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Indices for the determination of the degree of communication skills improvement in prelingual children with cochlear implantation

The Egyptian Journal of Otolaryngology volume 32, pages 287–297 (2016)Cite this article

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Abstract

Introduction

Monitoring and documenting the progress in communication skills of cochlear implanted (CI) children is important for intervention planning, conduction of evidence-based studies, and reporting parents about their children’s progress.

Aim

The aim of the present study was to provide reliable indices that may be used to monitor a child’s communication skills progress after CI and to grade his or her performance.

Patients

The study was carried out on 53 prelingual CI children (28 boys and 25 girls). Their ages ranged from 2.5 to 6 years. They were all of average intelligence and showed no associated disorders. They were all enrolled for verbal auditory training at the Unit of Phoniatrics.

Methodology

The CI children were evaluated postoperatively using the quasi-objective description of communicative ability, following scaling by transformation from the lower stages to the higher stages in communicative performance. This entailed the determination of the levels for auditory performance, receptive and expressive language, speech intelligibility, mode of communication, approximate language age, vocabulary size, and speech sounds perception. After 1 year of implantation, the children were re-evaluated and the levels achieved in each item and on the therapy program were recorded. The subjective impression of improvement was marked as poor, fair, or good, which was determined by the phoniatrician, therapist, and the parents for each child.

Conclusion

Expressive language development and speech intelligibility in the presence of marked speech perception are significant indicators for communication skills progress. The indices provided for various degrees of improvement are helpful to conduct evidence-based research, especially in the absence of reliable formal testing.

References

  1. Osberger MJ, Robbins AM, Berry SW, Todd SL, Hesketh LJ, Sedey A. Analysis of the spontaneous speech samples of children with cochlearimplants or tactile aids. Am J Otol 1991; 12: 151–164.

    PubMed  Google Scholar 

  2. Tobey EA, Angelette S, Murchison C, Nicosia J, Sprague S, Staller SJ et al. Speech production performance in children with multichannel cochlear implants. Am J Otol 1991; 12: 165–173.

    Article  Google Scholar 

  3. Tobey EA, Hasenstab S. Effects of a Nucleus multichannel cochlear implant upon speech production in children. Ear Hear 1991; 12: 48S–54S.

    Article  CAS  Google Scholar 

  4. Tobey EA, Geers A, Brenner C. Speech production results: speech feature acquisition. Volta Rev 1994; 96: 109–129.

    Google Scholar 

  5. Tye-Murray N, Spencer L, Woodworth GG. Acquisition of speech by children who have prolonged cochlear implant experience. J Speech Hear Res 1995; 38: 327–337.

    Article  CAS  Google Scholar 

  6. Osberger MJ, Robbins A, Todd S, Riley A. Speech intelligibility of children with cochlear implants. Volta Rev 1994; 96: 169–180.

    Google Scholar 

  7. Archbold SM, Nikolopoulos TP, Nait M, O’Donoghue GM, Lutman ME, Gregory S. Approach to communication, speech perception and intelligibility after paediatric cochlear implantation. Br J Audiol 2000; 34: 257–264.

    Article  CAS  Google Scholar 

  8. Connor CM, Hieber S, Arts HA, Zwolan TA. Speech, vocabulary, and the education of children using cochlear implants: oral or total communication? J Speech Lang Hear Res 2000; 43: 1185–1204.

    Article  CAS  Google Scholar 

  9. Miyamoto RT, Kirk KI, Svirsky MA, Sehgal ST. Communication skills in pediatric cochlear implant recipients. Acta Otolaryngol 1999; 119: 219–224.

    Article  CAS  Google Scholar 

  10. Geers AE, Moog J. Effectiveness of cochlear implants and tactile aids for deaf children: the sensory aids study at Central Institute for the Deaf. Volta Rev 1994; 96: 97–108.

    Google Scholar 

  11. Svirsky MA, Robbins AM, Kirk KI, Pisoni DB, Miyamoto RT. Language development in profoundly deaf children with cochlear implants. Psychol Sci 2000; 11: 153–158.

    Article  CAS  Google Scholar 

  12. Fu QJ, Galvin JJIII. Maximizing cochlear implant patients’ performance with advanced speech training procedures. Hear Res 2008; 242: 198–208.

