Speech Perception Skills of Hindi Speaking Children with Pre-lingual Hearing Loss Using Hearing Aids and Cochlear Implants

  • Richa AryaEmail author
  • Aparna Nandurkar
  • Meera Shah
  • Neha Verma
Original Article


Very few published studies have reported auditory speech perception in Hindi children with pre-lingual hearing loss. The study is aimed at comparing the speech perception skills of Hindi speaking children with pre-lingual severe to profound hearing loss using hearing aids and cochlear implants. Forty-three 6 to 8-year old children were included as participants, of which 22 were bilateral behind-the-ear hearing aid (HA) users and 21 were unilateral cochlear implant (CI) users. Speech perception was assessed through a forced-choice, picture-pointing task using recorded stimuli presented at 70 dB HL in the sound field. The skills assessed include: (a) pattern perception, (b) bisyllabic word identification, (c) monosyllabic word identification, (d) sentence identification and (e) minimal pair identification. Children using CI consistently performed significantly better than those with HA on all tasks. For the skills assessed, best performance was seen in pattern perception and poorest performance was seen in monosyllabic word identification. One participant from the CI group obtained ceiling scores for pattern perception and bisyllabic word identification. There was no statistically significant difference in the performance of 6 to 7 and 7 to 8-year-old children for any of the tasks. Children fitted with CI have better access to the cues important for perception of speech and hence perform consistently better than those using hearing aids. Recorded speech perception test can be used with children using cochlear implants and hearing aids.


Hindi Pattern perception Sentence identification Minimal pair identification Bisyllabic word identification Monosyllabic word identification 



Authors thank the Director of AYJNISHD for permitting to carry out this research work at the institute premises and acknowledge the principals, teachers and speech language pathologists from the various centers which referred children. Special thanks to the parents of the participants.

Compliance with ethical standards

Conflict of interest



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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Richa Arya
    • 1
    Email author
  • Aparna Nandurkar
    • 2
  • Meera Shah
    • 2
  • Neha Verma
    • 2
  1. 1.ENT DepartmentGuru Gobind Singh Medical College and HospitalFaridkotIndia
  2. 2.Ali Yavar Jung National Institute of Speech and Hearing DisabilitiesMumbaiIndia

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