Purpose-The major purpose of this study was to provide information about expected spoken language skills of preschool-aged children who are deaf and who use a cochlear implant. A goal was to provide "benchmarks" against which those skills may be compared, for a given age at implantation. We also examined whether parent-completed checklists of children's language were correlated with results of standardized language tests and whether scores increased linearly with decreasing age-ofimplantation and increasing duration of cochlear implant use.Method-Participants were a nation-wide sample of 76 children who were deaf and orally-educated and who received an implant by 38 months of age. Formal language tests were administered at age 4.5 years. The MacArthur-Bates Communicative Development Inventory (MBCDI) was completed by parents when children were ages 3.5 and 4.5 years.Results-Based on regression analyses, expected test scores for each age at implant are provided for two commonly administered language tests at 4.5 years of age and MBCDI subscale scores at 3.5 and 4.5 years. Concurrent test scores were significantly correlated on all measures. A linear relation was found which predicted increasing test scores with younger ages at implantation for all scales administered.Conclusions-While the expected scores reported here should not be considered as normative data, they are benchmarks which may be useful for evaluating spoken language progress of children with cochlear implants in enrolled in spoken language-based programs.Published literature shows that children who are profoundly deaf and who receive a cochlear implant often achieve spoken language skills much closer to the skills of their hearing peers than previously possible. Levels of spoken language skill previously achieved only occasionally in children who were profoundly deaf and used hearing aids have now become the norm, with higher levels seen in the areas of speech perception (Eisenberg et al., 2006), speech production (Chin, Tsai & Gao, 2003;Flipsen & Colvard, 2006;Horga & Liker, 2006;Tobey, Geers, Brenner, Altuna, & Gabbert, 2003), language (Moog, 2002;Nicholas & Geers, 2006a;2006b), and reading (Geers, 2003;Spencer, Tomblin & Gantz, 1998). Many educators and clinicians working with children who have severe-profound hearing loss are revising educational strategies and expectations based upon the general success facilitated by cochlear implant (CI) devices.
Sources of VariabilityPrior to surgery, parents often ask clinicians to describe the spoken language proficiency that may be expected following cochlear implantation. During post-implant habilitation, they may NIH Public Access
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript ask whether their child is making expected progress in relation to other children with CIs. Despite the impressive skills achieved by many children with CIs, variability in progress remains a significant concern. The range of observed outcomes adds uncertainty to projecting future progress for ...