    Article  Google Scholar 

  13. Yucel E, Sennaroglu G, Belgin E. The family oriented musical training for children with cochlear implants: speech and musical perception results of two year follow-up. Int J Pediatr Otorhinolaryngol 2009; 73: 1043–1052.

    Article  Google Scholar 

  14. Allen C, Nikolopoulos TP, Dyar D, O’Donoghue GM. Reliability of a rating scale for measuring speech intelligibility after pediatric cochlear implantation. Otol Neurotol 2001; 22: 631–633.

    Article  CAS  Google Scholar 

  15. Govaerts PJ, De Beukelaer C, Daemers K, De Ceulaer G, Yperman M, Somers T et al. Outcome of cochlear implantation at different ages from 0 to 6 years. Otol Neurotol 2002; 23: 885–890.

    Article  Google Scholar 

  16. Maleka LK, Kiorlos V. Stanford Binet Intelligence Scale. 7th ed. Quoted and edited version. Cairo, Egypt: El-Nahda Publishing;1999.

    Google Scholar 

  17. Archbold S, Lutman ME, Marshall DH. Categories of auditory performance. Ann Otol Rhinol Laryngol Suppl 1995; 166: 312–314.

    CAS  PubMed  Google Scholar 

  18. Geers AE, Moog JS. Scales of early communication skills for hearing impaired children. St. Louis, MO: Central Institute for the Deaf;1990.

    Google Scholar 

  19. Rifaie NA, Kotby MN, Khairy A, Baraka M, El-Shobary A. The construction of an Arabic test to evaluate child language [MSc thesis]. Cairo, Egypt: Ain Sham University;1994.

    Google Scholar 

  20. Ling D. Speech and the hearing impaired child. 2nd ed. Washington, DC: A.G. Bell Association for the Deaf and Hard of Hearing;2002.

    Google Scholar 

  21. Moog J, Biedenstein J, Davidson L. Speech perception instructional curriculum and evaluation (SPICE) St. Louis, MO: Central Institute for the Deaf;1995.

    Google Scholar 

  22. Past PAleontological Statistics, Version 3.10 (Past), Øyvind Hammer, Natural History Museum, University of Oslo, Oslo, Norway; 1999–2015.

  23. Zhou H, Chen Z, Shi H, Wu Y, Yin S. Categories of auditory performance and speech intelligibility ratings of early-implanted children without speech training. LoS One 2013; 8: e53852.

    Article  CAS  Google Scholar 

  24. Svirsky M, Robbins A, Iler-Kirk K, Pisoni D, Miyamoto R. Language development in profoundly deaf children with cochlear implants. Psychol Sci 2000; 11: 153–158.

    Article  CAS  Google Scholar 

  25. Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear 2003; 24: 46S–58S.

    Article  Google Scholar 

  26. Crosson J, Geers A. Analysis of narrative ability in children with cochlear implants. Ear Hear 2001; 22: 381–394.

    Article  CAS  Google Scholar 

  27. Geers A, Brenner C, Davidson L. Factors associated with development of speech perception skills in children implanted by age 5. Ear Hear 2003; 24: 24S–35S.

    Article  Google Scholar 

  28. Robbins AM, Bollard PM, Green J. Language development in children implanted with the CLARION cochlear implant. Am J Oto Rhinol Laryngol 1999; 108: 113–118.

    Article  Google Scholar 

  29. Kirk K, Miyamoto R, Lento C, Ying E, O’Neill T, Fears B. Effects of age at implantation in young children. Ann Otol Rhinol Laryngol 2002; 111: 69–73.

    Article  Google Scholar 

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Authors and Affiliations

  1. Unit of Phoniatrics, Otorhinolaryngology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

    Manal El-Banna BSc, MSc, MD & Gamal Youssef

  2. Consultant phoniatrics, ENT Department, Dubai Hospital, Dubai, UAE

    Gamal Youssef

Authors
  1. Manal El-Banna BSc, MSc, MD
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  2. Gamal Youssef
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Correspondence to Manal El-Banna BSc, MSc, MD.

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There are no conflicts of interest.

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El-Banna, M., Youssef, G. Indices for the determination of the degree of communication skills improvement in prelingual children with cochlear implantation. Egypt J Otolaryngol 32, 287–297 (2016). https://doi.org/10.4103/1012-5574.192553

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  • DOI: https://doi.org/10.4103/1012-5574.192553

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