{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:58:04Z","timestamp":1791907084215,"version":"4.3.4"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004035","name":"Jordan University of Science and Technology","doi-asserted-by":"publisher","award":["20230618"],"award-info":[{"award-number":["20230618"]}],"id":[{"id":"10.13039\/501100004035","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>Auditory processing disorder (APD) may attribute to certain speech problems, as auditory processing plays a vital role in phonetic development during childhood. This research investigates the incidence of APD in individuals with misarticulations of the \/r\/, \/s\/, \/k\/, \/\u03b8\/, \/d\u0292\/, and \/q\/ speech sounds. These sounds represent different places of articulation, manners of articulation, and phonation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Method<\/jats:title>\n<jats:p>A total of 51 participants with articulation disorders aged 6\u201318 years underwent conventional peripheral assessments, including otoscopic examination, immittance measurement, and audiometry. Central auditory processing was also evaluated using a battery developed by Frank Musiek.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Central auditory processing evaluations revealed abnormalities in 37 of 51 participants (72.55%). Correlations between various sound misarticulations and APD were identified: 69.5% for \/r\/, 40% for \/s\/, 80% for \/k\/, 100% for \/\u03b8\/ and \/q\/, and 83.3% for \/\u02a4\/.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The correlation between articulation disorders and APD varies depending on the specific sound affected. Further research is needed to establish clearer associations between different articulation disorders and APD. These findings underscore the importance of assessing central auditory system function in patients with articulation disorders before initiating speech therapy.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0333016","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T17:28:14Z","timestamp":1760117294000},"page":"e0333016","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["The relationship between auditory processing disorder and articulation disorders"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4318-5714","authenticated-orcid":true,"given":"Safa","family":"Alqudah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lama","family":"Al-rashed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lelas","family":"Mansi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"pone.0333016.ref001","unstructured":"American Academy of Audiology (AAA). Diagnosis, Treatment and Management of Children and Adults with Central Auditory Processing Disorder. 2010."},{"key":"pone.0333016.ref002","unstructured":"American Speech-Language-Hearing Association (ASHA). (Central) Auditory Processing Disorders. 2005."},{"key":"pone.0333016.ref003","unstructured":"American Speech-Language-Hearing Association (ASHA). Understanding The Differences Between Auditory Processing, Speech and Language Disorders, and Reading Disorders. 2014."},{"issue":"8","key":"pone.0333016.ref004","doi-asserted-by":"crossref","first-page":"758","DOI":"10.3766\/jaaa.16119","article-title":"The Relationship between Central Auditory Processing, Language, and Cognition in Children Being Evaluated for Central Auditory Processing Disorder","volume":"28","author":"L Brenneman","year":"2017","journal-title":"J Am Acad Audiol"},{"issue":"2","key":"pone.0333016.ref005","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2009-2826","article-title":"Nature of auditory processing disorder in children","volume":"126","author":"DR Moore","year":"2010","journal-title":"Pediatrics"},{"issue":"1","key":"pone.0333016.ref006","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3109\/14992027.2012.723143","article-title":"Evolving concepts of developmental auditory processing disorder (APD): a British Society of Audiology APD special interest group \u201cwhite paper\u201d","volume":"52","author":"DR Moore","year":"2013","journal-title":"Int J Audiol"},{"issue":"9","key":"pone.0333016.ref007","doi-asserted-by":"crossref","first-page":"904","DOI":"10.3766\/jaaa.25.9.11","article-title":"On the clinical entity in audiology: (central) auditory processing and speech recognition in noise disorders","volume":"25","author":"AJ Vermiglio","year":"2014","journal-title":"J Am Acad Audiol"},{"issue":"2","key":"pone.0333016.ref008","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3766\/jaaa.15079","article-title":"On Diagnostic Accuracy in Audiology: Central Site of Lesion and Central Auditory Processing Disorder Studies","volume":"27","author":"AJ Vermiglio","year":"2016","journal-title":"J Am Acad Audiol"},{"key":"pone.0333016.ref009","first-page":"143","volume-title":"Informational Masking. Auditory Perception of Sound Sources","author":"G Kidd Jr","year":"2008"},{"issue":"3","key":"pone.0333016.ref010","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1044\/0161-1461(2010\/10-0013)","article-title":"Auditory Processing Disorder and Auditory\/Language Interventions: An Evidence-Based Systematic Review","volume":"42","author":"ME