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1 Effect and Limit of Preschool Speech Therapy by Auditory Training Method, Aiming to Overcome gstagnation of Development at Age 9 h \ Summary of findings for 23 years \ Toshiko Mori Abstract : A retrospective study was performed on 391 hearing-handicapped preschoolers who had received speech therapy by auditory training method between April 1970 and March Major findings were as follows 1. One hundred and forty-seven of the 391 cases (38 %) were able to overcome gstagnation of development at age 9 h (abbr. gstagnation h ). 2. Statistical tests were performed for 10 items : degree of hearing handicap, performance IQ, additional complications, training start-age, training duration, mode of amplification, effect of hearing aid, speech therapy program, parental leadership and integration in nursery school. In each instance strong correlations were detected between these items and gstagnation. h 3. The ages of 3, 4 and 6 are particularly important in language development. It is especially vital to acquire speech ability (including verbal IQ) beyond chronological age Department of Sensory Science, Kawasaki University of Medical Welfare : 288, Matsushima, Kurashiki-shi

2 level at age 6 in order to overcome gstagnation. h 4. A revised check-list and criteria of language ability (first plan) were made based on the above clinical results. Their completion is a topic of study for the future. Key words : hearing-handicapped preschoolers, speech ability, auditory training method, speech therapy, overcoming gstagnation of development at age 9 h

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11 24) Feinmesser, M., et al.: Follow-up of 40,000 9) Kirk, S. A., et al.: The illinois test of psycholinguistic abilities. University of illinois press, ) Oleron, P.: Language and mental development. New York, Lawrence Exlbaum Associations, ) Nelson, K. E.: Aspects of acquisition and use from age 2 to age 20. Journal of American Academy of Child Psychiatry, 16: , ) Clemments, S. D.: Project director task force 1, Minimal brain dysfunction in children. National Institute of Neurological Disease and Blindness, Monograph No 3, United State Department of Health, Education and Welfare. 22) Clemments, R. L., et al.: Clinical correlate of learning disabilities, minimal brain dysfunction and hyperactivity. Clinical Pediatrics, 11: , infants screened for hearing defect. Audiology, 21(3) : , ) Hovnid, H., et al.: Detection of hearing impair-

12 ment in early childhood. Scand Audiol, 16(4) , ) Gottlieb, D. D., et al.: Incidence of visual disorders in a selected population of hearing impaired students. J. Am. Optom. Assoc., 56(4) : , ) Nicoll, A. M., et al.: Ocular abnormalities in deaf children, a discussion of deafness and retinal pigment changes. 16(3) : , Aust, N. Z. J. Ophthalmol, 28) Bergman, I., et al.: Cause of hearing loss in the high-risk premature infant. J. Pediatr, 106(1) : , ) Voutilainen, R., et al.: Associated handicaps in children with hearing 30 : 57-59, loss. Scand Audiol Suppi, 32) Davis, J. M., et al.: Effects of mild and moderate hearing impairments on language. educational, and psychological behavior of children. J. Speech. Hear. Disord., 51(1) : 53-62, ) Musselman, C. R., et al.: An evaluation of recent trends in preschool programming for hearing - impaired children. J. Speech, Hear Disord, 53(1) : 71-88, 1988, 35) Weisel, A., et al.: A study of correlates of speech production performance, an ecological approach. J. Commun Disord, 22(1) : 1-11, 1989.

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