Avaliação da percepção da fala com ruído competitivo em crianças portadoras de deficiência auditiva neurossensorial com espectro da neuropatia auditiva usuárias de implante coclear

Yamaguti, Elisabete Honda; Filho, Orozimbo Alves Costa

doi:10.11606/d.25.2013.tde-14082013-085327

Cited by 3 publications

(13 citation statements)

References 9 publications

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“…In general, children with ANSD that received the implant when they were less than two years old were most likely to present similar auditory results than their counterparts without ANSD and CI 7 . Moreover, there were no significant differences between children with ANSD and CI, assessed with different instruments, and children with sensorineural hearing loss, since evolution of skills was quite similar 3 . Considering phonoaudiologic systematic interventions, this seems like a good alternative to develop pragmatic communication skills in children with ANSD without CI 8 .…”

Section: Introductionmentioning

confidence: 88%

“…It was initially named Auditory Neuropathy (AN) or Auditory Dyssynchrony (AD) 2 due to its association to direct impairment of the cochlear nerve. However, since not all ANSD patients have a lesion in this nerve, the definition is now broader and includes other lesion loci that are responsible for electrical transmission and sinapses 3 . Considering the audiological characteristics, thresholds for sound detection may present varied configurations, from normal hearing to profound hearing loss, unilateral or bilateral, symmetrical or not.…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis is conducted through audiometric and electrophysiological tests, and is confirmed by the presence of otoacoustic emissions (OAE) associated to altered or absent brainstem auditory evoked potential (BAEP). Tests are quick, non-invasive, easy to conduct, are approximately 100% accurate 1,3 . The cochlear implant (CI) is among the strategies indicated for auditory habilitation and rehabilitation especially for children in a critical period for developing linguistic skills as listeners or speakers.…”

Section: Introductionmentioning

confidence: 99%

“…The cochlear implant (CI) is among the strategies indicated for auditory habilitation and rehabilitation especially for children in a critical period for developing linguistic skills as listeners or speakers. However, CIs are still a challenge for individuals with ANSD, since impairment of auditory perception, and speech comprehension and production, originate from alterations in neural functions 3,5 . The CI is an electronic device designed to promote auditory detection and, consequently, improve communication of people.…”

Section: Introductionmentioning

confidence: 99%

“…The CI has been successful in developing cortical hearing and shown behavioral results from children with ANSD 3,7,8 . In general, children with ANSD that received the implant when they were less than two years old were most likely to present similar auditory results than their counterparts without ANSD and CI 7 .…”

Section: Introductionmentioning

confidence: 99%

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Ensino de comportamento verbal por múltiplos exemplares em uma criança com desordem do espectro da neuropatia auditiva: estudo de caso

et al. 2017

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Auditory Neuropathy Spectrum Disorder (ANSD) is characterized by a difficulty in establishing verbal behavior in the speaker and listener modalities due to an asynchrony in the nervous conduction of sound stimuli, leading to hearing loss. Cochlear implants are an alternative that stabilizes sound detection; however, discriminating and recognizing what is heard and establishing relations to speech requires learning. A procedure with recognized efficacy in establishing verbal repertoires in children with little or no language is Multiple Exemplar Instruction (MEI). The objective of this study was to verify replicability of results obtained from MEI with other populations for teaching and integrating listener and speaker behaviors on a six year-old child with ANSD and bilateral cochlear implants. The study was conducted with three sets of stimuli and consisted in a rotated presentation of listener responses, based on figure selection from dictated words, and of speaker responses, after a dictated word (echoic) and figure naming (tact). Repeated probes evaluated performance on the set of stimuli. Even though there is some variability in responding, selection responses were established first and speaker responses occurred gradually throughout successive sessions. The conditions under which a speaker's repertoire may be refined, and generalization of these results to other participants with ANSD should be further investigated. Keywords: Language; Hearing Impaired Persons; Cochlear Implant; Teaching RESUMO A Desordem do Espectro da Neuropatia Auditiva (DENA) é caracterizada pela dificuldade no estabelecimento do comportamento verbal nas modalidades de ouvinte e de falante, por uma dessincronia na condução nervosa da estimulação sonora recebida, ocasionando perdas auditivas. O implante coclear tem sido uma alternativa que estabiliza a detecção sonora, porém, discriminar e reconhecer o que se ouve e estabelecer relações com a fala irá requerer aprendizagem. Um procedimento de reconhecida eficácia no estabelecimento de repertórios verbais em crianças com pouca ou nenhuma linguagem é o Multiple Exemplar Instruction (MEI). O objetivo deste estudo foi verificar a replicabilidade dos resultados obtidos com o MEI com outras populações no ensino e integração entre os repertórios de ouvir e de falar em uma criança de seis anos com DENA e implante coclear bilateral. O ensino foi conduzido com três conjuntos de estímulos, e consistiu na apresentação rotativa de respostas de ouvinte, baseadas na seleção de figuras mediante palavra ditada e, de falante, após uma palavra ditada (ecoico) e mediante a nomeação de uma figura (tato). Repetidas sondas avaliaram o desempenho nos conjuntos de estímulos. Ainda que com alguma variabilidade no responder, as respostas de seleção foram estabelecidas primeiro e as respostas de falante, gradativamente, ao longo de sucessivas sessões. As condições sob as quais o repertório de falante pode ser refinado e a generalização dos resultados para outros participantes com DENA devem ser investigadas.