Fey","year":"2011","journal-title":"Language, Speech, and Hearing Services in Schools"},{"issue":"5245","key":"pone.0333016.ref011","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1126\/science.271.5245.81","article-title":"Language comprehension in language-learning impaired children improved with acoustically modified speech","volume":"271","author":"P Tallal","year":"1996","journal-title":"Science"},{"key":"pone.0333016.ref012","first-page":"17","article-title":"Indices of hearing in patients with central auditory pathology. II. Choice response time","volume":"35","author":"e Thompson M","year":"1992","journal-title":"PubMed"},{"issue":"2","key":"pone.0333016.ref013","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1037\/h0041240","article-title":"Tempo of frequency change as a cue for distinguishing classes of speech sounds","volume":"52","author":"AM Liberman","year":"1956","journal-title":"J Exp Psychol"},{"issue":"4","key":"pone.0333016.ref014","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1044\/jshr.1804.686","article-title":"Voice onset time, frication, and aspiration in word-initial consonant clusters","volume":"18","author":"DH Klatt","year":"1975","journal-title":"J Speech Hear Res"},{"issue":"5","key":"pone.0333016.ref015","doi-asserted-by":"crossref","first-page":"341","DOI":"10.3758\/BF03211210","article-title":"Auditory and phonetic coding of the cues for speech: Discrimination of the [r-l] distinction by young infants","volume":"18","author":"PD Eimas","year":"1975","journal-title":"Perception & Psychophysics"},{"issue":"09","key":"pone.0333016.ref016","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1055\/s-0042-1748139","article-title":"Auditory temporal processing and lexical\/nonlexical reading in developmental dyslexics","volume":"11","author":"L Cestnick","year":"2000","journal-title":"Journal of the American Academy of Audiology"},{"issue":"1","key":"pone.0333016.ref017","first-page":"21","article-title":"A strain of Plasmodium vivax characterized by prolonged incubation: morphological and biological characteristics","volume":"52","author":"C Garnham","year":"1975","journal-title":"PubMed"},{"issue":"1","key":"pone.0333016.ref018","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.bjorl.2015.01.008","article-title":"The influence of (central) auditory processing disorder in speech sound disorders","volume":"82","author":"TF Barrozo","year":"2016","journal-title":"Braz J Otorhinolaryngol"},{"issue":"4","key":"pone.0333016.ref019","first-page":"265","article-title":"Frequency (Pitch) and Duration Pattern Tests","volume":"5","author":"FE Musiek","year":"1994","journal-title":"Journal of the American Academy of Audiology"},{"issue":"6","key":"pone.0333016.ref020","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1097\/01.aud.0000188069.80699.41","article-title":"GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement","volume":"26","author":"FE Musiek","year":"2005","journal-title":"Ear Hear"},{"key":"pone.0333016.ref021","doi-asserted-by":"crossref","first-page":"304","DOI":"10.3109\/00206099009072861","article-title":"Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions","volume":"29","author":"F Musiek","year":"1990","journal-title":"Audiology"},{"issue":"4","key":"pone.0333016.ref022","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1044\/2022_JSLHR-22-00519","article-title":"Efficient estimation of the binaural masking level difference using a technique based on manual audiometry","volume":"66","author":"A Davidson","year":"2023","journal-title":"Journal of Speech, Language, and Hearing Research"},{"issue":"11","key":"pone.0333016.ref023","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1016\/j.ijporl.2009.07.024","article-title":"Random Gap Detection Test and Random Gap Detection Test-Expanded results in children with auditory neuropathy","volume":"73","author":"F Yal\u00e7inkaya","year":"2009","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"3","key":"pone.0333016.ref024","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1002\/dys.323","article-title":"Auditory temporal processing deficits in children with reading disabilities","volume":"13","author":"R Cohen-Mimran","year":"2007","journal-title":"Dyslexia"},{"key":"pone.0333016.ref025","author":"M Al Amayreh","year":"1994"},{"issue":"3","key":"pone.0333016.ref026","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1044\/jshd.4703.256","article-title":"Phonological disorders III: a procedure for assessing severity of involvement","volume":"47","author":"LD Shriberg","year":"1982","journal-title":"J Speech Hear Disord"},{"issue":"4","key":"pone.0333016.ref027","article-title":"Masking Level Difference and Electrophysiological Evaluation in Adults with Normal Hearing","volume":"24","author":"JM Santiago","year":"2020","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"4","key":"pone.0333016.ref028","doi-asserted-by":"crossref","first-page":"27","DOI":"10.17430\/jhs\/175323","article-title":"Comparing pitch pattern tests based on vowels and tones","volume":"13","author":"S Gupta","year":"2023","journal-title":"J Hear