Language development of a multiply handicapped child after cochlear implantation

Fukuda, Shoichiro; Fukushima, Kunihiro; Maeda, Yukihide; Tsukamura, Keiko; Nagayasu, Rie; Toida, Naomi; Kibayashi, Namiki; Kasai, Norio; Sugata, Akemi; Nishizaki, Kazunori

doi:10.1016/s0165-5876(03)00016-8

Cited by 44 publications

(34 citation statements)

References 12 publications

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“…A recent case study by Fukuda et al (2003) followed the language development of a single pediatric cochlear implant recipient with moderate developmental delay. This child underwent cochlear implant surgery at age 4;8 (years; months) after unsuccessfully wearing hearing aids for about 4 years.…”

Section: Speech and Language Outcomesmentioning

confidence: 99%

Speech and Language Development in Cognitively Delayed Children With Cochlear Implants

2005

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Abstract. The primary goal of this investigation was to examine the speech and language development of deaf children with cochlear implants who have additional impairments relative to that of their implanted peers without additional disabilities. A secondary goal was to address some limitations of previous investigations that have included multiple types of disabilities in their experimental groups by focusing on deaf children with cochlear implants who have a single additional impairment, mild cognitive delay. We retrospectively examined the speech and language development of 69 prelingually-deaf children. The experimental group consisted of 19 children with cognitive delays and no other disabilities. The control group consisted of 50 children who did not have cognitive delays or any other identified disability. The control group was stratified by primary communication mode: half used total communication and the other half used oral communication. Children were tested on a variety of standard speech and language measures and one test of auditory skill development at 6-month intervals. The results from each test were collapsed from blocks of two consecutive 6-month intervals to calculate group mean scores prior to implantation and at 1-year intervals postimplantation. The children with cognitive delays and those without such delays demonstrated significant improvement in their speech and language skills over time on every test administered. There was a trend for typically developing children to have better speech perception than children with cognitive delays, although these differences were not statistically significant. In contrast, typically developing children performed significantly better than those with cognitive delays on two of the three measures of receptive and expressive language. Finally, there was no significant difference between the groups of children on their parental reports of auditory skill development. The results suggest that deaf children with mild cognitive impairments benefit from cochlear implantation. Specifically, improvements are evident in their ability to perceive speech and their reception and use of language, although it may be reduced relative to their typically developing peers with cochlear implants, particularly in domains that require higher level skills such as sentence recognition and receptive and expressive language. These findings suggest that children with mild cognitive deficits be considered for cochlear implantation with less trepidation than has been the case in the past. Although their speech and language gains may be tempered by their cognitive abilities, these limitations do not appear to preclude benefit from stimulation from a cochlear implant on traditional measures of speech and language development.

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Section: Speech and Language Outcomesmentioning

confidence: 99%

Speech and Language Development in Cognitively Delayed Children With Cochlear Implants

2005

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“…Successful cochlear implantation in our patients definitely suggest that the retrocochlear auditory function is intact in deaf children with CP due to asphyxia or neonatal hyperbilirubinemia. During the past 10 years, there has been a dramatic rise in the number of studies that document the effectiveness of cochlear implantation in children with additional handicaps [4][5][6][7][8]10,22]. Some of these studies [7,11,22] contain also data on children with CP and deafness who received benefit from cochlear implantation but details on this subset of children are unavailable.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have reported that deaf children with additional disabilities achieve lower perception scores and language development than children without additional disabilities [5][6][7][8][9]. However, the majority of authors agree to the fact that cochlear implantation in deaf children with additional disabilities leads at least to an increased connectivity and interest in the environment and social interactions that contribute to significantly improve their quality of life [5][6][7]10,11]. Various studies assessed post-implantation outcomes of groups of children affected by a variety of disabilities but, to the best of our knowledge, no studies in the literature have specifically focused on the post-implantation functional outcomes of children Objectives: The aim of this study is to assess the post-implantation speech perception and intelligibility of speech produced by five profoundly deaf children with cerebral palsy.…”

Section: Introductionmentioning

confidence: 99%

Cochlear implantation in children with cerebral palsy. A preliminary report

Bacciu

Pasanisi

Vincenti

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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“…Some of the observed benefits cannot be quantified on standardised tests, and have been instead reported anecdotally, with observations of improvements in social interaction and responsiveness to the environment, behaviour, vocalization, self-help skills, motor skills and the ability to follow instructions (Donaldson et al, 2004;Filipo et al, 2004;Fukuda et al, 2003;Waltzman et al, 2000;Wiley et al, 2005). There is still a need to determine the impact of additional disabilities on post-operative benefit with cochlear implants, and to define more clearly what benefits might reasonably be expected for children with different additional disabilities.…”

Section: Children With Additional Disabilities: Implications For Candmentioning

confidence: 99%

Cochlear Implants in Children: A Review

Sarant¹

2012

Hearing Loss

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Language development of a multiply handicapped child after cochlear implantation

Cited by 44 publications

References 12 publications

Speech and Language Development in Cognitively Delayed Children With Cochlear Implants

Speech and Language Development in Cognitively Delayed Children With Cochlear Implants

Cochlear implantation in children with cerebral palsy. A preliminary report

Cochlear Implants in Children: A Review

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