Receptive and expressive language skills of 106 children with a minimum of 2 years’ experience in hearing with a cochlear implant

Richter, Bernhard; Eißele, Susanne; Laszig, Roland; Löhle, E.

doi:10.1016/s0165-5876(02)00037-x

Cited by 116 publications

(76 citation statements)

References 34 publications

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“…The authors highlight the relationship between the sensorial deprivation period and the functional hearing period, causing both factors to be related to a better score of auditory and linguistic behavior, corroborating with the fact that children of this study have reached high scores with restricted hearing age 36 .…”

Section: Discussionsupporting

confidence: 85%

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

2017

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Purpose: to analyze auditory and oral communication behaviors in a group of children and adolescents, users of cochlear implants and to establish a relationship with factors that interfere with aural rehabilitation. Methods: participants were 13 children or adolescents with profound bilateral sensorineural hearing loss. Standardized procedures were applied to check: the auditory and oral communication behaviors of participants and their relationships with the child's age at diagnosis period; the interval between diagnosis and intervention, adaptation onset of the cochlear implant; the hearing age and aural rehabilitation period. Results: statistically significant data were found to correlate the interval between diagnosis and intervention with the scores in the evaluation procedures of oral communication. Conclusion:there was a significant impact on the development of oral communication when the period elapsed between the diagnosis and intervention was analyzed, in such way that the faster the intervention time, the better the results. It was also evident that the earlier the beginning of the use of cochlear implants, the greater the hearing age, and the longer the rehabilitation period, the better the scores in the procedures that evaluated auditory and verbal development. Keywords: Hearing Loss; Cochlear Implant; Language; Auditory Perception RESUMO Objetivo: analisar os comportamentos auditivos e de comunicação oral em um grupo de crianças e adolescentes usuários de implante coclear e estabelecer relações com fatores que interferem na reabilitação auditiva. Métodos: participaram deste estudo 13 crianças ou adolescentes com deficiência auditiva sensorioneural profunda bilateral. Foram aplicados procedimentos padronizados para verificar: o comportamento auditivo e de comunicação oral dos participantes e estabelecidas relações com a idade da criança no período do diagnóstico; o intervalo entre o diagnóstico e a intervenção, época de ativação do implante coclear; a idade auditiva e o período de reabilitação auditiva. Resultados: foram encontrados dados estatisticamente significantes ao correlacionar o intervalo entre o diagnóstico e a intervenção com os escores dos procedimentos de avaliação da comunicação oral. Conclusão: houve impacto significante no desenvolvimento da comunicação oral quando analisado o período transcorrido entre o diagnóstico e a intervenção, de tal forma que quanto mais rápida a intervenção, melhores os resultados. Foi evidente também que quanto mais precoce o início da utilização do implante coclear, maior idade auditiva e maior o período de reabilitação, melhores foram os escores nos procedimentos que avaliaram desenvolvimento auditivo e verbal.

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Section: Discussionsupporting

confidence: 85%

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

2017

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“…Preliminary research within the field suggests that surgically placing a CI within the first 12 months of life may result in a greater languagelearning potential; however, the literature examining the development of language skills in infants implanted early in life remains incomplete. Many of the studies to date have examined only a small number of children in this age group (Brinton, 2001; Hammes et al, & Lohle, 2002;Wright, Purcell, & Reed, 2002). Such small sample sizes make it challenging to generalize the findings across the infant CI population.…”

mentioning

confidence: 99%

The Effect of Age at Cochlear Implant Initial Stimulation on Expressive Language Growth in Infants and Toddlers