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Section: Introductionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ensino de comportamento verbal por múltiplos exemplares em uma criança com desordem do espectro da neuropatia auditiva: estudo de caso

et al. 2017

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Speech perception and spoken language of children with auditory neuropathy spectrum disorder: a systematic literature review

2023

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Purpose: to analyze the test results of speech perception and spoken language in children with hearing loss and auditory neuropathy spectrum disorder, users of hearing aids or cochlear implants. Methods: a systematic review of the literature based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Consultation was performed in databases, considering studies from 1996 to 2021, selecting the studies that presented the results of speech perception or spoken language in children with bilateral auditory neuropathy spectrum disorder, with no structural alterations of the ear and/or vestibulocochlear nerve, or other associated impairments. Descriptive analysis was performed. Literature Review: among 1,422 studies found, 15 were included. Variability in the sample size, types of studies, evaluation procedures and methodological questions were observed. The cochlear implants and hearing aids contributed to the development of speech perception and spoken language in children with auditory neuropathy spectrum disorder, since skills such as auditory comprehension and speech intelligibility, were achieved. Conclusion: 15 studies suggest that cochlear implants and hearing aids may be effective for speech perception and spoken language development in children with auditory neuropathy spectrum disorder, with no other associated impairments. The need for further research with a high methodological rigor is highlighted.

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Percepção da fala e linguagem de crianças com espectro da neuropatia auditiva: revisão sistemática da literatura

2023

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RESUMO Objetivo: analisar os resultados de testes percepção da fala e linguagem falada de crianças com espectro da neuropatia auditiva, usuárias de aparelho de amplificação sonora individual ou implante coclear. Métodos: revisão sistemática da literatura, baseada no guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Levantaram-se, em bases de dados, estudos entre 1996 e 2021, que apresentavam os resultados de percepção da fala ou linguagem falada de crianças com espectro da neuropatia auditiva bilateral, sem alterações estruturais da orelha/nervo vestíbulo-coclear, ou comprometimentos associados. Os dados foram analisados descritivamente. Revisão da Literatura: dentre 1422 estudos encontrados, 15 foram incluídos. Observou-se variabilidade no tamanho das amostras, tipos de estudos, procedimentos de avaliação e questões metodológicas. O implante coclear e o aparelho de amplificação sonora individual contribuíram para o desenvolvimento da percepção da fala e linguagem falada de crianças com espectro da neuropatia auditiva, pois foram alcançadas habilidades, como a compreensão auditiva e inteligibilidade da fala. Conclusão: 15 estudos sugeriram que o implante coclear e o aparelho de amplificação sonora individual podem ser efetivos para o desenvolvimento da percepção da fala e linguagem falada de crianças com espectro da neuropatia auditiva sem outros comprometimentos associados. Ressalta-se a necessidade de pesquisas com alto rigor metodológico.

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Avaliação da percepção da fala com ruído competitivo em crianças portadoras de deficiência auditiva neurossensorial com espectro da neuropatia auditiva usuárias de implante coclear

Cited by 3 publications

References 9 publications

Ensino de comportamento verbal por múltiplos exemplares em uma criança com desordem do espectro da neuropatia auditiva: estudo de caso

Ensino de comportamento verbal por múltiplos exemplares em uma criança com desordem do espectro da neuropatia auditiva: estudo de caso

Speech perception and spoken language of children with auditory neuropathy spectrum disorder: a systematic literature review

Percepção da fala e linguagem de crianças com espectro da neuropatia auditiva: revisão sistemática da literatura

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