Developmental changes in word recognition threshold from two to five years of age in children with different middle ear status


The aims were to: (1) provide word recognition thresholds (WRTs) at 31, 43, and 61 months of age; (2) investigate developmental changes over time; (3) investigate the relationship between OME and WRT, and (4) investigate the relationship between WRT and hearing thresholds. Around 1000 children were tested longitudinally as part of the ALSPAC study, using an adaptive measure of word recognition in quiet. Mean WRTs were 28, 23, and 23 dB (A) at 31, 43, and 61 months, respectively. Normal auditory development is associated with a mean improvement in WRT of 5 dB between age 31 and 61 months. There was a mean increase in WRT of +5 dB and +15 dB when OME was present in one and two ears, respectively. Thus, both unilateral and bilateral OME results in a detrimental effect on hearing ability for speech. Additionally, early and 'persistent' OME is associated with greater disability. However by 61 months, previous OME status was not significant. To our knowledge, this is the largest longitudinal study reporting WRT in preschool children with different middle ear status.

Publication DOI:
Divisions: College of Health & Life Sciences
Additional Information: © 2007 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords: Acoustic Impedance Tests,Age Factors,Auditory Threshold,Child Development,Child, Preschool,Cooperative Behavior,Ear, Middle,Female,Humans,Male,Otitis Media with Effusion,Recognition (Psychology),Speech Perception,Speech Reception Threshold Test,Vocabulary,Journal Article,Research Support, Non-U.S. Gov't
Publication ISSN: 1708-8186
Last Modified: 08 Jan 2024 08:17
Date Deposited: 29 Jun 2017 15:45
Full Text Link: http://www.tand ... 992020701331570
Related URLs:
PURE Output Type: Article
Published Date: 2007-07
Authors: Hall, Amanda J (ORCID Profile 0000-0001-8520-6005)
Munro, Kevin J
Heron, Jon



Version: Published Version

License: Creative Commons Attribution

| Preview

Export / Share Citation


Additional statistics for this record