Sci"},{"issue":"3","key":"pone.0333016.ref029","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s10162-014-0450-3","article-title":"Auditory processing disorders with and without central auditory discrimination deficits","volume":"15","author":"AA Ludwig","year":"2014","journal-title":"J Assoc Res Otolaryngol"},{"issue":"3","key":"pone.0333016.ref030","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1002\/dev.10032","article-title":"The importance of rapid auditory processing abilities to early language development: evidence from converging methodologies","volume":"40","author":"AA Benasich","year":"2002","journal-title":"Dev Psychobiol"},{"key":"pone.0333016.ref031","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.heares.2013.07.016","article-title":"Tonotopic mapping of human auditory cortex","volume":"307","author":"M Saenz","year":"2014","journal-title":"Hear Res"},{"issue":"6","key":"pone.0333016.ref032","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1016\/j.ijporl.2007.02.012","article-title":"Central auditory processing disorder (CAPD) in children with specific language impairment (SLI). Central auditory tests","volume":"71","author":"O Dlouha","year":"2007","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"12","key":"pone.0333016.ref033","doi-asserted-by":"crossref","first-page":"2297","DOI":"10.1016\/j.ijporl.2014.10.039","article-title":"The correlation between central auditory processing in autistic children and their language processing abilities","volume":"78","author":"HG Azouz","year":"2014","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"2","key":"pone.0333016.ref034","doi-asserted-by":"crossref","first-page":"9","DOI":"10.17430\/jhs\/167384","article-title":"A systematic review of auditory processing abilities in children with speech sound disorders","volume":"13","author":"CA Jain","year":"2023","journal-title":"J Hear Sci"},{"issue":"12","key":"pone.0333016.ref035","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.15537\/smj.2021.42.12.20200724","article-title":"Invoking the influence of emotion in central auditory processing to improve the treatment of speech impairments","volume":"42","author":"S Alqudah","year":"2021","journal-title":"Saudi Med J"},{"issue":"49","key":"pone.0333016.ref036","doi-asserted-by":"crossref","first-page":"15564","DOI":"10.1523\/JNEUROSCI.3065-09.2009","article-title":"Temporal envelope of time-compressed speech represented in the human auditory cortex","volume":"29","author":"KV Nourski","year":"2009","journal-title":"J Neurosci"},{"issue":"1","key":"pone.0333016.ref037","doi-asserted-by":"crossref","DOI":"10.1186\/s43163-021-00094-w","article-title":"Descriptive analysis of the development of the Arabic speech sounds among typically developing colloquial Egyptian Arabic-speaking children","volume":"37","author":"DA Elrefaie","year":"2021","journal-title":"Egypt J Otolaryngol"},{"issue":"1","key":"pone.0333016.ref038","article-title":"Masking level difference (MLD): literature review","volume":"5","author":"P da S de Paula","year":"2017","journal-title":"Glob J Otolaryngol"},{"issue":"3","key":"pone.0333016.ref039","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1044\/1058-0360(2013\/12-0137)","article-title":"A multidimensional investigation of children\u2019s \/r\/ productions: Perceptual, ultrasound, and acoustic measures","volume":"22","author":"HB Klein","year":"2013","journal-title":"American Journal of Speech-Language Pathology"},{"issue":"4","key":"pone.0333016.ref040","article-title":"\u201c\/j\/\u201d or \u201c\/\u02a4\/\u201d: A comparative study of Hadhrami\u2013Southern Saudi Arabian dialectical variations of \u201c\/\u02a4\/\u201d and its implications on the phonological structure of the verb form","volume":"8","author":"NA Busabaa","year":"2021","journal-title":"International Journal of Language and Linguistics"},{"key":"pone.0333016.ref041","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780198719090.001.0001","volume-title":"Auditory Temporal Processing and its Disorders","author":"JJ Eggermont","year":"2015"},{"key":"pone.0333016.ref042","doi-asserted-by":"crossref","first-page":"220","DOI":"10.5750\/bjll.v3i0.30","article-title":"An experimental sociolinguistic study of language variation in Jordanian Arabic","volume":"3","author":"MN Al-Ali","year":"2010","journal-title":"The Buckingham Journal of Language and Linguistics"},{"issue":"3","key":"pone.0333016.ref043","doi-asserted-by":"crossref","first-page":"796","DOI":"10.17507\/tpls.1303.30","article-title":"The historical changes of\/k\/and\/q\/in Najdi Arabic: A phonological analysis","volume":"13","author":"M Mahzari","year":"2023","journal-title":"Theory and Practice in Language Studies"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0333016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T17:28:23Z","timestamp":1760117303000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0333016"}},"subtitle":[],"editor":[{"given":"Andreas","family":"Buechner,","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,10,10]]},"references-count":43,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,10]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0333016","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,10]]}}}