“…Our previous research, based on the same population of adults with MSCHL as in the study of this paper, showed specific difficulties in their grammar of spoken Dutch, such as the correct use of determiners in an obligatory context (definite articles 'de' and 'het' (the)), present tense markers (2nd and 3rd person singular verb suffix '-t' and plural verb suffix '-en'), and adverbs (e.g., pronominal adverbs and the Dutch adverb 'er' (which cannot unequivocally be translated into English)) (Huysmans et al, 2014). These findings were confirmed in a second study (Huysmans et al, 2016), which additionally showed that the difficulties in the spoken language production of adults with MSCHL were likely to be attributed to auditory limitations during language acquisition, and not to perceptual limitations at the moment of testing. This conclusion was drawn from the finding that adults who acquired hearing loss after childhood performed within the range of NH adults, in spite of having a similar hearing loss at the time of testing as the adults with MSCHL (Huysmans et al, 2016).…”