title: Auditory sensitivity and the prelinguistic vocalizations of early-amplified infants.
abstract: OBJECTIVE
  Vocalization development has not been studied thoroughly in infants with early-identified hearing loss who receive hearing aids in the 1st year of life. This study sought to evaluate the relationship between auditory sensitivity and prelinguistic vocalization patterns in infants during the babbling stage.
  
  
  METHODS
  Spontaneous vocalizations of 15 early-identified infants with varying degrees of hearing sensitivity, from normal to profound hearing loss, were audiotaped and perceptually transcribed. Associations between the infant's unaided pure-tone average and the following vocalizations were explored: canonical babbling ratio, percentage of utterances containing canonical syllables, canonical syllable shapes, number of syllable sequences, and consonant-onset patterns in canonical syllables.
  
  
  RESULTS
  Hearing sensitivity was significantly associated with the percentage of utterances containing canonical syllables, the vocalization types used in utterances, and canonical syllable shapes used by the infants.
  
  
  CONCLUSIONS
  Auditory sensitivity contributes significantly to the emergence of babbling patterns. In addition, there is a need for continued study of the vocalizations of infants with milder forms of hearing loss, because in this study, their vocalizations were highly variable despite having received early amplification.
authors.affiliation: Department of Audiology and Speech Pathology, University of Tennessee, Knoxville, 548 South Stadium Hall, Knoxville, TN, USA. dvh@utk.edu
authors.forename: Deborah
authors.initials: D
authors.lastname: von Hapsburg
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Davis
mesh_terms: D000367:Age Factors; D001309:Auditory Threshold / Q000502:physiology*; D016022:Case-Control Studies; D002663:Child Language; D005260:Female; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology* / Q000534:rehabilitation; D006801:Humans; D007223:Infant; D008297:Male; D010700:Phonetics; D015203:Reproducibility of Results; D013068:Speech Production Measurement; D013637:Tape Recording; D013997:Time Factors