Auditory skills and neural encoding in children with speech sound disorder.
Dara Eliza Rohers, Márcia Keske-Soares, Eliara Pinto Vieira Biaggio
PMID 41259563WHAT IT FOUND
Children with phonological speech disorder had more altered binaural integration on dichotic digit testing than typical peers.
Temporal resolution and parent-reported auditory behavior did not differ, and brain response test results were unclear.
Key findings
01Dichotic digit testing classified 13 children with phonological disorder as altered, compared with 7 of 15 typical children, and the paper reports a significant group difference.
02Random gap detection and parent-reported auditory behavior showed no statistically significant group differences.
03The brain response test did not show a clear overall group difference: amplitude and most latency, shift and slope values did not differ, and the reported O latency and A-O shift differences are described inconsistently.
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What it does not show
The sample was small: 28 children analysed, after 42 of 70 screened were excluded. It was cross-sectional, so it cannot show that auditory skill problems caused phonological disorder. The control group was recruited by convenience snowball sampling and did not receive the full speech-language diagnostic battery, so typical speech status relied on parent report and observation. The control group was not required to have normal behavioral auditory tests, and several controls had altered dichotic digit or questionnaire results, which weakens the comparison. The results text and the table disagree about whether O latency and A-O shift were significant. The spectrogram analysis included only one child from each group, and the authors say it should not be generalised. The paper does not say whether the raters knew which group each child belonged to. The parent questionnaire may have been difficult for this population, and the authors suggest this could have affected results.
Declared interests
No funding or conflicts of interest were declared.
The easy way to misread this
Do not conclude that a child with phonological disorder has an auditory processing disorder or needs auditory training. The study found a group difference only in dichotic digit responses, while temporal resolution and parent-reported auditory behavior did not differ, and it cannot show that auditory problems caused the speech disorder.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →