This study defined developmental functions for PediatricSpeech Intelligibility word and sentence materials presented in quiet and in competition for 25 normal children and 25 children with recurrent otitis media. Ages ranged from 24 to 56 mos. In normal children, developmental functions for Pediatric Speech Intelligibility speech materials showed earlier development of performance (1) in quiet than in competition and (2) for words than for sentences (competing condition). In children with otitis media, developmental functions were normal for both words and sentences in quiet and for sentences in competition. However, developmental functions were grossly abnormal for words in competition.The effect of recurrent otitis media on the development of speech processing abilities remains unresolved. Animaldeprivation and cross-language studies6* 119 47-49. 56* 57 have consistently suggested that the nature of environmental sounds experienced by a developing animal or human influences the development of anatomical, physiological, and behavioral auditory mechanisms. These findings ento study the effect of conductive hearing loss due to otitis media on the development of speech processing skills. Almost without exception, results documented depressed linguistic and auditory processing abilities in children with a history of otitis media. However, the validity of most previous studies (before 1981) on the effects of otitis media on development has been ~hallenged.~'. 43v 45* 50, 55 Criticisms primarily allege faulty methodology and/or experimental design. In particular, the value of studies limited to older children with a history of otitis media has been questioned because results do not reveal probable developmental mechanism(s) underlying the abnormal behavior.In short, developmental abnormalities that may lead to eventual speech processing disorders in children with otitis media have been suggested, but not definitively isolated, by previous investigations. The purpose of the present study muraged many 7, 12. 25, 26, 32. 36, 41. 50. 58 'was to examine the influence of recurrent conductive hearing loss due to otitis media on the development of speech intelligibility.
METHOD
SubjectsSubjects were 50 Caucasian children, 25 girls and 25 boys, between 24 and 56 mos of age. Nine children were 24 to 26 mos old, 10 children were 27 to 29 mos old, 7 children were 30 to 32 mos old, 9 children were 33 to 35 mos old, 7 children were 36 to 38 mos old, 4 children were 39 to 47 mos old, and 4 children were 48 to 56 mos old. All 50 children had normal sensitivity [less than or equal to 20 dB HL (re: ANSI 1969)] on both ears for pure-tone signals between 250 and 4OOO