ba ba BABBLE National Speech & Language Therapy Conference in Deafness Mary Hare School for the Deaf 7th February 2014 Sasha Bemrose-Independent Speech & Language Therapist DEFINITIONS OF BABBLE Stark Roug, Landberg, Lundberg Reflexive crying & vegetative sounds-0-8wks Cooing & laughter-8-20wks Vocal play-16-30wks Reduplicated babble-25-50wks Non-reduplicated babble-after 50wks Nakazima Crying/beginning non crying sounds-01mnth Phonation/non crying sounds-1 mnth Development of articulation-2-5mnths Repetitive babbling-6-8 months Prelinguistic commn in voice-9-12mnths Glottal-2-3mnths Velar/uvular-3-4 mnths Vocalic-4-6 mnths Reduplicated C babble-6-10mnths Variegated C babble-10-12 mnths Koopmans-van Beinum & van der Stelt Uninterrupted phonation-0-6wks Interrupted phonation-6-10wks 1 articulatory mvmnt with continuous or interrupted phonation-10-20wks Variations in phonatory domain-20-26wks Multiple articulatory mvmts-26-40wks Meaningful wrds-40wks TYPES OF BABBLE Ref-D. Kimbrough Oller • Pre canonical • Canonical – Single syllable – Strings (same C & V) – Strings (mixed C &/or V) ahhh ga guga PRE-CANONICAL BABBLE – Precursor to canonical babble & speech – Doesn’t possess well formed qualities C’s or V’s – Before 6 months hearing babies – Not transcribed phonetically • Global Grouping – quasi vowel -yells – whispers -raspberries – glottal sequences -marginal babble – isolated vowel like sound -growls – squeals – www.vocaldevelopment.com/precanonical.htm CANONICAL BABBLE • • • • Full, well formed, vowel like sounds At least 1 consonant sound rapid transition between C & V Repeatedly contrast sounds 7-8 mnths and reliably at 10 months in hearing children Onset of real words follow few months after onset canonical babble Early canonical-transcribed with caution VIDEO CLIPS girl-4 months-H boy-7 months-H boy-8 months-H http://boy-11 months-HI http://girl-CI Twins-H CANONICAL BABBLE RATIO • • • • Number canonical utterances Total number of utterances Increases with age Good measure of progress Good measure of speech like quality Parents hearing children-95% accurate identifying onset canonical babble-less easy to determine with deaf babies DEAF CHILDREN • Moderate/severe loss-canonical same time or slightly later than hearing children • Profoundly deaf-canonical babble significantly later than hearing (except CI) • More glottal sequences than hearing • Age amplification positively correlated to canonical babble COCHLEAR IMPLANT Ref: Schauwers et al 2004 • Babble=First appearance of multiple articulatory movements/Stage 5/Canonical babble-usually at 7-10 months • Canonical babble ratio of 0.2 or higher Babbling started 1-4 months following implantation Babbling corresponded with age implantation-earlier implantation, closer to normal development of babble Better results if implanted within first year REFERENCES • Vocal language development in deaf children-new challenges -D. Kimbrough Oller- In Advances in the spoken language development in deaf and hard of hearing children-Spencer & Marschark 2006 • Cochlear Implant between 5 & 20 months of age-The onset of babbling & the audiologic outcome. Schauwers.K, Gillis.S, Daemers.K, De Beukelaer. C & Govaerts. P.-Otology & Neurotology 25:263. 270 (2004)