounds is an important perceptual ability and a precursor to the acquisition of language. Auditory information is at least partially necessary for the acquisition and organization of phonological rules. There are few standardized behavioral tests to evaluate phonemic distinctive features in children with or without speech and language disorders. The main objective of the present study was the development, validity, and reliability of the Persian version of auditory word discrimination test (P-AWDT) for 4-8-year-old children. METHODS: A total of 120 typical children and 40 children with speech sound disorder (SSD) participated in the present study. The test comprised of 160 monosyllabic paired-words distributed in the Forms A-1 and the Form A-2 for the initial consonants (80 words) and the Forms B-1 and the Form B-2 for the final consonants (80 words). Moreover, the discrimination of vowels was randomly included in all forms. Content validity was calculated and 50 children repeated the test twice with two weeks of interval (test-retest reliability). Further analysis was also implemented including validity, intraclass correlation coefficient (ICC), Cronbach's alpha (internal consistency), age groups, and gender. RESULTS: The content validity index (CVI) and the test-retest reliability of the P-AWDT were achieved 63%-86% and 81%-96%, respectively. Moreover, the total Cronbach's alpha for the internal consistency was estimated relatively high (0.93). Comparison of the mean scores of the P-AWDT in the typical children and the children with SSD revealed a significant difference. The results revealed that the group with SSD had greater severity of deficit than the typical group in auditory word discrimination. In addition, the difference between the age groups was statistically significant, especially in 4-4.11-year-old children. The performance of the two gender groups was relatively same. CONCLUSION: The comparison of the P-AWDT scores between the typical children and the children with SSD demonstrated differences in the capabilities of auditory phonological discrimination in both initial and final positions. It supposed that the P-AWDT meets the appropriate validity and reliability criteria. The P-AWDT test can be utilized to measure the distinctive features of phonemes, the auditory discrimination of initial and final consonants and middle vowels of words in 4-8-year-old typical children and children with SSD.