Skip to main content
  • Original article
  • Open access
  • Published:

Value of early intervention for hearing impairment on language and speech acquisition

En

Abstract

Background

It is well known that early diagnosis and intervention for hearing impairment is crucial for normal development of language and speech and for a normal life in the future. This study was carried out on 58 patients suffering from sensory-neural hearing loss. They were divided into four groups

Group A (n = 16)

Group B (n = 22)

Group C (n = 14)

Group D (n = 6).

The first three groups had severe sensory-neural hearing loss and were bilaterally amplified with hearing aids at the time of diagnosis. They were classified according to the age of amplification into group A, which included children amplified before 6 months of age, group B, which included children amplified between 6 and 12 months of age, and group C, comprising children amplified at 12–24 months of age. The last group (group D) included six children with severe to profound sensory-neural hearing loss. This group had undergone unilateral cochlear implantation. Children of this group were implanted at the age of 4 ± 1.2 years. For all children language and speech assessment was performed at school age. The results were compared among all groups.

Conclusion Hearing intervention at the age of 6 months had the best outcome in terms of language development, even when compared with the group with late cochlear implantation

References

  1. National Institute on Deaf and Other Communication Disorders (NIDCD). Speech and language developmental milestones. NIH Publication No. 10-4781. USA: NIDCD.

  2. Joint Committee on Infant Hearing. Year 2000 position statement. Principles and Guidelines for early hearing detection and intervention programs. Am J Audiol 2000; 9:9–29.

    Article  Google Scholar 

  3. Maisoun M, Zakzouk M. Hearing screening of neonates at risk. Saudi Med J 2003; 24: 55–57.

    PubMed  Google Scholar 

  4. Downs M, Sterritt G. Identification audiometry for neonates: a preliminary report. J Aud Res 1964; 4: 69–80.

    Google Scholar 

  5. National Institute Of Health. Early identification of hearing impairment in infants and young children. NIH Consens Statement 1993; 11:1–24.

    Google Scholar 

  6. B May-Mederake. Early intervention and assessment of speech and language development in young children with cochlear implant. Int J Pediatr Otorhinolaryngol 2012; 76:939–946.

    Article  Google Scholar 

  7. Harold I, Frances P. Assessin children’s development using parents’ reports. The child development inventory. Clin Pediatr (Phila) 1995; 34: 248–255.

    Article  Google Scholar 

  8. Kotby MN, Khairy A, Barakah M, Rifaie N, El Shobary A. In: MN Kotby editor. Language testing in the Arabic speaking children. Proceedings of the XXIII World Congress of International Association of Logopedics and Phonetics. Cairo, Egypt: Secretariat of the XXIII World Congress of the IALP: 1995. 263–266.

    Google Scholar 

  9. Kotby MN, Bassiouny SE, Abdel Nasser NH, Saber SA. In: M. Nasser Kotby editor. Protocol of communicative assessment of cochlear implant patients. Proceedings of the XXIII World Congress of International Association of Logopedics and Phonetics. Cairo, Egypt: Secretariat of the XXIII World Congress of the IALP: 1995. 431–433.

    Google Scholar 

  10. Still J. Maximizing auditory and speech potential for deaf and hard of hearing children. Hear J 1999; 52: 1–14.

    Google Scholar 

  11. Hall J. Infant hearing impairment and universal hearing screening: screening for and assessment of infant hearing impairment. J Perinatol 2000; 20: 5113–5121.

    Article  Google Scholar 

  12. Bassiouny S, Hegazi M, Saber A, Shoeib R, Hassan S. The effect of age at implantation on the language and speech of cochlear implanted children: a 3-years follow up. Ain Shams Med J 2006; 57: 1307–1321.

    Google Scholar 

  13. Purves D, Augustine G, Fitzpatrick D, Hall W, LaMantia A, McNamara J, et al. Neuroscience. 4th ed. Sunderland, MA: Sinauer Associates; 2008.

    Google Scholar 

  14. Garlick D. Understanding the nature of the general factor of intelligence: the role of individual differences in neural plasticity as an explanatory mechanism. [Review]. Psychol Rev 2002; 109: 116–136.

    Article  Google Scholar 

  15. Boatman D, Freeman J, Vining E, et al. Language recovery after left hemispherectomy in children with late onset seizures. Ann Neurol 1999; 46: 579–586.

    Article  CAS  Google Scholar 

  16. Raffe M, Barres B, Burne J, Cdes H, Lshizaki Y, Jacobson M. Programmed cell death and the control of cell survival. Lessons from the nervous system. Science 1993; 262: 695–700.

    Article  Google Scholar 

  17. Nandini M. Neuroplasticity in children. Indian J Pediatr 2005; 72: 855–857.

    Article  Google Scholar 

  18. Knaap MS, Valk J, Barkhof F. Magnetic resonance of myelination and myelin disorders. ISBN: 3540222863. Berlin Heidelberg, New York: Springer Verlag; 2005.

    Book  Google Scholar 

  19. Dietrich RB, Bradley WG, Zaragoza EJ, et al. MR evaluation of early myelination patterns in normal and developmentally delayed infants. Am J Roentgenol 1988; 150: 889–896.

    Article  CAS  Google Scholar 

  20. Eisenberg L, Kirk K, Martinez A, Ying A, Miyamoto R. Communication abilities of children with aided residual hearing: comparison with cochlear implant users. Arch Otolaryngol Head Neck Surg 2004; 130: 563–569.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amal Saeed.

Additional information

Conflicts of interest

None declared.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nada, E., Khater, A. & Saeed, A. Value of early intervention for hearing impairment on language and speech acquisition. Egypt J Otolaryngol 30, 237–242 (2014). https://doi.org/10.4103/1012-5574.138483

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1012-5574.138483

Keywords