Speech and language outcomes in children with auditory neuropathy/dys-synchrony managed with either cochlear implants or hearing aids

2009 ◽  
Vol 48 (6) ◽  
pp. 313-320 ◽  
Author(s):  
Gary Rance ◽  
Elizabeth Janet Barker
Keyword(s):  
Cochlear Implants ◽  
Hearing Aids ◽  
Auditory Neuropathy ◽  
Language Outcomes ◽  
Speech And Language

scholarly journals Cochlear Implants and Children with Vestibular Impairments

2018 ◽  
Vol 39 (03) ◽  
pp. 305-320 ◽  
Author(s):  
Blake Papsin ◽  
Sharon Cushing
Keyword(s):  
Hearing Loss ◽  
Cochlear Implants ◽  
Sensory Deficit ◽  
Screening Methods ◽  
Language Outcomes ◽  
Speech And Language ◽  
Vestibular Loss ◽  
Acquired Hearing Loss ◽  
Speech And Language Development ◽  
The Impact

AbstractSensorineural hearing loss (SNHL) in children occurs in 1 to 3% of live births and acquired hearing loss can additionally occur. This sensory deficit has far reaching consequences that have been shown to extend beyond speech and language development. Thankfully there are many therapeutic options that exist for these children with the aim of decreasing the morbidity of their hearing impairment. Of late, focus has shifted beyond speech and language outcomes to the overall performance of children with SNHL in real-world environments. To account for their residual deficits in such environments, clinicians must understand the extent of their sensory impairments. SNHL commonly coexists with other sensory deficits such as vestibular loss. Vestibular impairment is exceedingly common in children with SNHL with nearly half of children exhibiting vestibular end-organ dysfunction. These deficits naturally lead to impairments in balance and delay in motor milestones. However, this additional sensory deficit likely leads to further impairment in the performance of these children. This article focuses on the following:1. Defining the coexistence of vestibular impairment in children with SNHL and cochlear implants.2. Describing screening methods aimed at identifying vestibular dysfunction in children with SNHL.3. Understanding the functional implications of this dual-sensory impairment.4. Exploring possible rehabilitative strategies to minimize the impact of vestibular impairment in children with SNHL

scholarly journals Assistive Hearing Technology for Deaf and Hard-of-Hearing Spoken Language Learners

2019 ◽  
Vol 9 (2) ◽  
pp. 153 ◽  
Author(s):  
Frush Holt
Keyword(s):  
Cochlear Implants ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Spoken Language ◽  
School Age Children ◽  
Future Research ◽  
Language And Literacy ◽  
Language Outcomes ◽  
Related Factors ◽  
Literacy Outcomes

Radical advancements in hearing technology in the last 30 years have offered some deaf and hard-of-hearing (DHH) children the adequate auditory access necessary to acquire spoken language with high-quality early intervention. However, meaningful achievement gaps in reading and spoken language persist despite the engineering marvel of modern hearing aids and cochlear implants. Moreover, there is enormous unexplained variability in spoken language and literacy outcomes. Aspects of signal processing in both hearing aids and cochlear implants are discussed as they relate to spoken language outcomes in preschool and school-age children. In suggesting areas for future research, a case is made for not only expanding the search for mechanisms of influence on outcomes outside of traditional device- and child-related factors, but also for framing the search within Biopsychosocial systems theories. This theoretical approach incorporates systems of risk factors across many levels, as well as the bidirectional and complex ways in which factors influence each other. The combination of sophisticated hearing technology and a fuller understanding of the complex environmental and biological factors that shape development will help maximize spoken language outcomes in DHH children and contribute to laying the groundwork for successful literacy and academic development.

scholarly journals Long-Term Speech and Language Outcomes in Prelingually Deaf Children, Adolescents and Young Adults Who Received Cochlear Implants in Childhood

2013 ◽  
Vol 18 (5) ◽  
pp. 289-296 ◽  
Author(s):  
Chad V. Ruffin ◽  
William G. Kronenberger ◽  
Bethany G. Colson ◽  
Shirley C. Henning ◽  
David B. Pisoni
Keyword(s):  
Young Adults ◽  
Cochlear Implants ◽  
Adolescents And Young Adults ◽  
Deaf Children ◽  
Language Outcomes ◽  
Speech And Language ◽  
Prelingually Deaf

scholarly journals The Ear Is Connected to the Brain: Some New Directions in the Study of Children with Cochlear Implants at Indiana University

2012 ◽  
Vol 23 (06) ◽  
pp. 446-463 ◽  
Author(s):  
Derek M. Houston ◽  
Jessica Beer ◽  
Tonya R. Bergeson ◽  
Steven B. Chin ◽  
David B. Pisoni ◽  
...  
Keyword(s):  
Cochlear Implants ◽  
Research Laboratory ◽  
Phonological Development ◽  
Language Outcomes ◽  
Speech And Language ◽  
Indiana University ◽  
School Of Medicine ◽  
New Directions ◽  
Language Outcome ◽  
The Brain

Since the early 1980s, the DeVault Otologic Research Laboratory at the Indiana University School of Medicine has been on the forefront of research on speech and language outcomes in children with cochlear implants. This paper highlights work over the last decade that has moved beyond collecting speech and language outcome measures to focus more on investigating the underlying cognitive, social, and linguistic skills that predict speech and language outcomes. This recent work reflects our growing appreciation that early auditory deprivation can affect more than hearing and speech perception. The new directions include research on attention to speech, word learning, phonological development, social development, and neurocognitive processes. We have also expanded our subject populations to include infants and children with additional disabilities

Cochlear Implant Outcomes for Children With Auditory Neuropathy Spectrum Disorder

2009 ◽  
Vol 19 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Jaime Leigh ◽  
Gary Rance ◽  
Shani Dettman ◽  
Richard Dowell
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Auditory Neuropathy ◽  
Cochlear Nerve ◽  
Spectrum Disorder ◽  
Language Outcomes ◽  
Outcomes For Children ◽  
Cochlear Nerve Deficiency

Abstract Cochlear implantation is currently the intervention option of choice for many children with auditory neuropathy spectrum disorder (ANSD) who are unable to obtain benefit from conventional amplification. The aim of this study was to review the speech perception and language outcomes for children with ANSD who had received a cochlear implant and highlight specific clinical considerations for working with this population of children with hearing impairment who are being considered for implantation. Finds for the group of 17 children with ANSD using cochlear implants were compared to previously reported outcomes for children with sensori-neural (SN) type hearing loss using cochlear implants. Two children, identified with cochlear nerve deficiency pre-operatively, received no useful auditory percepts from their cochlear implant and discontinued device use. The remaining children demonstrated speech perception and language outcomes comparable to those observed for SN hearing loss peers using cochlear implants. This paper highlights a number of considerations for clinicians to be aware of and the importance of careful counseling pre-operatively regarding the potential for less-than-optimal outcomes, particularly for those children identified with cochlear nerve deficiency.

scholarly journals Cochlear Implants vs Hearing Aids in Auditory Neuropathy

2012 ◽  
Vol 147 (2_suppl) ◽  
pp. P83-P83
Author(s):  
Stanley Pelosi ◽  
George B. Wanna ◽  
Linsey Watkins ◽  
Cathrine Hayes ◽  
Marc L. Bennett ◽  
...  
Keyword(s):  
Cochlear Implants ◽  
Hearing Aids ◽  
Auditory Neuropathy
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