Tomblin

Barker

Spencer

et al. 2005

J Speech Lang Hear Res

229

174

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This study examined the growth of expressive language skills in children who received cochlear implants (CIs) in infancy. Repeated language measures were gathered from 29 children who received CIs between 10 and 40 months of age. Both cross-sectional and growth curve analyses were used to assess the relationship between expressive language outcomes and CI experience. A beneficial effect of earlier implantation on expressive language growth was found. Growth curve analysis showed that growth was more rapid in children implanted as infants than those implanted as toddlers. Age at initial stimulation accounted for 14.6% of the variance of the individual differences in expressive language growth rates.Keywords cochlear implants; infants; language growth; yearly hearing detection and intervention; growth curve analysis Infants born with normal hearing thresholds possess a number of auditory skills crucial to fostering language growth; many of these proficiencies appear to be present as early as birth or beforehand (DeCasper & Fifer, 1980;DeCasper, Lecanuet, Busnel, & Granier-Deferre, 1994;Kuhl & Miller, 1982;Mehler et al., 1988;Moon, Panneton-Cooper, & Fifer, 1993). Neonates with bilateral sensorineural hearing loss (SNHL), however, do not have this benefit of early spoken language exposure. As a result, children with severe to profound SNHL who are born to hearing parents often demonstrate great lags in spoken language development due to limited linguistic input (Brasel & Quigley, 1977;Carney & Moeller, 1998; Lederberg & Spencer, 2001;Mayne, Yoshinaga-Itano, & Sedey, 2000a, 2000b PippSiegel, Sedey, VanLeeuwen, & Yoshinaga-Itano, 2003;Spencer & Meadow-Orlans, 1996). However, nearly 20 years ago, pediatric cochlear implantation emerged as a surgical option that could provide acoustic information to the auditory system by means of direct electrical stimulation of the auditory nerve. Despite the fact that the typical cochlear implant (CI) device provides frequency and temporal resolution information that is considerably different from that of acoustic hearing, the auditory information provided by the CI appears to improve the rate of spoken language development of children with severe to profound SNHL who are born to hearing parents (Blamey & Sarant, 2000;Geers & Moog, 1994;Geers, Nicholas, & Sedey, 2003;Svirsky, Robbins, Kirk, Pisoni, & Miyamoto, 2000;Tomblin, Spencer, Flock, Tyler, & Gantz, 1999). Indeed, studies have shown that the rate of language development in school-age children with CIs typically approaches that of children with normal hearing. Svirsky and colleagues (Svirsky, 2003;Svirsky et al., 2000) have NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscriptshown average postimplant-growth rates that match those of children with normal hearing, whereas others have reported rates that ranged from 45% to 67% of normal growth rates (Blamey, 2001;Connor, Hieber, Arts, & Zwolan, 2000). Yet, although these and further data Kirk et al., 2002;Ouellet, Le Normand, & Cohen, 2001;Robbins, Os...

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“…The duration of auditory deprivation is an important factor that is known to contribute to speech recognition in postlingual deaf adults [15] . As the duration of auditory deprivation increases in postlingual deaf subjects, the speech perception abilities of an individual with a cochlear implant decrease [16][17][18][19][20][21][22] . It seems that, as in prelingual deaf children, the period of auditory deprivation has a major effect on CI outcomes, with probably a different mechanism in play.…”

Section: Discussionmentioning

confidence: 99%

Factors Contributing to Speech Performance in Elderly Cochlear Implanted Patients: An FDG-PET Study: A Preliminary Study

et al. 2015

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OBJECTIVE:The purpose was to evaluate brain plasticity that contributes to speech performance after cochlear implantation (CI) in postlingual elderly (>60 years) patients. MATERIALS and METHODS:Fifteen elderly postlingual deaf patients who underwent preoperative brain fluorodeoxyglucose positron emission tomography (FDG-PET) and were followed-up for more than 1 year after CI were included. The mean age of these patients was 64.6 years (range, 60-80 years). Based on their sentence score at 1 year after CI surgery, the patients were classified into two groups: poor performers (CID score of <80) and good performers (CID score of ≥80). The duration of deafness, age at operation, preoperative residual hearing, and preoperative brain metabolism were analyzed. SPM5 software was used for FDG-PET image preprocessing and statistical analysis. RESULTS:Neither deafness duration nor preoperative residual hearing was associated with speech performance. The age at operation had little association with speech performance. Deaf patients whose brain metabolism was higher in frontotemporal regions became good CI users but those with higher metabolism in visual association areas became poor CI users. No significant cortical area of higher metabolism was associated with the duration of deafness. CONCLUSION:Overactivation in the visual processing pathway correlated with a poor CI outcome at 1 year. Deaf patients who are going to be poorer performers with CI devices maintain visual information processing during preoperative silent resting periods.

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Receptive and expressive language skills of 106 children with a minimum of 2 years’ experience in hearing with a cochlear implant

Cited by 116 publications

References 34 publications

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

The Effect of Age at Cochlear Implant Initial Stimulation on Expressive Language Growth in Infants and Toddlers

Factors Contributing to Speech Performance in Elderly Cochlear Implanted Patients: An FDG-PET Study: A Preliminary Study

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