Parental compliance for speech therapy of their hearing-impaired children using cochlear implants

Background: Cochlear implant is a miraculous surgery to improve hearing in profound hearing-impaired children who derive no benefit from hearing aids and consequently present with speech and language disability. This study aims to explore the parental perspective regarding compliance to speech therapy and its potential benefit in hearing-impaired children with cochlear implantation. This will help understand parental concerns and plan recommendations for providing appropriate speech therapy sessions after cochlear implantation. Subjects and methods: This cross-sectional study using purposive sampling recruited 217 parents of hearing impaired cochlear implanted children of both genders, aged 1 to 15 years. Sample was collected from Audiology Department of Riphah International University, Combined Military Hospital, Bahria Town Hospital and Alam Audiology Clinic, Lahore, Pakistan over a period of 6 months. Basic demographic sheet and self-structured questionnaire was used for data collection. SPSS Version 22 was used for data analysis. Results: Results revealed that both parents of 120 (55.3%) male and 97 (44.7%) female cochlear implanted children entered the study. A poor compliance was noted with only 88(40.55%) parents got their children consulted with a speech therapist for post implant needs and of these only 75 (84.23%) received regular speech therapy. There was significant association of those who received hearing aid trial and consultation to speech therapist (p=0.01) and length of speech therapy with regular therapy sessions (p=0.03), speech language improvement with the thought that regular speech therapy was important (p=0.04) Conclusion: By and large parents are not very compliant to speech therapy needs of their implanted children with only 40.55% consulted speech language therapists and remaining remained indifferent. Of the 40.55% who consulted speech language therapists 84.23% followed speech therapy for their children. Study also revealed a significant relationship between regular speech therapy sessions and early speech and language development.

Download Full-text

Systematic Modification of Parental Input to Train Language Symbols

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.1201.04 ◽

1981 ◽

Vol 12 (1) ◽

pp. 4-12 ◽

Cited By ~ 6

Author(s):

Barbara Culatta ◽

Donna Horn

Keyword(s):

Language Learning ◽

Meaningful Use ◽

Hearing Impaired ◽

Specific Language ◽

Parental Input ◽

Language Exposure ◽

Therapy Sessions ◽

Impaired Children ◽

Hearing Impaired Children ◽

At Home

This study attempted to maximize environmental language learning for four hearing-impaired children. The children's mothers were systematically trained to present specific language symbols to their children at home. An increase in meaningful use of these words was observed during therapy sessions. In addition, as the mothers began to generalize the language exposure strategies, an increase was observed in the children's use of words not specifically identified by the clinician as targets.

Download Full-text

The effect of age at time of cochlear implantation on the pragmatic development of the prelingual hearing impaired children

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-021-00092-y ◽

2021 ◽

Vol 37 (1) ◽

Author(s):

Mona Sameeh Khodeir ◽

Dina Fouad El Sayed Moussa ◽

Rasha Mohammed Shoeib

Keyword(s):

Language Development ◽

Cochlear Implantation ◽

Study Groups ◽

Hearing Impaired ◽

Language Delay ◽

Pragmatic Language ◽

Language Abilities ◽

Pragmatic Development ◽

Impaired Children ◽

Hearing Impaired Children

Abstract Background Pragmatics is the social use of language that draws on understanding human interactions in specific contexts and requires engagement with a communicative partner or partners. The hearing-impaired children are known to have a pragmatic language delay as hearing impairment deprived of exposure to natural communication interactions, in addition to the language delay they have. Since the age of implantation has emerged as an important predictor of language, hearing, and speech in children who use cochlear implants (CI), question aroused about the benefits of early cochlear implantation on pragmatic language development in those children. Thus, this study aims to compare the pragmatic language development of the prelingual hearing impaired children who cochlear implanted before the age of 3 years and those who cochlear implanted after the age of 3 years. Results The two study groups showed no significant differences regard their scores in the Egyptian Arabic Pragmatic Language Test (EAPLT). The two studied groups had pragmatic language scores below their 5th percentile. Among the studied groups, the scores of the EAPLT were positively correlated to the age of the children, the children’s language abilities, and the duration of the received language rehabilitation, with no significant correlation to the age of implantation. Conclusions The age of implantation has no impact on pragmatic language development in children with CI. The prelingual children with CI are susceptible to delays in the pragmatic language development that is primarily related to the age of those children and their language abilities, besides their experience in social interactions. These results should be considered in their rehabilitative plan and advocate the importance of early incorporation of pragmatic behaviors into their intervention programs.

