Clinically significant language impairments are not an inevitable consequence of MMHL. Risk factors appear to include lower maternal education and family history of language problems, whereas nonverbal ability may constitute a protective factor.

UNWR scores distinguish between stuttering and WFD irrespective of language(s) spoken, allowing future evaluation of a range of languages in clinics or schools.

There is a general consensus that many children and adults with dyslexia and/or specific language impairment display deficits in auditory processing. However, how these deficits are related to developmental disorders of language is uncertain, and at least four categories of model have been proposed: single distal cause models, risk factor models, association models, and consequence models. This study used children with mild to moderate sensorineural hearing loss (MMHL) to investigate the link between auditory processing deficits and language disorders. We examined the auditory processing and language skills of 46, 8-16year-old children with MMHL and 44 age-matched typically developing controls. Auditory processing abilities were assessed using child-friendly psychophysical techniques in order to obtain discrimination thresholds. Stimuli incorporated three different timescales (µs, ms, s) and three different levels of complexity (simple nonspeech tones, complex nonspeech sounds, speech sounds), and tasks required discrimination of frequency or amplitude cues. Language abilities were assessed using a battery of standardised assessments of phonological processing, reading, vocabulary, and grammar. We found evidence that three different auditory processing abilities showed different relationships with language: Deficits in a general auditory processing component were necessary but not sufficient for language difficulties, and were consistent with a risk factor model; Deficits in slow-rate amplitude modulation (envelope) detection were sufficient but not necessary for language difficulties, and were consistent with either a single distal cause or a consequence model; And deficits in the discrimination of a single speech contrast (/bɑ/ vs /dɑ/) were neither necessary nor sufficient for language difficulties, and were consistent with an association model. Our findings suggest that different auditory processing deficits may constitute distinct and independent routes to the development of language difficulties in children.

No abstract

Proficiency in a second language (L2) may depend upon the age of exposure and the continued use of the mother tongue (L1) during L2 acquisition. The effect of early L2 exposure on the preattentive perception of native and non-native vowel contrasts was studied by measuring the mismatch negativity (MMN) response from 14-year-old children. The test group consisted of six Finnish children who had participated in English immersion education. The control group consisted of eight monolingual Finns. The subjects were presented with Finnish and English synthetic vowel contrasts. The aim was to see whether early exposure had resulted in the development of a new language-specific memory trace for the contrast phonemically irrelevant in L1. The results indicated that only the contrast with the largest acoustic distance elicited an MMN response in the Bilingual group, while the Monolingual group showed a response also to the native contrast. This may suggest that native-like memory traces for prototypical vowels were not formed in early language immersion.