Effect of Perceptual Training and Phonetic Placement Therapy in Children With Cochlear Implant

NCT07613034 | Completed DMC

• 1 other identifier: REC/RCR & AHS/25/0616
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Children with cochlear implants often continue to exhibit speech sound and intelligibility difficulties despite improved auditory access. Perceptual training and phonetic placement therapy are commonly used interventions; however, limited evidence exists comparing their relative effectiveness in improving speech intelligibility in this population. Objective: To find the effect of perceptual training and phonetic placement therapy in children with cochlear implant. Methods: A randomized controlled trial was conducted involving 12 children with cochlear implants aged 6-8 years, with hearing ages ranging from 1-4 years. Participants were recruited using convenience sampling and randomly allocated into two intervention groups: Perceptual Training (n = 5) and Phonetic Placement Therapy (n = 6). Each participant received 12 hours of therapy over an 8-week period (three sessions per week, 30 minutes each). Speech outcomes were assessed pre-intervention, post-intervention, and after a two-week retention period using the Test of Articulation and Phonology Urdu (TAPU), Percent Consonants Correct (PCC), and a 5-point speech intelligibility rating scale scored by blinded listeners. Repeated-measures ANOVA was used for data analysis. Key words Cochlear implant, children, speech sound disorder, speech intelligibility, phonetic, hearing, perceptual training

Conditions

Cochlear Implant; Children; Speech Sound Disorder

Keywords

Cochlear implant; speech intelligibility; phonetic; hearing; perceptual training

Outcome Measures

Primary Outcomes (1)

• To find the effect of perceptual training and phonetic placement therapy in children with cochlear implant

  Data was collected using the Test of Articulation and Phonology Urdu (TAPU) for objective analysis of speech sound errors

  8 week

Study Arms (2)

Phonetic Placement Therapy

OTHER

production of sounds in initial, medial and final position words via teaching positioning of articulators

Other: Phonetic placement therapy

Perceptual Training Therapy

EXPERIMENTAL

perceptual training of sounds using minimal pair to improve speech intelligibility

Other: perceptual training

Interventions

Phonetic placement therapy OTHER

Phonetic placement therapy to improve speech intelligibility for speech sound disorders

Phonetic Placement Therapy

perceptual training OTHER

Perceptual Training Therapy to improve speech intelligibility for speech sound disorders

Perceptual Training Therapy

Eligibility Criteria

• Age: 6 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with a chronological age of 6-8 years were selected for this study
• Children diagnosed with moderate to severe hearing loss using a cochlear implant
• Children with hearing ages of 2-3 years of both genders were part of this study

You may not qualify if:

• Children with a chronological age of 6-8 years were selected for this study
• Children diagnosed with moderate to severe hearing loss using a cochlear implant
• Children with hearing ages of 2-3 years of both genders were part of this study

Sponsors & Collaborators

• Riphah International University: lead
• SADA NGO: collaborator

Study Sites (1)

Alam School For Speech and Learning

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Speech Sound Disorder; Speech Intelligibility

Condition Hierarchy (Ancestors)

Communication Disorders; Neurodevelopmental Disorders; Mental Disorders; Speech; Verbal Behavior; Communication; Behavior

Study Officials

• Nazia Mumtaz, PhD

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer

Study Record Dates

• First Submitted: May 13, 2026
• First Posted: May 29, 2026
• Study Start: July 20, 2025
• Primary Completion: December 20, 2025
• Study Completion: January 29, 2026
• Last Updated: May 29, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)