Download Full-text

Computer-Based Rehabilitation for Developing Speech and Language in Hearing-Impaired Children: A Systematic Review

Deafness & Education International ◽

10.1179/1557069x14y.0000000046 ◽

2014 ◽

Vol 17 (2) ◽

pp. 111-119 ◽

Cited By ~ 3

Author(s):

Andrea Simpson ◽

Amr El-Refaie ◽

Caitlin Stephenson ◽

Yi-Ping Phoebe Chen ◽

Dennis Deng ◽

...

Keyword(s):

Systematic Review ◽

Hearing Impaired ◽

Speech And Language ◽

Computer Based ◽

Impaired Children ◽

Hearing Impaired Children

Download Full-text

Why and how music can be used to rehabilitate and develop speech and language skills in hearing-impaired children

Hearing Research ◽

10.1016/j.heares.2019.06.003 ◽

2019 ◽

Vol 380 ◽

pp. 108-122 ◽

Cited By ~ 5

Author(s):

Ritva Torppa ◽

Minna Huotilainen

Keyword(s):

Language Skills ◽

Hearing Impaired ◽

Speech And Language ◽

Impaired Children ◽

Hearing Impaired Children

Download Full-text

Cue Speech and Language Achievement of Hearing-Impaired Children

Asian Social Science ◽

10.5539/ass.v9n16p81 ◽

2013 ◽

Vol 9 (16) ◽

Cited By ~ 2

Author(s):

Mohd Hanafi Mohd Yasin ◽

Safani Bari ◽

Nur Ain Mat Hassan

Keyword(s):

Hearing Impaired ◽

Language Achievement ◽

Speech And Language ◽

Impaired Children ◽

Hearing Impaired Children

Download Full-text

Impact of early intervention of speech and language therapy among hearing impaired child

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20202909 ◽

2020 ◽

Vol 8 (7) ◽

pp. 2641

Author(s):

Rina Kumari ◽

Sunita Tiwari ◽

Arun Chatuvedi ◽

Sunil Kumar ◽

Nalini Rastogi

Keyword(s):

Hearing Loss ◽

Hearing Aids ◽

Hearing Impaired ◽

Verbal Response ◽

Speech And Language ◽

Language Therapy ◽

Lexical Development ◽

Speech And Language Therapy ◽

Impaired Children ◽

Hearing Impaired Children

Background: Hearing impairment is a factor that directly compromises the individual’s language which can affect emotional and academic defects by delayed development of communicative ability. This can vary according to the type and degree of hearing loss. Speech therapy intervention is important, along with the use of sound amplification devices, so that the child may have a chance to develop speech, consequently learning and re-habilitation to the society. Aims of the present study was performed to assess the effectiveness of early intervention of speech and language therapy after use of hearing aids to hearing impaired children on their syntactic and lexical development.Methods: This quasi-experimental study conducted on 100 children having different degree of hearing loss at department of Neurology and department of ENT, King George’s Medical University, Lucknow, Uttar Pradesh. After collecting socio-demographic data of subjects by observation, completion of questionnaires, and speech recording by audiologist; Speech and language therapy provide by audiologist for six month after providing hearing aids and improvement in their syntactic and lexical development recorded.Results: There is significant improvement in verbal response from 14% before therapy to 81% after therapy and non-verbal response before therapy was 86% and after therapy was 19%. Before giving speech and language therapy to subjects pointing score was 24%, sign language was 10% and words response was 0% which increases after therapy were 1%, 2% and 39% respectively. Early identified/intervened hearing-impaired children had a notable positive difference in all assessed lingual gains.Conclusions: This is study results definitely point to positive effects of intensive and continuous application of speech and language therapy to syntactic and lexical development of hearing impaired children.

Download Full-text